search:

Re: induction at 38 weeks

From: William D. McIntosh, MD (anonymous@obgyn.net)
Mon, 22 Feb 1999 22:39:28 -0600 (CST)

At Mon, 22 Feb 1999, Robin wrote: >
>I'd very much like to get some opinions on the effectiveness of a good
>stripping of the membranes for inducing labor at around 38 weeks. I
>have had 4 other babies, the first two were sections, the third was a
>natural birth and my last baby was born via section again. I greatly
>desire a vaginal birth this time, but since my babies are always so big
>I thought my chances of delivering vaginally would be increased if the
>baby was a pound or so smaller. As it would be if born at 38 weeks. I'm
>very wary of the more traditional induction methods such as AROM and
>oxytocin drips. I'm told that I'm not a candidate for prostaglandin gel
>induction.
>Before I allow my OB to strip my membranes (cuz it hurts!)I'd really
>like to know how likely it is that this would actually tip me over into
>labor.
>Thanks so much,
>Robin

You have me trapped! I BELIEVE that membrane stripping works, though not reliably; the reality is that there is little objective evidence that stripping speeds delivery. I still do it. There are several situations like yours where I hope that a patient will go into labor sooner rather than later but don't quite meet that standard for more effective methods induction of labor. Membrane stripping is an option in those cases. 

--
William D. McIntosh, MD
Clarksville, TN


This is for educational purposes only.  It is not intended
 to replace consultation and examination by your physician
 or other health care provider.



recommended search...
Google
OBGYN.net forums endometriosis zone Web
use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
Returns per screen: Require all keywords:
Return to [ Pregnancy & Birth Forum ] Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Thu Jun 18 14:25:18 2009

Women's Insurance Checklist from Auto Insurance Quote

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com