I could not agree more with Telles, kellybeth! It makes me... angry! when women feel that they've "failed" somehow-- when nothing is even wrong! I mean, even if you were 44 weeks, you wouldn't have "failed" anything, but what are you? 41? You can't be more than 42, and, again, the best data says that first time moms average 41w1d.
As long as baby is doing fine, there's absolutely nothing wrong and no reason to induce. If you do decide to consent to the induction, even in the absence of a medical reason, it's true that after 41 weeks or so, it's more likely to be successful, so there is that. There are still risks to inducing, so, personally*, I will not even be thinking about inducing (without a real medical reason, of course-- and not low fluid-- http://www.scienceandsensibility.org/?p=5294 ) until at least 42.5 weeks, maybe 43. I imagine it won't come to 42.5 weeks or later, and yeah, I'd rather it not-- because, hey, let's face it, even with awesome MWs who are VERY low-intervention, and even assuming baby is looking awesome, I am still subject to the same societal influences that scaremonger us all.
But I just can't stand it that women feel they've "failed." It makes me sad and angry at mainstream medicine-- and my mom is an MD, but she feels the same way as I do.
A very close friend had a baby not too long ago. Long story short, she planned a natural birth with hospital MWs, her water broke and she wasn't contracting super-regularly, so after 6-8 hours (they "let" her go longer than usual for the hospital), they basically insisted on Pitocin. Blah, blah, cascade of interventions, c-section. She totally thinks now that her body "just doesn't go into labor." Meanwhile, I know lots of women whose pattern is that their water breaks, nothing much happens for 12 or even 24 hours, then they have a nice, fast 2-4 hour labor and, bam-- baby. Who knows if she is one of those women? But she has been told that her body is defective. Bull.
*And I do want to emphasize that this is just my choice.
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