ell, just got back from my 40 week appointment, and no real changes since last week (still a little more than 1 cm dilated, 80% effaced, baby in -1 position, cervix in mid position). All of that was good for 39 weeks, but with almost no change, she wasn't as happy with it for 40 weeks. I've been threatened with induction. She says that if I make it to next Thursday's appt, she'll want to schedule the induction for that weekend (at which point I'll be 41+4 or 5). It sounds like she only does inductions on the weekend, and she doesn't want to wait until the next weekend when I'll be 42+4 or 5. Hmph. Our "compromise" so far is that we've scheduled a biophysical profile and NST for next Thursday, and if everything still looks good then, we'll "discuss it". Argh.
I made it clear that I was really hoping to avoid an induction, and she proceeded to try to comfort
me by saying "you know, when I'm talking about induction, I just mean Pitocin--it's very gentle, you can still walk around, etc." I told her I read that Pitocin can make contractions much more intense, last longer, come closer together, and that can make things really hard and even cause a slightly increased chance of uterine rupture, etc. and SHE said, "oh, that's not true, it's a misconception--we start off with a very low dose, it's just to get labor started"--basically, contractions are contractions, contractions are hard, and using Pitocin doesn't make them any harder.
Anyway, what!?! She's basically denying everything I've read and heard for 9 months--stuff that I thought was pretty commonly accepted knowledge. And she's been so encouraging about natural birth all along, has a good reputation among doulas in the community for being an accomodating, non-interventionist doctor, etc.--so all of this stuff from her today was just right out of left field for me. Hmph.
Well, I guess that's the end of my little vent. And I usually enjoy these weekly visits so much. Hmph.