PREGNANCY-BIRTH Messages for July, 2000: Re: induction methods

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Re: induction methods

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 27 Jul 2000 23:41:29 -0500 (CDT)

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In reply to: Robin: "induction methods"

At Thu, 27 Jul 2000, Robin wrote: >
>Hi,
>
>I posted here before. My doctor wants to induce my labor but I am very
>reluctant to do so. What is the safest way to induce labor? Will the
>gel alone be sufficient? Can I use it a few times per week? Will it
>bring contractions? My doctor told me that the baby is positioned very
>low in the pelvis, but I am still totally closed. What does it mean?
>Does it mean that the chances of going into labor naturally are very
>slim?
>
>Also, I have reasons to believe that there could be a mistake in
>calculations. First of all, my cycle is not regular at all, and I am
>not even sure if I've given my LMP date correctly, second of all my
>cycle is more like 31 days (when it is regular). However, I had my
>ultrasound at 7 week of pregnancy, so would it pick up the correct
>gestational date more accurately?
>How accurate is it?
>
>Thank you.

At 7 weeks, ultrasound is plus or minus 5 days. If you are referring to Prostin gel, it should only be administered in the hospital with fetal monitoring to observe its effect on uterine contractions and the baby. Studies have shown that of all women who reach 41 weeks, the cesarean rate will approach 40% if induced at 41 weeks and will be 2-3% higher if allowed to go to 42 weeks. It seems that reaching 41 weeks without going into labor is what increases the cesarean rate.

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Robin: "induction methods"

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