3rd Trimester

Is my doc lying to me??

I was induced at 38 weeks with my daughter, this was a little more than 3 years ago. I know some women hate the idea of being induced but I actually liked it. I would prefer if that was the route I could go again this time. I like the idea of knowing when it's going to come so I can be prepared for it, rather than being slapped in the face unexpectidly and having my water break at work or something.

Anywho, so at my last appoint ment (36 week check up) he checked me and said I was about 1cm and 30-40% thinned out. I asked him if there was anyway that we could do an induction around the 38 week mark like we did last time and he tells me no because there are new "government regulations" that restrict him from inducing a mother who is any less than 39 weeks. This is the second time he's used the "government regulation" line on me (previously when referring to an ultrasound) and it just sounds odd that in the scheme of 3 years the government has placed so many regulations on birthing children. Has anyone else come across this? I just get the feeling he's not being 100% honest with me.

Re: Is my doc lying to me??

  • sounds strange but he could be right. however, my BFF was induced at 38 weeks with her daughter and that was about a year ago, for no medical reason other than her doc thought it was time.
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  • I don't know that there are any government regulations (maybe they're specific to your state? idk) but there are a lot of practices that don't induce unless there is a medical reason to before 40 weeks.

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  • Was there a medical reason for you being induced before?

    It could very well be that the new health care regulations restrict labor being induced too early without medical reasons. This in turn could cause your insurance to not cover it since it is not medically necessary.

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  • Hmm...I didn't think doctors could induce labor or schedule a c/s before 39 weeks without a medical reason.  Did you have a medical reason last time? While it may not actual be a "government regulation" it might be hospital policy or related to your insurance or something?
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  • imageJandy09:

    Was there a medical reason for you being induced before?

    It could very well be that the new health care regulations restrict labor being induced too early without medical reasons. This in turn could cause your insurance to not cover it since it is not medically necessary.

    I would agree with this one.

    Or it could be your hospitals new rules being led by your state. I would trust him.

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  • Nope.  ACOG standards changed July 2009.  The new ones state that inductions should not be performed before 39 weeks unless due to medical reasons.  Here is the link to the new guidelines:

     https://www.acog.org/from_home/publications/press_releases/nr07-21-09.cfm

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  • i'm having a scheduled C/S and my doc. wouldn't do it before 39 weeks either.  in the past, i have had friends be induced before 39 weeks due to the dr. not being around when they are due, or for other reasons.  but that was a while ago.  was yours medically necessary?  can he just do it at 39 weeks?  i would be ok with that.  38 weeks for no real reason is sort of scary anyway, i'd be afraid of the lungs not being developed.  at least thats what my doc. said~
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  • imageSueAnn24:

    Nope.  ACOG standards changed July 2009.  The new ones state that inductions should not be performed before 39 weeks unless due to medical reasons.  Here is the link to the new guidelines:

     https://www.acog.org/from_home/publications/press_releases/nr07-21-09.cfm

    I was curious and also found the above information after my first post.

    If there isn't a medical reason for you being induced now, you should definitely listen to your doctor and wait. The benefits of going full term are numerous.

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  • He probably means ACOG regulations, which did indeed change in the last 3 years.
  • My doc said the same thing...
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  • Yes this is true. My doctor told us the same thing so today i am 39 weeks and being induced this evening....
  • imageJandy09:

    Was there a medical reason for you being induced before?

    It could very well be that the new health care regulations restrict labor being induced too early without medical reasons. This in turn could cause your insurance to not cover it since it is not medically necessary.

     

    Nope, there was nothing medically wrong with me or baby but I went in for my 38 week check up and I was like 4 cm & 70% effaced and he asked if I'd like to be induced that Friday and I said yes. I guess he just thought he'd help me get going since I was heading that direction anyways.

    Which is kind of ironic because I literally just left my 37 week appointment and as of right now I'm sitting at 3 cm & 70%.

  • I just finished 38 weeks and am being induced next week due to back and hip pain. My doc also told me she couldn't induce any earlier than 39 weeks. Only one more week to go but it's draggging on 
  • It's not a federal government regulation, but many hospitals have policies against elective inductions prior to 39 weeks.
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  • Elective inductions or cesareans can put your baby at risk of having breathing problems and even needing NICU admission.  Even though 38 weeks is technically full-term, many babies still need more time for their lungs to develop, and 39 weeks is a safer time to induce.  Even if your previous child was fine at 38 weeks, it doesn't mean this one will be; each baby develops at their own pace.

    So regardless of what the government or ACOG regulations say, consider whether the benefits of inducing at 38 weeks are worth the chance that your baby may be born with underdeveloped lungs. 

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  • I read an article this weekend - I wish I had it with me so I could give a better reference... it was about how the definition of "full-term" may be changing.  Those last couple of weeks are actually really important.  Medical reasons for induction are one thing but being induced out of convenience (ie, your water breaking at work)?  I don't get it.
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  • It's a state thing.  My friend who lives near the state line chose a doctor in Maryland instead of Virginia because of the induction laws.  Illinois will go as early as 38 weeks I've heard, but you have to check with your state.
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