Does she have any medical concerns like high blood pressure?
If not, don't induce. Period. MAYBE consider it at like 42 Weeks... maybe.
The risk of induction leading to CS, especially in a first time mom, is absurdly high - I've heard about 50%.
I hate to say it, but if she's even considering consenting to proposed purely elective induction ON her due date (which is 8 days earlier than average
since due dates are set at 40W 0D and first timers go to 41W 1D on average), then clearly she is very uneducated about birth.
& a severe lack of education combined with, what at least based on the original post, appears to be a standard American OB (aka - intervention happy), odds are absurdly slim that she'll have a happy, low-intervention (well, non-unnecessary-intervention), natural birth. If she gets induced on her due date, odds are slim she'll even achieve vaginal birth, let alone no-epidural.
If she's serious about wanting a natural, or at least vaginal birth, I'd urge her to contact a local child birth educator & ask for a crash-course. I think the Bradley method would help her learn facts & help her & DH advocate for their birth. Bradley is supposed to be a 12-week course, but I'm sure an instructor would make an exception for a personal, crash-course session.
Natural birth, especially in an American hospital with an OB, doesn't happen without a good bit of work & preparation.
A shame she seems to not know this & may be running out of time.
Originally Posted by MiaMama
Seriously, there is no evidence that full term cervical checks have any benefit whatsoever, and they are downright useless for predicting spontaneous labor.
In fact, a closed cervix is one of the biggest risk factors for a FAILED induction.
Ask her to look into the term "Bishop's Score" & she'll see that a low bishop's score (& a closed cervix would get a lower score) indicates induction is less likely to succeed.
I wonder what this OB's CS rate is - especially if s/he typically induces first-timers, at due date
, with closed cervixes
... (All 3 of which are bad ideas, again, in absence of medical need). I'm guessing his/her rate is well over the already excessive national average of 33%.