Should She Ask to Be Induced?

QUESTION

Dear Midwife
My daughter is 40 weeks pregnant with her first child. Her due date was 3/12/. At her prenatal exam yesterday the midwife said that she was 1-2 cms dilated, 80% effaced and the baby is +1 station. She is having pain but nothing time-able. It has now been more than 24 hours. Should we just wait around or ask to be induced?

ANSWER

I would never suggest induction on a healthy pregnancy! "Due dates" are just estimates, and the average time of delivery for first babies is 5 days after the "due date." In my book, it's not even the baby's birthday yet IF the "due date" is correct. Your daughter sounds like she is doing the normal first-timer thing, and this is as good a time to learn patience as any--she'll need plenty to be a mom! I vote to let the baby come when it's ready.

-- Cynthia, CNM

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.