Anonymous wrote:

Anonymous wrote:I delivered my first child with Reiter Hill and ultimately had a very good experience. But it was important to me to avoid an induction unless medically necessary. Many of the doctors at RH were pushing induction at 39 weeks based on the ARRIVE study. Personally, I didn’t find it that convincing, and I scrambled to make all my final prenatal appointments with the doctor who was supportive of me waiting to go into labor on my own.

The doctor who delivered my first child has left RH, so I’m looking at other practices like Bloom or Foxhall. I would appreciate any recommendations or experiences with OBs who deliver at Sibley and their attitude towards induction for mothers over 35. Thanks!

You don't find it anything you are not a doctor, follow directions or birth yourself in the woods or next to the dumpster

lol that’s some red state medical desert lunacy. In DC there is a doctor who will treat your views as valuable and important because OBs are plentiful here.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

Is your theory that the doctors who don’t push the 39 week induction somehow did worse med school/residency? Or that perhaps they see more value in waiting to 40 weeks in their medical experience outside one study?

I continue to not get this “push” thing. Don’t they still have to recommend it? Make you aware of the recommendation, ethically? I didn’t feel pushed. I think the doctor said something like “because of your age and your GD, we recommend you have an induction at 39 weeks. It’s because of studies showing better outcomes.” I don’t see how that’s “pushing.”

My doctor only mentioned the arrive study when we were discussing the need for me to avoid a c-section (in her medical judgement, due to a family history of problems with anesthesia.) and she said she did not, personally, think the benefits in my case would outweigh the risk of a NICU stay for an unexpectedly small baby. Better outcomes for low risk first time mothers do not translate across to every single patient. So if my OB recommended an early induction it would be against her medical judgement.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

Is your theory that the doctors who don’t push the 39 week induction somehow did worse med school/residency? Or that perhaps they see more value in waiting to 40 weeks in their medical experience outside one study?

I continue to not get this “push” thing. Don’t they still have to recommend it? Make you aware of the recommendation, ethically? I didn’t feel pushed. I think the doctor said something like “because of your age and your GD, we recommend you have an induction at 39 weeks. It’s because of studies showing better outcomes.” I don’t see how that’s “pushing.”

Why did your dr mention your age?
Arrive study was on low risk first time mothers who were induced during the week of 39 to 39 and 5 days
The data it collected is not enough to really be convincing

Anonymous wrote:It's so fascinating to me that pregnancy and child birth are pretty much the only medical situations people so eagerly discount medical experts under the view of "my body, my choice."

No one tries to tell a heart surgeon when to do a procedure.

I’m not sure this is true. I’m specifically thinking of cancer, but you’re right there’s something there and I think it’s because the patient isn’t passive, right? Like we have to do a lot of the task at hand. Which makes it unlike other procedures. And when that’s not an option, it looks more like traditional medicine. Like no one has a doula doing their emergency c-section and honoring their wishes for incision technique.

Anonymous wrote:I delivered my first child with Reiter Hill and ultimately had a very good experience. But it was important to me to avoid an induction unless medically necessary. Many of the doctors at RH were pushing induction at 39 weeks based on the ARRIVE study. Personally, I didn’t find it that convincing, and I scrambled to make all my final prenatal appointments with the doctor who was supportive of me waiting to go into labor on my own.

The doctor who delivered my first child has left RH, so I’m looking at other practices like Bloom or Foxhall. I would appreciate any recommendations or experiences with OBs who deliver at Sibley and their attitude towards induction for mothers over 35. Thanks!

You don't find it anything you are not a doctor, follow directions or birth yourself in the woods or next to the dumpster

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

Is your theory that the doctors who don’t push the 39 week induction somehow did worse med school/residency? Or that perhaps they see more value in waiting to 40 weeks in their medical experience outside one study?

I continue to not get this “push” thing. Don’t they still have to recommend it? Make you aware of the recommendation, ethically? I didn’t feel pushed. I think the doctor said something like “because of your age and your GD, we recommend you have an induction at 39 weeks. It’s because of studies showing better outcomes.” I don’t see how that’s “pushing.”

Anonymous wrote:

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

Is your theory that the doctors who don’t push the 39 week induction somehow did worse med school/residency? Or that perhaps they see more value in waiting to 40 weeks in their medical experience outside one study?

Anonymous wrote:It's so fascinating to me that pregnancy and child birth are pretty much the only medical situations people so eagerly discount medical experts under the view of "my body, my choice."

No one tries to tell a heart surgeon when to do a procedure.

It’s interesting you see it this way because it also seems to me that pregnancy and birth are the only medical situations where people try to scare and bully patients with such regularity.

I have never met an orthopedic surgeon who, if a patient says they want to try physical therapy/cortisone shots for a knee injury before surgery, starts threatening them with losing their leg. Meanwhile as soon as you don’t agree with your OBs suggestion of an intervention— even if what you’re seeking is well within the standard practice— it’s accusations of selfishness and typically bad parenting, at least from the online crowd but often from (bad) OB practices.

My theory is that the orthopedist has to live with the outcome more. They get to see the patient whose surgery failed, experience their pain, hear about the loss of mobility/detriment to quality of life. An OB never sees the underweight baby after delivery, and then gets to write whatever intervention off as the mother’s choice.

https://www.lamaze.org/Connecting-the-Dots/parsing-the-arrive-trial-should-first-time-parents-be-routinely-induced-at-39-weeks

I think a dr could discuss the option, but not dictate it as a policy. A dr who doesn’t listen to his patient is not a good dr

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I trust the people that went to medical school.

You sound simple
Induction just because you are 39 weeks according to their calculation?
Induction leads to a horrible labor, your contractions are harder and more frequent. You will also most likely have a c section
I know someone who got induced 2 times and ended up with a c section
Drs are not all nice people

The ARRIVE Trial and other studies are why they are recommending this. Because they would rather you deliver a slightly smaller baby or have a tougher labor with a smaller baby because the benefits of delivering at 39 weeks outweigh the risk of waiting to go into labor naturally later with a bigger baby. Waiting increases risk of stillbirth, preeclampsia, hypertension, macrosomia, difficult birth, and perineal injury. It’s all about weighing benefits and risks. A c section is not the worst outcome you can have, a dead or permanently injured mother or baby is. Remember that, Mother Nature is not kind, old cemeteries are full of women and babies who died during childbirth.

I do not agree with threatening a pregnant woman with horror stories
Women are fine going over 39 weeks
Every person is different and you are being childish

SOME women are fine going over 39 weeks because, like you said, every person is different and you are being childish.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Whaaat? I was 41 and delivered at 40 weeks and then 42 and delivered at 41 weeks. Ohhh the good wise women of midwifery.

I guess if baby coming out of your vagina matters more than avoiding an “intervention” and not caring about an increased risk of stillbirth, sure.

This is how they operate. This method is no longer effective with most of us here.

We hire you to assist us, not to propagandize us.

Not quite to assist me.
I "hired" my OB to give me the best medical advice to ensure the best outcome for me and my baby.

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

It's so fascinating to me that pregnancy and child birth are pretty much the only medical situations people so eagerly discount medical experts under the view of "my body, my choice."

No one tries to tell a heart surgeon when to do a procedure.

Anonymous wrote:

Anonymous wrote:I trust the people that went to medical school.

You sound simple
Induction just because you are 39 weeks according to their calculation?
Induction leads to a horrible labor, your contractions are harder and more frequent. You will also most likely have a c section
I know someone who got induced 2 times and ended up with a c section
Drs are not all nice people

I know people who got induced 3 times (one of them was even before 39 weeks) and didn't end up with a single c section.

Random examples is not the way to make serious medical decisions. It's giving off "I got the vaccine and still got COVID so the vaccine doesn't work" logic.

Anonymous wrote:The risk you take in an early induction is that the baby is smaller than they’re measuring. A friend took the 39 week induction being told her baby was measuring “about 7lbs”. Baby wasn’t even 6lbs, and had horrible feeding issues. Ask your pediatrician if they have views about whether it’s better for a newborn to be 5lbs or 7.

This may not be your situation but ask your OB how confident they are in the measurements.

Bear in mind if anything goes wrong— like a small baby or a NICU stay— your OB will still have had a “successful” birth and that your induction will have been “elective.”

Age 38 induced at 39 weeks - with GW. Baby was 9 pounds- he was measuring smaller so everyone was surprised. Easy vaginal delivery with epidural, no tearing, and thriving 6 year old.