Anonymous wrote:OP here. Baby saved me from having to fight this battle by showing up slightly early. 🥰

Congratulations!!

Anonymous wrote:OP here. Baby saved me from having to fight this battle by showing up slightly early. 🥰

Congrats!

OP here. Baby saved me from having to fight this battle by showing up slightly early. 🥰

Policy?
Pretty sure there is no standard policy.

There may be a medical standard of care for high blood pressure, diabetes etc.

But, barring a medical reason, there is no policy.

Ask to see it.

Anonymous wrote:

Anonymous wrote:How old are you? They do this for advanced maternal age due to the placenta deteriorating. I would induce instead having the possibility of a stillborn.

I thought it was based on the ARRIVE trial which was also for low risk first time moms. The UK study about older moms jsut compared rates of csection not rates of stillbirth, which is the actual concern with AMA moms from my understanding.

Yes the ARRIVE trial was actually looking to find that 39 week elective inductions would reduce the risk of stillbirth. It didn’t. It did find lower rates of complications like c-sections, but not by wide margins. It really demonstrated that elective induction at 39 weeks is fine, not that it should be mandatory.

I have the gestation period of an elephant. I pleaded for an induction at 41+ weeks. The baby arrived 2.5 hours after they turned on the tap.

They let me avoid induction by agreeing to regular no stress tests and BFPs in my last month. I still ended up with an induction at almost 41 weeks.

Anonymous wrote:

Anonymous wrote:I would also say, use the same tactics if they worked with your previous births to get things moving. I swear by the Membrane Sweep, so perhaps you can try that during week 39 and hope you will go into labor on your own.

Membrane sweeps can push you over if you were starting to go that way on your own. If you have a Bishop score = 0 cervix you would need gorilla hands to even perform the sweep, and it would be as pleasant as unmediated transition labor

It’s super quick - we’re taking seconds of discomfort and highly effective but of course consult with your doc. You can try it and buy a few extra days. Typically it’s pretty effective and you go into labor soon thereafter maybe 24/48 hours. I actually had several sweeps during one of my labors when things slowed down at 4-5cm.

Anonymous wrote:I would also say, use the same tactics if they worked with your previous births to get things moving. I swear by the Membrane Sweep, so perhaps you can try that during week 39 and hope you will go into labor on your own.

Membrane sweeps can push you over if you were starting to go that way on your own. If you have a Bishop score = 0 cervix you would need gorilla hands to even perform the sweep, and it would be as pleasant as unmediated transition labor

I had a vaginal birth at 41w5d. Even that wasn't "natural" labor, it was premature rupture and oxytocin. He came out with an apgar score of 3, I dont know if that was the oxytocin or the aging placenta or both.

Tried an induction 39wk 5d and that turned into a C section

If the induction fails the C section is more risky
They can send you to frequent BPP clinics but that doesnt predict the baby will tolerate labor

Sorry, OP, super grey area of medicine. If you dont want to be medicalized, err on the side of spontaneous labor. If you want to err on the side of avoiding obstetric drama, do the induction or even a scheduled C if this is your last baby

My midwife screwed me over. I was starting to max out on the oxytocin and she broke my water. I hemorrhaged during the C because I was left on an oxytocin drip full blast. She could have turned off the oxytocin before breaking my water and we could have called the whole thing off. This is something to discuss way before the hospital. If they give you crap or act like you are a princess, get the h3ll out of their practice as fast as you can.

I've had ongoing problems with my two C-sections but they pale in comparison to brain damaged or dead babies, so there's that.

This was awhile ago, but I remember Dr. Patricia Bannon in McLean being a very supportive provider. You could try her/her practice.

You can get a 2nd opinion from another doctor at the practice or even another practice if that'll make you feel better. What underlying issues do you have? Gestational diabetes? Hypertension? Oligohydramnios? There are tons of legitimate reasons to induce early and we don't know your history.