I'm a bit confused..

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emommyof2's picture
Joined: 09/26/10
Posts: 310
I'm a bit confused..

Ok so that's the understatement of the century... but hey I'm preggers and am trying to be nice to my very addled brain!

Basically, I've heard this soooo much recently and I can't quite figure out the cause.... Both here on the various boards, and out and about in life, women who say "My doctor won't let me go past x weeks so I'm being induced on y day."

Now, maybe I'm living under a rock, or things have changed for everyone else in the world in the 4.5 years since I've had a baby... but my midwives are determined to make me keep this little one inside as long as possible, not talking about inductions for ... well that's the thing no one ever gives a reason! Now, I've had two of my children termed "pre-term" issues, the first being DD#2 who I spent weeks in hospital after having pre-term labor at 24 weeks... (she ended up being 42 weeks LOL) and DD#3 who was born spontaneously at 36 weeks on the nose. (which here is considered preemie by one week LOL)

Given my history, I can totally see why the focus is bake longer... but why WHY WHY? are perfectly normal, no issue, healthy pregnant women all walking around with the "My doctor won't let me go past x weeks" It doesn't make any sense, we are -supposed- to bake the kids for 40 weeks... not 32, 35, or 38... 40... While not one pregnant woman I know will complain if they don't go all the way to 40 (trust me I could have this little one tomorrow and be both glad for it and scared stupid) But why are doctors arbitrarily deciding no you can't go to full term? And more importantly WHY is this so darn common... its like every other woman I talk to says that!?!?!

I have only ever gotten a response from one woman who said "My doctor says this baby will be too big if he/she goes to 40 weeks and I'll end up in c-section if he doesn't induce" She was promptly induced the next week at 36 weeks... ended up with a c-section and a 5lb baby who has had nothing but issues his whole life since.... While my midwives are convinced that the reason my body ejected DD#3 at 36 weeks is that her head circumference was that of a 40 week baby already and my body decided she wouldn't come out at 40 weeks! Which as far as I figure... is how its supposed to work, right? Our bodies know better what we can and can not do... bah... my head hurts.

All this and the fact that my 4yr old has turned into a holy terror this week, has given me an eye twitch, so now I'm the fat, hormonal, twitchy pregnant lady... neighbors avoid me! lol

Joined: 12/10/05
Posts: 1681

I agree. Early inductions are right out of control and most are for no good reason!

The goal should be to keep that kiddo in for 40 weeks, not to evict them as soon as they might be ok!

renee24's picture
Joined: 08/06/06
Posts: 1096

Two ladies at my church had an induction at 38w, I think, because she had GD. I'd never heard of anyone being induced for GD before, unless there were other complications. Now I'll admit I'm nervous going to 40+ weeks due to the fact I'm pretty sure DS's placenta had started to fail and that was why he had issues when he was born, but I wouldn't induce just for the heck of it. Plus as I'm a VBA2C hopeful I wouldn't be allowed.

gardenbug's picture
Joined: 03/12/07
Posts: 2025

The part that I don't get is the words "won't allow me". Uhh, whose baby is it anyway???:confused:

emommyof2's picture
Joined: 09/26/10
Posts: 310

"gardenbug" wrote:

The part that I don't get is the words "won't allow me". Uhh, whose baby is it anyway???:confused:

Totally! I think that is where the bulk of the confusion comes from...

:eek:

gardenbug's picture
Joined: 03/12/07
Posts: 2025

And so don't you think it is a vocabulary thing, submissive words that insecure Moms use to get that earlier birth and make it seem like their all-knowing doctor imposed this on them?
I think that can be a dangerous road to travel. I think that it is good to listen carefully to your doctor and discuss your particular situation with him/her. That does not mean having no input!

It can be very difficult to stand up for what you believe in if you are inexperienced and surrounded by "well meaning" family with loads of advice. That's why researching and questioning things is so important. This leads to greater confidence for the new mother. Imagine how difficult it was before computers were in every home!

I'd like to add that an individual's relationship to his or her doctor is something that is slowly changing for the better. We are now encouraged to take charge of our own health in all areas and to ask questions.

PS: Back in the 70s when I had my kids, I did not know the sex of my babies before they were born. This was exciting! Similarly, finding out how long each of them would "bake" was part of the thrill. I was not a bit concerned about going over an arbitrary assigned number of weeks, nor was my doctor. That was all a part of birthing before things became so regimented.

Joined: 03/06/09
Posts: 1054

I think most doctors still view pregnancy as a "disease" that needs to be managed. So they induce the minute the baby will be "OK" because the mom is tired of being pregnant, and the OB likes the convenience of knowing when the baby will be born. Like a PP mentioned, I think most of it has to do with uneducated women who are just plain tired of being pregnant. So they word it to make it sound like their OB is just looking out for their best interest.
A friend of mine recently begged for an induction at 39 weeks because she was so "miserable" and tired of being pregnant. Doc gave in and, yep, she ended up with a c/s and a 6 lb baby who had a few small issues.
If people think being pregnant is miserable and inconvenient, they really should think about how inconvenient healing from a c/s and having a baby in the NICU is.

pico83's picture
Joined: 09/06/06
Posts: 3015

"won't let me" is a strange way to phrase it. It definitely is tough if the doc suggests induction might be a good idea and the woman is tired of being pregnant!
I was offered induction at 39+1 last time (which is when DS1 had been born and I was ready to meet baby) but my doctor said "I wouldn't recommend it because you'll probably go in a few days on your own" and I really wanted to go naturally so I waited... all of 4 days. At the time it seemed like forever, but I'm so glad I did it. Since we moved now I have a MW and they won't induce until 42w. Biggrin I love that I won't face the difficult elective induction decision again!

emommyof2's picture
Joined: 09/26/10
Posts: 310

"countrygirl83" wrote:

If people think being pregnant is miserable and inconvenient, they really should think about how inconvenient healing from a c/s and having a baby in the NICU is.

Or how inconvenient having children is! I swear I almost questioned why I do this when I found fingerprints 7 feet up on an empty wall (with no way humanly possible the 4yr old could have gotten them there) Not to mention when everyone in the house ends up sick and your stuck taking care of everyone while fighting the cold yourself! :confused: Don't get me wrong, I love being a mother but lets be realistic... the 40 weeks we're pregnant (as sucky as it is for some of us) is the easiest part of motherhood! And I say that as someone who HATES being pregnant... I may be glad if my body decides not to go to 40 weeks, but I'm not begging for an induction at 36!

cindyanns's picture
Joined: 02/20/10
Posts: 775

The doctors and my midwife didn't want me to go past 39 weeks, primarily because of my gestational diabetes. The main concern wasn't the baby being too big, they were worried about the placenta failing because I was insulin dependent. Very serious.

Aside from that, I had incredibly abnormal swelling (it was so bad I was on bedrest and would literally scream out when someone touched my leg, my legs were also ROCK HARD). They think it was the beginning of pre-e, but they were concerned because my blood pressure was normal and they couldn't figure out what was happening. The swelling was going to my stomach. It was so swollen they couldn't get a clear image of the babies head during an ultrasound and the ultrasound actually HURT...

However, my doctor knew I wanted a natural childbirth and didn't want pitocin unless absolutely necessary, so at 37 weeks she gave the go ahead to try natural labor inducing techniques and stripped my membranes in hopes that I'd go into labor before they'd have to induce me.

We people asked me about it, I'd just say "My doctor wants me induced at 39 weeks for medical reasons" cause it was much easier than listing my entire medical history and the risks to the baby and myself if I wasn't induced.

While I agree there are some induction/c-section happy doctors out there, there are also very valid medical reasons for early induction. Letting the baby bake for too long *can* be very dangerous in some situations. For those medically necessary inductions/c-sections, thank goodness they are available.

TyrantOfTheWeek's picture
Joined: 12/26/05
Posts: 1147

It always seems to be the young, naive, FTMs too. I have several FTMs on my Facebook that got:
"big baby" discussion -->Not dilating by 39 weeks ---> "overdue" by like 3 days ---> Induction scheduled ---> ZOMG!!1!!one!!1 emergency c/s my doctor saved the day!! ---> Baby weighing a very normal 7ish pounds...

Late DH's cousin JUST had this happen last week. Makes me cringe. Especially since I pretty much saw it coming but she was totally 100% trusting her doctor and not questioning any of it.

And yes, medically indicated c/s do happen. Things happen. I just don't see 1/3 of birthing women as being medically indicated for an induction or a c/s.

shiregirl's picture
Joined: 09/23/10
Posts: 390

I'm personally very grateful that I had a midwife the first time around, and that I learned a lot about natural birth ahead of time. I had my DD at 42 weeks, and I know that would not have been "allowed" if my care had been with one of the OB practices in my area. I am all for inductions and c/s if they are medically necessary, and sometimes they are, as cindyanns pointed out. But not at the rates we see in this country. And I have so many friends who have "not been allowed" to carry their baby past a certain point. And they were all too glad to get induced, once again, because they were tired of being pregnant, or because they believed that their induction was medically necessary. I've only had a few friends who have been induced when it was really medically necessary. It makes me sad.

TyrantOfTheWeek's picture
Joined: 12/26/05
Posts: 1147

"shiregirl" wrote:

I'm personally very grateful that I had a midwife the first time around, and that I learned a lot about natural birth ahead of time. I had my DD at 42 weeks, and I know that would not have been "allowed" if my care had been with one of the OB practices in my area. I am all for inductions and c/s if they are medically necessary, and sometimes they are, as cindyanns pointed out. But not at the rates we see in this country. And I have so many friends who have "not been allowed" to carry their baby past a certain point. And they were all too glad to get induced, once again, because they were tired of being pregnant, or because they believed that their induction was medically necessary. I've only had a few friends who have been induced when it was really medically necessary. It makes me sad.

Makes me sad that some doctors are convincing women that their bodies are broken when that is not the case at all (usually)

cindyanns's picture
Joined: 02/20/10
Posts: 775

"TyrantOfTheWeek" wrote:

And yes, medically indicated c/s do happen. Things happen. I just don't see 1/3 of birthing women as being medically indicated for an induction or a c/s.

So true! According to Ina May, only about 3-4% of births actually need a c-section.

And I agree, it's sad when it's not medically necessary and people do it cause they're "tired" of being pregnant. That's just as dangerous as not having an induction or c/s when you need it.