Reasons For Inducing Labor At 39 Weeks – The optimal delivery time for low-risk pregnancies is unknown. After 39 weeks’ gestation, the risk of complications increases, but induction of labor may increase the need for cesarean section, which excludes elective abortion before 41 weeks. To address this dilemma, Robert Silver, MD, and colleagues from the University of Utah Department of Obstetrics and Gynecology enrolled 6,106 low-risk, first-time pregnant women at 39 weeks of labor or at expected (rather than spontaneous) labor but later. active intervention). The results of the study showed that the induction group had a 16% lower cesarean delivery rate, lower rates of certain medical complications, greater satisfaction with the labor experience, and similar or lower medical costs.
These findings generally support elective induction of labor as a reasonable option for first-time mothers at 39 weeks’ gestation. Additional studies have facilitated individualized calculations regarding the likelihood of intrauterine birth and expected management, as well as the risk of medical complications, empowering women to make informed decisions about their birth experiences.
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Reasons For Inducing Labor At 39 Weeks
Expectant management versus induction of labor for low-risk nulliparous women [ Abstract ] Grobman WA, Rice M, Reddy UM, Tita ATN, Silver RM, Mallett G, Hill K, Thome EA, El-Sayed YY, Perez-Delboy A, Rouse DJ, Simple GR. EK, Casey BM, Gibbs RS, Srinivas SK, Swamy GK. New Engl J Med 2018 Aug; 379(6):513-523
What You Need To Know About Being Induced
Cost of elective labor induction compared with expectant management in nulliparous women Ironson BD, Nelson R, Sandoval G, Esplin MS, Branch DW, Metz TD, Silver RM, Grobman WA, Reddy UM, Werner M, Eunice Kennedy Shriver National Institute of Children Health and Human Development (NICHD) Division of Maternal-Fetal Medicine (NICHD) MFMU) Network Obstet Gynecol 2020 Jul; 136(1):19-25
Individual chances of vaginal delivery and expectant management in nulliparous women at 39 weeks’ gestation Silver RM, Rice M, Grobman WA, Reddy UM, Tita ATN, Mallett G, Hill K, Thom EA, El Sayed YY, Wapner RJ, Rouse DJ, Sade GR. Gibbs RS, Srinivas SK, Swamy GK, Simhan H, Macons G; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal Fetal Medicine Unit (MFMU) Network. Obstet Gynecol 2020 Oct; 136(4):698-705. I was 36 weeks pregnant, it was Wednesday when I found out I was being induced at 37 weeks and my high risk specialist confirmed the preeclampsia diagnosis we had been waiting weeks for.
But I was completely unprepared when I was told I had 4 days to get things sorted (on a changing bed) before going to hospital – scratch that, it’s absolutely terrifying.
Have you had an induction of labor at 37 weeks pregnant? If so, I’m here to share my story and ease your nerves.
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I’m a control freak, and after surviving multiple miscarriages, I couldn’t help but notice that I was losing control of my body and my birth experience.
But I realized that I knew enough about Downtown Abbey to accept an early appeal to the reality of what preeclampsia can do if not carefully monitored (which of course I had).
I can’t control my preeclampsia OR I was induced at 37 weeks OR My house was still under construction when I got this news No. Everything is out of my control
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Avoid C Section By Inducing Labor At 39 Weeks: Study
Early induction is not ideal and is not recommended by the American College of Obstetricians and Gynecologists (ACOG) unless continuing the pregnancy poses a risk to the mother or baby.
If you induce him early, your doctor will likely prepare your baby for induction
Even though your baby is technically full-term, his little body is still developing. Especially the lungs, brain, jaw and feeding reflex
Many doctors will give you two steroid injections before delivery, each injection 24 hours apart. These injections help baby’s lungs develop, and while they’re life-saving for premature babies, they can make a big difference in your 37-week-old baby.
Inducing Labor At 39 Weeks Reduces Risks Of C Section And Other Complications
You will then rest to rest and prepare for induction day Your doctor or high-risk specialist may monitor you using non-stress tests or other methods, depending on the medical cause of your stress.
At this point, you’ll want your hospital bag packed with essentials and ready to go. Take them with you to all your doctor’s appointments, so you can get inspiration earlier if you notice anything unusual during the appointment.
My hospital visit was the night before my induction, so I went to the hospital at 36 weeks, 6 days. I was told I would be leaving that day, but they would call me the next day with a check-in time based on bed availability.
Hubby and I had my favorite dinner in Atlanta with the best queso and I was so nervous I couldn’t eat a bite. Then we entered the hospital
Do This To Start Labor Naturally Now!
That night was quiet. Before I went to bed myself, they gave me a cervical tearing agent (inserted directly into the vagina) and hoped it would induce labor on its own, but warned I would need pitocin the next morning.
*Note: The most commonly used cervical dilator is Cytotec, which is also widely used for infertility. The thought of using this drug based on my history with repeated abortions makes me very nervous. If this is likely to bother you, ask your doctor to try a different option. There are many options!
Then we went to bed and they started the pitocin drip at 7am to wake up to eat breakfast at 6am.
Along with the use of a cervical dilation agent and pitocin drip to induce labor, you may need help breaking or actually delivering your water.
I’m Being Induced! What Should I Expect?
There are always risks with any medication, but in general, the main difference between your body’s natural labor and Pitocin-induced labor is the strength of the contractions.
Women who induce labor with Pitocin report stronger, more painful contractions and are more likely to miscarry.
Since I was pushing at 37 weeks, I actually chose to hold off on the epidural because I was afraid my labor would stop.
Be aware that induced labor takes longer than natural labor, and first births take longer
Cervical Effacement: Signs, Measurement, Complications
My research has taught me that walking around during labor, especially early labor, can help stop it. In fact, specific movements can even start a stalled labor back up.
As I learned and my medical team confirmed, “Using gravity to help the baby descend and increase the size and shape of your pelvis is a great way to manage your pain.”
During childbirth, hospitals attach a pregnancy monitor to you so that neither the mother nor the baby feels discomfort in the fetus.
But traditional monitors keep you attached to a machine and thus stuck in bed Labor during Pitocin-induced contractions is no joke!
Do I Need To Have My Cervix Checked Before Labor? — Gentlebirth
In our childbirth class, we learned that having a partner or helper rub your back with a massager can help mom manage contractions.
Of course I ordered every massager Amazon had to offer To avoid this I decided to get up and walk fast
I also took a bowling ball and signed permission to sit on it, even though I never did. Instead, I put her on the counter and leaned against her and danced her way through the Pitosi-induced contractions.
While dancing, hubby tried every massage on my back (Of course I hate all the fancy stuff and just let him do the basic, plastic ones).
Ways To Help Labor Progress
In God’s name, if I have to deliver my baby 3 weeks early, I will!
Knowing what you expect and what you want is critical to your labor.Also, make sure your support person knows what you want so you can both advocate for your needs.
As soon as I got to the hospital, I told the nurse: “I need a wireless monitor. I want to walk.” “
“It won’t be until morning,” he assured me, but I insisted. I needed them in my room
Best Exercises To Induce Labor Naturally
We fought about it, but he finally gave up (and logically there are women in active labor that night who need that monitor).
First thing in the morning, when I knew I was going into labor, I immediately pushed the nurse button. Now I need a wireless monitor. “
A shift change was happening and a new nurse would arrive
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