Induction Delaying Tactics

hlm184 · March 2014

Okay, A14, help me out here.

I found out today (39+6) that my practice does not let you go past 41. In that they want to schedule an induction even PRIOR to 41. I'm not cool with this, particularly as my mother went two weeks late with both of her kids, so I'm arming myself with as much information and delaying tactics as I can prior to my next appointment on Thursday.

I plan on bringing DH so we can tag team, and I managed to get the Thursday appointment with the midwife who I think will be most sympathetic/easiest to argue with. I plan on starting by asking why they don't want people going past 41, and bringing up some of the research I've seen that says that first time moms tend to go to 41+1. What else can I do? Would requesting NSTs be a reasonable compromise? WWA14 do?

kwolslager · March 2014

I think putting your foot down and refusing to be induced is your best bet. It's not like they can strap you down to a table and force it on you. Even if they scheduled an induction, you can still just not show up for it, no one can force you to the appointment. It's your body, your baby, your choice. It's pretty ridiculous of them to just induce women because they think things are "taking too long" and for no other medically necessary reason.

AmberLiz99 · March 2014

They can't force you to, so just say you are not comfortable inducing before X time, and stick to it. They might not be happy, but oh well. Good luck!

Relish1025 · March 2014

I'm not super educated on this topic, so the only thing I can think of would be to try to compromise and request not to be induced until 42 weeks, which is a more typical time for induction due to late delivery, to be considered. I agree with presenting some of the research you've found, as well as questioning why they don't allow going past 41 weeks to begin with. In the end it's not as though they can tie you down and induce you, so if worse comes to worse you can just walk away. If you go to the hospital 41+ while in labor, it's not as though they could deny you their assistance in delivering the baby.

Teresa1896 · March 2014

I'm in the same boat. Only I won't argue about being induced at 41 weeks- my dates are off by a few days so I'd actually be closer to 42 weeks at that point. I know the risks increase so I'm ok with it (and I've had a prior induction not work!).
From what I've read, it seems that NSTs a couple of times that last week would be a good compromise.

Teresa1896 · March 2014

As far as refusing an induction altogether, I disagree with some of the pp. Of course they can't force you, but they have their recommendations and policies for a reason. I'd be prepared to have an educated chat with your doc, which it sounds like you are, but ultimately I trust my doctor to help guide me through this process, and when he tells me something is in my best interest, I'm going to listen.

acrookston · March 2014

I would ask them how firm they are on those dates. My MWs will start induction processes three days before my due date based on my GD. They will start with stretch/sweep, sex walks, nipple stimulation and then castor oil. If those don't work, then they will resort to more medical induction methods (I.e.. Cervadil). By the time we get to gat part it will likely be past my due date. Good luck!

PoppySeedWindsor · March 2014

I agree with mutiple PPs. My hospital induces at 41 weeks, as well but I'm holding out until 42 weeks. If they try to schedule an induction WITHOUT A MEDICAL REASON I'm just not going to show up. What are they going to do, I mean, REALLY? IF there is a reason -- if my placenta is starting to deteriorate or baby's in distress or something like that, then I understand the medical necessity of an induction. Otherwise, no way in hell.

If they do force it upon you (Which is crazy), i recommend going for the least invasive...a/k/a don't let them pump you with pitocin until it's a last resort.

hlm184 · March 2014

Thanks for all the advice! I also looked up ACOG and it looks like ACOG says that an induction prior to 41 weeks (sans medical reason, which this is) is classified as elective induction, so I feel pretty good with this all in my back pocket and with DH being present to help me be less passive aggressive and stand my ground.

hlm184 · March 2014

mummyofsix said:

I think you know the answer I am going to give as you know the kind of pregnant patient I am by now.

You know, you just don't f*cking do it. I personally don't see the point in taking studies and documents (although I think its awesome you're trying) because its not going to make them say "Good God you're right!! Our policy is wrong!!".

Its actually a lot easier than it seems. I've been doing it for weeks now (seriously, since like 35 weeks when they first told me I needed a RCS that week).

I saw a thing recently that said "practice saying no, without explanation". I think that applies here. Thinking of you, girl. xxx

I was hoping you would chime in!

jessech89 · March 2014

My hospital don't want me to past 41 weeks either which is making me super nervous. I haven't discussed it with my doctor and I don't plan to until it becomes an issue. But I plan on doing like PP have said, I just won't do it until I get to 42 weeks. I love my doctor but I really don't want to get induced before I absolutely have to. Period.

RedDawnsRevenge · March 2014

No, means no?

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