3rd Trimester

Is anyone's practice "induction happy"?

I have several signs that my practice prefers to do inductions. 

1.  Friend just delievered there (was induced because of some bleeding I think) and was told by a nurse that they like to schedule births on Tuesday, Wednesday, and Thursday between 9-5.

2. I asked the lady who teaches classes at the hospital and she said that "there is a high rate of induction and augmentation."  She claimed that she thought that was at every hospital because of the high rate of epidural use.

3.  I was there yesterday for high blood pressure.  It wasn't dangerously high, but the nurse told me that they probably won't let me go to 39 weeks.

4.  The nurse also told me that the week before a holiday was a busy birthing week because "the patients, not just the doctors, want to be home for the holidays."

 

I know they are planning to induce me, I'll find out Monday exactly when, but I can't help but wonder...if I wasn't due Thankgiving weekend would they be as quick to induce?  Am I sure that's what's best for my baby and not just the most convenient?

My hospital gets absolutely rave reviews.  I love my doctors, the nurses, everything about it.  But I'm just curious...does anyone else's practice seem to lean towards induction?  I certainly don't feel confident enough to risk my baby by disagreeing with the advice of my doctor.

 

Re: Is anyone's practice "induction happy"?

  • No my practice isn't...I specifically asked what their induction policy was at my appt this week and I was told 41-42 weeks, but she said we will do you earlier if you are like 4-5cm dilated..
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  • I'm being induced because of my MTHFR and having been in early labor for weeks now.  I thought that the holiday might have something to do with it (due the day before Thanksgiving) so I asked if we could move it up a little so that I didn't have to be there during the holiday.  He moved it up one day, but said he didn't feel comfortable doing it before then.  Made me feel a little better about his motives lol.

    I'm being induced on the 23rd, so just two days before my EDD.

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  • Doctors are not perfect and can tend to be business men at the same time.  I am sure it is convenient for them to schedule all of their deliveries.  Keep in mind though that induction does not always work.  A friend of mine went for an induction last week.  After 30 hours of no progress they decided to give her a c-section. 

    It is totally within your power to decline an induction.  If the baby is doing fine and you are doing fine, I wouldn't try to push it and risk other complications. 

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  • that seems a little strange to me, knowing the risks that can come along with inductions.

    why would they talk about inducing you? do you have health issues that would require it? if there is no reason for them to induce, you can refuse and say you want to wait until you're 40 weeks.

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  • The practice I went to when I had DD was SUPER induction/c-section happy.  When I had DD, I knew NOTHING about what to expect so I didn't think anything of it. 

    They scheduled and induced me and several other ladies for the same day (2 weeks early for no reason) and all three of us had c-sections one right after the other. 

  • Mine doesn't induce until 41 weeks but my friend's practice tells moms they can go any time after 37 weeks (and they will voluntarily induce them). As in you just pick the day. Seems a little crazy to me.
  • imagePAIrishBride:
    No my practice isn't...I specifically asked what their induction policy was at my appt this week and I was told 41-42 weeks, but she said we will do you earlier if you are like 4-5cm dilated..

    Actually this is my hospital's policy too.  Actually they say they won't induce before 42 weeks unless medically necessary.  I'm just wondering if they are really lenient on what they deem medically necessary.

  • My old OB's office was. She offered to induce me at 39 weeks if I had something important to do for/after the holidays.

    This OB (who I absolutely love!) says we'll talk about it if I get to 41 weeks.

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  • imagelisswastaken:

    that seems a little strange to me, knowing the risks that can come along with inductions.

    why would they talk about inducing you? do you have health issues that would require it? if there is no reason for them to induce, you can refuse and say you want to wait until you're 40 weeks.

    I have high blood pressure.  It's legitimtely high, that's why they are talking induction.

  • My hospital has the highest c-section rate in our area. This scared me seeing that multiple people told me they wouldn't let me go until my due date. I finally go the courage to ask my doctor at what point they would induce me, he said 41 weeks is considered over due...thats when they would talk about it. Inductions can cause uncessary c-sections, because sometimes you will get what they call "failure to progress" and be in labor for awhile and they will need to do what they can to get LO out. Not all inductions end this way I'm just sharing what I know.

    You need to do what in your heart you think is best for you and baby. If your blood pressure was high as a one time thing...I'd tell them you want to wait it out, despite the holiday. It's your body your baby. But if they truly feel it's medically necessary then by all means do it. Maybe try lots of sex, nipple stimulation as induction gets near and ask them to break your water before jumping into administering pitocin. Because I've heard pitocin can sometimes make the contractions hurt worse, and come on quicker. Best of luck!

  • imageSeaStar430:

    imagePAIrishBride:
    No my practice isn't...I specifically asked what their induction policy was at my appt this week and I was told 41-42 weeks, but she said we will do you earlier if you are like 4-5cm dilated..

    Actually this is my hospital's policy too.  Actually they say they won't induce before 42 weeks unless medically necessary.  I'm just wondering if they are really lenient on what they deem medically necessary.

    "Medically necssary"-LOL. My mom was induced with my older brother (32 years ago) b/c her OB wanted to go to the SEC basketball tourney. Keep in mind this is Kentucky, and basketball is serious. Smile

  • For non-medical reasons, our office only schedules inductions if you are 39 weeks AND have made some progress.  I don't know how long they will let you go, or what the rules are for medical reasons.

    There are a LOT of reasons for inductions besides convenience.  I would ask your doctor specifically what his reasons are.   If you have bp issues, and those are the reasons, great (well, not great, but you KWIM).  A doctor will be on call on the holidays AT the hospital no matter what, so it isn't like they all get to be at home if they can get all the due ladies in before their dates.

    Just for comparison sake - my gf is a military wife, and the on-post hospital/doctors won't even consider inductions for non-medical reasons before 42 weeks. 

  • My early delivery was scheduled out of medical necessity. I'm high risk, family has a history of large babies, gestational diabetic, scarred cervix from cancer and have a 1 in 100 chance of having my uterus rupture if I carry past 38 weeks. She is a little big right now as it is and has consistently been measuring large since 23 weeks.

    I asked my OB if I could VBAC and that's why she advised the news about my uterus that I wasn't aware of. I felt bad for asking if I could try a vaginal delivery. If I had known what was going on with my body before or realized what my body won't allow me to do then I would never have asked. Seems each appointment there is something new to learn that is going wrong or has a strong possibility to go wrong.

    So instead of waiting till January 11th (EDD) or after that we are taking Emma on December 28th (38 weeks) provided nothing else goes horribly wrong between now and then.

  • If you have high blood pressure you could be at risk for pre e and rather then risk the health of both yourself and the baby, induction is safer because your b/p can be tracked the entire labor process.

    So is my OB "induction happy" No, she is looking out for the best interest of both me and baby.  After 37 weeks, there is more risk of staying pregnant then keeping the baby in the womb if there are medical issues involved.

    Your friends bleeding could have been placenta prevera which endangers the baby. 

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  • I asked about induction at my appointment this week and the NP said that they'd be "more than happy to induce you if you're at least 37 weeks and showing signs of progress".

    That's good to know, but I'm hoping I don't get pressured into being induced if I'm showing progress. Especially since I'll be 37 weeks just before Christmas.
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  • imagekrissyh21:

    If you have high blood pressure you could be at risk for pre e and rather then risk the health of both yourself and the baby, induction is safer because your b/p can be tracked the entire labor process.

    So is my OB "induction happy" No, she is looking out for the best interest of both me and baby.  After 37 weeks, there is more risk of staying pregnant then keeping the baby in the womb if there are medical issues involved.

    Your friends bleeding could have been placenta prevera which endangers the baby. 

    I don't think anyone is judging anyone here who has an early induction scheduled. She's just questioning if her doctor really thinks it's medically necessary, which is fair.

    Placenta previa pretty much means C-section, not early induction. (But possibly early C/S).

  • Not at all at my practice. Unless it is for medical reasons. They are also not qualified to do c/s so they want you to deliver vaginally. They don't get to go home just because you are having a c/s. My dr. has never once with either of my pregnancies mentioned a induction. She is ok with delivering the baby whenever she is ready to come out.

  • High BP is a legit reason to consider induction...it's not safe your you or baby.  I doubt it has anything to do with the holiday schedule.

    I have several Dr's in my family and it's the way of life... work comes first, life 2nd. I doubt he is accomodating his personal life around deliveries.  None of the Dr's I work with do either.

  • I would be running for the hills. I left my OB and switched to MW because of their high induction rate and the fact that they wouldn't even give me a % of c-sections! Don't get me wrong, there's no doctors I would trust more if I were high risk because I am so confident in them as surgeons, but to deliver my child in the way God intended when no complications are present, I wouldn't go near them with a 100 ft. pole!

    You should do some extensive research on all the truly legitimate reasons for inductions, and on the convenient reasons for it and how OB's manipulate patients into inductions so you can ask the right questions to be confident that this is the right decision for you. You would be surprised at how many OB's use augmentation with out patient consent, and scare uninformed women into procedures that are unnecessary and result in longer recovery and higher c-section rates, all because it's easier for them. And keep in mind that induced contractions are much more intense then natural ones, and many babies don't tolerate them well which results in a c-section. Most importantly is of course a healthy baby and a healthy you, so if there is a real medical reason for induction then by all means, I would just be armed with a million questions to be sure that it was medically necessary.

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  • Mine let me know on the 1st visit that they will not induce until 1 week after the due date unless it's medically necessary.
  • I got the feeling if I asked for it, they would do it.  I never asked.  Dr. wanted to schedule my induction for 8 days past 40w, I asked for 10 days and she said OK.  I think they just try to make the patients happy and accomodate requests.

    I'm seeing a MW this time so it's not even an option until 42w.

  • i would ask them will the baby be in danger if we don't induce... if they say no we just blah blah blah... i would tell them thanks but no thanks... if your cervix isn't favorable then you'll end up with a c-section... i don't want to take that risk.
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  • I dunno... but yippee for getting induced (whether it's for holiday or health reasons), and getting rid of that swelling!  You'll be back to your old self with that sweet little baby in your arms in no time!
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  • I asked about being induced to insure that my baby came in 2009 sinc emy company is switching over to really crappy insurance on Jan 1 and the difference in what will be pay for the birth will be huge. He flat out told me "No, that inducing even at 40 weeks ups the chances of the newborn ending up in the NICU by 5-10%".

    As much as the money thing will suck if we go into 2010, it really made me happy to know that my doctor is more concerned with the health of my baby than of my wallet..or Christmas for that matter. 

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  • mine won't induce until 42 weeks. If I start labor on my own, and it's just not progressing, he'll help it along earlier though... but no earlier than 40 weeks unless baby is in distress.
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  • Mine is definitely not induction happy. It was one of the first questions I asked the OB.
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  • They say they're not- that they won't discuss it until 40 weeks unless me or LO are in trouble. But I've heard lots of ladies on my local board getting induced so who knows. I hope I don't get pressured.
  • From your OP it does sound like you were there at your Dr. office FOR high blood pressure. Were you having any high BP symptoms or was it gradually increasing at each appt that they need to bring you in specifically for your BP?

    I agree with the above PP that said, if you don't want to be induced and there is no real good reason to induce then decline the induction and then to annoy them more tell them you are really hoping for a Thanksgiving baby! LOL

    IF you have a real danger of high BP and pre-e I can totally see them wanting/needing to induce early. I don't think this at will apply to me so I don't know too much about high BP cut off numbers. What are the dangers or chances of you having problems if you were to wait past 39 weeks? (with just a BP that was just high BUT NOT DANGEROUSLY high)

    I ask because my only experience with this is watching a woman on a Baby Story have high BP during her labor BUT it wasn't enough to have an emergency so they just gave the woman some IV drug to bring it down. The pain of labor does increase blood pressure. Would you be able go into labor naturally and get that IV drug? 

    I would do more research and find specifics out from your doctor.

  • I would say that mine probably is. My first pregnancy went really smoothly & I had no problems at all. I was young & didn't really know what I was doing so when I went in for my 38 week appt & my dr said "would you like to have the baby on Monday?" I just thought YES that'd be great. It ended up in a c-sec though & I always wonder what would've happened if I just would've waited. 
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