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amme_eilyk
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Topic: Plan to give birth early Posted: 20 September 2010 at 10:45am |
Does anyone with their midwife have a plan to give birth before 40 weeks? If so what week? Also is it planned by csection or by induction?
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newme
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Posted: 20 September 2010 at 11:16am |
With DS I had a planned c-section at 39 weeks. I think it is standard with most elect c-sections that they do it a week early.
He was breech, and they didn't want me going into labour, which is why it was planned for a week early.
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Bizzy
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Posted: 20 September 2010 at 11:21am |
i generally think that early birth is only planned if there are medical reasons. i personally would be very dubious about a mw that would agree to induce a women before her due date just for an early birth.
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fire_engine
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Posted: 20 September 2010 at 11:31am |
Many hospitals won't induce you before at least 41 weeks unless there is a medical reason (at Waitak, it's 41+5) b/c of the odds of it failing and needing more intervention (incl. epidural and CS).
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High9
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Posted: 20 September 2010 at 11:36am |
Yup most mws won't unless there is a proper valid reason for it.
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Hopes
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Posted: 20 September 2010 at 11:49am |
Yea, that makes sense to me... unless there was a medical reason for doing so (in which case, of course, it would make total sense), I'd be pretty sceptical about a MW who was happy to induce someone early, I'd be pretty confident that if your body hasn't gone into labour naturally before 40 weeks, it's because the baby could do with a bit more time in there.
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fire_engine
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Posted: 20 September 2010 at 12:09pm |
Oh, and they wouldn't go to a CS unless it was needed (e.g. breech, transverse, some twin PGs, high medical risk for bub or mum) - they usually use induction first, if it's done for things like PE or other medical conditions. Occasionally OBs will do truly elective CSs (cos mum wants one rather than because it is medically indicated) but it's pretty rare as it is major stomach surgery!
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caliandjack
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Posted: 20 September 2010 at 12:47pm |
Unless it was for medical reasons, why would you want to delivery early?
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  [/url] Angel June 2012
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newme
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Posted: 20 September 2010 at 1:19pm |
caliandjack wrote:
Unless it was for medical reasons, why would you want to delivery early? |
I personally want to have the baby before or at 40 weeks, as I am wanting a VBAC. If I go over by more than a week I will have to have a c-section, as it can be dangerous to induce a women who has a scar in her uterus as the drugs can cause the scar to rupture.
My midwife doesn't want to allow me to go anymore than 1 week over, as she is worried about the strain it could put on my scar.
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caliandjack
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Posted: 20 September 2010 at 2:02pm |
hila1 wrote:
personally want to have the baby before or at 40 weeks, as I am wanting a VBAC. If I go over by more than a week I will have to have a c-section, as it can be dangerous to induce a women who has a scar in her uterus as the drugs can cause the scar to rupture.
My midwife doesn't want to allow me to go anymore than 1 week over, as she is worried about the strain it could put on my scar. | Is that not a medically required reason though?
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  [/url] Angel June 2012
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JD
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Posted: 20 September 2010 at 2:17pm |
My sil didn't want to go into labour early, but she did have a smal window when her dh would be home...like 5 days starting from when she was about 40 weeks.
She had a stretch and sweep on her due date to try and get things moving, and went into labour a couple of days later.
Im not sure her mw would have done it before her due date though
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High9
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Posted: 20 September 2010 at 4:56pm |
I know mine definitely didn't do any internals or S&S before 40 weeks. And she said she'd monitor it after 40 weeks and induction wouldn't happen until 10 days over due (unless absolutely necessary).
Lily was born at 39 weeks though but all happened naturally.
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mummyofprinces
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Posted: 20 September 2010 at 5:07pm |
hila1 wrote:
caliandjack wrote:
Unless it was for medical reasons, why would you want to delivery early? |
I personally want to have the baby before or at 40 weeks, as I am wanting a VBAC. If I go over by more than a week I will have to have a c-section, as it can be dangerous to induce a women who has a scar in her uterus as the drugs can cause the scar to rupture.
My midwife doesn't want to allow me to go anymore than 1 week over, as she is worried about the strain it could put on my scar. |
Just wanted to say, I am aiming for a vbac and my specialist (and mw) is happy for me to go 42 weeks and be induced so it is possible.
There are different types of induction so if a vbac is something you really want, look into it. You may be surprised at how low the risks actually are when compared to a non-scarred uterus, I was!
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mummyofprinces
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Posted: 20 September 2010 at 5:16pm |
I dont see where the OP said she wanted to deliver early for any reason just asking if anyone was.... so not sure why all the responses have been directed that way.
I was induced at 38 weeks due to poor liver function and my son being IUGR (below the norm small baby). I was told at 34 weeks that delivery could be any time from then depending on my sons health in utero.
Unfortunately, my body was not ready and the intervention cascaded ended in an emergency c-section as DS went into fetal distress.
Its not something I would care to repeat.
Like others have said, if its a choice rather than a medical need than I would be concerned that any LMC would condone that prior to 40 weeks.
I have heard that some will induce at 38-39b weeks for special circumstances such as the baby's father being terminally ill so he can meet his child.....
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amme_eilyk
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Posted: 20 September 2010 at 5:38pm |
Basically my antenatal depression is getting worse the further through the pregnancy I am getting. I was just wondering that if it comes to it, are they able to make the decision to induce etc early rather than waiting the last few weeks if things are getting severe.
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Bizzy
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Posted: 20 September 2010 at 6:30pm |
i dont know if depression is a valid reason medically - but i do know that induction of a baby that isnt ready has more chance of needing intervention and i dont imagine that would help with state of mind after the birth... i would think that maybe changing meds or the way you are handling it would be a better option.
then again i know nothing about depression.
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newme
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Posted: 20 September 2010 at 6:35pm |
I am really sorry to hear that. What a terrible position to be in.
I think this is something that you need to talk about with your midwife or doctor. They would probably think it would be better to wait until full term to ensure the babies lungs were developed. If they did induce early, the chances would increase that the baby would need special care for a while, and that would probably not be good for depression either.
I really hope you find a way to deal with your depression.
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mummy_becks
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Posted: 20 September 2010 at 6:42pm |
How early are you talking. If it is over 37 weeks then it isn't early as term is considered from 37 weeks. Your MW would have to refer you to the hospital for an OB assessment as they have the final say on inductions in Palmy, and some are not that keen on early inductions (I had pre PE and the dopey biarch wasn't going to induce me early - which was wrong as I developed PE a few days after that).
Talk to your MW about it and ask to see an OB to see if they can get you a MMW assessment done.
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I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived!
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amme_eilyk
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Posted: 20 September 2010 at 6:58pm |
I would be thinking around the 37 week plus mark. However, it is not something that I am planning to do, but I was interested to see if the option was possible if it comes to it before I mention it to my midwife. It definitely would only be as a last resort if it came down to severely impacting the babies or my health and if it was made I would not be likely to be in the state to make the decision myself which is why it is something that I am thinking about now. I am under maternal mental health and am going to talk with my caseworker about it at my appointment on friday.
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kebakat
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Posted: 20 September 2010 at 7:04pm |
The ob's in Palmy all have carrots stuck up their bums. They are very reluctant to do anything unless they have to.
I agree with Deb, talk to your mw and/or gp about the depression as there has to be some help that they can provide or explore with meds and what have you.
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