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[quote=Anonymous][quote=Anonymous]OP here. Went to dr this am and should have updated platelet counts tomorrow. My cervix is soft, but not yet dilated- the dr I saw today gave me a Bishop score of 3. She said she anticipates my platelets are probably stable- so somewhere around 120. She wants to stick with the induction date of this Saturday (my due date), giving me the reason of AMA. I pushed back on that because I'm on the lower range of AMA, have had a low risk pregnancy so far, and my fetal monitoring has been going well- amniotic fluid level is good, baby movement and heart rate consistent, etc. Their scheduling is booked for inductions next week but she said if I wasn't comfortable with Saturday and platelets are stable, she could ask for an exception (whatever that means) to schedule me instead early next week to give me a couple extra days, which I think I would feel ok with.

I just don't like the idea of going into an induction when I'm not even dilated solely because of my age, assuming platelets are stable. I don't feel like my body is ready yet. It's the very last stretch of an otherwise physically uneventful and fit pregnancy, and since the weekend I've had symptoms of symphisis pubic dysfunction, which is impeding my mobility and frankly also demoralizing me on top of this induction back and forth. They didn't really prep me for this- nobody told me until last week that they have essentially a cattle line of inductions scheduled and I might have trouble getting in, or that AMA would be an issue at 35 and 6 months old. I'm having trouble getting into a good mental place which is hard in the last week when I think I'm supposed to be excited and ideally feeling more ready and confident. [/quote]
PP here from a couple days ago: this is great news! It sounds like the platelets are a non-issue, and you are already a little effaced. Now you can try to focus on the fact that everything looks good for you either to go into labor on your own, or for your body to respond favorably to induction drugs because you will be more dilated/effaced with the extra days. There are many reasons not to go past 41 weeks but the evidence that induction helps isn't as clear between 39-40 weeks for low-risk, healthy people (and your age - 35 and a half - doesn't make you high risk if you're healthy).

I'm sorry to hear your practice is so rigid and trying to pressure you into inducing on their preferred date. They should have listened to you and discussed the pros and cons of inducing/waiting rather than acted like you were asking them to bend the rules. This is good practice for when you need to stand up for your child in the future. It's hard to stick to your guns especially with doctors who are supposed to know everything and do things in our best interests. I always tell myself no one is looking out for my child more than I am. The evidence backs your choice to wait a few extra days, and it's important for you to be comfortable with any treatment or procedure.

If you do get the induction next week, you can ask to go in at night and get the cervical ripening drugs placed, then go home and sleep and return the next day (or earlier if regular contractions start). Hospitals just aren't restful and early labor is about resting and letting your body do its thing. Keep in mind that once they admit you, or if your water breaks, then you're on the clock and there's no turning back from delivering the baby. If you have an appointment between now and then you can ask them to strip your membranes - but I think you have to be dilated a certain amount first for that. Sometimes it works and sometimes it doesn't.

If you feel well, walk a lot and rest/relax as much as possible the rest of the time. Try to enjoy the final exciting days. Good luck![/quote]

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