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Jaune
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Topic: Induction vs waiting... Posted: 25 September 2010 at 3:58pm |
Just wondered whether anyone has experience of going over 42 weeks pregnant?
I'm currently 41 weeks and I've been referred to the hospital for a scan to check the baby etc and make plans for an induction late next week...if baby doesn't come on its own before then.
My midwife is going on holiday so the latest I could be induced to have her there would be Thursday (41+5), otherwise I'd have her back-up (which I don't necessarily mind),
I understand that after 42 weeks gestation the risks to the baby go up and there is an increased risk of a stillborn, but just wondered whether anyone had specific experience they could share?
Generally, I'm the kind of person that would prefer things occurred naturally but also don't want to get into a situation where I put my baby at risk...
TIA
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BuzzyB
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Posted: 25 September 2010 at 4:30pm |
I would listen to your MW/OB and what they advise for your particular situation.
I don't have experience of going beyond 42 weeks, but I have experience of induction, so thought I'd share my experience in case it's useful. I was induced with DS at 40+4 for BP reasons. It didn't work for me - my cervix was so far from ready it wasn't funny (8 hours of synto didn't even get me to 1cm!!!) and baby was posterior as well which wouldn't have helped. Ended in c-section, all very sedate and easy recovery and I wouldn't be scared of having a birth like that again
Personally, I'm all for playing it safe, so would probably favour induction, but that's just me. Others would probably say that with induction comes increased risk of other medical interventions, including c-section...
There are other things you could perhaps try to hurry things along before a full-blown medical induction. Your MW/OB could try a stetch and sweep, which would also let them judge how your cervix is progressing and whether labour is likely soon or not. Acupuncture can also help. And there's some tablets you can get from a naturopath which might also get things moving.
How big's your baby looking btw? In weighing up the pros and cons, if your baby's already on the big side, then waiting longer might create some issues there and the medical intervention risks for induction vs natural birth might start looking pretty similar.
GL!
Edited for sense - had to dash off to deal with crying baby and should have waited to post!
Edited by BuzzyB
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mummyofprinces
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Posted: 25 September 2010 at 5:31pm |
I am personally of the wait and see camp but at 42 weeks (if i get there) I will book an induction.
My first was an induction at 38 weeks and after 35 hours I was only 1cm dilated and things went a bit pear shaped a few hours later and we were rushed of to theatre.... So from my experience I would still choose an induction at 42 weeks. I dont think I am brave enough to go any longer (and I dont think my mw would recommend it and she is pro natural).
There are so many questions to ask and my first would be have you started to dilate? If your cervix is thinning and opening already then that is a good sign (of course no guarentees for successful induction but certainly increases the chances).
I dont agree with size comment above... there is good margin of error on scan estimations so I wouldnt be looking at the size of baby (unless its looking at being over 10lb) as a reason for induction... its not going to grow too much more in a few days!
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Jaune
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Posted: 25 September 2010 at 5:44pm |
Thanks for your replies..
BuzzyB - I've been using the Quintessence Birth Mix since 37 weeks which is a homeopathic formula, also EPO both orally and internally, RRL tablets from about 32 weeks and Clary Sage oil that my midwife recommended from 39 weeks...
Scan at 30 weeks indicated that baby was average size and right on the 50th percentile so no issues with a big baby..
melnel - I haven't had any internals done yet, I'm guessing that's something they'll check at the hospital appt on Monday. I have had some period-type pains on and off for the past week or so and increasing BH, but nothing that leads me to believe I'm likely to go into labour soon. I'm also assuming that a S&S will be something they consider on Monday, especially if my cervix is starting to change...
I don't think it's very common for anyone to go over 42 weeks these days. My midwife has indicated that it would ultimately be my decision about whether I go for an induction and if I choose not to I'm likely to be monitored daily to ensure that the baby is ok... I've just always thought that the baby will come when it's ready...
I guess a lot of my questions will be answered at the appt on Monday but wondered whether anyone here had gone over 42 weeks...I don't know if I'm brave enough either!
Edited by Mealz79
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HippyMama
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Posted: 25 September 2010 at 8:19pm |
The stance I took on it with my DD2 was that I would be happy for my MW to do increased monitoring on me at home (same as her regular checks, just more frequently) past 42 weeks, but ultimately I would be declining any scans, tests, or hospital referrals. As it turns out she was born right before we hit 42 weeks, and technically none of it was necessary. And it's not just about being "brave", it's about trusting yourself, your body and your baby to "tell" you what's going on - rather than have someone on the outside impose an arbitrary limit on your baby's gestation. The risks for a stillbirth with longer pregnancies are not actually as high as I feel hospital staff and other medical professionals might like us to think, I have a few links around here somewhere on the actual stats if anyone is interested. Cervical dilation pre-labour is also IMO not necessarily a reliable sign of how soon you might go into labour, ie: whether you're somewhat effaced / fully effaced / dilated / shut up as tight as a clam things will still happen at their own pace (whether that is fast or slow) when they are ready.
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Next Slingbabies! Meet - Friday 4th May !!
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mummyofprinces
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Posted: 25 September 2010 at 8:48pm |
Just to be clear I wasnt saying that pre labour dilation would indicate when someone would go into labour, merely that a successful induction would be more likely had if cervix had begun the perpare for the birth process already.
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Bizzy
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Posted: 25 September 2010 at 9:01pm |
i think the biggest worry is that the placenta will deteriorate and the fluid levels decrease... but these can be checked. I dont believe that there is an increased risk of stillbirth after 42 weeks but the medical profession like to use that as a scare tactic. Unless you have had an early scan or are really sure of your dates your due date could be anywhere from from 40 to 42 weeks anyway...
the most over i was was 42w 3. and despite my best intentions to not be induced with my third i was anyway after lots of pressure from medical professionals.
That induction ended in a c section.
My other two didnt however, one was a ventouse and the other they tried twice to induce - the first one 4 days previously was unsuccessful. But once i did go into labour with the second attempt he was my best birth.
What i am trying to say though is dont feel you have to do anything you dont want to...
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JoJames
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Posted: 25 September 2010 at 9:01pm |
My first we got to 41weeks and 4 days, then we had an appt with the Hospital OB to discuss induction and because I was 2cm and having irregular contractions they decided to break my waters, 24 hrs later I had an emergency C-section, due to failure to progress (and I was exhausted), there was no baby distress at all. I really believe that if I had have gone to the appt then refused the Water breaking and gone home to wait it out, DS would have gotten himself in position and come out naturally a few days later, he simply wasn't ready to come out, and when he was born he wasn't even remotely overcooked looking,
I agree with everything Hippymama says.
However in saying that before my appt I read lots of good induction stories, so it is possible.
Good Luck for the birth and YaY you're going to have a baby soon!! (it will come out sometime soon I promise)
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RedHeadDuck
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Posted: 25 September 2010 at 11:42pm |
Often the thread of induction is enough to scare a baby out
No experience myself with being that far along. I was induced at 38+5 (or something like that) for ridiculously high BP (like, they were worried I was gonna have a stroke kind of high....) and from waters breaking to baby in my arms was 5hours, so just wanna point out that not every induction is horrible! (Just saying, cos you read so many horror stories!)
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TheKelly
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Posted: 26 September 2010 at 1:50am |
My friend had an induction with her first that ended up being a horrible 3 day experience, she wanted to avoid that when she got pregnant with her second.
Her placenta and baby were checked (she was under an obstetrician, I don't know if that made a difference) and she was booked in for an induction, she just rang them the day before and said she wouldn't be coming, they didn't try and argue with her.
In the end she went 43 weeks and a few days over, going by her early scan dates, and baby was happy and healthy and an uncomplicated birth.
Course it could have been that the scan date was out and he actually came when he was meant to , but as far as her EDD went , she was way overdue
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Shezamumof3
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Posted: 26 September 2010 at 8:24am |
My first was overdue, we had induction booked for 42 weeks, and then I went into labour naturally a few days ebfore hand! I fully believe the threat alone of induction will get a baby to arrive lol
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T_Rex
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Posted: 26 September 2010 at 11:18am |
I didn't end up going overdue, but I had 2 early scans, and the second one put my due date back 5 days. I was certain that my LMP dates (which were backed up by the 6w scan) were right, but my MW and I agreed to use the second one as the official dates, because they gave us an extra 5 days at the end before the OB would be hassling for an induction. MW said unless there was medical reason she never induced before 42 weeks (and in my case 42 weeks from the second date would have been new years eve, so we reckoned we could get a few more days after that too. I've seen figures that said something like 12% of pregnancies go over 42 weeks? So it's not THAT uncommon. Hope your baby comes soon though!!
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fire_engine
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Posted: 26 September 2010 at 3:57pm |
I was induced at 41+5 with Dan. Cervix not favourable, no signs he was coming on his own. I'd also done Birth Mix and acupuncture (but only once). Took 4 days for him to arrive - 3 days for my cervix to get to 1cm then 1 day for delivery and it was a horrible delivery with intervention +++. Even though I really regret being induced, I could not have gone on for longer - I didn't know enough about the risks/benefits of waiting and was desperate to get the baby out.
This time, I'm happy to go to 42 weeks. I'm not sure beyond that. It will depend how I'm feeling in myself but my MW is quite happy for me to go beyond it. I'm feeling VERY strongly about avoiding the intervention cascade as my induction led to epidural and synto which led to bubs getting stuck, episiotomy, ventouse and PPH. So anything I can do to stave that off, I will try to do. If I go beyond 42 weeks, I will want increased monitoring including scans to monitor the placenta. I also want to do more research around the risks of going beyond 42 weeks.
From memory, there is a relationship between the Bishop's Score (measure of cervical changes) and success of induction, but this relates particularly to the form of induction. If your score is below a certain point, induction with Synto (usually IV) is unlikely to be successful, so they use Prostaglandin (internal gel application)
I wouldn't worry too much about size. Dan was big (9lb 4) but I think some of that was swelling from all the fluids I got during labour. Also remember that the bones in their head are moldable and overlap during birth so even though the ircumference may be unnatural on the scan, it won't be that size on the way out!
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mummyofprinces
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Posted: 26 September 2010 at 4:22pm |
Flissty, that was what I was trying to say but as usual you said it better!
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Jaune
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Posted: 27 September 2010 at 3:04pm |
Well...had my appt today. Baby is all ok, in a good position and ready to go...fluid levels around the baby are also ok.
I'm only 1cm dilated though...which I guess is better than none.
Had a sweep but I'm not too confident it will do much...FX!
Induction booked for Thursday night... Hopefully baby comes before then!!
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mummyofprinces
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Posted: 27 September 2010 at 4:36pm |
Fingers crossed the sweep gets things started for you in the next 24 hours... you could always do a few of the natural induction methods to help it
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mummytobesep08
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Posted: 27 September 2010 at 8:48pm |
Mealz, how far over will you be on Thursday?
DD was due on Sep 7th but born Sep 25th (18 days OD). We started the induction at 16 days OD. I had big personal reasons against why I didn't want an induction, and a supportive MW, as well as a very healthy pregnancy and me being young and healthy, which all helps.
I planned to go ever further overdue but I had been slowly developing symptoms of pre-eclampsia over the last few weeks and it got to the point where every day the symptoms were getting a bit bigger and by the time the induction started my blood pressure was going up every few hours.
The induction itself was a nightmare but bubs turned out OK. She had some of the characteristics of an overcooked baby- she was quite chubby, dry skin, heaps of hair, long nails, and she was really strong- she could hold her head up at 2 days old! She didn't 'seem' like a newborn, I guess because she had over 2 weeks extra cooking
I hope the stretch and sweep helps gets things started!
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Jaune
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Posted: 27 September 2010 at 10:35pm |
mummytobesep08 wrote:
Mealz, how far over will you be on Thursday? |
I'll be 41+5wks... The Dr said today that "they just don't go over 42wks". But I'm healthy, have had a totally uncomplicated pregnancy and no issues at all so ultimately if I want to go over I probably could. I probably should have asked more questions. I meant to ask about my Bishop Score but totally forgot at the time...
I guess, timing-wise, the other issue is that my midwife goes on holiday this weekend so if I did want to wait I wouldn't necessarily have her to advocate for me and she wouldn't be present for the birth.
I'm torn - desperately want to meet this baby but don't want to evict it if its not ready!!
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BuzzyB
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Posted: 28 September 2010 at 8:38am |
Good luck Mealz! I hope your little one decides to make an appearance of its own accord before Thursday!!
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Bizzy
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Posted: 28 September 2010 at 10:46am |
with regard the bishop score they find that out once they do in internal... it is based on how soft, how long and far down etc your cervix is - probably some other things i have forgotten too.
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