Normal Practice to Induce AMA Mom's at 39 Weeks?

[Anonymous]

How are cord issues diagnosed? I see a MFM specialist and they do check cord blood flow whenever I have a scan (about monthly). Would that catch it? I'm 41, will be just 42 at delivery.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Yes, it is becoming increasingly normal due to evidence that it reduces stillbirths and does not in fact increase c-section rates. I suggest you have a discussion with your OB about it to hear his thinking. If you don't agree you have the right not to do it, but I'd take his views into consideration, since he is in the medical expert you hired!

No, this is not fact. It is a shaky theory that insecure women are clinging onto to absolve themselves of guilt when they seek convenience inductions.

You're right to wait until things progress naturally whenever possible. Don't let these other PPs attempt to minimize the benefits of a natural birth without medical intervention.

Come again now? What's insecure about undergoing a scary medical procedure in order to protect your baby, when your doctor advises you to do so?

[Anonymous]

At what point in AMA are these issues very serious? I just turned 35 in April and will have my 4th child in august. All my other pregnancies were uncomplicated, with one induction at 41 weeks. Since I have just crossed over the AMA bridge, I'm now a little freaked out. Of course I will discuss with my OB at my next appointment.

[Anonymous]

Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

[Anonymous]

Anonymous wrote:At what point in AMA are these issues very serious? I just turned 35 in April and will have my 4th child in august. All my other pregnancies were uncomplicated, with one induction at 41 weeks. Since I have just crossed over the AMA bridge, I'm now a little freaked out. Of course I will discuss with my OB at my next appointment.

My doc told me 39-40, but you already have kids...so you're probably okay and will not need one. I really think it depends on the result of milestone scans and what they'll find. In my case I had velamentous cord insertion and my DS' head was enormous. One of my OBs in the practice had two c-secs with both of her kids and she was not AMA.

[Anonymous]

Anonymous wrote:At what point in AMA are these issues very serious? I just turned 35 in April and will have my 4th child in august. All my other pregnancies were uncomplicated, with one induction at 41 weeks. Since I have just crossed over the AMA bridge, I'm now a little freaked out. Of course I will discuss with my OB at my next appointment.

Everything I have read has said 40+, not 35+. I have had 4 miscarriages in a row and finally have a viable baby at age 42--there is no way I will take ge added risk of stillbirth that comes with going past 39 weeks.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Yes, it is becoming increasingly normal due to evidence that it reduces stillbirths and does not in fact increase c-section rates. I suggest you have a discussion with your OB about it to hear his thinking. If you don't agree you have the right not to do it, but I'd take his views into consideration, since he is in the medical expert you hired!

No, this is not fact. It is a shaky theory that insecure women are clinging onto to absolve themselves of guilt when they seek convenience inductions.

You're right to wait until things progress naturally whenever possible. Don't let these other PPs attempt to minimize the benefits of a natural birth without medical intervention.

You are really really weird. I'm going to guess you have severe issues with internalized misogyny.

[Anonymous]

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Pipe down with that nonsense.
- c-section, induced epidural VBAC (PROM), and induced unmedicated VBAC (my request) births.

[Anonymous]

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Safest, perhaps. Best? Some women would disagree with that. Most studies don't measure maternal satisfaction. The few that do seem to indicate maternal satisfaction is highest when women feel in like they're more than just a uterus and have a say in childbirth. For some, induction and epidural is exactly what they want. Others, that would be a nightmare for them.

The website Evidence Based Birth has an extensive article on this subject. Well worth reading, imo, so each woman can make the informed decision that is right for them.

[Anonymous]

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Oh, well don't you just know best then?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Safest, perhaps. Best? Some women would disagree with that. Most studies don't measure maternal satisfaction. The few that do seem to indicate maternal satisfaction is highest when women feel in like they're more than just a uterus and have a say in childbirth. For some, induction and epidural is exactly what they want. Others, that would be a nightmare for them.

The website Evidence Based Birth has an extensive article on this subject. Well worth reading, imo, so each woman can make the informed decision that is right for them.

There is not a consensus that induction is safest across the board. Not by far. Agree that women and their OBs or midwives need to weigh the risks of each option for themselves

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Safest, perhaps. Best? Some women would disagree with that. Most studies don't measure maternal satisfaction. The few that do seem to indicate maternal satisfaction is highest when women feel in like they're more than just a uterus and have a say in childbirth. For some, induction and epidural is exactly what they want. Others, that would be a nightmare for them.

The website Evidence Based Birth has an extensive article on this subject. Well worth reading, imo, so each woman can make the informed decision that is right for them.

There is not a consensus that induction is safest across the board. Not by far. Agree that women and their OBs or midwives need to weigh the risks of each option for themselves

Not really. Any practitioner that would let a 40+ mom go much past 40 weeks would be practicing well out of the mainstream.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Safest, perhaps. Best? Some women would disagree with that. Most studies don't measure maternal satisfaction. The few that do seem to indicate maternal satisfaction is highest when women feel in like they're more than just a uterus and have a say in childbirth. For some, induction and epidural is exactly what they want. Others, that would be a nightmare for them.

The website Evidence Based Birth has an extensive article on this subject. Well worth reading, imo, so each woman can make the informed decision that is right for them.

There is not a consensus that induction is safest across the board. Not by far. Agree that women and their OBs or midwives need to weigh the risks of each option for themselves

Not really. Any practitioner that would let a 40+ mom go much past 40 weeks would be practicing well out of the mainstream.

Thought we were talking about 39 weeks..anyway they'd be within their right to suggest it but certainly the final decision would be mine? (Rhetorical question)

This thread has gotten asinine. Just let each woman make her own decision FFS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Regardless of age 39 weeks induced with on oversight in a hospital with epidural is the safest and best birth plan

Safest, perhaps. Best? Some women would disagree with that. Most studies don't measure maternal satisfaction. The few that do seem to indicate maternal satisfaction is highest when women feel in like they're more than just a uterus and have a say in childbirth. For some, induction and epidural is exactly what they want. Others, that would be a nightmare for them.

The website Evidence Based Birth has an extensive article on this subject. Well worth reading, imo, so each woman can make the informed decision that is right for them.

There is not a consensus that induction is safest across the board. Not by far. Agree that women and their OBs or midwives need to weigh the risks of each option for themselves

Not really. Any practitioner that would let a 40+ mom go much past 40 weeks would be practicing well out of the mainstream.

Thought we were talking about 39 weeks..anyway they'd be within their right to suggest it but certainly the final decision would be mine? (Rhetorical question)

This thread has gotten asinine. Just let each woman make her own decision FFS.

I'd say that suggesting 39 weeks is a reasonable standard of care; and that going much past 40 weeks (for 40 yr old, first-time mom) starts to look "alternative." Of course the decision is yours. What OP is trying to do here (which I think is smart) is gauge what the "normal practice" is. Normal practice would be to induce first-time, 40+ AMA moms at some point very close to term (either a little before, or a little after).