Re: early induction with #2 ??

• Messages sorted by: [ date ][ thread ][ subject ][ author ]
• Next message: William F. von Almen, II, MD, FACOG: "Re: Triplets"
• Previous message: William F. von Almen, II, MD, FACOG: "Re: cycle luteal phase after breastfeeding"
• In reply to: Sarah-Jane: "early induction with #2 ??"

A lot of variables here. Some second babies are larger, some smaller. Also second deliveries are often easier as you have already stretched. If you are favorable the week before your due date, I say go for it. Anecdotal story- Patient seeing me for second birth-first baby 8#12oz, forceps, told could not deliver bigger baby, almost c/s, same as you. Came to me for second child due to insurance. I agreed to try to get babe out early, but was not favorable. finally was favorable at due date, came in to induce, but already in labor. Spontaneously delivered a 10#5oz child with very little tearing. Moral of Story: You just never know

At Sat, 15 Mar 2003, Sarah-Jane wrote: >
>Hi, Our first baby was induce 3 days after due date (born of 5th day
>after edd). He was large at 8lb 5 ounces for my 5'2 frame. I needed
>two large episiotomies (sp?) and also tore badly too. I heard comments
>made that I was a minute off a c-section and that my baby was large for
>me. Second stage of pushing lastet 2 hours.
>
>He needed a lot of stimulation and also some resusitation with first
>apgars at 4..second were 9. No IV meds taken, epidural had worn off 1/2
>hour before pushing.
>
>Because of the condition of our baby at birth, I am scared that any
>subsequent babies will be in a dangerous situation and as they will
>probably be bigger, will no 'fit'. My mother had c-sections due to
>cephalicpelvic disproportion.
>
>my questions:
>
>1. have I a case for early induction if we have another baby and its
>size is estimated at reaching that of our son's?
>
>2. What would you advice your patients in this situation?
>
>Thanks!
>
>--
>Sarah-Jane Heart
>

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

• Next message: William F. von Almen, II, MD, FACOG: "Re: Triplets"
• Previous message: William F. von Almen, II, MD, FACOG: "Re: cycle luteal phase after breastfeeding"
• In reply to: Sarah-Jane: "early induction with #2 ??"