How do they go about deciding to induce?

FairyDuster003 · November 2012

I posted previously about possible being induced due to pre eclampsia. My appointment is Tuesday and they will know the results from my 24 hour urine collection. But I'm wondering, if I just so happen to show protein in my urine AND my bp is still a bit high, will they just send me on over to ld?? Or do you schedule an induction? Do they let you go home and wait a few days? I assume it depends on the severity of your condition. They told me I am favorable and to expect labor anytime now, but I'm curious if I need to be ready to get induced Tuesday if they don't like the results. How does that normally happen?

KatieKim0815 · November 2012

It really is a case by case basis. So it depends on how high your levels are etc. I would be ready to be induced Tuesday (just in case) but I think that they would likely give you a bit of notice ie. to come in the next day.

blowfish11 · November 2012

None of us can tell you what your OB will decide to do.

It's a case by case type of thing.

ambrlynn8 · November 2012

It depends on the doctor. With my first, I had slightly elevated bp on my due date (135/85) and she sent me straight to the hospital for a possible induction because there was also protein in my urine. Though, my blood work came back normal, she still induced me any way.

My doctor this time is concerned about my bp creeping up, however, he said he won't force an induction. The MW I usually see seems to think differently. I've had no protein in my urine, nor in the 24 hr, and my labs have been normal both last week and this week. However, we are still discussing an induction at 39 weeks. The doctor said that since there is still a slight abnormality with the bp, he would feel better inducing at 39 weeks, because there are risks of it turning into pre-eclampsia.

He was willing to let me wait until the Monday proceeding 39 weeks, so 12/3. My EDD is 12/7. The MW said if I was 39 weeks this past Monday, she would have induced because her "heart just can't take the worry." It's dependent on your doctor.

My doctor's magic number is 160/100. If either of those are reached, i.e. if my bp was 161/80, I'll be induced pretty readily. Some doctors may try meds to lower BP. It does seem standard to induce at 39 weeks, though, for the most part. If you have protein in your urine, they may make you go to the hospital immediately for the lab work. I would take a hospital bag just in case to your appointment. Be ready for anything.

perfectlove09 · November 2012

I would take you hospital bag with you just in case. My BFF went in for her routine apt, was a few days "past due" and the dr didn't like something about the baby's heart rate or something I can't remember, it was a year ago, anyway he said "well you're heading to LD " she said "ok we'll go home and grab our bags..." Nope. He made her go straight to the hospital and told her husband to go back out and get the bag after dropping her off

Amaryllis619 · November 2012

My last pregnancy I had to be induced. I had an NST that wasn't as good, so they sent me right to the hospital for another one. Thankfully that NST went better, and my blood pressure went down so they sent me home, but if my levels were still high I was prepared to stay and be induced that night. I didn't have pre-clampsia, or i'm sure they would have done things differently. I went back two days later to be induced.

it's really case by case and all doctors are different. i'd say best bet is to bring a bag with you on Tuesday in the event they want you to stay, you're prepared. GL

MrsT1108 · November 2012

How about you try asking your doctor these questions. He/she will be the one making that decision anyway.

paprika28 · November 2012

With DD, I was given a few days to prepare. I was only induced 4 days before my due date, but my protein levels shot up pretty high, so they wanted to get her out fast.

I'm actually waiting on 9 pm to be induced tonight for pre eclampsia- My BPs at my appointment on Tuesday ranged between 151/96 and 148/108. Resting. They sent me for bloodwork immediately and a 24 hr urine test. I was called on Thanksgiving and told that I was borderline moderate pre-e and told that I could pick either Saturday or Sunday night to come in. (I guess my answer is that it definitely is a case by case situation. This was just two examples at two different hospitals/practices.)

FairyDuster003 · November 2012

Thank you all for sharing your experiences! I feel like I know what to expect a little bit now!! Here's to hoping for no protein in urine and a good bp!!

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