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Rhondda
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Joined: 07 June 2011
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Topic: Induction Posted: 28 July 2011 at 11:43am |
I was reading on another forum that "the doctors have to induce you at 42 weeks and they won't let you go over no matter what". I'm not looking for a debate on whether going over 42 weeks is safe or not but some info on whether the doctors HAVE to induce you and how forceful they will be at trying to convince you to sign off on an induction would be much appreciated.
Thanks in advance.
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Hopes
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Joined: 06 August 2008
Location: Waikato
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Posted: 28 July 2011 at 12:18pm |
You can say no to anything. They can't strap you down and induce you, thankfully!
In saying that, if they think that you and your baby are at risk, they've got a responsibility to explain that to you. I think that's fair. I imagine since people are people, tehre are some Drs who would lay on perhaps too much pressure, and others who'd be happy to respect your decision. I think any of them would expect you to listen to their reasoning, though, and reckon it's only polite to do so.
I was tossing up saying no to an induction (I would have only done it if everything looked fine apart from the fact I was 42 weeks!) but thankfully didn't have to, Jacob got his acto together at the last minute.
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Nothing
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Joined: 05 June 2009
Location: Nelson
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Posted: 28 July 2011 at 12:50pm |
You can say no. It is your body. However if they think there is a problem with you or the baby then they will push it and explain why it needs to be done. Many mums carry to 43+ weeks and deliver healthy babies, each mum is different in how long they need to "cook" each child. If you feel comfortable continuning until baby is ready then do it.
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kiwikt
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Joined: 02 March 2010
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Posted: 28 July 2011 at 1:15pm |
I think it depends on the situation you are in and how sure they are of your dates.
If you have plenty of fluid around baby and everything seems fine then I see no reason as to why you could not go to 43 weeks or so. Normal is 38-42, so a week over normal is not that bad.
However, I am not sure I would be comfortable going much longer than that. The gestation period for humans is well established, and overcooking bubs can have serious consequences for both you and them. Induction may be the lest of the intervention required if bubs stays in too long.
I think monitoring is the key once you get to 42+. I imagine they would want to scan you every few days to make sure things are fine.
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mummytobesep08
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Joined: 04 February 2008
Location: Christchurch
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Posted: 30 July 2011 at 8:10pm |
No-one can 'make' you agree to a medical treatment, except in extreme circumstances (like if you're life is at great risk or if you aren't right in the head- sorry couldn't think of the PC way of putting that lol)
However you will get a lot of pressure in the form of 'we highly recommend'- remember this is NZ and they only have your and your babies best interests at heart. Going over 42 weeks increases the chances of still births as the placenta starts breaking down from 41 weeks.
Of course, it all depends on how healthy you and baby are, and what your preferences are. My baby was 18 days overdue- which was 4 over the '14 day rule'. I was/am young, and healthy, and possibly could have gone another day over but was developing pre-eclampsia. For some MWs or obstetricians, the minute I started developing PET they would have been inducing me but because I had a supportive MW, was aware of the risks, and was very proactive if something did go down hill, the fact that I was strongly opposed to being induced meant I was able to put off the induction for awhile.
In the end I needed inducing anyway, and even though I was so far over, my body showed no signs of being ready for an induction. MW said I must be on of those women who's body likes to over cook babies! The placenta was surprisingly good nick as well, so if I were able to have another natural birth I would probably go a bit over 42 again.
Just be open with your MW and clear about what you want. You never know, you might reach 40 weeks and be so uncomfy that you are counting down the days til an induction lol!
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Angel babes '07 & '10- <3 <3
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jano1
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Joined: 27 December 2008
Location: Auckland
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Posted: 30 July 2011 at 8:18pm |
I also went over 42 weeks, was induced at 42 and gave birth by c-section at 42+2. My placenta was fine and my mw was happy for me to go longer if I wanted but by that stage I was ready for baby to come out. As it turns out she was stuck so I would never have gone into labour as she didn't engage. This time around I don't want to go so long, mostly because my partner will not be here if I am too far overdue and running around after a toddler being heavily pregnant is hard work!
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Cinderella
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Posted: 31 July 2011 at 11:18am |
I was induced at 41 weeks through choice. (after that DH could not have been there due to work). When he was born the plavcenta had started to break down and he had to be on oxygen for 30 minutes or so. He was fine but the doctors on seeing the placenta said he would not have been okay for much longer as in days not weeks.
If he had developed a problem it would have meant a c section. As for inducing me, they put some cream on my cervix in the hospital and within an hour I had gone into labour. Sometimes people get scared by the idea of an induction when in actual case it is the safest alternative.
All you can do at the time is way up all of the options and decide what is best for you and your baby. Make sure you are really clear on your dates and listen seriously to the advise of the doctors as they have alot of medical training and experience and they only have your best interests at heart. Also ask yourself if I don't take there advise and baby developes a problem because it is over due, how will I deal with that?
Good luck with everything. Hope you have a happy healthy bubs and a positive experience.
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Reffinej
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Posted: 31 July 2011 at 3:06pm |
I think getting multiple opinions is a good idea too, something my MW has already hammered in to me (in a good way). She says how different MW's/Docs/Obs will have different perspectives and you are always entitled to ask for a second opinion.
Although there can be problems leaving baby too long, there is also a growing trend towards interventions in pregnancy when nothing is actually wrong. MW mentioned how it is actually making it harder to know what the processes are if they are left longer without intervention.
So, I guess it's a case of arming yourself with as much knowledge as possible, talking it over with your MW (find out her opinions on it, make sure you've got the right MW for you), and - if it comes to the choice - making an informed decision and feeling confident in your right to other opinions and to make the decision yourself.
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