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Re: labor induction at 41.5 wks vs expectant management

From: 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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