Nov 182012
 

“The longer we wait, the higher your chances of a dead baby.” – OB explaining why the mother needed to be induced at her due date.

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 November 18, 2012  dead baby card, Due Date, induction, OB  Add comments

  35 Responses to ““The Longer You Wait, The Higher Your Chances Of A Dead Baby.””

  1. If I died and God granted me just one wish for the world I left, I’d ask for Him to make stupidity painful. Half the OBs would leave their practices overnight.

      • There are some really good OBs out there who would never lie to their patients to manipulate them into a medical procedure they didn’t need. :-)

        • Exactly — my OB was amazing at fighting for me to get my VBAC :-D

        • The OB was not lying. The reason doctors start talking induction when you approach 42 weeks (with a singleton–it’s generally 38 weeks for dichorionic twins and 37 weeks for monochorionic twins) is because the risk of stillbirth spikes if babies stay in that long.

          A study on that:

          “The risk of stillbirth at term increases with gestational age from 2.1 per 10,000 ongoing pregnancies at 37 weeks of gestation up to 10.8 per 10,000 ongoing pregnancies at 42 weeks of gestation.”
          http://www.ncbi.nlm.nih.gov/pubmed/22914394

          • And PS, that study was looking at almost 4 million births in California from 1997-2006. In other words it was a huge, long-term study, not some little study with too small a cohort to be valid.

  2. I think that a lot of people actually believe this.

  3. Really? Numbers please! What are the exact chances of stillbirth at 38-39-40-41-42+ weeks? What are the chances my due date is wrong and the baby would be induced too early? What are the chances of an induction to fail and a C-section to become necessary? What are the side effects of the drugs you plan to use for the induction? What are the chances for the baby to suffer serious complications because of the induction?

    No problem, I’ll wait until you go look those up. And then I’ll look at the numbers and judge for myself how they apply to my individual situation. And then I’ll make an informed decision. Who knows, that decision may also include me leaving with a copy of my records.

  4. Really? Interesting. Do you also have the odds on Pitocin making the chances of a dead baby higher? Because I know they have numbers for that problem, too. And I also know that I get to pick which odds I like better. And that you need to show me studies, not pull numbers out of your, ya’know…

    • I tried to explain that the numbers I’ve seen put waiting and inducing to be about the same percentage of risk to my OB when he said he was only comfortable letting me go until 42 weeks according to my u/s due date instead of my earlier due date. He the told me if I’m comfortable with putting my baby’s life at risk he would respect that (her NST’s were normal). Nice. I turned to my husband and asked did he really just try to play the dead baby card? My OB didn’t know what to say after that. lol

      • I LOVE that!! “Did he really just try to play the dead baby card?” I would love to have seen the OB’s face at that one. Just out of curiosity, how far along were you when you had your baby?

        • I was 42 weeks 5 days when I went into labor. I was supposed to have an appt that morning, but went into labor and my water broke an hour before my appt. When I got to the hospital my nurse, who I had once before for a NST (loved her), told me my chart said he was going to try to talk me into an induction for the next day, so it was good I went into labor then. I told her that wouldn’t have happened anyway. She looked at my chart again and said good. lol So he didn’t get paid for that appt or the birth. lol He wasn’t a bad OB over all. I think they drill into them at medical school that after 42 weeks the baby WILL die. He also asked me (politely) why exactly I was so against being induced. *sigh* They just don’t get it. I summed it up by saying once you intervene unnecessarily it’s like a domino effect and I don’t want to take that risk. He looked confused. lol
          She was just waiting to be born on my birthday. 9/11 :)

          • Has anyone else noticed the weird phenomenon that OBs are far likelier to agree to something if the reason is unimportant, just as long as you don’t try to use facts or challenge what they say? For instance, delaying induction because of risks will make them angry. Delaying because you don’t want to be in the hospital on your birthday? Sure! It drives me crazy! It just proves to me that a lot of the OBs I’ve met are extremely defensive about their authority over women.

          • Interesting! I’m going to look out for this, I think you are right. Really interesting…

          • I think everyone needs a brother, sister, aunt or uncle with a birthday at about 42 weeks. Think how that could reduce the fighting.

      • I loved the look on the on-call OB’s face when my husband shut down her dead baby card. I’m pretty sure she had never had a patient question her omniscience before. Sigh… so satisfying :-D

  5. How interesting! I’m sure you have some medical research to back up that statement, right? You would never just bully someone into a medical procedure without actual medical evidence, right?

    Or are you just a git trying to get your way by scaring me?

  6. What’s the word I’m looking for? Oh yeah…. bullshit!

    • This is so out-of-character that it made me burst out laughing!
      …Hope you’re doing okay.

      • ::grins:: Every once in a blue moon, I find that nothing else will do! I’m hanging in okay, thank you! Still feeling a little overwhelmed with the recent diagnosis but that’s to be expected. How are you doing, Kathryn?

        • Life is pretty good here, thanks for asking. :) We’re finally in our own place again after 2.5 years living in my in-laws’ basement (we’ve been married 4.5 years), so that’s fabulous. Plus, had a fun play date this morning, which always recharges my batteries and makes me a better mom/person.
          I know I’ve never met you, but your comments here have always impressed me and I admire you and pray for your comfort and peace with the trials I know you are going through.

          • Oh my goodness, it must be such a big relief for you all to be in your own home again! No matter how wonderful extended family might be, every little family unit wants their own space at times!

            Thank you for your sweet words and most of all, thank you for your prayers! I covet them now more than ever, for certain sure. Life has been wearing me down more than I’d care to admit right now and I’m struggling to set it all aside and just focus on this holiday season and the joy that will come with it!

          • It’s awesome — I have my own kitchen, two bedrooms for my family of 4, AND a washer/dryer exclusively for my use. The only way it would be better would be if library/park/grocery store were within walking/biking distance. :)

            You’ll always have my prayers. I hope you find joy, especially this holiday season!

  7. Of course, this is true after a certain point. But is 40 weeks that point? No. Not even close.

    • And that point varies from pregnancy to pregnancy. My sister carried her youngest child to 46 weeks. Most people would say that this was well past the line but she and the baby were fine.

      • And a window washer in NYC fell 47 stories and lived! (See link below.) Does that prove that it’s safe to fall 47 stories? This is a purposely absurd example, because obviously the risk of stillbirth after 42 weeks is way the hell less than the risk of dying if you fall from a great height, but my point is just that the fact you know someone who went to 46 weeks and had a healthy baby doesn’t mean that going way past term is more likely to kill your baby than having it at 40-42 weeks.

        http://www.theguardian.com/world/2008/jan/04/usa

        • Attacking someone who doesn’t often post here on a two year old thread. Wow, I bet that makes you feel so… vindicated? Tee has midwifery training so she’s not talking out of her butt. However, even if she were just giving anecdotal evidence about her own sister, you could have used your amazing Google powers to read for yourself that the 40 week time limit is far from a given across the medical community *before* you decided to post. There was quite a bit of buzz just last year about a study that found normal pregnancy duration varying by more than a month from implantation, depending on several factors such as maternal age and hormone levels. And of course, you are not post-dates until you are 42 weeks according to ACOG. (Then there is, of course, the fudge factor of using LMP to determine the due date. In my own case it gave a “due date” that was a full 2 weeks short of 40. It could have ended badly if I had followed the very dangerous but “standard” advice given by my first provider based on that false information.) The piece published in JAMA is by subscription only so you could try searching for “pregnancy length vary 5 weeks” to read stories about the article if you are not a subscriber. Either way, it is up to each patient to weigh the advice of their provider against current medical evidence, research, and their gut instinct so that they can make an informed decision for themselves. In many, many cases, both provider and patient agree that watchful waiting is the best course, even at 40 weeks (which is what *this* post was about even though you skimmed it over and somehow read 42). It is not unreasonable to ask if there are any signs of distress instead of just going off of the calendar.

  8. Can I just ask the people here whose posts sound so confident that the doctor was wrong, lying, spouting bullshit, etc., what is it that makes you think that? IOW what is the reason you think that the doctor was wrong and going past 41-42 weeks doesn’t increase your risk?

    • You do see that it says DUE Date right ? Due date = 40weeks (and yes I know the wheel of when can be wrong)

    • Selective reading again, I see. The art of skimming and attacking is not lost on you, young grass hopper…

      • I often wonder how Tee is doing and really miss reading her comments. I was just annoyed that Daleth has used this thread to justify rude behavior on other posts and has been rude in this one and wasn’t even correct in her facts.

        I find it annoying that Daleth seems to think she knows more about any given situation than the parties involved.

        *yes i am assuming Daleth is female. I apologize if that is wrong.

        • I agree, on both counts. I really enjoyed hearing Tee’s take on things (especially her supportive remarks on my own submissions) and I hope she is doing well. The old comment system was buggered for such a long time and it was really frustrating for everyone who put time and effort into a comment here only to have it “eaten”. I think the site lost a lot of wonderful users over that issue, Tee included.

          • I agree about the comments. I never commented a lot, but after several of mine being eaten I completely understand the fustration. I also really miss the pink links, they made it much easier to find the rest of the story.

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