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labor induction at 41.5 wks vs expectant managementFrom: bj (anonymous@obgyn.net)Sun, 28 Feb 1999 00:27:04 -0600 (CST)
Hello, thankyou in advance for your time. My wife is at 41.5 wks pregnancy. She is scheduled for induction in a few days. The baby was evaluated by u.s. 3 days ago and is fine, and my wife's cervix is 'unfavorable' at this time. This is our second child, our first was delivered by scheduled C section due to breech presentation, transverse incision. We're having second thoughts about the induction, we feel that maybe given a little more time things could progress naturally on their own. We are trying to educate ourselves about the options, our doctor is much too busy it seems to discuss with us what these options might be. From our reading, we are thinking perhaps waiting an additional week might be possible, with twice weekly checkups and daily at-home prostoglandin gel application on or near her cervix. We are having difficulty deciding if this is a wise or a poor decision. In addition, if we were to wait an additional week and labor did not progress, would it then be less risky(at 43.5 wks) to go straight to a C section? We are concerned that the extra week could have a deleterious effect on the placenta, especially if under the influence of exogenous oxytocin during induction. We would greatly appreciate any insight you might be able to offer. Thankyou, B.J. and Margo
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