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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Change your providers.  Being treated like that is not okay and not normal.[/quote]

If they're discussing induction it's likely too late to change providers.  Most OBs won't want to take a switched patient super late.

It looks like the ACOG does recommend induction at 39 weeks for moms 40 and older and they will base that on statistics and science.  So if you have any other complicating factors, at least have a conversation about it.  But they shouldn't just be telling you, they should be laying out stats and reasoning.[/quote]

OP here - my biggest problem is that there have been no complications. Stress tests, ultrasounds, blood work - everything has been stellar. I understand the need to inform but it just seems beyond that at this point[/quote]

My sister had zero complications whatsoever. Completely smooth pregnant. Baby had no heartbeat at 39 weeks and 3 days.

Follow the evidence.[/quote]

The evidence was someone didn't do their job right or they didn't know the reason for stillbirth. So they're pushing for induction and/or C-section at 37th or 39th week without following the medical science. 
Scare tactic is their way.[/quote]

Her stillbirth had an unknown cause despite genetic testing of embryos, fetal autopsy, and pathology of fetal and placental tissue. Somewhere between a quarter and half of stillbirths have no known cause, so her situation is not anomalous.

The risk of stillbirth increases, particularly for older mothers, after 37 weeks. Of course, that risk has to be balanced against the risk of complications from being born a bit earlier. The recommendation of induction at 39 weeks for older mothers is a reasonable one that’s evidence based and balances protection of neonatal health with reduction in the risk of stillbirth.

I’m thrilled that presenting the risk of stillbirth to a mother sounds like a “scare tactic” to you. There have now been two stillbirths in my family (same generation) from two different mothers despite no prior family history. Both stillbirths had no known cause. Both had healthy pregnancies. Both had two other live births. These outcomes were totally devastating and, in my opinion, should be avoided at all costs. [/quote]

I’m so sorry for your sister and her loss.  I think it’s worth noting that a loss at 39+3 may be very difficult to prevent, as sometimes freak awful things happen.  ACOG recommends induction during week 39 for older mothers, but a planned induction at 39+6 would be within these guidelines.  Follow the evidence, yes.  Unfortunately awful things can happen at any time.[/quote]

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