Originally Posted by Halfasianmomma
Can someone point me to some real evidence that going "overdue" is actually going to lead to the following:
- Longer labor
- Traumatic birth for mom and baby
- Doubling of stillbirth by week 43
- Failure of the placenta
All the "mainstream" sites I visit tell this horrible tale of NEEDING to be induced by week 42, and my own doc wants to "talk about induction" by July 5th, a mere 5 days past my EDD. I want to go see her armed with some solid evidence/statistics.
psh...5 days past your EDD? post dates starts after 42 weeks, not at the beginning of week 42, so all this BY week 42 stuff is a whole bunch of bologna. i dunno, i would say "i will not consider an induction before the end of 42 weeks. after 42 weeks i will only consider an induction if my baby is proved to be showing measurable signs of distress." doctor will complain, you repeat ad nauseum.
not to mention the fact that 42 weeks pregnant is probably only around 40 weeks gestational age...
longer and/or traumatic labour (as long as the trauma isn't escalating to the point of serious injury or death to mom or baby, obviously) is IMO not a valid medical reason to induce. what constitutes long or hard is up to the person giving birth, and that varies greatly.
increased risk of stillbirth and placental failure is another story. i've never been pregnant myself, i've done a lot of research, but i might be wrong but wouldn't reassuring weekly (or daily? every two days?) NSTs put that concern to rest? as long as baby is moving at the regular rate, has a good HR, and as your fluid is good it's kind of a moot point, isn't it? i did a quick search but came up empty, hopefully one of the experienced moms will chime in. i would cross-post this in the UC forum, those women know a lot about stuff like this.
personally, i would have greater concerns about fetal distress during an induction than the risk of going post dates, assuming that both mom and baby are healthy. would you consider natural induction methods or AROM to get you going after you've past 42 weeks? maybe that's the way to go for you... since you're a first time mom, and i assume delivering in the hospital if you have an OB, i would be really worried about induction since you don't have a "proven pelvis". induced labours are often long, and they might try to get you for unproven pelvis and failure to progress. also, i've read that the risk of uterine rupture in first time mothers who are induced is actually higher than the risk of uterine rupture to those going for a VBAC. not that many VBAC moms rupture, but if they can throw stats in your face to scare you, they probably will, and you don't want to walk out of there with an incision unless you absolutely have to.
and the obvious and probably annoying question: are you absolutely sure on your dates?
good luck mama!
oh, i might have just found something. try this link
, i didn't read it all, but it looks promising.