Premature rates in US

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jooniper's picture
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Premature rates in US

I posted it on facebook too but this was infuriating to me:

http://pagingdrgupta.blogs.cnn.com/2010/11/17/u-s-earns-d-for-premature-births/?hpt=T2

Particularly this line:

"The good news is that we are getting better," says Dr. Hal Lawrence of the American College of Obstetricians and Gynecologists. He explains some people might choose to deliver preterm: "It can be by patient request or for the timing of delivery for both physician and patient. And, sometimes it's merely for convenience, or so they don't travel too far while in labor."

I just think of last pregnancy when doc wanted to break my water at 35 weeks because she was so afraid I'd go too soon/too quickly. I lasted another 2 weeks and might have gone longer if I hadn't eventually given in. Those 2 precious weeks helped my baby bake, and maybe with more time he wouldn't have had such jaundice issues.

I can't tell you how many friends of mine weren't even considering an induction when offered one by their OB at around 38 weeks. They weren't informed of the risks, there was no informed consent, just "hey, you ready to not be pregnant anymore?"

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"jooniper" wrote:

I posted it on facebook too but this was infuriating to me:

http://pagingdrgupta.blogs.cnn.com/2010/11/17/u-s-earns-d-for-premature-births/?hpt=T2

Particularly this line:

I just think of last pregnancy when doc wanted to break my water at 35 weeks because she was so afraid I'd go too soon/too quickly. I lasted another 2 weeks and might have gone longer if I hadn't eventually given in. Those 2 precious weeks helped my baby bake, and maybe with more time he wouldn't have had such jaundice issues.

I can't tell you how many friends of mine weren't even considering an induction when offered one by their OB at around 38 weeks. They weren't informed of the risks, there was no informed consent, just "hey, you ready to not be pregnant anymore?"

This is exactly what happened to be the first time. I was a FTM at 39 weeks and my Natural-birth-friendly doc asked me if I was ready to meet my baby. How do you say no to that? I had no idea the risks I was taking when I agreed to let him break my water. Ugh. Luckily everything worked out and I didn't need any other inteventions.

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Wow! Just wow! I had NO idea they offer induction at 38 weeks! Eeeek! 2 of my 3 babies were born premature on their own (first at 35w5d and second at 36 1/2 weeks) my 3rd made it to 37w 2d. I just can't imagine a doctor offering to induce that early! I mean what if the dates are off and the baby is really only 35 or 36 weeks?! UGH!

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"batgirlandrobin" wrote:

Wow! Just wow! I had NO idea they offer induction at 38 weeks! Eeeek! 2 of my 3 babies were born premature on their own (first at 35w5d and second at 36 1/2 weeks) my 3rd made it to 37w 2d. I just can't imagine a doctor offering to induce that early! I mean what if the dates are off and the baby is really only 35 or 36 weeks?! UGH!

I wish I could say it was rare.... I have probably a dozen friends that were offered inductions between week 38 and 39 (induction is super common in Utah where I went to school). Not a one of them were told of the risks. A few of them ended in c-sections, almost all of them had scary heart decels.

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Believe it or not Utah has a really high induction rate. It's scary. Doctors are inducing here for really no reason. Take for example my friend who was induced in August because the baby was measuring small, perfectly healthy in the u/s nothing going wrong at all but the doctor wanted the baby out because it was small and would grow better outside of mom. Well the last 2 weeks she was pregnant baby was gaining 6oz a week but after she had him was gaining about 3oz a week for the first month. He is now 3 months old and I'm not even sure he is over 10 pounds yet.

I've had other friends that were induced because of small baby's though the u/s showed nothing wrong. I understand there are scary causes for small baby's out there but they are almost always detected on an u/s. It honestly scares me how doctors are manipulating women and scaring them and the women just let it happen and then praise the doctor for saving their baby. (who is now in NICU because he was born too early or ended up having problems that resulted from being induced, but the doctor "saved" the baby)

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the logic of the doctors who do this (this is what the Worst OB Ever told me, and yes, he was in Utah) is that if they do an ultrasound in the first trimester, then the due date is supposed to be accurate +/- 3 days (of course, that is based on a statistical average, and there are occasional outliers, but they don't care), so they think that means that inducing at 38 or 39 weeks is okay, because babies are "term" at 38 weeks, so all of them will be ready to be born then, as long as the due date is right. The doctors blame the women, but that is not fair because it is the physician's responsibility to inform the patient of the risks, and women I have talked to who have been induced electively could not possibly have gotten a full disclosure of the risks.

There has been some change in recently in Utah with hosptials implementing policies of no elective induction before 39 weeks.

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That's sad Sad Here, my doctor would never dream of inducing before 40w, for convenience sake. And even then, its a, gel, sweep, wait a bit, if nothing happens it must be too soon, try again in a few days if necessary, kwim.

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Here in Utah it's no inducing unless you are 39 weeks sooner if doctor "thinks" something is going wrong. They break your water and start pitocin all at the same time, because obviously your body wont go into labor on it's own. :rolleyes:

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What do youknow, MI has a D. i'm going to wisconsin. or better yet, canada.

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As much as I dislike elective induction, I think by focusing on that, the article was misleading and ignored other important causes of preterm birth. I think poor prenatal diet and exercise may be a factor. There is also a large racial disparity in both preterm birth and neonatal death--more black babies than white babies in the U.S. are born premature, which I think is important for people to be aware of. (for more on black babies and infant mortality, see: http://www.theunnecesarean.com/blog/2010/9/28/racism-and-low-birth-weight-101.html)

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*Loss Meantioned*

Unnecessary induction absolutely kills me. At my last appointment I was waiting behind a woman who was literally throwing a tantrum because they wouldn't schedule an induction at 36 weeks without a medical reason. I meantioned it to my dad afterwards and a bit to my surprise (he is normally a very reserved guy) he absolutely flipped out, quite honestly that woman is lucky I didn't know who she was because he was ready to track her down and give her a piece of his mind. My brothers (twins) were born at 29 weeks, both had anurisms within 2 weeks, 1 died and the other has brain damage that has significantly effected his life. 2 weeks could have made a world of difference to my brothers and he is personally offended that anyone would give up any time for convenience even if the difference isn't as dramatic. Like just about everything else surounding birth we really need to better educate people. Just like babies aren't just small adults, premies aren't just smaller newborns, they are underdeveloped and even just a few weeks can have lasting effects. I know I'm preaching to the choir here, I just had to let it out Smile