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Re: labor induction at 41.5 wks vs expectant managementFrom: benito (anonymous@obgyn.net)Tue, 16 Mar 1999 09:09:08 -0600 (CST)
At Sun, 28 Feb 1999, bj wrote: > >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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