41 weeks today

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41 weeks today

Postby Shauna » Mon May 10, 2010 7:34 am

Hello all,

As the title says my 'due' date has come and gone and I am now 7 days over. I am booked for a sweep later on today but I really dont want to have it! This is our first child and I believe the baby will come when it is ready. However, I am up against the mw and even if I dont have the sweep today I am scheduled for induction on Thurs. I guess I am just looking for some reassurrance that I am not harming the baby. :?
Shauna
 
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Re: 41 weeks today

Postby mia » Mon May 10, 2010 6:00 pm

Hi Shauna,
Did you have your sweep?
Thursday seems very early for an induction - especially in a first time pregnancy (average gestation is actually more like 41 weeks). Your baby isn't late statistically, until about OVER 42 weeks. At 41 weeks, about half of babies have arrived, and at 42 weeks, nearly 95 % have arrived, so the chances are.... any time now!!! :D

The government guidelines (NICE) suggest that you should be OFFERED an induction, and that if you politely decline, you shoudl be OFFERED alternatives (such as regular monitoring of baby and placental functioning). You are only declining for a bit - not for ever. You can decide to decline until 42 weeks for example, and then rethink. There is no urgency here - that becomes apparent for those mums who get booked in reluctantly, only to be told that the induction won't be on that date because there is no longer a space available, which kind of throws the argument "you need to be induced at 10 days over".

I would ask your midwife what are the risks of induction before baby is ready.... :wink:

I went 17 days over. I attended a meeting to "talk to" the consultant at 14 days (which meant have all the "risks" read to me, but I knew them anyway, because I had done my research). He wrote in my notes "low risk" which in medical speak practically means "no risk" but they can't put that. I then realised that midwives and obstetricians tell us things they have to tell - even when they don't even agree with what they're saying. Maybe your midwife is hoping you will decline, because she knows it's too early, but she has to go with hospital protocol....

Good luck, keep strong, for you and your baby. It really won't be long before you're holding baby in your arms..... 8)
mia
 
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Re: 41 weeks today

Postby bernieUK » Mon May 10, 2010 9:37 pm

Hi Shauna,
I echo Mia's advise. I'm a practising midwife as well as HB practitioner and am aware now that most U.K units adopt the N.I.C.E guidance quoted below. If they don't, they will when you present this info in whatever form best represents your wishes - remember "B.R.A.I.N." - the non-aggressive bargaining tool which ensures people have dialogue with you, both sides using evidence. This is all assuming that you're low risk; but there are bargaining rights even if you're high risk (just depends what the risks are).
As Mia states, no-one needs to be doing/offering anything until 42 weeks is reached and then individual plans are drawn up. One of my NHS Clients refused sweep last weekend at 41+2, accepted consultant appt to start review plan 4 days later, never got to appt as had her baby naturally & normally in water 2 days after i initially saw her! Needless to say, she's delighted!
If consultant team don't play the game - engage the services of a supervisor of midwives; ask your midwife or head of midwifery to allocate one to you.
All the best & follow your instincts so long as there are no clinical indicators for true concern on anyones' behalf.
Regards,
Bernie.




"If you are pregnant beyond 41 weeks
If your pregnancy goes beyond 42 weeks, there is a greater risk of your
baby developing health problems. Therefore at 41 weeks you should be
offered a ‘membrane sweep’, which involves having a vaginal examination;
this stimulates the neck of your womb (known as the cervix) to produce
hormones that may trigger spontaneous labour. If you choose not to have
a membrane sweep, or it does not cause you to go into labour, you should
be offered a date to have your labour induced (started off).
If you decide against having labour induced and your pregnancy continues
to 42 weeks or beyond, you should be offered ultrasound scans and your
baby’s heartbeat may be monitored regularly."
bernieUK
 
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