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Inducing...help!:(

Williams271Williams271 member
in High-Risk Pregnancy
Okay ladies I need some opinions here. I see a maternal fetal medicine for my growth scans... At 32 weeks my baby was measuring about 10% tile. 34 weeks she went under 10% and her abdominal circumference was measuring at 5%. She's been under 10% for the past 6 weeks but gaining an average of 8-10 ounces every two weeks. This past week at my appt MFM sent over a fax stating to induce at week at 37. When I got to my OB appt later that day, my OB said they are going to hold off until 39 weeks! Why am I getting two different sides here..I'm so confused ...lost I don't know what to do. Can I just go with MFM and have them induce me or does my OB have 100% say in this. I feel like MFM has more experience since they are doctors for high risk. Any mothers out there with similar stories?!
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Re: Inducing...help!:(

  • tjkdlhbtjkdlhb member
    Not really a similar story... but I just wanted to let you know that my daughter was born in the 3rd percentile at 38 weeks, and she has met all milestones and is happy and healthy. 

    I don't know your background or history... but they started inducing me at 37w 4d for hypertension.  When the dr saw the placenta and her size, she was glad that they induced because she felt that the baby would gain better from breastmilk at that point than what the placenta was able to provide for her.

    As for MFM vs. OB, I don't know who would have the final say.

    I would definitely bring it up with MFM again.  They may not be happy that your OB wants to wait... or they may call consult with them in a more direct manner.



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  • YlvelillYlvelill member
    Who will actually do the delivery? In my case it is my ob and the MFM is consulting. So far the MFM has not told me anything as far as delivery but my in wants to do a c/s at 37w.

    I would talk to both of them and have them work it out :)
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  • haziedazehaziedaze member
    What is the plan for testing in the interim? Are they doing more growth scans or NST? If the plan is for close monitoring and everything stays the same then it might be ok to wait, but I'd think you'd want to follow things very closely in that interval. What did you say to your OB when they said 39 weeks?
    BFP#1 9/14/10 (EDD 5/21/11); no fetal pole 6w6d, 7w4d, d&c 10/8
    BFP#2 3/16/11, beta 138; 4/12 Baby/HB DS born 9/10/11 at 29w4d due to partial abruption and PTL
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    BFP#3 8/19/13 Another boy! 17P, modified bedrest and Nifedipine helped us have a termie! DS2 born 4/19/14 at 38w5d.
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  • flerlgirlflerlgirl member
    Do the MFM and OB communicate with each other? I would ask them to confer with each other if possible and come up with one plan for you. They need to be on the same page, IMO. GL!





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  • rainydayluckrainydayluck member
    So your OB sent you to a MFM, but isn't taking the advice? My first was IUGR and the plan was for a 37 week delivery (ended up earlier than that) and this baby is 11th percentile and if baby drops even more, we are looking at another early delivery (37 weeks).

    I agree with PP questions: what monitoring will be done? I'm sure they will want to make sure the placenta is providing enough nutrition to the baby. I think your OB makes the final call, but are they not communicating to one another? Usually OBs work with MFMs they like or work regularly with.

    I hope it all goes well for you. 37 weeks is still preterm and can land a baby in the NICU. Those are some tough pro/con factors to weigh.

    DD1: IUGR, low AFI delivered at 36 weeks

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    DD2: IUGR, low AFI delivered at 37 weeks
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  • Wally3Wally3 member
    Ask your Ob why she thinks different then they Mfm and ask the Mfm. Then ask them to confer.

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