Reply to Dr wants to induce early because "no reason to go full 40 weeks"??

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Reply to "Dr wants to induce early because "no reason to go full 40 weeks"??"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Generally, I would say that's BS. However, my answer might change based on your actual risk profile. You are high risk and on medication, mayb you should ask for more specifics about why she recommends 39 weeks instead of 40?[/quote]

I have a heart condition that I was born with, one of things I have dealt with my entire life is hypertension. So far (knock on wood) my readings remain close to 120/80 or below due to medication. When I asked for why the need for induction at the appointment, she said babies are considered full term at 39 weeks and everything is developed safely so she saw no reason to wait until 40 weeks. T[b]here was no mention of risk or danger to me or the baby. I am a FTM so I tend to let my Dr obviously take the lead but alarm bells are going off[/b].[/quote]

I want to put this to you gently, but you are high risk.  That means the "alarm bells" are already going off.  Your OB is an experience doctor who has the best interests of you and your child at heart.  That is why she wants to deliver you sooner rather than later.  So much can go wrong as you get later in the pregnancy; the safest thing in a high risk situation is often to get the baby out.  That's your doctor's line of thinking.  Your doctor cannot exactly predict what is going to happen if you go past 40 weeks, but she's recommending a risk-reduction path for you.  Even though your doctor did not mention risk to you or the baby, that's exactly what she's thinking about:  the risk of continuing the pregnancy and waiting for something bad to happen justifies induction as soon as it's safe for the baby.  You should sit down with her and ask her exactly why she recommends this path and what she sees as the risks and benefits.

Now for the facts.  Induction is the safest course for your baby.  In the case of chronic hypertension, there is research supporting that "Among women with otherwise uncomplicated pre-existing hypertension, delivery at 38 or 39 weeks appears to provide the optimal trade-off between the risk of adverse fetal and adverse neonatal outcomes.  "http://www.ncbi.nlm.nih.gov/pubmed/21054760.

You should also be comforted by the fact that recent research shows that induction DOES NOT increase c section rates.  In fact, it might reduce it:  http://blogs.scientificamerican.com/absolutely-maybe/induced-labor-decreases-rate-of-cesareans-study-finds/

There is also increasing evidence that delivering at 39 weeks is safest for *everyone.*  http://contemporaryobgyn.modernmedicine.com/contemporary-obgyn/news/why-not-induce-everyone-39-weeks.

Certainly, for a high-risk situation, it's not a suggestion that should raise any alarm bells.

Please, sit down and have an in-depth discussion with your doctor about this.  Her number one priority is to keep you and your baby healthy and alive. [/quote]

OP, I am as granola as they come, and I tend to side with this poster in your case. That said, ask your cardiologist. Ask your OB more questions. But your medical condition warrants this kind of caution. [/quote]

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