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Question about being overdue...

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So a friend of mine from high school is pregnant with her 1st baby. She was due on Feb. 25th. She has no plans for induction as she said she wants no medical interference as long as the baby is healthy. My question is at what point overdue does it start to get dangerous? I thought at some point the placenta begins to die and it's not safe for a baby. Does that start happening after 42 weeks? Just wondering b/c she is dead set on not being induced (which is totally fine and her decision alone).
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Re: Question about being overdue...

  • mlf625mlf625
    42 weeks seems to be most OB's cutoff point.  
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  • CiconradCiconrad member

    I think 42 weeks is the point at which OBs become very concerned.  I know my OB is more conservative and will really start pushing induction at 41 weeks - but will allow a mother to go to 42 if she is really pushing to wait.

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  • MiguelCazaMiguelCaza

    That's crazy!

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  • Cec07Cec07
    I read a study where the placenta essentially starts to become less effective as soon as 40 weeks. It can not profuse the oxygen as well the further you get past 40 weeks.
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  • Linds&Chris777Linds&Chris777
    I understand being dead set against induction, but I still wouldn't go past 42 weeks.  I would rather risk getting a c section thanks to a failed induction than risk having an unhealthy baby.
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  • LTGirlLTGirl
    I think that 42 weeks is generally considered the point at which things can start to deteriorate significantly. I went to 42 weeks exactly before being induced and C was totally fine, but the placenta had started to break down a bit. I wouldn't go past 42.
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  • BloomiemomBloomiemom member
    An OB worth their salt won't let you go past 42--like a pp, my OB group is conservative and won't let you go more than a day or 2 past 41. 
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  • JennDave+1JennDave+1
    I sure they do biophysicals to make sure the baby isn't in any danger.
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  • BetchySproutBetchySprout member

    Remember 42 weeks is 42 FULL weeks, not 42 weeks on the dot. It is pretty much what our tickers would call 43 weeks.

    This is per my midwife and the doula who runs my ICAN meetings.

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  • pinksweetpea2pinksweetpea2 member

    As long as they are being monitored and the mother and the baby are healthy, then I personally think they are doing the best thing.  The risks of the placenta braking down actually only goes up a minute amount after 42 weeks.  And who is to say that she is actually that far along?  Estimated due dates are ESTIMATES after all.   

    Lily was born at 43 weeks- she was healthy and pink (even after 40 hours of active labor) and my placenta was perfect.  If I had been induced at 42 weeks I would have most likely ended up with an UNNECESSARY c-section (check out my birth story for all that info).

    Statistics are just statistics and IMO most of the medical profession should consider paying a bit more attention to the individual rather than the their overall policies (that are for the most part not based on evidence based research, but only on common practice). 

    JMO  I know it is not the norm on this board. ;) 

    Oh, and I feel for your friend- I pretty much had to go underground after 41 1/2 weeks because people were being so judgy- telling me and DH that we were bad parents.   


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  • BloomiemomBloomiemom member
    imagejanineb:

    imageBloomiemom:
    An OB worth their salt won't let you go past 42--like a pp, my OB group is conservative and won't let you go more than a day or 2 past 41. 

    umm ok. That is your opinion. My opinion? An OB who forces me to have a medical procedure because their calendar tells them so, rather then basing it on my actual condition/ the health of my baby is trigger happy and not someone who I want providing my healthcare.

    I'm not saying you can't have a positive outcome with gestational ages greater than 41 weeks, but evidence-based medicine indicates there is increased risk of stillbirth and other fetal anomalies greater placental age.  I'm glad you had a healthy pregnancy, but additional research has shown testing to evaluate the health of the pregnancy beyond 40 weeks does not reduce perinatal M&M.  I certainly think you (general "you") have the ability to evaluate the evidence and decide for yourself, as well as choose a provider with whom you can agree.  I'm just more conservative with my interpretation of the literature.

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  • EuroChickEuroChick
    In the Netherlands where I live they will let you go to 42 weeks 3 days max and after 41 weeks 0 days you need to go to the hospital everyday for a NST and to check a few things.  Some baby are fine coming out on the late side BUT unless you have good communication with your doc going past 42 weeks without regular checks is really dangerous.
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