March of Dimes: Less than 39 weeks

Specialties Ob/Gyn

Published

Three weeks ago at my 36-week appointment, the nurse educator at my OB office gave me a handout put out by the March of Dimes regarding this initiative. I think it was the office's way of saying, "Unless you have a clear medical reason to be induced, we're not going to do it before 39 weeks, so don't even ask." As much as I've griped and moaned to my coworkers and family about being 'ready RIGHT NOW' since 37 weeks (right now am 39), I have to applaud them for taking part in this.

I have seen way too many social inductions/deliveries starting at 37 weeks, as I'm sure most of you have too. The hospital where I work as well as the upscale hospital down the street both have private docs that will do them, which is pretty scary. It's one thing if there is a legitimate medical need, or if the baby comes on his/her own; those are totally different scenarios. But to go inducing and delivering 'just because', that is downright scary. I realize the social delivery trend isn't a new one; I am glad that someone finally took notice, said enough is enough, and put some numbers with it.

http://www.marchofdimes.com/professionals/9654.html

http://www.marchofdimes.com/professionals/medicalresources_39weeks.html

I was induced twice due to pre enclampsia (true pre enclampsia, not just me wanting to be done with being pregnant). Each time my child had serious jaundice. Not trying to make my case a medical fact, but just saying what happened to me.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
I was induced twice due to pre enclampsia (true pre enclampsia, not just me wanting to be done with being pregnant). Each time my child had serious jaundice. Not trying to make my case a medical fact, but just saying what happened to me.

What is your blood type? Were you on Mag sulfate? Did you get pitocin during labor? Were your babies sleepy? Did you receive pain meds and/or epidural during labor? How did breastfeeding go?

All of those things will affect jaundice levels.

Specializes in L&D,Wound Care, SNC.

The hospital I worked at previously (military) would not perform elective inductions before 39 weeks. I think it's awesome that more and more practices are now starting to put this into practice. Where I work now, it is a Joint Commission core measure.

Specializes in NICU.
The hospital I worked at previously (military) would not perform elective inductions before 39 weeks. I think it's awesome that more and more practices are now starting to put this into practice. Where I work now, it is a Joint Commission core measure.

What do you all define as an elective induction. Because if you mean non-emergent, but for a good medical reason, then I think the dates should be taken into account, but not limited. If elective truly means just because mom wants to, why are we doing this at all, ever? And, to add one more pet peeve, I admit a lot of babies at 40 0/7 or 40 1/7 who were inductions for "post-dates." What in the world? Since when did making it to your due date make you considered post-dates?

We have had a standard of NO social inductions before 39 weeks for at least 1 year at my hospital. I was so happy to see that implemented b/c i have never been a fan of social inductions. On rare ocassions (husband being deployed) have i understood why a mom would want to be induced. But just b/c you are tired or you like that birthday or you mom is going to be in town??!!! Please!!!

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