If I pass 42 wks? - Page 2

[Emmeline II]

Originally Posted by alegna

My understanding is that all of the TX "rules" are just suggestions at this point. That providers can choose to um, override them. My midwife will do twins, breech, over 42 weeks etc without batting an eye.

-Angela

After taking some more time to read the rules this morning it seems you are more right than I am. Under certain conditions the mw is required to recommend a referral or transfer and document that they did so, but, the client (at this point and hopefully it stays this way) is free to refuse and the mw can continue care. Somewhere there is a list of "Prohibited Practices" (230.4 I think) that I think may talk about what is "normal" birth, breech, and post dates, because I've read it on the state site but I can't seem to find it in "the rules"(easier to read link www.dshs.state.tx.us/midwife/mw_rules.doc).

Hmm...I don't see it under "prohibited practices" in the occupation code either:
http://tlo2.tlc.state.tx.us/statutes....000203.00.htm

I'm sure I saw "normal" birth, breech, and post dates defined/explained somewhere, I'll just keep looking. Or if someone else has it...

[LoveChild421]

If I were you I would refigure the due date and get to having sex and walking!

[kerikadi]

I have to say that I am surprised when women post that their MWs want to transfer or have them induced or whatever for dates, breech, twins etc.

Don't you ask these questions when you are interviewing MWs???

I interviewed 9 MWs and narrowed it down very quickly then met with 4. I asked all 4 of them what their rules for dating were - for me I had a history of 'early' babies so I wanted to know how early I could birth at home but also asked how 'late' I also asked about breech and twins and would not have hired a MW that seemed scared of any of the above.

Please ask these questions before choosing your cargiver

Keri

[alegna]

Originally Posted by kerikadi

I have to say that I am surprised when women post that their MWs want to transfer or have them induced or whatever for dates, breech, twins etc.

Don't you ask these questions when you are interviewing MWs???

I interviewed 9 MWs and narrowed it down very quickly then met with 4. I asked all 4 of them what their rules for dating were - for me I had a history of 'early' babies so I wanted to know how early I could birth at home but also asked how 'late' I also asked about breech and twins and would not have hired a MW that seemed scared of any of the above.

Please ask these questions before choosing your cargiver

Keri

Good points Keri- but some midwives do not stick by what they answer in interviews. I had that problem...

-Angela

[alegna]

Originally Posted by i'mmykid'$mom

After taking some more time to read the rules this morning it seems you are more right than I am. Under certain conditions the mw is required to recommend a referral or transfer and document that they did so, but, the client (at this point and hopefully it stays this way) is free to refuse and the mw can continue care. Somewhere there is a list of "Prohibited Practices" (230.4 I think) that I think may talk about what is "normal" birth, breech, and post dates, because I've read it on the state site but I can't seem to find it in "the rules"(easier to read link www.dshs.state.tx.us/midwife/mw_rules.doc).

Hmm...I don't see it under "prohibited practices" in the occupation code either:
http://tlo2.tlc.state.tx.us/statutes....000203.00.htm

I'm sure I saw "normal" birth, breech, and post dates defined/explained somewhere, I'll just keep looking. Or if someone else has it...

I've seen what you're mentioning, but it is not really a "rule" The client is free to decline and the midwife is free to keep them on

-Angela

[momsmyjob]

Originally Posted by alegna

I've seen what you're mentioning, but it is not really a "rule" The client is free to decline and the midwife is free to keep them on

-Angela

Yes, I did when I went almost 43 weeks! My MW and I kept on going.

[umami_mommy]

Originally Posted by kerikadi

I have to say that I am surprised when women post that their MWs want to transfer or have them induced or whatever for dates, breech, twins etc.

Don't you ask these questions when you are interviewing MWs???

I interviewed 9 MWs and narrowed it down very quickly then met with 4. I asked all 4 of them what their rules for dating were - for me I had a history of 'early' babies so I wanted to know how early I could birth at home but also asked how 'late' I also asked about breech and twins and would not have hired a MW that seemed scared of any of the above.

Please ask these questions before choosing your cargiver

Keri

really it depends on the state. in NY it's "standard" of care that a woman be induced at 42 weeks, no if ands or buts. so a MW that "allows" a woman to go past that isn't practicing "standard of care." which can get you reprimanded or worse, lose your license, esp. if something bad happens from it. DEMs who are nto licensed (and therefore illegal in NY) are of course nto covered by this, but a CNM has to follow "standard of care" or she can get in deep sh1t. some midwives worry about this, some don't. my former midwife was harrassed greatly and this concerned her. my current midwife has been doing this for so long she doesn't seem to care. she just writes "refused" in the chart and moves on. she does have a handout that she cannot attend a birth befor e37 weeks or after 42, but she told me in person "depends on how low under the offical radar you are."

[huggerwocky]

Originally Posted by kerikadi

I interviewed 9 MWs and narrowed it down very quickly then met with 4. I asked all 4 of them what their rules for dating were - for me I had a history of 'early' babies so I wanted to know how early I could birth at home but also asked how 'late' I also asked about breech and twins and would not have hired a MW that seemed scared of any of the above.

Me neither. Actually CA doesn't have any restrictions so one would think that all midwives would be ok with it...not so.

But some states have restrictions.

[kerikadi]

Originally Posted by honeybeedreams

really it depends on the state. in NY it's "standard" of care that a woman be induced at 42 weeks, no if ands or buts. so a MW that "allows" a woman to go past that isn't practicing "standard of care." which can get you reprimanded or worse, lose your license, esp. if something bad happens from it. DEMs who are nto licensed (and therefore illegal in NY) are of course nto covered by this, but a CNM has to follow "standard of care" or she can get in deep sh1t. some midwives worry about this, some don't. my former midwife was harrassed greatly and this concerned her. my current midwife has been doing this for so long she doesn't seem to care. she just writes "refused" in the chart and moves on. she does have a handout that she cannot attend a birth befor e37 weeks or after 42, but she told me in person "depends on how low under the offical radar you are."

But you would know that from the get go and plan (or fudge) accordingly, right? I understand that some states have rules but I see many posters that say they were surprised when they found out they would be transfered or disappointed when the MW was going to turn them over at 42 weeks or because of breech or twins or whatever. I know some MWs will not work with homebirth clients under those situations but you should know that before choosing your MW.
That is my point.
A bit OT because this doesn't necessarily apply to this thread but I have read several others.
I know that some women don't have that as an option because all of the MWs they interview have to follow certain laws but that is why you find out early rather than being surprised/disappointed later.

Keri

[Full Heart]

To the op - I am in AZ and have gone past 42 weeks and still delivered at home. You have a few choices at this point. You can get the mws back up to "let" you go longer. I have done that before. If the mw doesn't have a back up you can sign a waiver acknowledging the laws and the risks (I know people say you can't do this but you can. I know of mws using this and clients who gladly use them so they can avoid an unnecessary hospital birth). If possible you can also fudge your date. If you aren't opposed you can always have your mw drop you and you go ua but with your mw attending as "labor support".

Good luck! I hope the laws on that change some day as I have faced it every pg! Its nerve wracking!

[montannaclark]

I was induced at almost 42 weeks. It was our 2nd and didn't feel like we had another option. Did it naturally and will never do it again. I was 41 weeks and 6 days at her birth. We learned alot. You will be in my thoughts.

[mamaverdi]

Originally Posted by kerikadi

but you should know that before choosing your MW.
That is my point.

Keri, I can think of two midwives here in Houston who have outright lied to people before they hired them. I was told by a very well liked known midwife that my antidepressant was not a problem. (Since it wasn't with my psychiatrist) When I hired her that evening, she called me and began telling me that I would HAVE to see an OB about my anti-depressant. Um, we covered that in the interview.

You can't always know what will happen, even if you ask all the right questions.

mv

[twogreencars]

Originally Posted by montannaclark

I was induced at almost 42 weeks. It was our 2nd and didn't feel like we had another option. Did it naturally and will never do it again. I was 41 weeks and 6 days at her birth. We learned alot. You will be in my thoughts.

What kind of induction did you have and why wouldn't you do it again? This is what I'm facing now at 41 weeks + 5 days! Please let me know asap! THANKS!

[Luv2bemommy]

One of the reasons why I chose to have a homebirth was to be able to go past 42 weeks. With all 3 of my previous children, I always go to 42 weeks then get pitocin to get induced. My children weren't big babies at all (biggest was 8lbs 8oz) and I never had any problems before my induction. My midwife has no problems letting me go past 42 weeks and she has an OB backup. She did go by how my cycles are and since they are 33-35 days that gave her an extra 5 days or so to add to my EDD just incase the OB said anything if I was to go in and get a biophysical profile on the baby. Some babies just takes longer to bake then others and I'm SO glad she see's it that way.

I'm sorry you are having such a problem with this but if you don't want to be induced, that is your right. Good luck!