Sibley OB recommendations who don’t push AMA 39 week induction

[Anonymous]

I delivered my first child with Reiter Hill and ultimately had a very good experience. But it was important to me to avoid an induction unless medically necessary. Many of the doctors at RH were pushing induction at 39 weeks based on the ARRIVE study. Personally, I didn’t find it that convincing, and I scrambled to make all my final prenatal appointments with the doctor who was supportive of me waiting to go into labor on my own.

The doctor who delivered my first child has left RH, so I’m looking at other practices like Bloom or Foxhall. I would appreciate any recommendations or experiences with OBs who deliver at Sibley and their attitude towards induction for mothers over 35. Thanks!

[Anonymous]

DeSouza.

[Anonymous]

Pardo at Foxhall. If there are no other issues (eg blood pressure is fine) she won’t force the induction.

[Anonymous]

Foxhall. None of the OBs said anything about induction until I brought it up, and then made it very clear that it was my choice and I could go until 41 or even 42 weeks if I wanted. And my pregnancy was IVF so dates were certain.

[Anonymous]

Just say no.

[Anonymous]

Anonymous wrote:Foxhall. None of the OBs said anything about induction until I brought it up, and then made it very clear that it was my choice and I could go until 41 or even 42 weeks if I wanted. And my pregnancy was IVF so dates were certain.

I recently delivered with Foxhall and WAS an induction at 39 weeks. I am AMA but it was because they thought he was going to be a chunker! They first mentioned it after his 32 weeks growth scan, then at the 36 week when he still measured big. If anything I was actually annoyed that they were not pushing me one way or the other. It was 100% my decision, and they even asked if I had a set birth plan or was set in vaginal vs C-section. Highly recommend Dr. Davis—one of the advantages of being induced is you can pick who is on call that day!

[Anonymous]

I’m surprised to hear this OP. I just had my second with Reiter Hill this summer and I was asking for an induction at 39 weeks and they wanted me to go longer. Only Dr Muangman was encouraging an induction at 39 weeks, literally all the other doctors recommended that I wait to go into labor on my own. They just didn’t want me to go past 41 weeks which I was fine with! I ended up going into labor after a membrane sweep at 40+4.

[Anonymous]

OP are you 35 or 39? I would be more concerned for you waiting if you were declining inducing at 39 years old.

[Anonymous]

Whaaat? I was 41 and delivered at 40 weeks and then 42 and delivered at 41 weeks. Ohhh the good wise women of midwifery.

[Anonymous]

Anonymous wrote:Whaaat? I was 41 and delivered at 40 weeks and then 42 and delivered at 41 weeks. Ohhh the good wise women of midwifery.

I guess if baby coming out of your vagina matters more than avoiding an “intervention” and not caring about an increased risk of stillbirth, sure.

[Anonymous]

Anonymous wrote:Pardo at Foxhall. If there are no other issues (eg blood pressure is fine) she won’t force the induction.

I also was with Foxhall and Pardo delivered my baby, though I was seen by a different dr during the pregnancy. Anyway, I was a week late and the baby was about 9.5 lbs, they didn’t induce.

[Anonymous]

Footer, Engle and DeSouza are all great. They won’t push anything onto you so long as it is medically safe for you and baby.

[Anonymous]

Anonymous wrote:OP are you 35 or 39? I would be more concerned for you waiting if you were declining inducing at 39 years old.

This. How old were you when you had your first? Do yuh understand the risks of AMA? (I was AMA for my child’s birth)

[Anonymous]

Anonymous wrote:

Anonymous wrote:Foxhall. None of the OBs said anything about induction until I brought it up, and then made it very clear that it was my choice and I could go until 41 or even 42 weeks if I wanted. And my pregnancy was IVF so dates were certain.

I recently delivered with Foxhall and WAS an induction at 39 weeks. I am AMA but it was because they thought he was going to be a chunker! They first mentioned it after his 32 weeks growth scan, then at the 36 week when he still measured big. If anything I was actually annoyed that they were not pushing me one way or the other. It was 100% my decision, and they even asked if I had a set birth plan or was set in vaginal vs C-section. Highly recommend Dr. Davis—one of the advantages of being induced is you can pick who is on call that day!

How big was your baby and how long did it take for baby to come once you had the scheduled induction? I’m currently in Dr. Davis’ care and they think my baby is going to be big but Dr. Davis is pushing for either a 39 week induction or c-section even though I don’t have GD and have a history of large babies being born in my family so I’m confused with the lean towards unnecessary medical interventions...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Foxhall. None of the OBs said anything about induction until I brought it up, and then made it very clear that it was my choice and I could go until 41 or even 42 weeks if I wanted. And my pregnancy was IVF so dates were certain.

I recently delivered with Foxhall and WAS an induction at 39 weeks. I am AMA but it was because they thought he was going to be a chunker! They first mentioned it after his 32 weeks growth scan, then at the 36 week when he still measured big. If anything I was actually annoyed that they were not pushing me one way or the other. It was 100% my decision, and they even asked if I had a set birth plan or was set in vaginal vs C-section. Highly recommend Dr. Davis—one of the advantages of being induced is you can pick who is on call that day!

How big was your baby and how long did it take for baby to come once you had the scheduled induction? I’m currently in Dr. Davis’ care and they think my baby is going to be big but Dr. Davis is pushing for either a 39 week induction or c-section even though I don’t have GD and have a history of large babies being born in my family so I’m confused with the lean towards unnecessary medical interventions...

He ended up being exactly what they said he was at the 36 week scan, a little over 7 lbs. It was about 36 hours from start of medication to delivery, 7 hours of contractions and under 2 hours of pushing. When Dr. Davis broke my water my husband asked how long it would be. She said a time she thought it would be and he arrived literally two minutes before her prediction.

Pros of induction: Someone in an old thread called it “civilized.” I liked that we knew when we were going in, had everything ready, and had a calm drive to the hospital (husband not the best city driver!). I purposely scheduled for the day Dr. Davis was there and delivered at the end of her shift. It was like checking into a (really expensive) hotel. I also would have hated waiting out contractions at home and then having to drive while having them. I appreciated the constant monitoring of the baby—a friend had a traumatic birth experience where they didn’t notice the baby’s heartbeat stopped for several minutes because they stopped monitoring.

Cons: Monitoring sucks because the bands don’t stay on well. I was restricted to bed or a ball next to the bed. Baby had bad jaundice which is apparently common in inductions (my cousin had an induction and also a very jaundiced baby...I quickly googled and it seems like a thing but I didn’t really read much about it, full disclosure). I’ve heard contractions are stronger, but I have nothing to compare to. They did very carefully ramp up (and then turn down) the amount of pitocin every 30 minutes based on my response. I did have an epidural but it didn’t fully work so I still felt contractions. But again, start to finish was 7 hours so it’s not like 24 hours of contractions.