February 2013 Moms

Induce @ 38 weeks?

So at my first appointment with my OB, he mentioned that because I was induced early with my son (due to pre-eclampsia) that he would prefer to induce me around 38 weeks this time, if I haven't gone into labor on my own. His reasoning was that I am at an elevated risk for it again, and the longer I'm pregnant, the more likely I will get sick.

 My labor and delivery were just fine last time, but I have to admit I was a little surprised to hear that. I just feel like it might be jumping the gun a little to talk about inducing at my first appointment. 

Photobucket Photobucket
Diagnosed w/ Endo 9/18/09
On continuous BC until April 2010
Baby Birthday Ticker Ticker

Re: Induce @ 38 weeks?

  • I think as long as you are fine at 38 weeks and you are staying aware of any changes in your blood pressure, then keep going. 
    IVF #1 BFN... IVF #2 BFP! TWINS!
    Twins born too early at 23 weeks due to incompetent cervix
    FET #1, IUI #1, 2, 3, 4 - all BFN
    IVF #3 BFP!!! IT'S A BOY! Born July 16th, 2011
    FET #2 BFP! Due February 15, 2013
    Pregnancy Ticker
    Baby Birthday Ticker Ticker


    image
  • Loading the player...
  • I would only want to be induced if I was having the same issues. If you were having a normal and healthy pregnancy then why not let natures take its course, you know?
    Lilypie Pregnancy tickers Lilypie Third Birthday tickers
  • imageSPerry0376:
    I think as long as you are fine at 38 weeks and you are staying aware of any changes in your blood pressure, then keep going. 

    This. I'm not sure why they just wouldn't just start intensely monitoring you at this point, if anything. Talking about inductions at your first appointment seems like overkill on his part.

    imageimageAlternaTickers - Cool, free Web tickers AlternaTickers - Cool, free Web tickers AlternaTickers - Cool, free Web tickers
  • I wouldn't commit to anything at this point. See how your pregnancy is going at 36+ weeks and re-evaluate at that point.
    image


    Mom to 4 wonderful children: T(8), B(6) ,M(3), and A(1)
    baby #5 due 12-07-14
    BabyFetus Ticker
  • If you have doubts this early on about your OB supporting you I would look for a second opinion. I know preeclampsia is serious and you should definately keep watch of it reappearing in this pregnancy. It's know to come back with subsequent pregnancies. The thing is monitoring and encouragement is needed. This OB seems to want to just jump the gun and I would not be too pleased with that option.

    Warning No formatter is installed for the format bbhtml
  • I would definitely consider switching to a different OB. I think if you have a healthy pregnancy and are progressing just fine, then there's no reason to induce early.
  • Your doctor is getting a huge side-eye from me. Even with the most severe form of pre-e, HELLP, which I got, there's "only" about a 25% chance you'll get it again. The less severe your pre-e was, the lower the risk of recurrence in subsequent pregnancies. Even assuming a 25% rate of recurrence, I think it's absurd that your doctor would talk about an early induction at this point in your pregnancy. There is still a 75% chance (and that's very conservatively estimated) that you won't get it. Why should you agree to a non-medically indicated induction?

    How about you suggest to him that you have close monitoring during 3rd tri, and if you start to develop pre-e again, then you can talk induction? 


    BFP1: DD1 born April 2011 at 34w1d via unplanned c/s due to HELLP, DVT 1 week PP
    BFP2: 3/18/12, blighted ovum, natural m/c @ 7w4d
    BFP3: DD2 born Feb 2013 at 38w4d via unplanned RCS due to uterine dehiscence

  • I had preeclampsia with my son and had to have a emergency csection @ 34weeks. This time around my DR said that our main goal is to keep this baby in as long as we can and I will be monitored along the way. If you feel differently I would look into another OB.
    Warning No formatter is installed for the format bbhtml
  • imageMexiCali:

    If you have doubts this early on about your OB supporting you I would look for a second opinion. I know preeclampsia is serious and you should definately keep watch of it reappearing in this pregnancy. It's know to come back with subsequent pregnancies. The thing is monitoring and encouragement is needed. This OB seems to want to just jump the gun and I would not be too pleased with that option.

    I'm with those who say seek out a second opinion.  I think your instincts to be surprised are right on.  I would probably look for another OB or better yet, a great midwife that delivers in a hospital, even if it's just for a 2nd opinion and not to switch.

  • imageSPerry0376:
    I think as long as you are fine at 38 weeks and you are staying aware of any changes in your blood pressure, then keep going. 

     Ditto. I was induced at 36weeks due to pre-e and if things go normally this time, I want to go as long as possible.  

          DS1: Quinn - 10.22.10 and DS2: Cole - 01.18.13

    image


      


  • I would simply tell your OB you aren't comfortable discussing this until you're close to that point.  Then you can look at the fact and evaluate what should happen.  IMO there's no need to really go there now.
    Lilypie Second Birthday tickers Lilypie First Birthday tickers
  • He did mention that it was pretty unlikely that I will develop it again, but that they will be monitoring my blood pressure closely. Which is why I was surprised that he mentioned inducing. I'll try to get some clarification at my next appt. 
    Photobucket Photobucket
    Diagnosed w/ Endo 9/18/09
    On continuous BC until April 2010
    Baby Birthday Ticker Ticker
  • I would agree to more monitoring at that time, but not to be induced without cause.  I think that it's more than questionable of your OB to suggest that. 
  • imagetabby0521:

    imageSPerry0376:
    I think as long as you are fine at 38 weeks and you are staying aware of any changes in your blood pressure, then keep going. 

    This. I'm not sure why they just wouldn't just start intensely monitoring you at this point, if anything. Talking about inductions at your first appointment seems like overkill on his part.

    Yes All of this.

    DD: 6/30/09. Mild pre-e DS: 9/5/10. Normal pregnancy Diagnosed 6/4/12 with dermatomyositis. Currently on Prednisone and IVIG therapy. 9/11/12: Normal a/s for DS2. No side effects from my medication, yay! DS2: 1/28/13. Thankful for healthy children! Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker image
This discussion has been closed.
Choose Another Board
Search Boards
"
"