My friend is now 41 weeks 5 days along and is receiving a LOT of trouble from her OBGYN about inducing.
At first they INSISTED that she be induced the day she hit 41 weeks. She argued and said before she will induce she wants an NST test that shows there is a problem first. They weren't happy and threw the dead baby card at her. They've been doing NST tests and she has been passing with flying colors until yesterday. Yesterday she woke up late, jumped out of bed and ran to the doc's office. She didn't have a chance to eat or drink yet, plus her baby is normally sleeping that time of day. She went in for the NST and it showed babies HR at a steady 130 but they couldn't get her to move. They did an US and it showed baby was doing just fine but still quiet with AFI levels at an 8. They tried telling friend that she needed to rush to L&D right now because baby is at risk due to being sluggish and with low fluid levels. She asked if they would do a membrane sweep first. The CNM told her she is not comfortable doing this since baby has low fluid levels. She said baby won't be able to handle contractions as well and that she needs to be in L&D with pitocin??????? My friend said she first wanted to talk to some other people and see what they thought. CNM got very mad at this and wanted to push her to sign an AMA form.
She came back later in the day to talk to them about the AMA form. The form was blank. When my friend told them she wouldn't sign a blank form and that she wanted to know the medical reason for the induction. They said they lost the test results. She then told them that it wasn't her problem they lost the results and to order another NST. This time her baby was awake and lively and passed the NST with flying colors. She then questioned the CNM again and with no apology was told they could forget the AMA form 'for now'.
She had a long standing appt. with a different care provider at the same office for a membrane sweep. Friend likes this OB only today she wasn't that friendly, made friend wait in the waiting room for well over an hour (her appts. are usually no longer then a 10 min wait). She was then pretty much talked down to. Yesterdays AFI levels magically changed from an 8 to a 6 and they induce no questions asked at a level of 5. She was also told she "is not allowed" to go over 42 weeks and "will have to have" an induction this Friday when she hits 42 weeks 1 day.
They have also set up another NST for Thursday and the induction for Friday. She's worried about the low AFI levels (assuming she's not being lied to). Is it possible to read the AFI levels herself off the monitor of the US machine?
I told her to just not show up for the induction. But is there any other suggestions you have for my friend. These are the only doc's she can see and in case it matters she will be delivering at Hershey Medical Center (who has a c-section rate of 37%)
On a funny side note. These same doc's admitted that cervical checks aren't really necessary other then for 'practice for delivery'.