August 2011 Moms

Elective inductions and C-sections (article)

https://shine.yahoo.com/parenting/more-hospitals-banning-elective-c-sections-184500620.html

The woman at the end of the article sounds like a selfish B!

Now that we have all been through pregnancy, what is your stand on elective inductions and c-sections?

Re: Elective inductions and C-sections (article)

  • I guess mine was considered elective and it was at 40 weeks, and I honestly just don't get why anyone cares if I chose not to go 42 weeks. However I would not have gone any earlier than 40 weeks.
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  • I think 40 weeks becomes the point were its not the big of a deal. Earlier than that, I tend to give the side eye. Women choosing to make their babies come out 3 or 4 weeks early just because the feel like it, is stupid to me.

  • I was pissed when my doc tried to get me to induce at 41w3d. I wanted to be able to wait it out till 42 weeks, and if no baby, then go in at 42w, or 42w1d to be induced. I ended up going on my own at 40w6d. 

    I am okay with induction and c/s if it is medically necessary. At 40w6d I was still healthy and comfortable. DD was not in distress and was content to stay put. She decided she was ready, and came on her own. Would I have felt great at 42 weeks? I would have been irritated and huge, but possibly still in good control of my body. I understand the medical risk of waiting past 42 weeks and would have then agreed to an induction. Before then, being that both of us were healthy, I would have not agreed.  

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  • I was never "done" with pregnancy or terribly uncomfortable.  I would never have an elective induction or c-section, but now that I've been through pregnancy and have my baby, I feel strongly that it's not my place to tell another woman what is best for her/her baby.  Obviously, it is the place of the hospital/doctor to say what they'll allow for the safety and welfare of mom & baby.  But really, it's not MY business what another woman chooses.
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  • I definitely agree with that, 37 weeks was a landmark to me only because that meant IF my baby had been born he had a good chance of making it, not because I wanted him out then (although I may have said that at the time lol)
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  • I will admit I'm totally against all elective c-sections and inductions. If it is medically necessary then of course but not just b/c someone is 'done' being pregnant or wants to schedule when their baby is coming. I do not like being pregnant at all but I turned down my doctor's offer to induce at 39 weeks 3 days b/c it was simply not my place to evict my baby. The little guy ended up coming early at 39 weeks on his own and I'm so glad that I know I turned down the induction and he came out when he was ready.
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  • imageStefandTodd:
    but now that I've been through pregnancy and have my baby, I feel strongly that it's not my place to tell another woman what is best for her/her baby.  Obviously, it is the place of the hospital/doctor to say what they'll allow for the safety and welfare of mom & baby.  But really, it's not MY business what another woman chooses.

    I agree! After a natural childbirth, not only do I totally understand those that choose an epidural, but I won't tell another woman never to have a csection. I would just encourage her to wait as long as is healthy for her and baby.

  • Here are two stories from friends who had elective inductions in the past couple of years:

    1. Had an induction to accommodate when her mom would be in town.  After 24 hours of labor, and failure by forceps, she had a c-section.

    2. Another induction of a friend was so that she could use her doctor before she went on vacation at 38 weeks. After almost 2 days of labor, ended up with a c-section. She ended up with 2 staph infections from the c-section and was bed ridden for about a month. (I realize that the infections were not related to the induction except that she may not have needed a c section otherwise).

    No thank you!! 

  • I am against inductions and elective cs for me, and I don't really care about what other people do. I knew it wasn't what I wanted and my midwife and her team were very clear on my stance and also on what their beliefs were which is why I chose that particular group to have my baby with. My friend wanted a natural delivery and her doctor's partner was on call that night and convinced her to have a cs, only for her to find out from her doctor that it wasn't actually medically necessary. That is wrong and I think it is up to all women and men to be educated and to make choices that they want for their bodies and their children. She said she is heartbroken by her birth and that should never be the case.
  • That quote at the end is ridiculous.  It's cool that you feel done at 37 weeks, but that has nothing to do with the fact that your baby might not be done at 37 weeks.

    I had DS at 42w1d.  I was fine with inducing after 42 weeks, but thankfully went into labor on my own the night before I was scheduled to be induced, and he was born less than 2 hours before I was supposed to arrive at the hospital for the induction.  Was it really, really annoying to be pregnant for 42 weeks?  Hell yes!  But I'm glad my doctor encouraged me to keep going and avoid an induction where I was not at all favorable and could easily have ended up with a c-section.  I can definitely see situations where inductions are necessary, even for non-medical reasons (military leave, stuff like that), but I think it should be avoided if at all possible.

  • I was induced at 39w2d. I guess mine was elective because I could have gone to 40w but my midwife didn't want me going past 40w since I went into PTL at 28w. So I didn't feel the need to keep him in longer since I had to get steriod shots, but if I didn't have the PTL scare I would've gone longer. It was elective for me because I chose a friday instead of a tuesday because it worked better for my family.
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  • Did I WANT an elective induction towards the end? Yes. Would I have actually gone through with it? No. I was just uncomfortable and was ready to be done. I would never risk my baby's life, though. After having E, I would definitely not have anything elective, especially a C-Section. It's major surgery! I was lucky enough to go into labor on my own 6 days before my EDD. I didn't need pitocin or anything. Again, I was really lucky, and very happy the way things happened on their own. I knew my body was ready, and so was E.
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  • What I disagree with is that although they say they are still scheduling medically necessary inductions and c-sections the hospital may not be willing to just take the doctor's word for it.  My doctor not only had to justify my induction on paper, I also had to have an amnio done at 37 weeks to prove that the baby's lungs were mature.  That was an over $3,000 medical procedure, which ironically, could have put me into labor WHICH THE HOSPITAL WOULD NOT HAVE STOPPED despite them going on and on about how waiting until 39 weeks plus is best. 

    Had the test come back showing the lungs weren't mature he would not have been allowed to induce me despite him knowing it was in my best interest and in the best interest of my baby that I not go into labor on my own.  Having someone other than my doctor and myself making that decision I don't feel is right.  If the hospital can't trust what my doctor thinks is best then they shouldn't let him deliver at their hospital.

    Kelly, Mom to Christopher Shannon 9.27.06, Catherine Quinn 2.24.09, Trey Barton lost on 12.28.09, Therese Barton lost on 6.10.10, Joseph Sullivan 7.23.11, and our latest, Victoria Maren 11.15.12

    Secondary infertility success with IVF, then two losses, one at 14 weeks and one at 10 weeks, then success with IUI and then just pure, crazy luck.  Expecting our fifth in May as the result of a FET.

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  • DD#1 arrived on her own at 40w 6d. DD#2 on 41w 5d. Was I uncomfortable? Yes. But if they weren't ready to come on their own, I figured they weren't ready to be born. I am very happy that I sucked it up and waited because both have been so healthy and vey easy babies. I also wasn't ready for DD#2 to be born - even though I was that late. They are much easier to take care of when they are inside than on the outside! If a woman wants to be induced at 39+ weeks that is her decision though... I have many friends who were induced early and they also have very happy, healthy babies. :)
  • I was induced at 37 weeks 6days thanks to Pre-E. I was in NO way happy about this,because I know baby is still developing until the end. I got luck in the fact that my body was already progressing and avoided a c-section,but its not always the case.

    I think that induction/c-section for no medical reason is absurd.  It carries too many risks for baby and mother.  If an induction is done for a X birthday or Mommy is done when the body/baby isn't ready its a slippery slope to a c-section(not always the case).  To just schedule a c-section(major surgery) for ones convenience seems selfish to me.  My feelings are once pregnant your desires,wants aren't priority.

    As for the PP mentioning if they didn't trust the doctor why let him deliver at all.  Well its honestly simple.  A natural,low intervention delivery doesn't bring in money.  Throw in pit, epi, or c-section and you're bringing in the real bucks.  Hospitals don't care about the patient, you're expendable.  If they care its because they've goofed and don't want you to sue. ***I know there are some exceptions to this and the doctors/nurses care,but not hospitals***

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  • imageMrsS2203:

    As for the PP mentioning if they didn't trust the doctor why let him deliver at all.  Well its honestly simple.  A natural,low intervention delivery doesn't bring in money.  Throw in pit, epi, or c-section and you're bringing in the real bucks.  Hospitals don't care about the patient, you're expendable.  If they care its because they've goofed and don't want you to sue. ***I know there are some exceptions to this and the doctors/nurses care,but not hospitals***

    I think you are missing my point.  The hospital is the one pushing for the cheaper, low/no intervention birth and my point was that if my doctor feels that an induction would be better for me and my baby then who is the hospital to question that?  Doctors are given privileges to deliver in hospitals so if a hospital believes a doctor is doing medically unnecessary inductions or c-sections then they can not give that doctor privileges and stop him from delivering there.

    Kelly, Mom to Christopher Shannon 9.27.06, Catherine Quinn 2.24.09, Trey Barton lost on 12.28.09, Therese Barton lost on 6.10.10, Joseph Sullivan 7.23.11, and our latest, Victoria Maren 11.15.12

    Secondary infertility success with IVF, then two losses, one at 14 weeks and one at 10 weeks, then success with IUI and then just pure, crazy luck.  Expecting our fifth in May as the result of a FET.

    This Cluttered Life

  • imageitsmevkb:
    imageMrsS2203:

    As for the PP mentioning if they didn't trust the doctor why let him deliver at all.  Well its honestly simple.  A natural,low intervention delivery doesn't bring in money.  Throw in pit, epi, or c-section and you're bringing in the real bucks.  Hospitals don't care about the patient, you're expendable.  If they care its because they've goofed and don't want you to sue. ***I know there are some exceptions to this and the doctors/nurses care,but not hospitals***

    I think you are missing my point.  The hospital is the one pushing for the cheaper, low/no intervention birth and my point was that if my doctor feels that an induction would be better for me and my baby then who is the hospital to question that?  Doctors are given privileges to deliver in hospitals so if a hospital believes a doctor is doing medically unnecessary inductions or c-sections then they can not give that doctor privileges and stop him from delivering there.

    Ah I see...well in your case the hospital is, to a degree, taking into consideration what the patients want.  I really,really don't see why in your case they had an issue.  Plus the new rule of thumb is 39 weeks or medically necessary...which that was in your case. 

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  • I had a failed induction for pre-E and chose c/s after 8 hours with my 1st at 39weeks.  I went into the hospital the night before because I wasn't feeling well which is why I was induced, I had been rushed in the week before with HBP and swelling.  I am happy with my chose bc my pelvis is tilted and his head was stuck so I would have had a csection no matter what.

    With my 2nd (in August) I chose to have a csection because well I had no interest in trying to labor and worried about HBP and more deformities I wanted her out and checked.  She was scheduled for 39 weeks, and she was a pound bigger then my son. I would not have gone earlier than 39 weeks though. 

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