Originally Posted by Ironica
This actually came up when we were meeting with our doula today... and her inference on the issues with "postdates" babies was the same as mine: Ok, there are more issues (not just for VBAC, but in general). But, what's the causality? The assumption is that baby staying in longer is bad for baby... but it seems just as likely, if not moreso, that babies who HAVE a problem of some kind are more likely to go post-dates. Granted, it may be that the problem is easier to address outside the womb, but if they're tangled in their cord, or can't get a good position, or whatever, the birth is probably not going to go as well.
This has been my gut feeling about it for a while.
|But, on the other hand, there are babies who go to 42, 43 weeks, and then are born with no issues at all, and don't look at all "overcooked." Some women ALWAYS go that long with each pregnancy. So... is it necessarily a good idea to get all freaked out about postdates babies when for some, it's totally normal, and for others, it may be that they're staying in because of a problem, not that they're going to have problems from staying in too long?
At the very least, I wish they'd look at family history - on both sides. I had a 38w,5d pregnancy with ds1. His dad's (my ex) mom didn't have long gestations. Neither did mine, as far as we know (her first was an emergency section and my sister and I were scheduled repeats).
DH's kids: DD went to 39w,2d, and then I let myself be bullied into a scheduled repeat because she was breech (and apparently if I waited for labour to start, then went to the hospital, we'd both keel over and die at the first contraction...bitter - who, me??). She was too early - I have no doubts that she was at least a full week from being ready to be born, and I'd guess more like two. I caved on the repeat with ds2, as well...bu I went into labour the night before...at 41w, 4d. The section was done at 41w, 5d, and I was barely starting to dilate (under 1cm). I suspect I'd have gone to 42 weeks or very close with him. True labour started at about 43 weeks with Aaron (bad example, perhaps, as he was
stillborn...but I laboured a long time before that, and there's the multiple section part of the equation, too). DH's mom carried all four of her boys to over 42 weeks, with no problems at all. They were all over 9lbs. and they were all born vaginally.
I really think dh's kids are just genetically inclined to "cook" longer.