(Closed) How do you and your doctor feel about induction?

posted 6 years ago in Pregnancy
Post # 17
Member
413 posts
Helper bee
  • Wedding: September 2012

I have a midwife in Canada but the friends of mine with OBs tend to induce around 41-42 weeks. Some doctors will let you wait out till 42 if all is well.

You can ask for a biophysical profile if they’re suggesting induction earlier — assessing your health, the health of the baby, etc, via ultrasounds and other tests.

Post # 18
Member
1868 posts
Buzzing bee
  • Wedding: June 2012

My doctor said he would induce at 40 weeks if I wanted him to but otherwise he would suggest 41 and he will not let me go over 42. I think it just depends on where we are at when that time comes. If I am miserable, it may be worth inducing earlier but right now we have a plan to go to 41 and then talk about induction.

Post # 19
Member
2775 posts
Sugar bee
  • Wedding: April 2010

I saw a midwife who practiced with a group of OBs, and they wouldn’t have let me go past 42 weeks.

Post # 20
Member
2814 posts
Sugar bee
  • Wedding: June 2012

No doctor can MAKE you get induced. You don’t have to show up to the appointment.

I know it’s becoming common not to “let” women go over 40-42 weeks, but it’s not always appropriate.

I personally had to be induced at 38w 5d due to complications, so I never had the “overdue” discussion with my OB. I do feel like she probably would have been pushing it if I was getting close to my due date. Luckily I just needed some cervical gel and walked TONS of stairs and that was enough for me to birth my baby.

There are so many things to consider. I am all for natural pregnancy/birth/etc but an aging placenta (which can be looked at via ultrasound) is a big deal…just gotta look at all the pros and cons!

Post # 21
Member
664 posts
Busy bee
  • Wedding: June 2012

@urchin:  +100

I’m surprised by people talking about what their doctors “let” them do. Your doctor can’t make you have an induction. You have to consent to any medical procedure being done to you. If my care provider told me I wasn’t allowed to refuse I’d find a new provider.

My midwife recommends induction at 42 weeks.

Post # 22
Member
251 posts
Helper bee
  • Wedding: December 2012

@KCKnd2:  All this is very true, but if the baby is not longer thriving and the placenta is dying off then I see no reason to stay pregnant past 40 weeks. Each women and her body is different and some can sustain longer. I am in the medical field and I trust that my ob is doing whats best for me and my baby. To each his own, I don’t judge anyone wanting to go the whole natural way. Me on the other hand am open to all interventions that could /would save my childs life. I will also be getting an epidural when the time comes.

Post # 23
Member
1090 posts
Bumble bee
  • Wedding: June 2012

I got induced at 41 weeks and it went amazingly well! Granted, I planned on getting an epidural all along, and I’m so glad I did get one! It allowed me to have a relatively painless delivery, I was so terrified of being induced and the pain but it was so much easier than I thought it’d be. I’m already ready for baby #2, birth was one of the easiest parts of pregnancy for me (and I had a pretty easy pregnancy, too). 

I’m relatively against inducing before a due date if not medically necessary, there is important brain development that occurs up to 39 weeks that goes much better in utero. 41 weeks though? I was ready for baby to come out, and I’m glad I didn’t wait longer because he was an ounce shy of 9 lbs. He’s been an awesome baby, though! I wouldn’t change a thing about my birth experience. 

Post # 25
Member
1621 posts
Bumble bee
  • Wedding: September 2012

A post-dates induction where I live/work is usually anywhere from 41-42 weeks, depending on the care provider, the woman’s wishes, the hospital availability etc.

I offer induction at 41 weeks + 3 days usually, sometimes 41 weeks if there are specific circumstances, and I recommend induction by 42 weeks.  Beyond that, a woman can decide what she wants.

Not that long ago (ie not the dark ages), induction was routine at 43 weeks, and I have several cousins born at 42 weeks.  The 42 week “cut off” (yes, air quotes) is a relatively recent change.

As long as a woman truly understands the risks of waiting, it’s her choice to make.  

Post # 26
Member
12246 posts
Sugar Beekeeper
  • Wedding: May 2013

I know a woman who actually hit 46 WEEKS

46!

It was back in the early 70s, when they’d just let you go forever as long as you were healthy!

Post # 27
Member
3696 posts
Sugar bee

FWIW, there is very little risk at 40 weeks of deterioration to the placenta. That generally becomes a more realistic concern at 42 weeks and beyond. At 40 weeks, in the great majority of pregnancies, the comparative risk of shortchanging the final phases of baby’s development is considerably higher than the risk of placental deterioration; that balance gradually shifts over the following couple of weeks. Different care providers have different philosophies as to exactly when they feel intervention is necessary.

It’s also true that the most successful inductions (i.e. the ones least likely to end in Cesarean rather than vaginal birth) are the ones in which the onset of spontaneous labor was most imminent anyway – and, for obvious reasons, those tend to be later rather than earlier.

Post # 29
Member
2775 posts
Sugar bee
  • Wedding: April 2010

When I say my midwife & the OBs in the practice wouldn’t have “let” me go beyond 42 weeks I’m not saying they would have all come to my house, dragged me off to the hospital, and strapped me down for an induction.  I’m saying in their practice they deem it not medically advisable to go past 42 weeks.

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