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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Anti interventionists; if you are overdue, at what point do you decide

55 replies

hobbgoblin · 15/07/2009 16:09

that the baby is possibly better out than in and that one's overdueness is no longer perfectly natural and maybe there might be a problem. With my last pregnancy that went over EDD I was quite happy to wait as long as it took. With this one, I have more concerns because of earlier problems and am not as relaxed about it.

Am 40 plus 6 now.

OP posts:
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BumpMakesTwoAndABit · 20/07/2009 16:41

An interesting thread! What's particularly interesting is the range of views shown by midwives/hospitals in different areas, too.

One thing that hasn't been mentioned at all is the potential difference between first and subsequent babies, and any genetic link. In France, for example, a first pregnancy is presumed to be 41 weeks, subsequent ones 40 weeks - and my midwifery team seems to hold the same view.

I'm 41w now, and my MW is completely relaxed about it. She asked about my mother's obstetric history and on hearing that I was the first, and was 10 days late, laughed, and said 'better resign yourself to 41+ weeks then!'. I'm booked for a sweep on Weds, when I'll be 9 days overdue, and another on Friday, at 11 days OD ('because the first doesn't usually work'). I said that I was anti-intervention (and am booked for a homebirth) and asked the MW for advice and her recommendation. She said that she would advise a monitoring scan at 42w if nothing had happened by then, and a conversation/plan based on the results of the scan - which she said could be anything from 'immediate induction' to 'sit and wait, homebirth still ok'. If the latter, it would then be monitoring everyday.

Much as I dislike the thought of a) induction and b) a hospital birth, I have every confidence that all the midwives in my team fully support my position and wishes, and that they all want me to have a homebirth if possible. I think because of their attitude, if at any time one of them said that they would advise a change in plan, I'd definitely go with it. At the end of the day, they know better than I do, and I have to do whatever is best for the baby at that moment in time. I'm absolutely certain of my dates (I know I ovulated 18 days after a m/c at 16w, and got a +HPT 9 days after that - and the hospital has dated my pregnancy from ovulation date, since LMP would make me 58 weeks pregnant now). I guess there's not much else I can do apart from pray that this baby gets the eviction message!

Hobgoblin - really hope that everything has now happened for you naturally - def go with your instincts on this one and if you sense the MW is concerned, trust her!

CarGirl · 20/07/2009 22:19

Hi Bump

I saw the consultant at our hospital who is anti interventation and is supportive of women going post dates etc. Despite my birthing history, my long cycles, the fact that my Mum went overdue and was induced etc all the reasons why I would have initially been happy to go to 43 weeks etc, she was still very much yes we would give you expectent management however we've all delivered babies still born for no reason that was found other than placenta failure and that's our concern.

Interestingly this hospital's standard thing was to induce at 43 weeks 30 years ago (even for first, when my friend suffered stillbirth), 12 years ago it was 42 weeks for first (when my eldest was induced), 4 years ago it was 7 days for first, 10 days for subsequent. Despite the consultant having completely okayed me going to 42 weeks with her blessing etc one of the registrars at 40 weeks had a huge row with me being absolutely adamanant that they wouldn't let me go past 10 days. The consultant of course okayed it again for me.

So yes it varies so much and no they don't seem to want to take genetics and history into account automatically which I find very bizarre!

BintOfBohemia · 22/07/2009 08:51

hobbgoblin - how are you?

pretoria · 22/07/2009 19:00

Here is a very comprehensive article on post-dates pregnancy, that reviews a lot of the most current evidence:

emedicine.medscape.com/article/261369-overview

pretoria · 22/07/2009 19:02

sorry - pressed 'enter' too quickly

emedicine.medscape.com/article/261369-overview

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