I was all prepared to go to 42w (have showed 70% effacement/no dilation since 36w) and then my doctor started threatening me about meconium poops in utero at my appt yesterday even tho we had previously discussed going to 42w. I had a mini breakdown and didn't know what to do that was best for the baby and called my good friend who is a pediatric hematology fellow at an excellent research hospital and did her pediatric residency at one of the best pediatric hospitals in the country. I actually trust her more than my doctor. Well, she has connections with the ob fellows of course and asked him about induction at 41 vs. 42 weeks and did a little of her own research. I just thought some of you would be interested in her summary, which I pasted below.
"As I mentioned on the phone, I did a bit of research this morning and talked to my OB friend. In the large review that I read of almost 8,000 healthy pregnant women studies, induction of labor at 41 weeks (as opposed to waiting it out until 42 weeks) was associated with fewer prenatal deaths. Now, the reduction in risk was pretty small, but it was measurable. Also, there were no added complications for the baby if induction was done at 41 weeks instead of 42 weeks. Moreover, there were fewer babies with meconium aspiration in the group induced at 41 weeks (this, too, was a small change, but measurable). There was no change in the risk of needing a c-section in those induced at 41 vs 42 weeks. Bottom line: sounds like you can't go wrong with choosing to induce at 41 weeks.