My OB is pushing me to get induced - Update in last post

NADA-H

Hi ladies,

my due date was the 9th of July which makes me 3 days post 40 weeks, my ticker is wrong, for a first time mom that appears to be normally fine especially that your due date in my understanding is 40W +/- 2 weeks and not a fixed date.

My doctor has given me one CTG scan per week ever since I was 36 weeks and since my due date on Wednesday she's been giving me CTG tests every 2 days, she did one then and one today and wants me to come in on Monday for yet another one and if nothing happens these two days she wants me to come in on Tuesday in the morning to get induced by pitocin.

I was checked on wednesday and was not dilated at all and she says they don't used prostaglandin for some reason so the first method of induction that she's going for is pitocin at just 40W6D. We had an ultrasound and the baby is perfectly fine there is no reason for her to induce me beside the fact that she just won't wait!

what pissed me off is that she said and even once we start pitocin there is a time limit for that and then I will do a C-section!!!!!! which pissed me off even more and my mom and husband. It's like she's mentally deciding to do a C-section. It just all seems ridiculous! 

my mom is telling me not to go in for a CTG and not to go in on Tuesday and to just go once I go into labor on my own, which is what I will do, and my husband is telling me that we should switch doctors! which to me although am not happy with my OB at this point at all, was very happy until she started rushing me now, I can't comprehend. It doesn't seem right for me to go around looking for a new doctor and try and find one who would fit me into their schedule and learn my entire history now and that's very stressing especially that I've been to the delivery room a few times and I met different nurses and feel comfortable delivering there where the place and faces are familiar.

How long did you go on post your due date and did you doctor push you to get induced or get a C-section when they said the baby was perfectly fine?!

flcl

Wow, so sorry you're dealing with all this drama so close to the birth of your LO.  My doctor works in a practice so I somewhat had a choice between about 7 doctors... that was really nice since they all had different personalities and approaches with me.  They all agreed on the same issue regarding inducing though.  They explained that it's not unusual for first time moms to be late.  They were also supportive of letting things happen as naturally as possible (i.e. not inducing unless necessary, no c/s unless necessary.)  If everything looked good, I could go as far as 2 weeks past my due date.  They had me penciled in for 10 days out since I was getting so big and uncomfortable but I ended up going into labor a week out.  Good luck...  I wish you a quick, easy and healthy delivery!  

NADA-H

that's the thing though! she's was so pro natural, we discussed my birth plan which said no induction and no C-section unless baby is in distress and now this?!

she does work in a practice but everyone picks a doctor and just goes with them till the end and I haven't seen any of the other doctors so to switch now is a freakishly scary thought. not to mention that in the first hour of their work day they already have 20-30 patients waiting for them at this hospital and they don't do fixed appointments, you get a number and you wait..and to change the hospital that's an even scarier nightmare

poptart109

After 41w the placenta begins to fail and then it becomes an emergency once that happens. Maybe she's looking into your best interest in keeping you from that? She obviously has concerns since she continues to monitor you so often. I don't think skipping the tests is a good idea since that is what is telling her everything remains ok. Sometimes things just don't go as our birth plans allow. Even my doc says I will have a baby in my arms one way or another at 41w. Just another perspective...

reecespieces714

With my first I was 10 days over and heading in to be induced when I went into labour naturally.  With this one I am now 9 days over and scheduled to be induced on Weds next week (starting with prostoglandins).  I would ask your doc for her medical reasons for induction and go from there.  

Placental deterioration is not automatic at 41 weeks, but is certainly something to consider.  To be honest it is the reason that I am willing to move forward with my induction.

HeidiP14

Well there is no reason for the baby to be in there after 40 weeks and I would not want to keep waiting for baby to come on their own if they were not after a week late its kind of just negligence to not induce at that point. I was late and ended up being induced with DS after I was 3 days overdue, she asked me when I wanted to be induced. It doesn't sound like she is jumping to c-section just preparing you in case you don't progress that it could happen. I was prepared as well as my son hadn't dropped completely but did once labor started as usually happens. Well hopefully baby comes in the next couple days on their own for you. 

WashingtonQueen

poptart109 said: After 41w the placenta begins to fail and then it becomes an emergency once that happens. Maybe she's looking into your best interest in keeping you from that? She obviously has concerns since she continues to monitor you so often. I don't think skipping the tests is a good idea since that is what is telling her everything remains ok. Sometimes things just don't go as our birth plans allow. Even my doc says I will have a baby in my arms one way or another at 41w. Just another perspective... _________________Weird quote fail_________________
This is misleading. There is no automatic switch at 41 weeks that makes the placenta fail right this second. Also, due dates are just estimates in the high majority of patients. She could actually be hitting 40 weeks tomorrow if the guess was just a few days off.

OP, I'd tell her to back off and wait.

poptart109

Well, no, not literally, but they aren't meant to last much longer. There are other risks too, like baby passing and inhaling meconium resulting in infection, low fluid, or she could be perfectly fine. In the end it's up to her what risks she's willing to take. I was just trying to play devils advocate.

Unknown

This content has been removed.

trebekastan

HeidiP14 said:

Well there is no reason for the baby to be in there after 40 weeks and I would not want to keep waiting for baby to come on their own if they were not after a week late its kind of just negligence to not induce at that point. I was late and ended up being induced with DS after I was 3 days overdue, she asked me when I wanted to be induced. It doesn't sound like she is jumping to c-section just preparing you in case you don't progress that it could happen. I was prepared as well as my son hadn't dropped completely but did once labor started as usually happens. Well hopefully baby comes in the next couple days on their own for you. 

Are you fucking serious with this? There is NO reason for the baby to be in there? Um, maybe that he's not ready to come out yet! Your doc was a quack to ask you when you wanted to be induced. Babies are not eggo waffles that will just pop out when the timer says so (and that timer is a fucking estimate BTW). Idiot.

trebekastan

sparklegrump said:

I didn't even batsignal you, Trebek!

I know! I was bored with our board and decided to come see what's up in lala land over here...and what do I find? Horseshit!

MrsLele

HeidiP14 said:

Well there is no reason for the baby to be in there after 40 weeks and I would not want to keep waiting for baby to come on their own if they were not after a week late its kind of just negligence to not induce at that point. I was late and ended up being induced with DS after I was 3 days overdue, she asked me when I wanted to be induced. It doesn't sound like she is jumping to c-section just preparing you in case you don't progress that it could happen. I was prepared as well as my son hadn't dropped completely but did once labor started as usually happens. Well hopefully baby comes in the next couple days on their own for you. 

This may be the dumbest thing I've ever read on the bump! Geeeeeezus.

Meery82

HeidiP14 said:

Well there is no reason for the baby to be in there after 40 weeks and I would not want to keep waiting for baby to come on their own if they were not after a week late its kind of just negligence to not induce at that point. I was late and ended up being induced with DS after I was 3 days overdue, she asked me when I wanted to be induced. It doesn't sound like she is jumping to c-section just preparing you in case you don't progress that it could happen. I was prepared as well as my son hadn't dropped completely but did once labor started as usually happens. Well hopefully baby comes in the next couple days on their own for you. 

Shhhhh...... Walk away.

WashingtonQueen

HeidiP14 said:

Well there is no reason for the baby to be in there after 40 weeks and I would not want to keep waiting for baby to come on their own if they were not after a week late its kind of just negligence to not induce at that point. I was late and ended up being induced with DS after I was 3 days overdue, she asked me when I wanted to be induced. It doesn't sound like she is jumping to c-section just preparing you in case you don't progress that it could happen. I was prepared as well as my son hadn't dropped completely but did once labor started as usually happens. Well hopefully baby comes in the next couple days on their own for you. 

Damn it, guys. I dropped the ball on this one! I skimmed right by it.  #-o

AMcLaws

I didn't read the other responses, so forgive me if this has been said before:


Please keep your appointments for the tests. They're very important at this stage, as (I believe) the placenta can start to deteriorate after so many weeks. (But I think 42 weeks is more the concerning timeline?) IF she claims it is or that an induction is necessary for medical reasons, ask for a second opinion from another doc within the practice. Also, IF an induction IS necessary, talk to her about other methods to ripen the cervix first. (With DD1, my cervix wasn't dilated at the time of my induction, and my doc refused pitocin. Said all it would do was cause me crazy pain and potentially fast track me to a CS. I had a CS anyway, but not without trying first.)

I hope it all works out for you, and you're able to have the birth you desire. I'm sorry she's causing drama so late in the game.

Edit: clarity

lookame3639

Since your not dialated have you asked about a membrane strip? That could be better than getting induced with pitocin. Also you need to keep your appointments as these are ensuring the baby is ok. There are issues with going to long, sometimes it's because the placenta begins to calcify, sometimes the baby passes meleconum, sometimes it's because the baby becomes stressed. My midwives said 42 weeks is the absolute longest they'll allow me to go and only with close monitoring and as long as there are absolutely no issues.

as for the c-section, I doubt she's telling you that you will most absolutely have a c-section, it sounds like she's preparing you for the possibility that you could require a c-section.

I do agree with PP i feel there is vital information missing from your post since you've been getting monitored since 36 weeks, if you've been monitored this long i have a feeling there's a reason she doesn't want you to go further than 41 weeks. Have you asked her reasoning? At any rate I'd ask for a membrane strip before a full induction since those will help along the process of dilation at least.

NADA-H

I'm still going through all your replies but just to answer the main question I saw repeated

I believe CTGs are non stress tests but they do them here to see if you have contractions or not and to see the baby's heart beat.

this is a private hospital in Qatar where I'm living and I do not have an insurance, meaning I pay out of pocket for every doctor visit, every lab test, every CTG, every Ultrasound.

I'm in a pregnancy support group and all women having their babies in private hospitals in Qatar in that group all said they were asked to have CTGs every week once they hit 36 weeks. Just like I got an ultrasound monthly, they all did in all the private hospitals when their pregnancies just like mine were perfectly fine. Seems to be that they rely heavily on using equipment here as oppose to other countries. My mom called her GYNE in Jordan where we come from and she thought it was ridiculous.

I'm in perfect health and so is the baby, I did not develop GD, perfect BP, minimum water retention if ever, gained the minimum average weight for my BMI, baby is a good size 7.7 lbs. all my tests come back perfectly fine. I asked her then why do you want to induce me and she said "that's it, we don't wait for more than a week" like it's some kind of rule.

I think it's all ridiculous, just because she tested the baby for that half an hour and her heart beat was perfectly fine that is no indication that things will or won't go wrong afterwards so a half an hour every other day when your just over 40 weeks seems really excessive to me.

NADA-H

I talked to her about prostaglandin and she says she doesn't use it and that they don't use it at this practice?! she says they go straight to pitocin which to me if I'm not dilated and my body is not naturally ready to go into labor yet means that I will go into crazy sudden pain for an extended period of time and the baby will be in distress so she'll eventually switch me to a C-section. The way she was saying it was like she's mentally checking me into the operation room. 

I would get induced or a C-section if my baby is in distress or if I've been way over due but your due date is 40W+/- 2 weeks and the fact that she wants me to have the baby by induction or C-section for no medical reason by the end of the day maximum at 41 weeks exactly is her just wanting to control my birth.

the doctor who performs ultrasounds at this practice is a different doctor and she just did an ultrasound at 40 weeks and told me the baby is doing perfectly fine and the fluid is perfect still

It feels like she just wants to roll over to the next patient and get me over with at this point.

NADA-H

cko521 said:

To the PP who said its negligence to not induce after 40 weeks, you're wrong--do some research or go away. Spreading false info is irresponsible. 

OP, can you do frequent kick counts? Some doctors say that kick counts are just as valuable as NSTs. My doc doesn't do regular NSTs until 41 weeks and doesn't talk induction (assuming all is well) until 42. I'd be iffy skipping NSTs after 41 weeks, but before then, maybe ok if you do kick counts. 

Do you still have a doctor in Jordan? I wonder if you'd be able to talk to them on the phone or even have them peak at your file (if you can get it) and make sure all looks/sounds well to them.

I have a copy of my reports and my mom spoke to the doctor in Jordan she says in Jordan they now give you up to 10 days before they start mentioning inductions and that it's very normal for me (only 4 days post due at this point) to go over due since it's my first baby. She says stop going getting tested every other day cause thats useless 

conradraging

I had so much to say but @sparklegrump‌ and @trebekastan‌ covered it for me.

OP please don't skip your appointments, because then baby could be in distress and you wouldn't know it. However, tell your doctor that you don't want to induce unless baby is in distress or you are way beyond due date. They can't force you to do it.

bitsybubbles7

I went into labor on my due date, delivered via cs the next night.  The plan was, if I hadn't gone into labor, I had an appointment at 2 days overdue to start talking about induction/waiting options.  My ob didn't even touch on it until I brought it up at my 39 week appt, and her response was, "You're not even overdue yet, we'll talk about it next week... If you don't have the baby before then."     

Justabean3

I haven't read all the responses but something is missing from your story.

I don't necessarily mean you are skipping something but there has to be a relay issue between you and your doctor. They just don't do that much testing in the end, even NST's unless something is "off" especially if they were pro non evasive techniques. There is just something not right.


Measuring ahead or behind? Blood sugar? Blood pressure? Protein? Something is missing, previous history of some sort? Placental break down?

I would further question your doctor.

trebekastan

Justabean3 said:

I haven't read all the responses but something is missing from your story. I don't necessarily mean you are skipping something but there has to be a relay issue between you and your doctor. They just don't do that much testing in the end, even NST's unless something is "off" especially if they were pro non evasive techniques. There is just something not right. Measuring ahead or behind? Blood sugar? Blood pressure? Protein? Something is missing, previous history of some sort? Placental break down? I would further question your doctor.

Why would you comment if you didn't read all the responses? She clearly addressed the reasoning in a further post. 

cozybluebear

Maybe she thinks you want to be induced. By 40 weeks, most women are begging to be induced which is what she is probably used to. I would talk to her and avoid it as long as you can. Being induced makes labor twice as painful... trust me!

Justabean3

Bc I am just checking on my phone on a break at a job for 911 working on a Sunday.


Heaven forbid I quick responded something! I also wasn't meaning I needed those exact questions answered just that those are some of the other things they "could" look at. There are 500 other reasons she could discuss with the doctor.

trebekastan

Justabean3 said:

Bc I am just checking on my phone on a break at a job for 911 working on a Sunday. Heaven forbid I quick responded something! I also wasn't meaning I needed those exact questions answered just that those are some of the other things they "could" look at. There are 500 other reasons she could discuss with the doctor.

Guess I don't get commenting if you aren't actually adding anything to the CURRENT discussion. 

bumpuser10199668

Justabean3 said:

Bc I am just checking on my phone on a break at a job for 911 working on a Sunday. Heaven forbid I quick responded something! I also wasn't meaning I needed those exact questions answered just that those are some of the other things they "could" look at. There are 500 other reasons she could discuss with the doctor.

Translation:

OP, you have every right to be pissed, but like PPs said, please don't skip your appointments. Hopefully after explaining your concerns to your doctor she will listen.  A lot of people don't "like" going past their EDD, so I'm sure your doctor thinks she is doing you a favor.  You'll just have to explain to her that that isn't the case for you.

Justabean3

I never said anything about being a big deal, my point was I am at work and I was taking a quick break at a job where I don't always get a lot of time.. I answered her question and I read the responses when I had time.


I don't see how mine was any more off than the person commenting 2 or 3 above me saying the "I didn't read responses either". I still would have answered the same. I still feel like there is something missing in the communication between her and the doctor.

Didn't see you flaming out them.

conradraging

Well.

Unknown

This content has been removed.

Justabean3

Actually today you're right!

conradraging

Justabean3 said:

Actually today you're right!

trebekastan

Conradgallagher said:

Actually today you're right!

conradraging

@trebekastan‌ I don't know if I should ever venture outside s14 anymore.

trebekastan

Conradgallagher said:

@trebekastan‌ I don't know if I should ever venture outside s14 anymore.

I mean it's entertaining, but REAL dumb.

Justabean3

Be mean all you want. It isnt bs when that IS what I do most days.

All I said was I was busy today at a job that doesn't stop...

Unknown

This content has been removed.

Justabean3

Ok

trebekastan

Justabean3 said:

Be mean all you want. It isnt bs when that IS what I do most days. All I said was I was busy today at a job that doesn't stop...

conradraging

I'm sorry we're not as important as you. However, if I recall correctly, this thread was about someone's possible unwanted induction, and not about your fancy important job saving lives.

bumpuser10199668

aditigirl said:

Justabean3 said:

Bc I am just checking on my phone on a break at a job for 911 working on a Sunday.

Justabean3 said:

All I said was I was busy today at a job that doesn't stop...

Ho-Kay. Proofreading clearly isn't your strong point, Super Girl.

It doesn't stop ... Except for on your breaks where you can whip out your cell phone and bump....