3rd Trimester

I think my doctor is bullying me.

Out of the blue, at my 39 week checkup, my doctor started talking induction.  This has been an extremely easy pregnancy, my blood pressure and sugar, the baby's heartbeat, basically everything has been completely free of complications, and the doctors have done nothing but tell me how great everything is.  I am, however, not dilated, in fact, I am not even really effaced.  The problem is, I think the baby is just not 'done'.  I don't want an induction, but , I am not completely opposed to them.  I just don't see the medical need for one.  My doctor has basically said that I will not 'be permitted' to go to week 42. They could have told me this much earlier in my pregnancy, and I could have looked for a new doctor, but they did not.  I do not think this is legal for her to say.  I really feel like I am being bullied, especially after the 'perfect' biophysical profile and nonstress test I had yesterday, and I just want to know if anyone else has had an experience like this, and if so, what they think my options are.  I know they can't force me into labor and delivery, but they can drop me as a patient I think.  I don't want to be bullied, but I also don't want to do anything to hurt my baby.  I don't care if they send me in to get these tests every other day quite frankly, but if I'm not even completely effaced, I feel like they are just setting me up for an unneccessary c-section, which the doctor has already slyly tried suggesting we set up.  Anyone, please help.  I don't know what to do any more.

«134

Re: I think my doctor is bullying me.

  • I'm not a doctor but I believe going past 42 weeks is dangerous for mother and baby.  I'd say an induction if you haven't had the baby at that point is reasonable, if not necessary.  Could be wrong...

     

  • Most OB's won't let you got past week 42. I wouldn't say that's bullying. It's for your and the baby's safety.
    Image and video hosting by TinyPic Baby Birthday Ticker Ticker
  • Sorry, but this sounds totally standard issue.  At my 37 week, I was told if there is no baby by 41, you need an induction on the books before you hit 42.

    My very reputable and progressive hospital won't let you hit 42.

    At some point, enough is enough.

     

    Baby Numbers 11.8.10 The Sequel on or around 10.13.12
  • You can go from no dialation or effacement to full on labor in a matter of hours.  Everyone's body works differently.  There is no reason for you to be induced before 42 weeks.  When I was at birthing classes, she said a thing that I hadn't ever heard of.  If they set an induction appointment and you aren't ready for induction and nothing is indicating that you need it, just don't show up to the appointment.  Or call and cancel it and say that you have something going on that day and postpone it for as long as possible.  You don't have to do something you're not comfortable with.  I highly doubt he'll drop you as a patient since then they won't get all those fees.  If nothing else, you'll show up when in natural labor and they have to help you, it's the law.  Just make sure that you and your husband (or whoever is in the labor room with you) is looking out for your interest and asking questions.  Make sure there is actually a reason for interventions before you get them.  I wish you the best of luck!
    Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker
  • I think her doctor said she wouldn't even be able to go to 42 weeks. Did the doctor say why he wanted to induce now, rather than waiting a couple of more weeks?
    Baby Birthday Ticker Ticker
  • Based on the standards of medical care, going past 42 weeks (even 41) can be considered very, very risky. The placenta will begin to deteriorate at some point and can put both the mother and child in danger. Inductions, in these cases, make medical sense. I think sometimes inductions on the whole are "demonized", when the truth is, sometimes they ARE necessary. 

     Stick to your guns, but be clear with your doctor about your wishes. Be open to options that make sense and be ready for anything. That's the best advice I can give you....

     Good luck! 

  • My OB would not let me go pass 40 weeks but my DD was big (8lbs. 10oz). I don't know if he told other patients that.

    I know my friend's OB has told her that when you are allowed to go past due date it can result in c-section because baby may get too big. This is what happened to her. She wanted to wait which they did and she labored but with very little progress dilating, etc. Her OB stood by her wishes and then it got to a point where baby's heartbeat started dropping with every contraction. She ended up needing an emergency c-section and sure enough the cord had wrapped around the baby's neck.

    In my case with DD, I had not dilated anything or effaced at my weekly appt. (40 weeks). They suspected a big baby because of last ultrasound and he didn't want me to risk her getting to big for me to have vaginally. We induced labor and I feel I then progressed ok to say I wasn't anything to start off with. Induction started at 9am. I had baby vaginally at 6pm. It was a great labor and delivery IMO especially for first time.


    Lilypie Kids Birthday tickersLilypie Fourth Birthday tickers
  • You won't find many doctors that will let you go past 42 weeks - it's pretty standard procedure to induce before that mark. 

    That being said, with DS#1 I wasn't effaced or dilated at all at my 39 week appointment - but within 36 hours of that appointment I was in labor.

    image

    Baby Birthday Ticker Ticker



    Baby Birthday Ticker Ticker
  • If the dr is saying to start inducing now and not even waiting until 42 weeks what I would do, if I wasn't ready, was like PP said, not show up to the appointment and just go to an emergency room/hospital when I do have the baby. 

    The only concern would be starting at 42 weeks the amniotic fluid can start getting low and more complications could arrise (according to our prepared child birth instructor).  She went 42 weeks and didn't want to be induced but started researching how it would not be good for the baby.  But if you are 39 weeks or 40 and you aren't ready....I would wait.  Once 42 weeks hits then I'd be thinking induction.

    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker

    It's a GIRL!
    BabyFruit Ticker
  • image Hyfagal:
    Most OB's won't let you got past week 42. I wouldn't say that's bullying. It's for your and the baby's safety.

    this.

    Lilypie Fourth Birthday tickers
    Lilypie Second Birthday tickers m/c 01-07-10
  • I don't think there are m/any doctors that will let you go past 42 weeks.  42 weeks is still quite far off for you though.  I think it's good that the doctor has opened the door to have the discussion with you so that it isn't sprung upon you at 41 weeks if you're still pregnant.  You can say "no, I don't want to be induced before X date" but know that you most likely won't go past 42 weeks anyway so it will be a moot point.

    You can go from 0% effaced and barely dilated to fully dilated and effaced in a very short time, your body will do what it's supposed to. 

    image image
    image
  • image mygirls2010:

    Based on the standards of medical care, going past 42 weeks (even 41) can be considered very, very risky. The placenta will begin to deteriorate at some point and can put both the mother and child in danger. Inductions, in these cases, make medical sense. I think sometimes inductions on the whole are "demonized", when the truth is, sometimes they ARE necessary. 

     Stick to your guns, but be clear with your doctor about your wishes. Be open to options that make sense and be ready for anything. That's the best advice I can give you....

     Good luck! 

    This.  Age and calcification of the placenta can lead to decreased ability to pass oxygen and nutrients to your baby - especially at the 42-week mark and beyond.

    My doctor and I had the induction talk the other day and here was her position:  She will induce between 40-41 weeks if I desire - but that I should know that lack of effacement and dilatation may mean increased risk of c-section with induction.  Waiting to the 41-42 week time frame would lower the risk of c-section, but not eliminate it.  So, my choice - but I had to acknowledge that the risk of c-section existed.

    Personally, I see no reason not to schedule an induction - especially if you are particular about being delivered by a particular doctor in your group (schedule when they will be on call).  If you go into labor before that, no problem.  We've decided to schedule in the 41st week and hope I go into labor before that.

    2 years TTC with 5 losses, 1 year recovering, 6 months applying for adoption approval, and almost a year waiting for a placement. Then, a miracle BFP at age 36!


    Lilypie Second Birthday tickers

    Lilypie Pregnancy tickers
  • I'm sorry if you're feeling bullied. However, it's pretty standard practice to not be allowed to go past 42 weeks. I would express your concerns to your doc and see where the conversation goes from there. Good luck!
  • Food for thought...

    If you don't start "talking" induction until 42 weeks, say it takes a day or two to get on the books.  Then say on induction day you get bumped due to people actually in labor and some emergency c-sections. By the time you get in there and get things going, you are damn close to 43 weeks.

    Really, what is the harm of booking a c-section at 41 weeks for 41 weeks, 6 days?  It isn't like they plug you up to stop you from going into labor in the mean time.

    Baby Numbers 11.8.10 The Sequel on or around 10.13.12
  • I agree with the pps.  Inducing before you hit 42 weeks is a very smart, safe decision.  Anytime between 41 and 42 weeks is certainly appropriate for your health and most of all for the baby's.
    image

    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker
  • I think it would be irresponsible of your doc if she did NOT bring up the possibility of induction at this point. I think she's trying to prepare you for your potential options in case you don't deliver by 41-42 weeks. Risks for mom and baby go way up in post-term pregnancies.
  • Don't forget there was that one story posted a couple months ago about the mom that did go too long and the baby had complications and died.  I know it's anecdotal, but I would trust the medical professional (as most have said, most OB's won't let you go past 42w) on this one.
    image
    image
  • I am officially at 41 weeks today.  The doctor initially just indicated that they "don't let us get to 42 weeks".  She then stated the standard concerns about low fluid levels and placenta breaking down.  I don't mind going in for checking on those things every other day, the sonographer yesterday said that I had great fluid levels and she could see no indication of any sort of placental issues.  For the nonstress test, they gave me juice and crackers and the baby responded as expected, with increased movements not long after I had eaten.  I really just want to be allowed to go to 42 weeks before throwing in the towel.  The practice only schedules inductions on Tuesdays and on Friday nights/Saturday AM, and as my weekly due date is a Thursday, and they claim to be full induction wise that weekend, and again, they 'don't let us get to 42 weeks'.  My big thing is that I was quite late (more than 2 weeks) and I think I turned out OK, and also, I have no idea what my conception date was.  We are just going off of my LMP, so I feel like the baby might not actually be as far as they think he is.  The sonographer didn't say that the baby was 'big', and even if she had, the doctor herself said that the ultrasound measures of size are almost always wrong.

  • I agree completely.  Had any of the tests they ran on me indicated any sort of fetal distress, or any abnormality, I would have been on board for induction right then and there (I had the hospital bag in the car).  But all the tests seemed to indicate to me was a lazy baby, or one that perhaps was not concieved exactly when they thought.  I am at 41 weeks now.  I feel great.  The tests I took yesterday indicate that I have a healthy baby in a well-functioning placenta.  Everyone always says that 'every pregnancy is different' when anyone talks about the various pains and sensations of pregnancy, but when we start talking about due dates, that logic seems to fly out the window.  I just want to make sure that I am doing what is best for my body and my baby, and I don't feel like the doctor has the same interests in mind.
  • image omfg_itsbridemary:
    Everyone always says that 'every pregnancy is different' when anyone talks about the various pains and sensations of pregnancy, but when we start talking about due dates, that logic seems to fly out the window. 

    The number of BH contractions or severity of RLP can vary greatly. The risks of going past due are the same for everyone.

    Image and video hosting by TinyPic Baby Birthday Ticker Ticker
  • image omfg_itsbridemary:
    I agree completely.  Had any of the tests they ran on me indicated any sort of fetal distress, or any abnormality, I would have been on board for induction right then and there (I had the hospital bag in the car).  But all the tests seemed to indicate to me was a lazy baby, or one that perhaps was not concieved exactly when they thought.  I am at 41 weeks now.  I feel great.  The tests I took yesterday indicate that I have a healthy baby in a well-functioning placenta.  Everyone always says that 'every pregnancy is different' when anyone talks about the various pains and sensations of pregnancy, but when we start talking about due dates, that logic seems to fly out the window.  I just want to make sure that I am doing what is best for my body and my baby, and I don't feel like the doctor has the same interests in mind.

    I understand that you don't want to be induced and that the tests seem to show everything is fine.  However, your obstetrician is a trained professional and knows the risks of post-term pregnancy.  There are risks associated with induction, but by 41 weeks, the risks to the baby far outweigh the risks of being induced.

    You'll be 41 weeks and 5 days on Tuesday.  Get induced then.

    image

    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker

    Baby Birthday Ticker Ticker
  • Your doctor is being responsible in discussing options and what may end up happening with you because you are considered full term and have not progressed.  If they said he wouldn't let you go past 42 weeks, that's WISE and SMART for your safety and for the baby's safety due to all of the reasons mentioned above.  

    And the person who said it wouldn't be wise to start "considering" induction at 42 weeks - they're right.  When scheduling a non-emergency induction, you are scheduled based on what the hospital has available.  So, submitting your request at 42 weeks could mean L&D can call you in two days, schedule you for two days after that... and when you arrive, if the beds are full of active laborers, you're sent home.  Its just way too risky, whether you feel great or not.  

    I would just keep your options open at this point because the end result is a healthy baby and a safe, complication-free delivery.  If your doctor, the expert, thinks an induction around 41-42 weeks is wise, I would seriously consider heading their advice.  And yes, the risk of a c-section increases a bit with an induction... but the risk of a c-section increases a lot the larger the baby gets and the longer you wait, the bigger the baby grows and FAST in the end.  

    I was induced with both of my kids and I already have an induction scheduled for this one if I don't go into labor on my own.  I do not progress - with both of mine and so far with this one, I have always been like you - 0cm dilated, 0% effaced when I walked into the hospital.  I delivered vaginally with no complications.

    I do not think your doctor is bullying you - he is being responsible in making you aware of the reality of your no-progress situation.  His JOB is to deliver YOUR baby safely and healthy and place him/her into your arms.  You chose an OB to do just that... let him. 

  • None of the hospitals in my immediate area will allow you to go beyond 41w, so if you lived in my area, you would have already been induced by now (or forced to sign a waiver that said you were refusing to follow medical advice, which can cause issues with insurance coverage, etc if there end up being complications).  I agree with the other poster who said to just schedule your induction for Tuesday, at 41w5d.  Unless you are also an OB, you probably shouldn't be questioning your doctor's advice right now.
    Dx PCOS/anovulation 09/09

    TTC #1 - success on cycle #3 of clomid/ovidrel trigger/TI


    image




    Little sister is here!


    image
  • no dr. or midwife will let you go past 42 weeks!  I would be concerned if they wanted to do it sooner but usually at 41 1/2 weeks they'll do it!  they're probably just concerned about your lack of progress.

    good luck!

  • From my understanding, a baby born after 42 weeks is post term and there are risks for baby and mom, just like there are risks for a preterm baby.
    Baby Birthday Ticker Ticker
  • Ahhh, the ol' OB bait and switch.  I had this same experience with my first pregnancy and it caught me off guard as well.  There really is no need, IMO, to talk induction so early unless there's a medical need to be induced.  Like PP suggested, you don't have to show up to your induction appointment, and what's more, you don't really have to consent to one to begin with.  While yes, there is some concern about the placenta and amniotic fluid once you get to a certain point, due dates are also not expiration dates.  They are an estimation based on your last period (usually), and they usually assume you ovulated on day 14 of your cycle.

    I was induced at 41w3d with my last pregnancy because I was "very overdue."  I ended up with a c/s because my body wasn't ready yet.  My son came out with plenty of vernix on him, so he really wasn't all that overdue as they thought.    

    You shouldn't do anything you aren't comfortable with, no matter what standard practice is.  It's common for first time moms to go past 41 weeks.  I say keep going in for the NSTs and don't schedule an induction until you actually feel comfortable doing it.  Your instincts count for a lot in this.

    Hang in there!      

  • image MichelleL1118:
    Unless you are also an OB, you probably shouldn't be questioning your doctor's advice right now.

    There is a 30+% C-section rate in this country.  Yes, she should question her OB's advice.  It's often situations like these where mothers end up having C-sections that could have been avoided.  

     

  • I would seriously stand your ground and do not give in until 42 weeks and 1 day. Anything before that based on your physical condition seems unnecessary.
  • image spark&echo:

    image MichelleL1118:
    Unless you are also an OB, you probably shouldn't be questioning your doctor's advice right now.

    There is a 30+% C-section rate in this country.  Yes, she should question her OB's advice.  It's often situations like these where mothers end up having C-sections that could have been avoided.  

     

    Its also situations like these when a patient is okay with going as overdue as they want that causes serious complications.  C sections are not fatal car accidents - sometimes you just don't know what the alternative could have caused, and the doctors' job is to keep everyone safe first and foremost.  A friend of mine refused any type of medical intervention with her first delivery - she was 18 days overdue questioning her OB's advice and ended up laboring for 38 hours - baby was too big (at 10 lbs, 15 oz and 22.5 " long) and she couldn't get her out.  She had an emergency c-section and her large "healthy" baby was in the NICU for 3 weeks because of the complications endured during the mother's anti-OB stint.  The same OB suggested she wait at least 18 months before getting pregnant again because of the trauma her body endured.  9 months later, she was pregnant and insisted on a home VBAC, again questioning her OB's advice.  Both she AND her second baby were taken by helicopter to the hospital because her uterus ruptured.  Had she just gone with an induction around 41 weeks with her first, her body would probably have been in great shape - but now, she cannot have children again and she and her baby almost died from questioning their OB's advice.  Its really not smart to question an OB's advice when you are overdue.  This poster is currently at 41 weeks pregnant.  Its not a "bait and switch" like you said in your previous post.  Its serious if she goes past 42 weeks.  The OB is not suggesting an elective induction at 37 weeks because the patient is a little uncomfortable.  That's very different.

  • image spark&echo:

    Ahhh, the ol' OB bait and switch.  I had this same experience with my first pregnancy and it caught me off guard as well.  There really is no need, IMO, to talk induction so early unless there's a medical need to be induced.  Like PP suggested, you don't have to show up to your induction appointment, and what's more, you don't really have to consent to one to begin with.  While yes, there is some concern about the placenta and amniotic fluid once you get to a certain point, due dates are also not expiration dates.  They are an estimation based on your last period (usually), and they usually assume you ovulated on day 14 of your cycle.

    I was induced at 41w3d with my last pregnancy because I was "very overdue."  I ended up with a c/s because my body wasn't ready yet.  My son came out with plenty of vernix on him, so he really wasn't all that overdue as they thought.    

    You shouldn't do anything you aren't comfortable with, no matter what standard practice is.  It's common for first time moms to go past 41 weeks.  I say keep going in for the NSTs and don't schedule an induction until you actually feel comfortable doing it.  Your instincts count for a lot in this.

    Hang in there!      

    well said.  42 weeks is usually the cutoff because quite frankly, for most women, its hard to determine when exactly she ovulated and conception occurred.  When it comes down to it, EDD is an arbitrary number, unless you had an early u/s to date the pregnancy (somewhere between 6 and 9 weeks) or did IUI or IVF.

    As long as she is having NSTs and a biophysical profile to look at placental integrity, AFI and fetal movement, and they are reassuring, there is no reason she needs to be induced before 42 weeks.  Heck she can still go a bit beyond that if all of the above are checking out well. There is no reason why her OB shouldnt grant that request in that instance.


    G 1.6.2011
    H 7.31.2012
    Soon to be outnumbered!  #3 due 11/4/2014 
«134
Sign In or Register to comment.
Choose Another Board
Search Boards