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]OP, the few things that I'd be thinking about and discussing with my doctor include:

- You said your hypertension was being well managed. Does that change things as opposed to someone for whom medication is not controlling it?
- How certain are you of your dates? Even if a 39 week induction really is the way to go, you want to be sure you're in fact 39 weeks, as opposed to 37-38. As a pp suggested, might be worth trying to get to 39.5 to give the baby a little extra time to cook. I think the importance of this is highlighted by the shift from ACOG of considering 37 weeks to be full term to now recognizing there are real benefits of getting to 39 weeks, and their changing recommendations. 
- A good discussion of how to avoid the slippery slope of pitocin to c-section, which I think is real. Obviously plenty of people have pitocin with out a C, but certainly the rates go up once interventions start. So, having a good discussion with your doctor about your concerns and how you can avoid going down that path might help give you some comfort.

Good luck! [/quote]

You forgot that OP has a heart condition, and that ACOG's recommendation on full-term deliveries have to do with *low risk* pregnancies where induction is not recommended.  The whole point of induction is that the baby does not benefit from "extra time to cook" in that particular baby's case.  Induction can certainly be recommended at 39 weeks in cases of chronic hypertension or other medical conditions.  And the premise that pitocin = c section is wrong.  It's not a slipperly slope.  Induction actually reduces c sections, per the most recent studies.  [/quote]

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