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Discussion Starter · #1 ·
A friend is at 34 weeks and was diagnosed with GD some time ago. It is completely under control with Chinese herbs and diet. Thus no GD, right? Baby seems to be fine and within normal size range.<br><br>
Her OB, who is open to alternatives in birthing (and in fact attended a homebirth recently) insists on inducing at 39 weeks, if baby doesn't come before.<br><br>
While I obviously don't have all the information, on the surface this induction seems unnecesary. Is the OB just covering all the bases or is there really a big risk to going to term? Should my friend look into another care provider at this late date or just hope for spontaneous labor?<br><br>
Thank you for any thoughts you all may have...
 

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I wonder if it's because he thinks the baby may get "too big". She should probably switch to another care provider. It is EXTREMELY rare that a baby is too big to move through his mother's pelvis. Our bodies are very intelligent <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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Discussion Starter · #3 ·
It is at least partly a size issue - but she's getting weekly ultrasounds (considered high risk b/c she's 38) and baby's withing normal size range. Could there be any other reason?
 

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no other reason - and u/s are notoriously off by two pounds sometimes! they are highly, highly inaccurate for weight estimation.<br><br>
Check this out: <a href="http://www.hencigoer.com/articles/" target="_blank">http://www.hencigoer.com/articles/</a><br><br>
Under Pregnancy Issues, there is fabulous information on the flaws of GD diagnoses and under Labor Induction, she has a great article on "when a big baby is expected".<br><br>
Of course, the real issue is getting your friend informed.
 

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I've got GD as well (diet controlled). And had a doctor who wanted to induce me on week 37 because of "big baby". Well I completely disagreed with him (both on baby's size AND that I should be induced if he was larger). So I switched doctors. My new doctor's only words on induction were "If you go to 42 weeks we will have to speak about inducing". Try switching doctors! Its done a world of good for my stress level! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><br><br>
I was especially impressed by this article: <a href="http://www.parentsplace.com/expert/birthguru/articles/0,10335,243385_234322,00.html" target="_blank">http://www.parentsplace.com/expert/b...234322,00.html</a> (which is from the list of links you have pamamidwife) because its a *very* mainstream website that disagrees with inducing because of fear of a big baby to avoid should dystocia and/or c-sections.
 

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Discussion Starter · #6 ·
Thanks for the information! I've passed it along to my friend. They've done Bradley classes so are reasonably informed about many things.<br><br>
The doc also told her that she would be induced within 6 hours of her water breaking - risk of infection, of course. Ack! Fortunately she knows this is crap and will refuse.<br><br>
Sigh.
 

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I had GD with my first pregnancy and all my midwife (CNM in a practice with OBs) said was that they might want to induce at 41 weeks instead of 42 because of it, but that if I didn't want that it was fine--they'd just keep an eye on things with non-stress tests and the like. (he was born 3 days before my due date, so it wasn't an issue anyway).
 

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i switched docs at 30 weeks to a Family Practice doc...he didn't push u/s, nonstress-nothing ...just encouraged me to keep doing what i was doing-managed with diet and exercise just fine!!<br><br>
DS was born on his due date - 8 lbs 3 oz. i called my former practice to tell them the story..<br><br>
had great support about switching from dh, and our bradley instructor!!! it paid off-we had an incredibly beautiful hospital birth-no heel sticks for baby either!!!
 
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