Full term?

Guennie · July 2013

I'm just curious if anyone else has been told they will not go full term? My dr told me today because of my age they will not let me go to 40 weeks. Unless something goes wrong and they need to do it sooner, they will induce me at 39 weeks. I guess with AMA there is a greater risk of stillbirth if you carry full term. I hadn't known that until my last ultrasound. Anyway, I guess I can chuck my November 25 due date now and plan on meeting my daughter sometime around November 18 instead. Feels kinda strange. I know I could go into labor early naturally anyway, but it's an odd feeling knowing you'll be induced before your due date. One more twist in the AMA adventure!

kellyk17 · July 2013

All my friends are over 35 and everyone was allowed 9 to 12 days over thier due date, I'm expecting the same, though I haven't asked. AMA is the only health reason?

babystoli · July 2013

Not for me they will let me go to 41 weeks.

Guennie · July 2013

kellyk17:
All my friends are over 35 and everyone was allowed 9 to 12 days over thier due date, I'm expecting the same, though I haven't asked. AMA is the only health reason?

Yes, I was told it was simply because of the risks associated with my age. I'm 40.

playball13 · July 2013

I will go at 39 weeks because I am having a repeat csection. Besides that, I haven't heard of people going early because of age alone.

happywifemomofone · July 2013

I have not yet asked my OB about this. However, I would prefer to not be allowed to go past my DD. The risk of stillborn is from placental failure, it is much more common in women over 40. They do the NST, but usually twice weekly-if it's not timed correctly....end result is baby might not get needed nutrients and oxygenation to maintain life. There was a woman on the board that this happened to, baby was kicking in am-then unable to get HB on Doppler later that day (she was several days past DD). I also had an Aunt IRL who delivered a stillborn after age 40 (I'm not sure if she was past her DD or not). But it does happen, and I will want to do everything possible to make sure that it doesn't happen to us.

emikat · July 2013

babystoli:
Not for me they will let me go to 41 weeks.

This for me, too.

ELF4321 · July 2013

The risk doesn't really start to go up until after 40 weeks and even then is small. There are also risks associated with inducing before baby is ready to come out. If there's no medical reason besides age, I would refuse to be induced early. Remember, this is your body and you are the one who has the right to make this decision. Do some research and if you're not comfortable being induced early, then stand your ground Mama!

BootsOrHearts · July 2013

I haven't heard of them inducing early just because of age. I'd push back on that if it were me.

They are taking my little guy at 36 weeks because they can't risk me going into labor on my own, but that's because I have uterus that's been chopped up and they are worried about rupture. Nothing to do with age.

Abeille · July 2013

I have an induction scheduled for 39w1d. My OB does not want be going past 40w mostly b/c of age.

I went into spontaneous labor with my 1st at 38w2d, and I was starting to dilate at my 36w appt last Monday, so I may not make it to 39 weeks anyway. I'm currently getting weekly biophysical profile u/s to check on baby, placenta, and fluid levels and they have always looked good. I could probably talk my OB into letting me go closer to 40w if I wanted it....and given the fact I know my body can labor just fine on it's own, I would rather wait if my cervix wasn't favorable for an induction.

It is a little strange knowing your baby's potential birthdate so far in advance.

RedLucia · July 2013

emikat:
babystoli:
Not for me they will let me go to 41 weeks.
This for me, too.

Same for me. I'm 40 and my OB said she will start offering me induction at 41 weeks. I asked why. She said risk of stil birth goes up in 41 to 42 week period. I've only just started to look at the actual statistics (increase of 1:2000 to 2:2000) in week 40-41 versus 41-42. I only read the news reports and haven't read the published articles yet. I don't know how well they controlled for factors that could have caused the still birth. So it is hard for me to believe it is AMA alone. Maybe it is other health characteristics associated with AMA.

RedLucia · July 2013

emikat:
babystoli:
Not for me they will let me go to 41 weeks.
This for me, too.

Same for me. I'm 40 and my OB said she will start offering me induction at 41 weeks. I asked why. She said risk of stil birth goes up in 41 to 42 week period. I've only just started to look at the actual statistics (increase of 1:2000 to 2:2000) in week 40-41 versus 41-42. I only read the news reports and haven't read the published articles yet. I don't know how well they controlled for factors that could have caused the still birth. So it is hard for me to believe it is AMA alone. Maybe it is other health characteristics associated with AMA.

RedLucia · July 2013

This is the only reference I found, but I haven't read the source document.

https://www.bbc.co.uk/news/health-21277369

Talk about inducing just came up at my OB appt last week. However, it was the issue of inducing at 41 weeks. 75% of FTMs delivery after 40 weeks. So I am not keen on inducing at 41 weeks. I'd prefer to wait to 42 unless there is truly Grade A evidence about the increased risk of still birth.

Guennie · July 2013

Both the MFM dr and my OBGYN said the same thing. I guess it must be like so many other things, some drs are more cautious than others. It sounds like there are mixed feelings among you ladies, I'm not sure how I feel about it yet.

RNmommyof2 · July 2013

I'm a scheduled c-section mama, so they'll probably deliver our baby boy at 39 weeks as well.

danuli8 · July 2013

ELF4321:
The risk doesn't really start to go up until after 40 weeks and even then is small. There are also risks associated with inducing before baby is ready to come out. If there's no medical reason besides age, I would refuse to be induced early. Remember, this is your body and you are the one who has the right to make this decision. Do some research and if you're not comfortable being induced early, then stand your ground Mama!

Yes, this. They will check your placenta at your endofpregnancy u/s and BPPs and if it looks like your placenta is deteriorating, THEN they can induce you. Exercise and a good diet will keep your placenta working well. I am 42 and went into labor on my own at 41w1d, which is the average for FTMs.

jb2rn · July 2013

bullshiz.

unless you have a medical history that indicates a reason for this, inducing carries it's own set of risks for both mom and baby.

I would want a detailed u/s (with Doppler flow to the placenta examined), NST and a biophysical profile of the baby, before considering induction.

I went to nearly 41 weeks w my son (not induced) and I was 35 years old. that being risky was never mentioned.

Sea Conquest · July 2013

I would never consent to an induction without an actual medical issue, as determined by a BPP. I hire medical professionals that practice evidence based medicine, not fear based. My first came at 41w1d. No induction. I am 38, coming up on 37w, with GD, and get a BPP every week.

Brewsbabymama · July 2013

I am 35 but can honestly say even if I was a bit older I would still refuse an induction. To me the negatives associated with inductions outweigh an induction based on age alone. They can do additional testing and monitoring and I would much rather choose that option. My doctor has not mentioned anything regarding induction but I plan on making it very clear that I don't want pitocin or any of the synthetic drugs in my system either before, during, or after delivery. It is probably one of my most required items along with delayed cord clamping.

https://www.acog.org/About_ACOG/News_Room/News_Releases/2013/Study_Finds_Adverse_Effects_of_Pitocin_in_Newborns

https://www.sicklycat.com/2012/05/24/21-reasons-to-say-no-to-pitocin-according-to-manufacturer/

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