Opinions?

[KarlaC]

So I'm tired, my husband can't be reached in Afghanistan for opinions and my 63 y/o mother is of course telling me to listen to the dr at all costs. Hear me out & then tell me what you think?

My ob insists I have to be induced because 1. I'm overdue & 2. I have gestational diabetes(diet controlled, super good #'s all along).

I got into it with him yesterday because I said 'No one has checked his size & by MY dates(we were ttc so I watched them closely) I'm not over due'

OB- U/s said you're due on 6/28 so you're overdue & you're diabetic.

Me- So you want to induce because the baby is too big? No one has checked.

OB- Well u/s is unreliable to check the size of the baby.

Me- But you just said the u/s had to be right for my due date...and now you're saying it's unreliable? Which is it?

OB - I'm saying you HAVE to be induced because you're overdue & you're diabetic.



I'm tempted to tell the whole practice they're fired & just go into the hospital when I go into labor. I was dilated to 4 but still very high last week, this week the dr that checked said I'm not dilated at all.

I did try & check my cervix & I can't even reach it, which shocked me a bit tbh. My biggest worry is that I think the lo is still breech(ish) and I'm not 100% sure how labor would effect him or if it would hurt him at all.

This is my 4th pg, so it's not like I'm going into this blindly...I've had an induction before & it sucked badly.

So throw your opinions at me ladies..wwyd? Fire them & go in when it's time or show up at 7 a.m. just to be 'safe'?

[Martina007]

well the diabetes throws me off (dont know what I would do if I had it kwim?), but the rest I would not get induced just because they say you are overdue based on U/s to begin with. Why do they want to induce?
I delivered 11lb 2oz baby at home in water, so why are they worried about the size?
I think I would look at how big your previous babies were (LOL because that is main scare for me with this pregnancy, dont want anything bigger than 11lb 2oz, but then I will not get induced just because they might think baby is too big, I have midwife so that was never even mentioned), and then go from there maybe?
Is the size of the baby the main concern?? If so I wouldnt get induced.

[KarlaC]

Originally Posted by Martina007

well the diabetes throws me off (dont know what I would do if I had it kwim?), but the rest I would not get induced just because they say you are overdue based on U/s to begin with. Why do they want to induce?
I delivered 11lb 2oz baby at home in water, so why are they worried about the size?
I think I would look at how big your previous babies were (LOL because that is main scare for me with this pregnancy, dont want anything bigger than 11lb 2oz, but then I will not get induced just because they might think baby is too big, I have midwife so that was never even mentioned), and then go from there maybe?
Is the size of the baby the main concern?? If so I wouldnt get induced.

Their only 'reasons' were that they don't let anyone go over 41 weeks and that I have GD.

My other pgs were 9lbs 14 oz, 9lbs 12 oz & 7lbs. I'm not too scared of delivering a 'big' baby since my biggest was my first.

[MamaMonica]

Moved to Birth and Beyond.

[mamatolevi]

I just wouldn't show up for the induction and would consent to US for fluid levels and NSTs to check the health of the baby. I would NOT allow any more cervix checks.

[KarlaC]

Yeah I'm at a point I just don't trust my mental state anymore. I'm having panic attacks & non-stop crying over the whole mess, I have no idea how I can go into the hospital, check myself in & expect them to listen to a word I say in this state.

One of the dr's was pushing me that I should have an induction or a c/s because at 36 weeks the baby was still breech & "That probably means something is wrong with it so you don't want to take any risks on going too far past your due date."

It planted a HUGE seed of doubt in my mind, I am 35 & I did refuse the genetic testing(lvl II u/s looked good though)..idk I'm just at the end of my rope I guess.

[DoulaVallere]

If your GD isn't causing any issues (you said it's been well controlled with diet, right?) then you should inform your dr that NORMAL gestational range is from 37-42 weeks, and studies show that there is no increased risk to the baby until AFTER 42 weeks.

I would just tell them not to expect you to show up.

Stress and dangerous situations can make you un-dilate, so if your dr is really stressing you out, or you feel that he is putting you in danger, that coule be the reason your cervix closed back up...just like how a deer could be in labor, see a wolf coming, stop labor and un-dilate until she finds a safe area to birth in, then let labor progress again.

Listen to your heart - don't let fearmongering sway you. If there is a medical necessity, then take that into consideration, but "we don't let women go past 41 weeks" is not a medical reason to induce, and neither is well controlled diabetes. Tell your OB to check up on ACOG recomendations.

[GoldmanBaby09]

Originally Posted by DoulaVallere

If your GD isn't causing any issues (you said it's been well controlled with diet, right?) then you should inform your dr that NORMAL gestational range is from 37-42 weeks, and studies show that there is no increased risk to the baby until AFTER 42 weeks.

I would just tell them not to expect you to show up.

Stress and dangerous situations can make you un-dilate, so if your dr is really stressing you out, or you feel that he is putting you in danger, that coule be the reason your cervix closed back up...just like how a deer could be in labor, see a wolf coming, stop labor and un-dilate until she finds a safe area to birth in, then let labor progress again.

Listen to your heart - don't let fearmongering sway you. If there is a medical necessity, then take that into consideration, but "we don't let women go past 41 weeks" is not a medical reason to induce, and neither is well controlled diabetes. Tell your OB to check up on ACOG recomendations.

: I didn't hear one piece of a convincing argument in anything your OB said. You aren't even 41 weeks yet. And if you are all closed up, that doesn't sound like it would be favorable for an induction in the first place. The last thing you would want is to have a failed induction and c/s, especially if your husband is so far away and you don't have a ton of support for recovery at home. Listen to your heart and your body, Mama. Your little one will be born when he is ready.

[ilovejeff]

ACOG doesn't recommend inducing until after 42 weeks. Since your GD is controlled with diet, I would tell the OB to shove it. And don't consent to any more cervical checks, since they don't mean anything anyway.

[cristeen]

I'm with the other mamas... Don't show up. At this point, they legally cannot fire you. And from this point on, keep your pants on until you're ready to push. They can't do a cervical check with your pants on, and they also can't "accidentally" break your waters.

If you were charting, then you know what day you ovulated. Use that to calculate your EDD and don't let anyone tell you otherwise.

As for the stress and possibly being breech... can you see a chiropractor? That can really help with both issues. But of course, breech doesn't really mean anything if you're not in labor already - babe can turn at any time.

[Turquesa]

Your doctor has a mistaken impression of how medicine and and your rights work. It's not a matter of what he "lets" you do, but what you consent to. Remember to alter the hospital forms--simply cross out and initial that part where you consent to anything and everything.

By the way, I would be terrified to go through this alone with my DH abroad!!! No wonder you're in such a state!

Honestly, I would hire a doula ASAP. There is absolutely no reason that you should have to go through this alone without any support. The good news for you is that it's free:
http://www.operationspecialdelivery.com/

Contact them and see if there's somebody in your area. Good luck!

ETA: Sorry! I just made the assumption that your DH was in the military and deployed. Am I right??

[amandaleigh37]

If there is no actual medical reason why the baby MUST COME OUT tomorrow, then I wouldn't show up. Or tell them you will reschedule it for later. I'm sorry you going through this alone

[umbrella]

I don't know about gestational diabetes, but I've read some convincing info about inducing earlier for women with diabetes.

[Momma Moo Martin]

Like the others, I don't know a whole lot about diabetes in pregnancy. I do agree with previous mommas about seeing a chiropractor to help get baby into the correct position. Someone trained in the Webster Method should be able to assist you. Also, I think hiring a doula is a great idea - it sounds like you could really use someone with you during delivery that is 100% there for you and could act as a buffer to some of the crummy hospital staff attitudes if necessary. Good Luck with every, momma. You can do this. :

[MsBlack]

If you have good blood sugars then you are NOT diabetic in any way. Gestational diabetes is essentially a 'diagnosis waiting for a disease'. Also, this doc has clearly not kept up with the med research on the topic....which shows that planned induction for GD has made NO changes in outcomes for moms/babies--EXCEPT to produce more csec and other interventions, and more babies born earlier than they should have been (too early).

You are also NOT overdue. No matter whose dates you look at, you are not in any sort of danger zone with dates!

I agree with the pps--don't let this OBs ignorance and bullying get to you. Last thing you need right now is more stress, which is among the worst of things for pregnant women physically and emotionally. Find support, be good to yourself, make a tactical retreat from the doc for some days so you can relax a bit....do what you know is right for you and your baby.

[KarlaC]

Oh my thank you for all the advice everyone!

I went in this a.m. & was going to insist on Cervadil first, if they refused(which I figured they would) I planned on telling the ob I was going to have to refuse the induction.

Instead I went in & never made it past the admission desk. Apparently my ob was to tell me to call them first & he didn't.

They turned away other women before me that were scheduled for induction because the ward was full! When I did a happy dance the charge nurse asked why I was there then & when I told her at my ob's insistence she rolled her eyes, asked me if I was having contractions, was the baby moving & had my water broke? (yes, yes and no). Then she told me to go home & walk some & that she was putting me at the bottom of the lists for call backs(likely Tuesday).

So, I worried myself sick over nothing but I am one relieved happy toad today. I re-checked MY edd for the bajillionth time & it's still not until 7/7 by my dates so I'm feeling pretty good about the wait.

[AlexisT]

Wait - your EDD is 7/7, but earlier you said you're overdue...? Do you mean you don't hit 42 weeks until 7/7, or you're due, i.e. 40 weeks, on 7/7? Because that's a big difference, management wise.

[amydiane]

Yay, I'm so glad it worked out for you.

Originally Posted by AlexisT

Wait - your EDD is 7/7, but earlier you said you're overdue...? Do you mean you don't hit 42 weeks until 7/7, or you're due, i.e. 40 weeks, on 7/7? Because that's a big difference, management wise.

I think she means that by her dates/calculations, her EDD is 7/7, but the OB changed it because of an u/s to 6/28. So the OB is saying she's gone over 40 weeks and she's saying she hasn't even hit it yet.

[KarlaC]

Originally Posted by AlexisT

Wait - your EDD is 7/7, but earlier you said you're overdue...? Do you mean you don't hit 42 weeks until 7/7, or you're due, i.e. 40 weeks, on 7/7? Because that's a big difference, management wise.

MY edd is 7/7 going by the dates I have wrote down(we were ttc). My OB is insisting on using his dates from the u/s at 14 weeks which dropped me into the area of 6/28.

I don't feel like I'm overdue, the ob does

[Sudonk]

I'm glad things are working out for you! I still wouldn't go along with an induction on Tuesday if it were me, but you've bought your baby some much-needed time, and reduced your stress, which is great!

By the way, a friend just showed me an excellent article on due dates, which shows that u/s at 14-20 weeks is only accurate within 10 days, so your OB relying on that is beyond ridiculous and most sincerely NOT science-based! Here is the link:

http://www.associatedcontent.com/art...ge=true&cat=25

Have you had a chance to do any belly-mapping to figure out baby's position? If you haven't already, check out www.spinningbabies.com for tips. Also, Hypnobabies has an excellent CD for turning babies at www.hypnobabies.com. It is available for download, so there isn't a wait. I used that, spinningbabies and chiropractic care to move my transverse baby at 38.5 weeks and highly recommend it!

Good luck!