My daughter is expecting her first child next month. EDC is March 25 or there abouts. Dates aren't terribly accurate because she was switching between the pill and Depo Provera for birth control. She called yesterday and said the military docs are "pushing" her to be induced. Her husband thinks an induction sounds good so he can plan his leave and make sure he is off when the baby comes. Many of her friends have also been induced for a variety of reasons lately. The way her friends were induced was to be admitted on Sunday for cervical ripening, then Pit on Monday. My daughter tends to be very passive and not ask many questions. Needless to say I have a few dozen questions and no answers. Is it common for docs and midwives to plan induction now? Is there a medical reason? Could they tell a medical reason to induce this far in advance? My concern is that dates are off and they will try to induce a baby that isn't quite ready to be born. Is this a legitimate concern? Can a EDC be accuratly determined by US now? My OB rotation was almost 25 yrs ago and I adopted my daughter when she was 6 yrs old. This area is totally forgien to me.
Feb 17, '07
It is common. Many patients are induced for "dates" at 40 weeks. If a woman is tired of being pregnant and the OB says they will induce early it is hard for them to resist.
Personally I think it is poor practice, especially if she is unsure of dates. She could believe she is inducing a 38-39 weeker to end up with a tiny 36-37 weeker. Not something I would do to my baby for convenience sake (and let's be honest, it's really the doctor's convenience we are talking about here). Also, being induced raises her risk of c-section significantly- I believe 50% is what's usually quoted. Just because the doc is military does not give him/her a right to order or intimidate her into anything. Both of my babies were delivered by a fanastic military midwife who was respectful of my choices and said she would induce after 39 weeks for me only because my DH was back from Iraq (I didn't do it).
I don't know what her DH does but I am a veteran myself and unless he is in Iraq/A-Stan there is little chance he will miss the birth (if there is something so important that he can't get away from when she goes into labor they are also not going to allow him to schedule leave at that time). He will also probably be allowed to sign out on leave once the little one arrives barring any unusual circumstances. That is just how it works in the military. Many commanders give this time as free leave as well.
The way it happens for most seems to be a casual "When would you like to schedule your induction?" at the end of an appointment. She just needs to say "No, thanks!" and stick to her guns. It seems like most of the women in the hospital have no idea why they're being induced and no idea what will happen. They just know their Ob told them to schedule it.
BTW I was induced at 42 weeks with my first child and although it wasn't horrific it certainly wasn't the birth I had envisioned. Frequent cervical checks, hooked to every machine available, needing pain meds, long drawn out labor. It's not something I would chose for myself again.
ETA: I am a nursing student, graduating in May so take it for what it's worth.
Last edit by CEG on Feb 17, '07
: Reason: left out info