Anonymous wrote:Most people don't "ramp down," I don't think. I"m pretty sure, absent any medical issues, most women work up until they give birht, or at least their due date. I was on bed rest from 36 weeks so I used STD but I can tell you that the STD carrier asked for a TON of verification that I truly couldn't work -- test results, a diagnosis, etc. Even if my doctor would have written a note just because I'd asked, there's no way the carrier would have paid it.
As far as using sick leave, if you work for a private employer that's going to be up to their discretion. If you don't want to go through HR, can you talk to other women who have done a similar thing before? It's not a legal question, it's more about your company policy, so not something anonymous posters can answer.
My experience was different. My provider was very supportive of my need to stop work two weeks before both my children were born. She basically told me that she'd find a medical reason if I felt that I could no longer work. With my first it was that my blood pressure was increasing and she wanted me to stay home to minimize stress. Obviously this was also true. With my second my pregnancy induced sciatica was so bad that I had trouble walking and by 38 weeks could barely get around the house. The first time it was approved immediately no problem, with the second, they did call and talk to my doctor but then it was also straightforward. If you have a sympathetic provider I'd definitely suggest that you try STD. The last few weeks of pregnancy are extremely taxing and for me I simply wasn't able to work - too exhausted, too enormous, too many physical ailments. Unless you are one of those women who sails through pregnancy until they go into labor at the gym, I completely recommend applying for STD.
Of course your provider has to give a reason, and that reason has to be valid, but the chances are very high that there is a valid reason for you not to work while heavily pregnant.