Plan to give birth early
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Topic: Plan to give birth early
Posted By: amme_eilyk
Subject: Plan to give birth early
Date 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? |
Replies:
Posted By: newme
Date Posted: 20 September 2010 at 11:16am
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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. |
Posted By: Bizzy
Date Posted: 20 September 2010 at 11:21am
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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. ------------- http://www.myfitnesspal.com/weight-loss-ticker"> 
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Posted By: fire_engine
Date Posted: 20 September 2010 at 11:31am
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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). ------------- Mum to two wee boys |
Posted By: High9
Date Posted: 20 September 2010 at 11:36am
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Yup most mws won't unless there is a proper valid reason for it. ------------- http://lilypie.com"> 
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Posted By: Hopes
Date Posted: 20 September 2010 at 11:49am
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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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Posted By: fire_engine
Date Posted: 20 September 2010 at 12:09pm
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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! ------------- Mum to two wee boys |
Posted By: caliandjack
Date Posted: 20 September 2010 at 12:47pm
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Unless it was for medical reasons, why would you want to delivery early? ------------- http://lilypie.com" rel="nofollow">   [/url] Angel June 2012 |
Posted By: newme
Date Posted: 20 September 2010 at 1:19pm
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. |
caliandjack wrote:Posted By: caliandjack
Date Posted: 20 September 2010 at 2:02pm
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Is that not a medically required reason though? ------------- http://lilypie.com" rel="nofollow"> [/url] Angel June 2012 |
Posted By: JD
Date Posted: 20 September 2010 at 2:17pm
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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 ------------- http://lilypie.com"> 
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Posted By: High9
Date Posted: 20 September 2010 at 4:56pm
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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. ------------- http://lilypie.com">
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Posted By: mummyofprinces
Date Posted: 20 September 2010 at 5:07pm
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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Posted By: mummyofprinces
Date Posted: 20 September 2010 at 5:16pm
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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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Posted By: amme_eilyk
Date 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. |
Posted By: Bizzy
Date Posted: 20 September 2010 at 6:30pm
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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. ------------- http://www.myfitnesspal.com/weight-loss-ticker">
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Posted By: newme
Date Posted: 20 September 2010 at 6:35pm
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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. |
Posted By: mummy_becks
Date Posted: 20 September 2010 at 6:42pm
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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. ------------- I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived! |
Posted By: amme_eilyk
Date 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. |
Posted By: kebakat
Date Posted: 20 September 2010 at 7:04pm
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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. |
Posted By: High9
Date Posted: 20 September 2010 at 7:34pm
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I think your best bet would be to talk to your mw about it first. She should be able to answer your questions or point you in the right direction. ------------- http://lilypie.com">
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Posted By: Mattsmum
Date Posted: 20 September 2010 at 8:59pm
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I had gestational diabetes, and was induced at 38 weeks, they are planning to do that again. In this case it is the size of the baby that is the issue, so there is only a small chance of being able to deliver vaginally if I go to full term and a chance of injury/distress to the baby.
The induction at 38 weeks last time was successful and all over in less than 24 hours. I agree with the others, talk to your LMC and see what they think. ------------- http://lilypie.com">  http://lilypie.com">
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Posted By: fire_engine
Date Posted: 20 September 2010 at 9:00pm
 Pretty hard situation either way. I have heard of one person who was induced and mental health reasons were one reason, but she was full term. They will almost always go with the "what's best for the baby" as there are no guarantees that things will be better with it out. I'm glad you're getting some support through MMH. Hopefully your MW can be a good source of information for you as well. ------------- Mum to two wee boys |
Posted By: mummyofprinces
Date Posted: 21 September 2010 at 7:39am
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Hugs hun... I do agree with the others, they will put health of the baby first and speaking from experience, the depression doesnt just disappear when you have given birth, mine became much worse.
I would be focussing on dealing with the depression so definately talk to your LMC and and MMH about how you are feeling so that they can get some plans in place for you. I am so sorry you are not enjoying your pregnancy! -------------
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Posted By: Vanillabean
Date Posted: 22 September 2010 at 4:49pm
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I have definitely heard of inductions at 37+ weeks for mental health reasons. A friend of mine's partner was induced at 37 weeks due to her previous pregnancy ending in stillbirth and her clinicians did not want her to go through the anxiety of the last few weeks of waiting to go into labour. My understanding is that when the baby is at 37 weeks it basically will not be disadvantaged by coming out and any health needs of the mother (including mental health needs) should come first.
I have experienced depression on and off since I was a teenager and know how much it sucks. Hope you get all the support you need to help you get through this. ------------- 5x mc, Jan 08, June 08, Nov 08, May 09, April 11 http://lilypie.com"> 
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Posted By: Keleho
Date Posted: 25 September 2010 at 9:15am
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I was induced at 39+4 due to gestational diabetes which in hindsight I wish I hadnt.
My GD was a VERY mild case, all controlled with diet and bs levels were never high and bubs was all looking happy, healthy and a good size (which is why they let me go to almost 40 weeks, instead of the 38 they usually induce GD patients). This was all the diabetic teams recommendation and the day before, my mw said to me that I didnt have to do it so soon if I didnt want to - went ahead anyway as I had sort of mentally prepared for it all to happen the next day. Ended up taking 48 hours from start to finish and I think my body just was not ready. Next time round (unless I have other medical reasons), I really would prefer to avoid induction  ------------- http://lilypie.com" rel="nofollow"> 
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Posted By: Plushie
Date Posted: 25 September 2010 at 3:36pm
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Amme, darling, i've been thinking about this a bit.
I've said to you before i have had serious battles with depression and have a fear of PND, though it hasnt really struck me yet, only in mild doses. So heres my thoughts on it - ignore me if its not right. Getting baby out won't cure your depression overnight - it may even be worse. If you have baby induced to come early - and, touch wood, baby has any issues related to such, even very very small issues, it'll only compound your depression with guilty thoughts. I considered the same for same reasons and decided i would think myself selfish for forcing baby out and denying him the extra weeks for size and lungs. (thats how i'd feel about me, not how YOU should feel about you) However, if you are worried about carrying to term because you worry your depression may become so severe you want to harm yourself, having baby out isnt the way to deal with it either. But in the end, only you know whats best for you, and im sure you, your partner, and your midwife will work together to do best for baby. 
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Posted By: RedHeadDuck
Date Posted: 25 September 2010 at 11:38pm
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I would just like to point out that not all inductions are terrible. I was showing basically no contractions on the CTG monitor, they spent a couple of days using the "gentler" methods of inducing me (the slow releasing tampon, then the prostoglandin?? Etc) but once my waters were broken, 5hours and we had a baby. (They took a couple of days to break my waters cos they were a bit hesitant)
So even if your body isn't ready, not every induction is horrible and long winded. By 5:30 I had a baby in my arms, and my waters were broken at lunch time. (I went from 4cm to HELLO HEAD in an hour) |