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Discussion Starter · #1 ·
My SIL is due with her first baby around Nov 21 and her Dr wants to induce on Oct 21 because the baby is "too big." They reached this conclusion after several (IMO, unnecessary) sonograms. This just makes me so mad. Even her midwife thinks the baby is just the right size--they are doing this induction based solely on the sonograms.<br><br>
I don't think she knows what she's getting into by allowing this induction. She hasn't done a whole lot of research on birth in general, I don't think she realizes what kind of complications she could get into by being induced so early.<br><br>
I'm a bit worried that she's going to end up with a little tiny "undercooked" baby. There's not much I can do though, because she lives in England...<br><br>
Any ideas for non pushy ways to talk her out of this? She and my BIL as well as his family all seem to be excited about this turn of events. It just makes me feel sad and angry.<br><br>
peace, Beth
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shake.gif" style="border:0px solid;" title="shake"> Wow, I hope her 36 weeker will be ok. That is soooo early! I hope they prepare her for premature lungs and other situations that can happen when the baby comes before it is ready. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
I know how hard it must be for you to sit back and watch the scenario, knowing all the while what could happen. For her sake, I hope the induction works and she's able to have a vaginal delivery with a positive outcome for both her and baby. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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4 weeks early????? jesus christ. can we say NICU?<br><br>
i would send her links to articles on 1) the inaccuracies of ultrasounds and 2) the dangers of induction and 3) how due dates are only an estimate and the length of the woman's cycle can alter it by a week or more and 4) how breastfeeding can be compromised because of the combination of the drugs, traumatic birth and a baby who is too small to suckle.
 

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Discussion Starter · #4 ·
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">how breastfeeding can be compromised because of the combination of the drugs, traumatic birth and a baby who is too small to suckle.</td>
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Yeah, this is the one I'm most worried about. She's planning to breastfeed, but I don't know how committed she is. I'm afraid she'll be one of those who start the bottle at the first sign of trouble. I wish she lived closer so I could give her more peer pressure! My baby is due on the 31st, so I could just nurse in front of her constantly, as well as offer help.<br><br>
Also, 4 weeks seems just *so* excessively early, especially for a first babe. My dd was born 2 weeks after my edd, if she had been induced at 36 weeks, she would have really been 6 weeks premature. So sad <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
peace, Beth
 

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Provide her with the information that you can give. She needs to make this decision on her own to accept it. To have a medical professional make a decision like this at this point in her pg is bordering on negligent. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> This is sad to hear, it does not do justice for the 'good' practicing ob/gyn's out there. And definetly send her info on premature babies. Babies are not even considered term until 37wks. So they are planning on 'taking' the baby even before it is term. Does she have other existing medical concerns? Gestational Diabetes, PIH, etc.....
 

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Discussion Starter · #6 ·
Nope, no other medical concerns that I know of. She's a healthy woman, no complications in the pregnancy that I know of. She eats well, has not gained an excessive amount of weight (whatever that means), walks to and from work, etc. It's just the damn sonograms.<br><br>
Maybe I'm missing something. The mentality must be different in England. My BIL was commenting the other day on how great the NHS (national health service--like free insurance for everyone, similar to what they have in Canada, I believe) is because they are willing to do an unlimited number of sonograms.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/confused.gif" style="border:0px solid;" title="Confused">:<br><br>
Their attitude seems to be like "hooray! We get to have our baby sooner than we thought!", not "OMG, this baby is going to be premature--what if something goes wrong?"<br><br>
It just really sucks.<br><br>
peace, Beth
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;"><i>Originally posted by shanetedissac</i><br><b>Babies are not even considered term until 37wks.</b></td>
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Ok, stupid question here, but if doctors are saying that 37 weeks is "term" why do we naturally go 40 weeks? Wouldn't 40 weeks be considered "term"? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/headscratch.gif" style="border:0px solid;" title="headscratch">
 

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37 weeks is when the lungs are generally mature, so that's the earliest that can be considered term. anywhere from 37-44 weeks has been reported as being full-term. and jackie kennedy was born 6 weeks after her due date, so all things are possible with due dates.<br><br>
beth, i guess all you can do is tell your brother that you have some serious concerns about them trying to induce labor 4 weeks early. list them out as briefly as you can and provide references for each one. and then hope he doesn't get mad at you!
 

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here's one thing to send SIL: <a href="http://www.mothering.com/11-0-0/html/11-2-0/11-2-babydecide105.shtml" target="_blank">let baby decide</a>
 

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You would think that the baby's health would be more of a concern than size....<br><br>
btw--They said my ds was between 9a dn 10 pounds (he was 2 weeks early) and he was under 8 pounds! Those weight "guesses" are so far off it isn't even funny......<br><br>
I hope your neice or nephew is ok!
 

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Both of my kids were born 5 weeks early and healthy luckily, but my dd took a month to learn to nurse and ds took 4 mos to learn to nurse and had severe jaundice at 10 days and had to be readmitted to the hospital. I think we were incredibly lucky in our situation and I can't believe anyone would want to put themselves in that situation.<br><br>
Wanting to induce is one thing (not right, IMO) but wanting to induce an obviously premature baby is negligent.
 

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The doctor wanted to induce me at 37 weeks because he said Orion was "already 8 lbs". The NST nurses told me, over and over during their ultrasounds (to check fluid) "You know you're having a *big* baby, don't you??"<br><br>
I refused to be induced due to his size (got induced at term due to pre-eclampsia though). He was 7 lbs 2 ounces when he was born.
 

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Perhaps you could find some information or at least tell them about "Doctor caused prematurity"?? I don't know the specific name, but there is a definite trend in the USA anyway where too many doctors are inducing way to early and the result is an INCREASE in premature babies...<br><br>
The most important thing I think is to be supportive, and perhaps to gently share any information that you have. If you have any anecdotal stories (or can find them) most people find them more persuasive than mere statistics <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/confused.gif" style="border:0px solid;" title="Confused">: But if you acknowledge their feelings (Wow, I understand how exciting it is when you're having your first baby, and the idea of not having to wait two more months must seem really appealing. I remember how hard it was to wait that long when I was pregnant with my first child. But when she was born so healthy, on the day that she decided to be born, I was happy to have waited. She could nurse right away, she didn't have an extended hospital stay, etc. etc. I was reading an article about induced births recently, though, and I found out...)<br><br>
Sometimes HOW you communicate is every bit as important as what you are communicating. Try to think of what style would work best, and perhaps you could just get them to get a second opinion (shouldn't be a problem if it's all paid for anyway).<br><br>
Good luck, let us know how it goes!
 

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I hope I'm not hijacking the thread, but I have a question...and I would think I would know the answer after all I've learned about birth, but anyway...<br><br>
Can someone please inform me of why so many doctors do this???? I don't understand how they benefit from it, and the mother and baby sure don't. So why? My dh's co-worker is going to be induced tomorrow--she will be 40 weeks, and baby is estimated to be 5.5 lbs. His reason: the placenta isn't as efficient after 40 weeks, and he doesn't like his patients to go past 40 wks. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> Dh told her that she doesn't have to do anything, and that if that is his only reason, it wasn't a good one (he probably wasn't very convincing if he said it like that...he's not good at being subtle LOL) of course she got kind of defensive and said her doctor has been working for a long time and knows what he is doing.<br><br>
So what's the point? Is it so they're not called in the middle of the night? Do they somehow make more money doing this?<br><br>
eta: happy birthday beth!!
 

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hospitals make alot of money off insurance companies with inductions! i wonder if doctor's work off commissions from the hospital because they are very induction happy around here. they start pressuring at 37 weeks and a lot of women cave!
 

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I suspect money is the sole reason for inducing most women these days. They check into the hospital, receive drugs that cause unnatural labor pains thus necessitating pain relief, body won't respond to induction because baby isn't ready to come, csection, longer postpartum recovery period and likelyhood of NICU stay......all very, very expensive. And all very, very unneccesary IMO. Doctors benefit tremendously because they are in control of your body rather than having to wait for you to deliver yourself. Plus, I imagine they make a hefty sum off that expensive delivery! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry">
 

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Health Care in Canada....<br><br>
While we do have a universal healthcare, which we pay for, it doesn't cover everything. We do have supplemental insurance that we must pay for as well. For our family it works out to nearly $200 amonth. not every one has the supplementary coverage though. So those would pay $88 and if they are low income there are subsidies available.<br><br>
Many procedures are not covered. U/S IS covered, but my experience with teh Dr. here, is they don't use it unless they feel it is necessary and I've had 3 different OB with the kids. With my first 2 I didn't have any. I did with my third because dh wanted me to, then ended up with repeat ultrasounds due to a high amniotic fluid count. Thankfully nothing was wrong. With this pregnancy, due to losses, the OB insisted I have 1. I was supposed to have had an early one but I didn't go, I had the standard 18-20 week, and it all showed up as fine. So sheisn't insistent that need any further.<br><br>
We have hospital coverage for childbirth, but none for midwives. Most hospital stays are covered, though when my brother was ill, my parents paid lots for his care.(Long term care).<br><br>
I've spoken to different poeple that have had the experience of health care both in the US and in Canada, and they seem to think a good HMO and knowing your plan is far better than what we have here.<br><br>
So who knows.
 

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Discussion Starter · #18 ·
Just to clarify, my SIL lives in England, not Canada. I may not have been clear in my original post, sorry.<br><br>
peace, Beth
 

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Beth,<br><br>
I realize your SIL was in England, I was just pointing out hte differences that were here. I didn't take you the wrong way <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I sure hope she doesn't go through with it....(as I sit here wishing the calendar pages to turn faster..lol)
 

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I dont want to sound like I am going to sound, but this issue has just come up in my family too...my sister the WHOLE pregnancy kept saying how big this baby was, her midwife says its so big, it must be dated wrong because she is so big, ultrasounds say its gunna be big.<br><br>
she gets induced like right before her due date or on it....after acting like she was trying to hold them all off from doing it sooner, midwife was saying she was even 'worried' the baby was gunna be 'too' big.....geez....I kept waiting for her to call and say they scheduled a c-section....<br><br>
so she's induced on her 'due date', and gives birth to a 6 pound 3 ounce baby boy (that she delightfully circ'd- despite my and my dh's MANY talks we had with them)<br><br>
VERY frustrating. at least they held off till her 'due date' (they werent even sure when that was either, so he could of been early) I dont know what to tell you, but keep trying, like I did.....even if it doesnt work.<br><br>
and whats this about people being 'happy' when docs say this kinda stuff? my sis would come over or call after a trip to the hospital or something, and just delight in telling me about some serious developement or complication they imagined she was having, I think it was the attention she was getting....<br><br>
I know it gets impatient waiting till the end....but that time is there for a reason.
 
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