HELP - Dr wants to Induce!?

Alimarie104 · November 2011

So im kinda freaking out. i just hit 39 weeks and at my last appt my dr looks at my chart after telling me my ultrasound and NST came back perfect (back story - i have high blood pressure but had it before i became pregnant, it was high a few times but hes upped my medicine and its been under control for weeks now but hes been sending me for weekly ultrasounds and NSTs all of which have been perfect) so he says ill see you next week and at your next appt youll be 39 weeks and well want to induce you...well he totally caught me offguard there. I wasnt expecting to hear about induction until at least my due date. so he came back in the room and i asked him why and basically he said well we dont like you to go over your due date. he said hed check me at my next appt and we could talk but he said just be prepared i might keep you after you appt (for induction) i do NOT want to be induced if its not necessary. I will have my husband with my at my appt this time and i wont be so blindsided but im just at a loss every where i look unless there is a reason so induce they dont so im asking for opinions from you ladies...has anyone been induced at a little over 39 weeks for no reason other than they dont want you to go over your due date?? Our birthing classes told us that most first time pregnancies go after their due date. Im gonna talk to more to him at my next appt and really try to advocate against it but its 4 days away and im going nuts thinking about it

please help! thanks

springplum · November 2011

Remember, you can say no. He can't force an induction on you. You might even want to start looking at other OBs for delivery.

J&JSuiter070205 · November 2011

I would share your feelings with your doctor. HOwever, realize that most doctors don't "offer" to do an induction prior to 40 weeks for the hel* of it. If it's recommended by your experienced doctor, do it.

I was induced (elective induction at my request) at 40w 3d and it went great! Dr broke my water--7 1/2 hours of labor, 30 minutes of pushing and I was done. My induction went smoother than going into labor on my own with my DD at 39w.

girley75 · November 2011

If my doctor said that, I would be like "Absolutely NOT!" Unless you have a good reason, we can wait.

NiniJ55 · November 2011

You can say no. I would not want to be induced before my due date either.

kris_kelsey · November 2011

he doesn't want you to go over your due date with a history of hypertension, but he just wasn't clear. At that point you will be at a much higher risk for pre-e and HELLP. HELLP is something that can come on very suddenly (like within hours) and can harm or kill mother/baby/both. (In the last year I have had 2 patients who both delevoped HELLP VERY RAPIDLY and their baby was dead before they even got to the hospital.) So it is not so much about anyone going over their due date, it is about YOU going over your due date and the risks associated. I would go to the appt with an open mind, but be very frank about your thoughts/feelings/desires. He will not know how you feel about induction unless you tell him. And remember, nothing is forced on you. That is his medical opinion, and this is your body, so ultimately you have the choice to agree to his recommendation or not.

Alimarie104 · November 2011

THank you for the info. I figured it may have something to do with my BP but i was just so shocked that i didnt get in any questions I wanted to ask so now i sit here searching the internet for answers which doesnt really help

I would prefer not to be induced and I will let him know that but I do know that drs usually have your best interest in mind so I will make sure to listen to what he has to say. I just dont want to be forced into something that i dont want for no reason, but sometimes its hard to go against the drs.

December192009 · November 2011

Not to invalidate your feelings, but rather to offer some reassurance - inductions are not as scary as they sound and are fairly common. I was induced with my oldest son - mainly for convenience, but I also had a horrible case of PUPPPS so it was a win win to have the baby sooner. We induced at 39 weeks, he showed no sign of wanting to come out prior to that time. The induction took a while, I was finally fully dilated after 18 hours, but I'm SO glad we induced b/c he had meconium in his amniotic fluid. Who knows how long he would have stayed and put himself at further risk!

NiniJ55 · November 2011

kris_kelsey:
he doesn't want you to go over your due date with a history of hypertension, but he just wasn't clear. At that point you will be at a much higher risk for pre-e and HELLP. HELLP is something that can come on very suddenly (like within hours) and can harm or kill mother/baby/both. (In the last year I have had 2 patients who both delevoped HELLP VERY RAPIDLY and their baby was dead before they even got to the hospital.) So it is not so much about anyone going over their due date, it is about YOU going over your due date and the risks associated. I would go to the appt with an open mind, but be very frank about your thoughts/feelings/desires. He will not know how you feel about induction unless you tell him. And remember, nothing is forced on you. That is his medical opinion, and this is your body, so ultimately you have the choice to agree to his recommendation or not.

This certainly makes a difference. In that case I would say go with his reccomendation. Maybe he should have been clearer in his explanation to you -- but clearly there is a reason for the induction.

LaurenRinAtlanta · November 2011

State that you do not wish to be induced until 41 weeks. It's as simple as that.

smiles_jds2003 · November 2011

kris_kelsey:
he doesn't want you to go over your due date with a history of hypertension, but he just wasn't clear. At that point you will be at a much higher risk for pre-e and HELLP. HELLP is something that can come on very suddenly (like within hours) and can harm or kill mother/baby/both. (In the last year I have had 2 patients who both delevoped HELLP VERY RAPIDLY and their baby was dead before they even got to the hospital.) So it is not so much about anyone going over their due date, it is about YOU going over your due date and the risks associated. I would go to the appt with an open mind, but be very frank about your thoughts/feelings/desires. He will not know how you feel about induction unless you tell him. And remember, nothing is forced on you. That is his medical opinion, and this is your body, so ultimately you have the choice to agree to his recommendation or not.

rcanales · November 2011

I would flat out ask to wait. Just tell him you'd really like to see if the baby will come on their own and ask if you can at least wait until 41 weeks before induction. I'm really surprised that they'd be so quick to induce. My Dr waits until 40 weeks before he even brings it up and even then he discusses it with you.

rcanales · November 2011

kris_kelsey:
he doesn't want you to go over your due date with a history of hypertension, but he just wasn't clear. At that point you will be at a much higher risk for pre-e and HELLP. HELLP is something that can come on very suddenly (like within hours) and can harm or kill mother/baby/both. (In the last year I have had 2 patients who both delevoped HELLP VERY RAPIDLY and their baby was dead before they even got to the hospital.) So it is not so much about anyone going over their due date, it is about YOU going over your due date and the risks associated. I would go to the appt with an open mind, but be very frank about your thoughts/feelings/desires. He will not know how you feel about induction unless you tell him. And remember, nothing is forced on you. That is his medical opinion, and this is your body, so ultimately you have the choice to agree to his recommendation or not.

Ahhhh, this. Now if this is the case, then I'd ask for elaboration. You can probably still ask to wait for a few days after and if its a no go, then opt for induction.

jaxlynn · November 2011

Obviously everyone and every pregnancy is different, but for what it's worth, I had HELLP with my first kiddo. I'm 28 weeks with my second and my OB is just monitoring me more closely and has not said a word about this pregnancy ending in induction, yet. He just wants to keep a very close eye on my blood pressure and take things as they come. HELLP is definitely nothing to play around with, as pp mentioned, but definitely talk to you OB about it and get the whole story and all your options.

Lastly - I was induced with my first, at 35 weeks, and everything went about as smoothly as it possibly could have considering the circumstances. Sometimes inductions go well!

MesmrEwe · November 2011

It sounds to me like your doc wants to cut the worst of the worst risks for you and like the PP mentioned, didn't fully elaborate on. High BP is not something to mess with! I had a cousin who had to have a quick in the danger zone delivery because of it and spent a LONG time in the hospital recovering

An induction is not as bad as everyone freaks you out to believe - especially those who are pushing "all natural" or "medication free" deliveries. I'm a hypnotherapist by training, and I had an induction, if not for my DH not tolerating labor well (kiddo took 36 hours and was fine the whole time, DH not so much), I probably would have gone med-free. All that they're going to do is literally put the smallest amount of medication to help "ripen" things down there or strip your membranes. It's not painful or anything like that at all. I had no idea what was going to happen when I started my induction and was like "WTF, that's IT?!?!?"... I was expecting it to be some big scary process, but it's not like anyone says. L&D by itself will be what your body and baby are meant to have. Take your mind out of it, and just let your body do its job.

alicorl · November 2011

kris_kelsey:
he doesn't want you to go over your due date with a history of hypertension, but he just wasn't clear. At that point you will be at a much higher risk for pre-e and HELLP. HELLP is something that can come on very suddenly (like within hours) and can harm or kill mother/baby/both. (In the last year I have had 2 patients who both delevoped HELLP VERY RAPIDLY and their baby was dead before they even got to the hospital.) So it is not so much about anyone going over their due date, it is about YOU going over your due date and the risks associated. I would go to the appt with an open mind, but be very frank about your thoughts/feelings/desires. He will not know how you feel about induction unless you tell him. And remember, nothing is forced on you. That is his medical opinion, and this is your body, so ultimately you have the choice to agree to his recommendation or not.

Based on these risk factors alone I wouldn't think twice about induction and would be 100% on board with his recommendation.

CamJack mom · November 2011

Alimarie104:
THank you for the info. I figured it may have something to do with my BP but i was just so shocked that i didnt get in any questions I wanted to ask so now i sit here searching the internet for answers which doesnt really help I would prefer not to be induced and I will let him know that but I do know that drs usually have your best interest in mind so I will make sure to listen to what he has to say. I just dont want to be forced into something that i dont want for no reason, but sometimes its hard to go against the drs.

Let him know that you would prefer to not be induced, however, most women with high BP develop Hellp or PRE-E in the later stages of pregnancy and he's trying to help you avoid complications. If you we 37 or even 38 weeks I'd agree, but at 39 weeks, I would go with it. You'd hate to wait until 40+ weeks then end up with an emergency c-section due to pre-e. There are pros and cons with it either way.

authorofdreamz · November 2011

Keep in mind that doctor's don't just do inductions for fun. Given that you have a history of high BP your doctor probably just thought it was obvious that is why he would want to induce you a little early because high BP is very risky and dangerous and even if everything has looked good for weeks it can change very quickly. At 39+ weeks your doctor probably feels the risk is just not worth waiting. Of course you can talk to him and tell him that you'd prefer not to be induced if possible and see what he thinks about waiting a little bit longer but I would not just flat out refuse, remember you go to a doctor for a reason: They know more than you.

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