41 weeks to early for a RCS?

eco+ri · February 2013

My OB suggested scheduling a repeat if I don't go by 41 weeks, do you think that is enough time? I am due May 13, I would schedule it May 20th. How long is really too long?

holly321 · February 2013

Can you be induced at 41 weeks instead?

eco+ri · February 2013

Hmm, I can ask. But I dont know how they feel about inducing a VBAC : /

iris427 · February 2013

Personally I would ask about induction options and push the RCS back until 41.5 or 42 weeks. If you go to our site, we have lots of induced VBAC success stories (vbacbumpies.blogspot.com)

cecilyandgautam · February 2013

What are they nervous about regarding 41 weeks? Is it the placenta? Baby getting too big? Does their insurance require them to do RCS after 41 weeks?

If they're worried about how well the baby's doing inside, could you bargain more ultrasounds in exchange for an extra week? I wouldn't want to do a RCS if nothing's actually wrong.

If they're worried about baby getting too big after 41 weeks, well that's not as easy to monitor because estimates of baby's size get really off when you're close to delivering. Perhaps if you keep to a low-sugar diet for the remainder of the pregnancy and exercise 3xweek.

Basically I would approach the Dr with "I'm not comfortable scheduling a RCS before 42 weeks. Which risks are you concerned about spiking after 41 weeks? What can we do to reduce those risks between now & delivery so we can both we comfortable with our plan?"

shibby00 · February 2013

I'm hoping for a vbac and planning a RCS at 41 wks. I personally don't want to go longer than that. DD came at 40wks1d.

bchippie · February 2013

cecilyandgautam:
What are they nervous about regarding 41 weeks? Is it the placenta? Baby getting too big? Does their insurance require them to do RCS after 41 weeks?
If they're worried about how well the baby's doing inside, could you bargain more ultrasounds in exchange for an extra week? I wouldn't want to do a RCS if nothing's actually wrong.
If they're worried about baby getting too big after 41 weeks, well that's not as easy to monitor because estimates of baby's size get really off when you're close to delivering. Perhaps if you keep to a low-sugar diet for the remainder of the pregnancy and exercise 3xweek.
Basically I would approach the Dr with "I'm not comfortable scheduling a RCS before 42 weeks. Which risks are you concerned about spiking after 41 weeks? What can we do to reduce those risks between now & delivery so we can both we comfortable with our plan?"

This. Because then you can understand "why" and that is the most important thing I think for you to know. Is it office policy? Are they concerned about YOUR baby? Is it a rule of thumb? I know when I tried to VBAC they wouldn't induce me. They would break my water if I started into labor to try to move me along. And I did go into labor literally on 41 weeks. It's your body and your baby and they owe it to you to explain why they are making what I'm sure they consider a routine judgement.

bchippie · February 2013

cecilyandgautam:
What are they nervous about regarding 41 weeks? Is it the placenta? Baby getting too big? Does their insurance require them to do RCS after 41 weeks?
If they're worried about how well the baby's doing inside, could you bargain more ultrasounds in exchange for an extra week? I wouldn't want to do a RCS if nothing's actually wrong.
If they're worried about baby getting too big after 41 weeks, well that's not as easy to monitor because estimates of baby's size get really off when you're close to delivering. Perhaps if you keep to a low-sugar diet for the remainder of the pregnancy and exercise 3xweek.
Basically I would approach the Dr with "I'm not comfortable scheduling a RCS before 42 weeks. Which risks are you concerned about spiking after 41 weeks? What can we do to reduce those risks between now & delivery so we can both we comfortable with our plan?"

This. Because then you can understand "why" and that is the most important thing I think for you to know. Is it office policy? Are they concerned about YOUR baby? Is it a rule of thumb? I know when I tried to VBAC they wouldn't induce me. They would break my water if I started into labor to try to move me along. And I did go into labor literally on 41 weeks. It's your body and your baby and they owe it to you to explain why they are making what I'm sure they consider a routine judgement.

eco+ri · February 2013

cecilyandgautam:
What are they nervous about regarding 41 weeks? Is it the placenta? Baby getting too big? Does their insurance require them to do RCS after 41 weeks?
If they're worried about how well the baby's doing inside, could you bargain more ultrasounds in exchange for an extra week? I wouldn't want to do a RCS if nothing's actually wrong.
If they're worried about baby getting too big after 41 weeks, well that's not as easy to monitor because estimates of baby's size get really off when you're close to delivering. Perhaps if you keep to a low-sugar diet for the remainder of the pregnancy and exercise 3xweek.
Basically I would approach the Dr with "I'm not comfortable scheduling a RCS before 42 weeks. Which risks are you concerned about spiking after 41 weeks? What can we do to reduce those risks between now & delivery so we can both we comfortable with our plan?"

It's more of the state of the placenta and the baby after the due date. I would agree to stress testing, but I just pray she comes before 41 weeks, because I doubt they will change their policy. I am going to talk about possible induction options though before a RCS.

jmetzler05 · February 2013

I've heard of people "missing" their RCS appointments...not sure I'd have the guts to do it, but it's a good reminder that they really cannot force you to do something you're not comfortable with. I like PP suggestion for talking to your OB about the risks so you can both be happy with the plan. My OB told me their policy is 41 weeks also, but a midwife at the practice had previously said 42 weeks was an option. When I questioned it, she was surprised and said she just never hears that request but as long as my NST would be going well, then yes 42 weeks could be an option.

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