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Multiples
wwww.thesojournersheart.blogspot.com
can i tell my doctor i want to induce?
so, I'm 34 weeks and I was really hoping to deliver before January (for a whole list of reasons). I will be 37 weeks on December 29. So far, I have had a problem free pregnancy, and though I am going to the doctor twice a week at this point no one seems to have any idea of when the kiddos are coming. Is it okay for me to ask my doctor about scheduling an induction for my 37th week? Or will he think I'm crazy?
wwww.thesojournersheart.blogspot.comThis discussion has been closed.
Re: can i tell my doctor i want to induce?
You can always ask. But if you have NO neccessary medical reason for an early delivery they will probably want to wait until you are at least 38 wks. If you need a c-section there may be a chance. Dr.'s usually schedule sections earlier but not usually that early.
I had basically a problem free pregnancy but technically had GD which required insulin in the last few wks. It wasn't a pressing issue for delivery but usually makes for larger babies which is the only reason I was induced at 38 wks. with DD #1. So, I had GD and a high blood pressure/protein in my urine scare the wk. my Dr. decided to induce me (36 wks.) I think she wasn't comfortable with the complications that could have come out of my GD with possible Pre-E so she decided to induce. Otherwise, she was going to induce me at 38 wks. My babies were already about 7 lbs. each at 36 wks. too which is large for that gestation.
What are your reasons? You don't want to risk babies needing NICU time just b/c you want a certain date.
Good luck:)
most hospitals will not allow induction/c-s before 38w... some 39w... without medical reason.
This. At the first practice I was at, I saw 5 different OBs in the course of my visits and most of them said 38w, a few said 37 (for a scheduled induction or C/S). The OB I switched to said about 38-39w. I ended up delivering 3 hrs short of 38w (scheduled induction at 37w6d). You can certainly discuss it with your doctor.
Inductions are a really valuable tool when needed, but they have risks as well. It means a harder labor for you, for your babies, a higher risk of needing a C-section, etc. If you want/need an epidural to deal with the tougher contractions, that has risks of its own. If the pitocin or whatever is used for your induction doesn't work on its own and they decide to break your water, etc., that has risks of its own.
You could start a cascade of issues, which would be an acceptable risk if induction was the best thing for your babies. Personally, I wouldn't find it acceptable just so I could claim my babies on my 2010 taxes.
The babies would be full term and I would never try to get my doctor to induce unless he thought it was okay and the babies would be fine. You may not find it acceptable but, I'm poor, unlike many of the women on this board. It would just be really hard for us to miss out on the tax benefits if the babies were going to be born the 1st or 2nd anyway. But yeah, not that it's any of your business. I would do nothing to put my babies in harms way. I was just asking to kind of see what other people had done..and I thought it was interesting that there was a post a few down from mine with a bunch of women saying their doctors wouldn't LET them go past 36 or 37 weeks. Obviously I'm getting much different answers here.
Like others mentioned, you can ask, but if your OB is like mine, they will take your asking and laugh. I begged to be induced at 37 weeks, but since I had no complications and the girls were doing fine they refused to induce before 38 weeks. In the end the girls were born completely healthy at 38 weeks 1 day and I am so glad I toughed it out in the end.
I should add that I had a scheduled c/s, so I wasn't really being induced.
Cut the Crap - Weight loss journey of a Few Fat Chicks
I understand your thinking, but to induce for non medically necessary reasons is simply selfish.
The longer the babies cook, the better. (to a point). Induction also has a variety of risks, and if you are in labor too long you won't deliver before Jan anyway. My labor lasted 3 days with an induction.
Um, what??? What OB on this planet would induce you to "be nice"? That's insane. You've got a month left that those babies could grow nice a big and healthy. Sure, I was ready to deliver WAY before I did but was incredibly fortunate to hang on until my scheduled c/s at 38w2d. It's a good thing that you're hanging on to those babies. They need it and you'll be so thankful when they won't need to be in the NICU and will probably be able to go home with you after a few days.
And to OP, typical inductions for twins aren't scheduled before 38w unless there is a valid medical reason. I'm sorry for your financial situation but "tax credit" is not a medical reason. You'll get the money next year and have nice healthy babies besides. It's a good thing.
My doctor said she would start thinking about induction at 38 weeks. ?I never asked her about going earlier, so I'm not sure if she would have done an induction at 37 weeks or not.
Talk things over with your doctor, and see what s/he says. ?When it comes down to it, you have to do what's best for your babies and you. ?Only you and your doctor can really decide what that is. ?Maybe your babies will end up coming earlier anyway. ?:-)?
Sorry, but you get the side eye from me.
Yes, tax deductions are great. And I understand that while we are very lucky to be stable financially, I still think that wanting to be induced early just for financial purposes is just downright selfish.
On this board, day in and day out, we pray for babies to stay put and cook a little longer in mommies' bellies. I've seen hundred of horror stories of babies being born too early and the struggles they face. I was lucky and blessed to have carried my boys to 37 weeks, even though at the end I was in horrible physical pain.
Give it a rest, instead think about how lucky you are to still have these two babies in your belly.
4 Fresh IVF cycles + 1 FET where embies didn't survive the thaw = 2 perfect little men!
sFET 11/9/11 - Beta 11/18 BFP!
Here is ACOG's stance:
The nadir of perinatal mortality for twin pregnancies occurs at approximately 38 completed weeks of gestation and at 35 completed weeks of gestation for triplets; the nadir for quadruplet and other high-order multiple gestations is not known (137). Fetal and neonatal morbidity and mortality begin to increase in twin and triplet pregnancies extended beyond 37 and 35 weeks of gestation, respectively (137, 138). However, no prospective randomized trials have tested the hypothesis that elective delivery at these gestational ages improves outcomes in these pregnancies. If the fetuses are appropriate in size for gestational age with evidence of sustained growth and there is normal amniotic fluid volume and reassuring antepartum fetal testing in the absence of maternal complications, such as preeclampsia or gestational diabetes, the pregnancy can be continued. Alternatively, if the woman is experiencing morbidities that would improve with delivery but do not necessarily mandate delivery (eg, worsening dyspnea, inability to sleep, severe dependent edema, painful superficial varicosities), delivery may be considered at these gestational ages.
Determination of fetal pulmonary maturity before delivery may be necessary for twin and other multiple gestations if prenatal care was late, if the woman desires a scheduled delivery, or if the pregnancy is complicated by preterm labor or preterm premature rupture of membranes. Several reports have noted that beyond 31?32 weeks of gestation, the biochemical markers of pulmonary maturity (lecithin/sphingomyelin ratio or fluorescence polarization immunoassay) are higher in twin pregnancies than in singleton pregnancies at comparable gestational ages (139, 140). Recent publications note that asynchronous pulmonary maturity occurs in more than 5% of twins, regardless of fetal sex and size. Before 32 weeks of gestation, 25% of twin pairs have a significant disparity, usually resulting from one twin having a lecithin/sphingomyelin ratio that is more mature than expected for gestational age (141). Accordingly, some authorities recommend that the gestational sac of each twin be sampled if technically feasible. There are insufficient data to make a similar recommendation for pregnancies with 3 or more fetuses.
FWIW, my kids were born at 36 weeks. My son did great initially and ended up in the NICU after 36 hours of life when his surfactant ran out. He was in the NICU for a week. It was unbelievably stressful having his sister at home and him in the NICU - balancing spending time with both, pumping, etc. I don't hope that on anyone....NICU time is super stressful.
I have a friend who was induced on Dec 30 with a singleton, partially for tax reasons (yeah, I know.) She ended up having a c/s after an unsuccessful induction on...January 1.
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The different types of twins and triplets
Jack, Sydney and Carynne, Annaleigh, JW, Eden...forever in our hearts.
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My opinion?
37 weeks IS full term. It's NOT early. And pretty standard around my parts to induce for twins (my friend just had her c/s at 37weeks because it was decided that was the day - no other reason).
My doctors opinon?
He would have said no problem. You're talking about full term babies already. Now I know I had triplets but he said generally 36 weeks. I asked for 35 weeks ONLY because I liked the birthday 08/08/08 -- he agreed and even monkeyed with the OR schedule to get me in! (albeit I delivered earlier).
So I guess I don't see it in black and white. For the tax credit, mom is done, babies are done -- here's crossing my fingers for you that you have a doctor that agrees to. Because I think it depends on the doctor -- some will say yes, some will say no..... there is no clear answer at 37 weeks. I think we've all had different doctors here and the responses are from moms who had doctors that would have said no. Well here's a response that tells you my doctor would have said yes!
congrats on your twins!
DS - 40W6D - Oct 2004
DS - 41W4D - March 2007
GGG - 33W6D - July 2008
i wouldnt want an induction - natural labor is soooo much easier.
i read about people getting induced and then having 24+ hours of hard labor to only wind up with a c-section.
my labor was 4 hours, from the first contraction to the end result. i spent less than 10 minutes pushing TOTAL. it was easy because my babies were ready to come out on their own terms.
do what you want...but i wouldnt want a hard labor.
FYI, for those of you who think 37 weeks is "Full Term" and therefore the baby is done developing, you are WRONG. 37 weeks was picked arbitrarily by the World Health Organization some 40 years ago as the point where most babies do fine. Emphasis on MOST. There are plenty of babies at 37 weeks, singletons as well as twins, who still have immature lungs and end up needing breathing support. Not to mention all the other organ systems that are still developing. There is a reason that gestation is 40 weeks long - the last three weeks aren't just for giggles.
It is considered bad medical practice at best and malpractice at worst to electively deliver a singleton before 39 weeks and a twin before 38 weeks. If my doctor said she might "be nice" and deliver me early, I would have run in the other direction. I don't want a doctor to make nice with me, I want a doctor who does the safest thing for my baby.
Every single day in utero, up to 38 weeks for twins, confers a health advantage on the babies. You want to give up seven days of that advantage in hopes of getting the tax break? Chances are it would be fine. But can you imagine if it wasn't? If one or both of your babies struggled to breathe and required invasive tests, breathing machines, and sedation? Would it still be worth it? If the answer is yes, only then should you go ahead with your plan. If the answer is no, then let your babies have the benefit of best medical practice and take the hit on your taxes. You'll never regret it.
You're kidding right? Please tell me your kidding. There is so much wrong with this.
Let me make myself VERY clear. I am not in ANY way saying that I would try to get my doctor to deliver the babies before HE thinks it's okay in order to get the tax credit. In my OP I said I wanted to deliver before January for a whole list of reasons. So, thank you for your undeserved judgment, but I never meant to imply that I was going to purposefully harm my babies for taxes and I think it's pretty inconsiderate to accuse me of doing so when that was never said.
I do not owe it to you to explain myself or my reasons, though they are many and legitimate. I'll be talking to my doctor, who is a medical professional unlike you who are condemning me. Feel free to continue to comment, give opinions, etc. But the accusatory language is really unnecessary.
If you put that out there, and expect to not be judged, you are living in la la land.
We can only go on the limited info you provided.
Just a thought, but maybe if you had mentioned any reason other than the tax credit thing, there wouldn't have been so much "judging". But unless you could cite a valid medical reason, I think everyone is in agreement that it's just not worth it. You're asking us to give an opinion on an issue without giving us all of the information, then condemning us for pointing out some glaring problems with what you are asking about. How would you expect people to respond? Don't you want to be educated on the reasons NOT to deliver early so that you can make an informed decision? The harsh reactions you're getting come from women that are very experienced in what happens to babies that are born too soon. A lot of them would be begging to have babies that make it in utero to 37+ weeks, along with all of the misery and uncomfortableness that comes along with it.
Like I said, you may not have been judged so harshly if we had understood your reasons a bit more. Based on what you gave, I wouldn't have expected responses any different from these.
yeah, i never mentioned the taxes. the first time it was brought up, a poster assumed it was a reason...which it was, but one of many, albeit, nonmedical reasons. i wasn't asking about inducing today, i was asking about inducing at 37 weeks, which according to my doctor was full term. i thought that was a legitimate question. i did want to hear opinions, and i am interested in knowing how induction effects the labor process because i did not know about that. but people are acting like i want practically kill my babies for a tax break. i think some would be a little more sympathetic if they knew my financial situation, but again, at the end of the day, i'm gonna go with what the doctor says even if it means them being born at 12:01 on January 1st.
my doctor has acted like i wouldn't even make it to the 37 weeks my entire pregnancy simply because most twins are born earlier than that. obviously i don't know what will happen in the next couple of weeks, but since it's looking more and more like i will make it to 37 that's why i asked. he said he wouldn't let me go past 38 anyway.
Well said.
OK, judgy mcjudgerson, I would like to know how you know that many women on this board are not poor? Do you honestly believe you are the only person here who struggles financially? We're MoMs, I am willing to bet 99.9% of us worry about money daily, but not one of us would be willing to risk the health of our children for a tax break. I realize this is only "one of the many, albeit nonmedical reasons" you have, but until you give me ONE LEGITIMATE MEDICAL reason as to why you want to be induced prior to term, I am judging you.
I had many reasons I wanted to have my babies early too, I was uncomfortable, I was bored, I wanted to meet these little people, I wanted my mom to be able to be there etc. and I had my Dr. tell me the whole pregnancy I would probably not make it to 38 weeks, and low and behold I did. And I had to be induced, and IT SUCKED. I laboured for 36 hours, and ended up with a csection, but not before an episotomiy and forceps. If I had to do it all over again I would've given my body a few more days so my babies could come when they were readly. I had a horrible birth experience/induction story and that was just a small part of it. I don't care if I was given $1 million dollars to be induced early, I wouldn't do it.
OK, judgy mcjudgerson, I would like to know how you know that many women on this board are not poor? Do you honestly believe you are the only person here who struggles financially? We're MoMs, I am willing to bet 99.9% of us worry about money daily, but not one of us would be willing to risk the health of our children for a tax break. I realize this is only "one of the many, albeit nonmedical reasons" you have, but until you give me ONE LEGITIMATE MEDICAL reason as to why you want to be induced prior to term, I am judging you.
I had many reasons I wanted to have my babies early too, I was uncomfortable, I was bored, I wanted to meet these little people, I wanted my mom to be able to be there etc. and I had my Dr. tell me the whole pregnancy I would probably not make it to 38 weeks, and low and behold I did. And I had to be induced, and IT SUCKED. I laboured for 36 hours, and ended up with a csection, but not before an episotomiy and forceps. If I had to do it all over again I would've given my body a few more days so my babies could come when they were readly. I had a horrible birth experience/induction story and that was just a small part of it. I don't care if I was given $1 million dollars to be induced early, I wouldn't do it.
OK, judgy mcjudgerson, I would like to know how you know that many women on this board are not poor? Do you honestly believe you are the only person here who struggles financially? We're MoMs, I am willing to bet 99.9% of us worry about money daily, but not one of us would be willing to risk the health of our children for a tax break. I realize this is only "one of the many, albeit nonmedical reasons" you have, but until you give me ONE LEGITIMATE MEDICAL reason as to why you want to be induced prior to term, I am judging you.
I had many reasons I wanted to have my babies early too, I was uncomfortable, I was bored, I wanted to meet these little people, I wanted my mom to be able to be there etc. and I had my Dr. tell me the whole pregnancy I would probably not make it to 38 weeks, and low and behold I did. And I had to be induced, and IT SUCKED. I laboured for 36 hours, and ended up with a csection, but not before an episotomiy and forceps. If I had to do it all over again I would've given my body a few more days so my babies could come when they were readly. I had a horrible birth experience/induction story and that was just a small part of it. I don't care if I was given $1 million dollars to be induced early, I wouldn't do it.
OK, judgy mcjudgerson, I would like to know how you know that many women on this board are not poor? Do you honestly believe you are the only person here who struggles financially? We're MoMs, I am willing to bet 99.9% of us worry about money daily, but not one of us would be willing to risk the health of our children for a tax break. I realize this is only "one of the many, albeit nonmedical reasons" you have, but until you give me ONE LEGITIMATE MEDICAL reason as to why you want to be induced prior to term, I am judging you.
I had many reasons I wanted to have my babies early too, I was uncomfortable, I was bored, I wanted to meet these little people, I wanted my mom to be able to be there etc. and I had my Dr. tell me the whole pregnancy I would probably not make it to 38 weeks, and low and behold I did. And I had to be induced, and IT SUCKED. I laboured for 36 hours, and ended up with a csection, but not before an episotomiy and forceps. If I had to do it all over again I would've given my body a few more days so my babies could come when they were readly. I had a horrible birth experience/induction story and that was just a small part of it. I don't care if I was given $1 million dollars to be induced early, I wouldn't do it.
I will only approve your request to induce if you agree to get each baby this shirt.
https://www.zazzle.com/daddys_little_tax_deduction_onesie_tshirt-235118439404728161
don't be sorry....
CLEARLY everyone around here is smarter then your doctor!
(and OBVIOUSLY smarter then mine who is one of the BEST in Western Canada for delivering triplets).
Damn -- I wish I had found this board WHILE I was pregnant -- I wouldn't have had to see a doctor at all!
DS - 40W6D - Oct 2004
DS - 41W4D - March 2007
GGG - 33W6D - July 2008