Anonymous wrote:

Anonymous wrote:Ugh. The guidance exists because of adverse outcomes. Why are people lying to increase their own risk of catastrophic adverse outcomes. You guys deserve what you get I guess.

Because the guidance differs with the standard of care elsewhere. Unless you’re saying every other DC hospital and practice is increasing their risk of catastrophic adverse outcomes, then this is a decision that should be made by a patient with her doctor, the managed care practice her doctor is a part of.

The American college of obstetricians and gynecologists recommends 41 weeks. Say what you will of Kaiser, but they are evidence based

Anonymous wrote:Ugh. The guidance exists because of adverse outcomes. Why are people lying to increase their own risk of catastrophic adverse outcomes. You guys deserve what you get I guess.

Because the guidance differs with the standard of care elsewhere. Unless you’re saying every other DC hospital and practice is increasing their risk of catastrophic adverse outcomes, then this is a decision that should be made by a patient with her doctor, the managed care practice her doctor is a part of.

Ugh. The guidance exists because of adverse outcomes. Why are people lying to increase their own risk of catastrophic adverse outcomes. You guys deserve what you get I guess.

Anonymous wrote:I was told at Kaiser that I would not be allowed to go past 1 day of my due date. No problems with pregnancy just told that's the policy. With Kaiser if you do not comply in the slightest they will mark it down in their notes. You will be sorry afterwords when they try to say you were "defiant". They really don't like any standing up for oneself.

Troll post

Also there is no risk with respect to losing care. In the extremely unlikely event doctor “fires you.” Just show up to Kaiser labor and delivery when you go into labor. It’s not like they will refuse to delivery your kid. The doctor really doesn’t matter. They are there for like 5 min.

They aren’t going to come to your house, shove you in a van, drive you to the hospital and strap you down. This is America. Just say no if non stress test is fine and you’ll be induced at 42 if necessary. The end.

I was told at Kaiser that I would not be allowed to go past 1 day of my due date. No problems with pregnancy just told that's the policy. With Kaiser if you do not comply in the slightest they will mark it down in their notes. You will be sorry afterwords when they try to say you were "defiant". They really don't like any standing up for oneself.

I have Kaiser (VA - Fair Oaks) and was just told at my "new parents" class that they won't let me go past TWO weeks, not one week.

Anonymous wrote:You guys do know that the baby can die if past the due date, right? You really want to take responsibility with your date counting/great experience as doctors and take a chance on, not yours, but some else's baby's life.

And if you'd done your homework, you'd know that it's not until after two weeks post dates that infant mortality goes up. And babies can die anytime in utero. Hustling to have an induction whether or not one is warranted because of some policy is not good science; in fact, it's very bad science.

Plus, this thread is a year old. OP's sister is coming up on her DC's first birthday.

I would say, "I agree to come in once a day, if necessary, for a non-stress test. But I am not interested in being induced at 41 weeks if my Bishop score is still low when my family naturally goes past 41 weeks, especially with first babies."

Be calm and reasonable, knowing that it is your decision. They don't want to fight and will appreciate an informed respectful approach.

This, this, this! If baby does fine with monitoring, all is as well as can be expected. She can also have a biophysical profile at 41 weeks to make sure there's enough fluid.

Both my babies came well past 41 wks (41 and 3, and 41 and 6). Bless the radiologist who looked me in the eye and said "Don't forget you're in the driver's seat. There is absolutely no indication that this baby needs to come out now."

You guys do know that the baby can die if past the due date, right? You really want to take responsibility with your date counting/great experience as doctors and take a chance on, not yours, but some else's baby's life.

I have Kaiser and as other PPs have stated, my OB said it's general practice to induce at 41 weeks, but I could certainly wait if that was my preference.

Fudging LMP means nothing--my due date was calculated via sonogram. Kaiser won't "force" your sister to do anything. She needs to talk with her OB and share her feelings on the subject.

i heard that they cant realy force you to be induced. imsure if your sister explans she wants to wait till the 42 week mark they wont argue it is her baby.

You can fudge your LMP all you want--I flat out didn't know when my last period had been for my first baby, even though they asked me at probably the frist five appointments. They got the due date via sonogram at my first two appointments. I have Kaiser and was told something to similar to what the informative PP posted. I delivered the day after my 39 week appointment but was told that at 41 weeks would probably be best to induce, yet there was some discretion if I was most comfortable waiting a little longer.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Can you lie about your conception date? Too late for the OP, but wondering if this would work for others. How can they really be sure about your due date in most cases anyway?

They can tell by the size of the baby. My baby measured 7 weeks 2 days today and I am 7 weeks 1 day based on my last menstrual period. So it is pretty accurate.

They can only tell if they do an early sonogram, around 7 weeks. After that the baby measures bigger or smaller but they don't change the due date because it is too inaccurate. Lots of people don't have the early sonogram.

Yep, I didn't have one 'til 20 weeks.

This time around I will fudge my date of LMP a bit. If they want to be strict about the 41 week thing, they should be just as strict about truly determining every woman's TRUE due date, which they aren't-- they didn't take into account that I had longer cycles, and (in retrospect) probably did not ovulate on exactly Day 14.

Plus, I'm pretty sure I've read that the typical gestation for first babies is actually 41 weeks 3 days for white women (did I make that up, though? it's been awhile, but it's definitely longer than 40 weeks)...