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Re: Elective Induction - something goes wrongFrom: Len2976@aol.comWed Jul 7 09:02:48 2004
The IOL rate in my area is also high. I am in a semi-rural area of Florida where the patients start asking about IOL at 36 weeks. I personally hate inductions and will rarely do them for non-medical reasons prior to 39 weeks. However I am in a practice with one obstetrician and 2 other CNMs who are much more liberal than I am about inducing patients. In one way it is understandable--patients here who are tired of pregnancy have been known to transfer to another MD just to get an IOL at 37-38 weeks (for example for "PTL"--UCs with no cervical change) or even a repeat C/S at 37 weeks for the same reason or for "maternal fatigue." The most I can do is insist that no IOL is scheduled the day I am on for non-medical reasons prior to 39 weeks--especially if the cervix is unfavorable. As a result of this, I have the fewest of deliveries for the three of us--and also the lowest C/S rate. Lenora McCall, CNM
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