(Closed) Are you really overdue???

posted 6 years ago in Pregnancy
Post # 3
Member
1622 posts
Bumble bee
  • Wedding: September 2012

@Audreysdance:  Admittedly, I didn’t read the entire article with my critical thinking hat on.  But yes, the estimation of the most accurate EDB is one of the most important aspects of care becuase it can really lead to inappropriate interventions.

It SO irks me that so many practitioners just “spin the wheel” ie. sync your LMP into the wheel and it spits out a due date.  Um, no.  That’s not the purpose of a gestational wheel.  To set a due date, you have to consider all the information you can gather, including LMP as one piece of the puzzle but also taking into account the woman’s typical menstrual patterns, if she knows or suspects when she ovulated or had intercourse, etc etc etc.  Naegle’s rule (LMP+7 days-3 months) is a ballpark based on a 28 day cycle with a 14 day ovulation, but can and should be adjusted for variance in both.

Also…one small point from the article.  It says that the induction rate was higher in 1997 than 1990 (I believe, I didn’t take specific notes of the years).  I am sure this is true, and postdates induction rates I’m sure are even higher now.  Part of the issue may be inaccurate setting of EDB, but also is because practice has moved from inducing at 42 weeks (the norm 10-15 years ago) to now inducing at 10 days past due (or even earlier).

Post # 4
Member
769 posts
Busy bee
  • Wedding: April 2010

i read that article (okay, i skimmed it) and thought it was so interesting, especially because i REALLY don’t want to be induced. i think mostly it started me on thinking that my “due date” is later because then when it comes and goes, i won’t be as anxious about being overdue and giving in to being induced simply because i’m late.

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