WOMENS-HEALTH Messages for January, 1998: Re: 40 WKS PG WITH NO PROGRESS

Re: 40 WKS PG WITH NO PROGRESS

From: Larry Glazerman, MD (anonymous@obgyn.net)
Sun, 25 Jan 1998 21:54:06 -0600 (CST)

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In reply to: Amanda: "40 WKS PG WITH NO PROGRESS"

At Wed, 14 Jan 1998, Amanda wrote: >
>I am 40 wks pregnant and am not having any regular contractions (and
>yes, my date appears to be accurate, my fundal height is measuring a
>hefty 40). At my last prenatal apt yesterday my OB said that my cervix
>is only 80% effaced and had not started to dilate. He also said that a
>thin membrane was still covering the cervix and that this could be scar
>tissue from a LEEP procedure I had done almost 2 years ago. My OB has
>tried to strip the membranes twice and will try again tomorrow. What,
>if any, are my options? Will I be required to have a C-section? Will
>induction of labor (pitocin) do any good?

One important factor to remember is that 40 weeks is not a magic number. As I heard recently, it's NOT like the due date for your electric bill, that is, if not paid on time, it's late.

At about 41 weeks or so, you should begin to have some testing, usually a nonstress test and measurement of amniotic fluid. At this point there is no reason for induction, unless the baby shows some signs of not being happy.

--
Larry R. Glazerman, MD
Valley Ob-Gyn Associates
Allentown, PA
glazerman@enter.net

Next message: Harvey S. Marchbein, M.D.: "Re: baby is okay// chorid plexius cyst"
Previous message: Julie: "Missed period, not pregnant, now lower abdominal pain"
In reply to: Amanda: "40 WKS PG WITH NO PROGRESS"

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