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    Posted: 19 April 2011 at 10:07am
Hi there, I am currently 41+1 weeks pregnant. I went 12 days over with my first child and was induced. I am really hoping to avoid that this time, and am willing to hold on for as long as possible to give this baby a chance to come on its own accord. I am going to schedule a scan to ensure that everything is okay with fluid levels, the placenta etc, and then tentatively book an induction for 43 weeks. Has anyone gone over 42 weeks and labour has started naturally?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiAtHeart Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 11:07am
Hi there, I havent myself, but my mum went over 42 weeks with me and labour started on its own and she had a very normal and quick delivery, I dont know what it was like for her really but Im sure she was monitered closely. All I can say is well done to you for willing to go that far over!
   
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Hey
Great question! I went for a S&S yesterday but cervix isn't even in reach so MW suggested we try again Thursday.
My EDD was Fri 15th April and I am still patiently waiting so I am only 40wks + 4d but would love to know about other mums who were overdue and either had to be induced or ended up naturally going into labor!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jaune Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 1:02pm
I went 12 days over with DS...was induced on day 12 and he was born 13 days overdue (based on scan dates). I was really not keen on being induced, I really wanted him to come when he was ready, but based on my cycle due date he was a further 10 days overdue. I asked a similar question about anyone who had gone over 42 weeks when I was overdue - couldn't find many people who had, but try doing a search for more info.
I think there is quite a bit of pressure and almost scaremongering about not going over 42 weeks but I think next time, having already had a baby before, I'll be more inclined to wait...maybe up to 42+4...
Just a bit of background info - I was overdue, my sister was overdue, almost all my extended family were, my niece and nephew both inductions...so maybe we're just not good at initiating labour or our babies quite like it in there! Oh, and I did everything to try and start it naturally - EPO, sex, walking heaps, clary sage oil, birth mix, raspberry leaf tea...nothing worked!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote countingdown Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 1:13pm
After being induced with my first I'm a big believer in edd's not being an exact science! But I want to balance this belief with the safety of the baby. I tried every remedy the first time too but no luck! So I'm hoping just a bit more time will work....

Thanks for your feedback.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote crafty1 Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 2:17pm
My sil went overdue with all hers. With DD2 she was in Sweden and they let her go 43 + 2 and she went into natural labour (climbed up and down some stairs). She had to go to hospital for a scan each day i think and they were perfectly happy with fluid etc so let her keep going. She did say that the placenta looked had it though when they got it out.

Also went 42 + 3 with DD3 but had a much harder time convincing the NZ system to work with her. Think she went into labour naturally then too but can't be sure.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote rachelsea Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 3:22pm
Good luck my mum went 19days overdue with me, and went into labour naturally. She had a 6hr labour and I turned out fine (for some reason she was induced on due date with my younger brother though).

My MW is very pro-natural so if I go overdue this time I doubt she'd be pushing for induction (although I doubt I'd be happy waiting that long lol, far too impatient! My DD came at 36wks 5days so going overdue would feel like forever to me!!)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmi_ Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 8:35pm
I was induced at 40+12 and dd was born by c section 40+13. This time around I will not be induced unless baby or I are not coping, but given appropriate monitoring and trusting my instincts I will gladly go for as long as baby wants to (Im thinking in my head 44w, but we will see what baby decides!) Ive bookmarked a few links that are related to induction (or lack of) I can post if you want? I guess I knew I didnt want to be induced this time around and have found things to support my decision (As does my MW this time, my old MW scared me into being induced last time)


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Post Options Post Options   Thanks (0) Thanks(0)   Quote countingdown Quote  Post ReplyReply Direct Link To This Post Posted: 19 April 2011 at 9:34pm
Hi Emmi, some links to positive and well informed articles on going past 42 weeks would be welcomed. There seems to be a lot of scaremongering, especially on American websites.
Cheers.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bizzy Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 8:28am
there is a lot of scaremongering among nz midwives too. I have been over 42weeks with all my kids. The worst was when a hospital midwife told me about a lady whose baby had died and she tried to tell me it was because she was overdue. I told my midwife that i didnt appreciate those kind of scare tactics. i thought with my last child that i would be very determined to let her come naturally and i tried but the pressure is so intense. I feel i failed my daughter by giving in and in the end she was an emergency c section. and it wasnt just the medical profession that tried to make me feel bad for not wanting to be induced. i had friends tell me horror stories about my placenta deteriorating... but at least that made me look into it more and get informed.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote mummymonster Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 9:32am
not me, but a friend went 3 wks over and finally gave in to the Drs wanting to induce. the morning she went in for induction, turned out she was 3cm dilated already. they did start the induction (not 100% sure how) and apparently it just kind of kick-started it all and VBAC quick & all good.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmi_ Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 10:43am
Cool, will do it a bit later today when I have a few spare mins.
My old MW told me (as I was 40+11) that 10% of babies die once you go past 42w (I was trying to put off my induction from the next day (friday) ot the next week)... of course I didnt want my baby to die so I took the induction, but shoulda listened to my gut!


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmi_ Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 12:39pm
Ok, so the pages I have booked marked are the following (I take no responsibility for their content, I just bookmarked them cos I liked what they said )

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595289/

http://www.associatedcontent.com/article/1047180/the_lie_of_the_edd_why_your_due_date.html?cat=25

I had another really great article on Joyous birth, but it seems I now need to sign in to the forum to get it (And even now that ive signed up I cant see anything anyway!) but if I get it sorted I will post that too...

http://www.drmomma.org/2010/06/no-induction-is-normal.html


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmi_ Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 3:06pm
oohh yay I finally got into the Joyous Births forums!!
this is all just copied and pasted from

http://www.joyousbirth.info/forums/showthread.php?t=34257&highlight=postdates but you will have to register and then wait a bit to be able to see the forums.. :

When Research is Flawed: Management of Post-Term Pregnancy Henci Goer
http://www.lamaze.org/Research/WhenResearchisFlawed/PosttermPregnancyCochrane/tabid/173/Default.aspx

To quote Menticoglou and Hall's conclusion: “Routine induction at 41 weeks is ritual induction at term, unsupported by rational evidence of benefit. It is unacceptable, illogical and unsupportable interference with a normal physiologic situation.”
Ageing of the Placenta Harold Fox
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1720716/pdf/v077p0F171.pdf

Our current knowledge of the human placenta is briefly reviewed. Particular stress is placed upon the considerable functional reserve capacity of the placenta, the unimportance of most visible abnormalities of the placenta, the lack of any evidence that the placenta ages during gestation and the lack of significance of placental weight. The effects on the placenta of infection and of maternal cigarette smoking are considered and the concept of placental insufficiency critically discussed. It is concluded that most cases of 'placental insufficiency' are, in reality, examples of maternal vascular insufficiency resulting from inadequate placentation during the early stages of pregnancy.
Wings: a radio program on the magic of placentas! It's beautiful.
http://wings.org/ftp/2010%20shows/2010-lo-bandwidth%20shows/lo-wings03-10Placenta-28_40-64kbps.mp3

Birthlove’s 10 month mama page – extensive references. Leilah McCracken
http://birthlove.cyclzone.com/pages/ten_month_mama.html

Ten month pregnancies can be tiring and eroding, but for some women- it is simply how long we are intended to gestate.

Think of it this way: I was 11 when I got my first period; my best friend was 13. We "ripened" at different ages. People ripen prenatally at different ages, too: some women take as long as 46 weeks before their babies are ready to come out. (Women like me.)

In healthy, well-fed women long pregnancies don't lead to brain damaged, nutrient-starved babies! It's actually the opposite: my own "late" babies- my 6th and 7th children- are bright, precocious, healthy, darling, uniquely gifted in language- it would have been unthinkable to steal away their precious pregnancy time for my own convenience, or to follow some ridiculous, arbitrary medical timetable. (It would have been equally unthinkable to "naturally induce"- an oxymoron if there ever was one.)

And even though these babies were my biggest (10.8 lbs and 12.6 lbs respectively), their births were my least painful, most straightforward, and quickest: my body had lots of time to soften and prepare for birth, and when my time came, I was ready (as were my babies).
When is that baby due? Henci Goer
http://parenting.ivillage.com/pregnancy/0,,jb56,00.html
When it comes to determining your due date, "things," as the Gilbert and Sullivan ditty goes, "are seldom what they seem." The methods of calculation are far from exact, common assumptions about the average length of pregnancy are wrong and calling it a "due date" is misleading. Understanding these uncertainties may help to curb your natural impatience to know exactly when labor will begin.

Many obstetricians want to induce labor when you exceed your due date by a set number of days, in the belief that prolonged pregnancy increases risk. As with dating the pregnancy, the evidence for inducing labor after a certain time past the due date isn't nearly as clear-cut as you might think, but that's another subject.) If induction were harmless, it wouldn't matter, but it's not. Among other adverse effects, inducing labor increases the odds of fetal distress during labor and cesarean section in first-time mothers, and mistiming the induction can result in a premature baby.
Suspect Diagnoses Come with Biophysical Profiling Gloria Lemay
http://www.midwiferytoday.com/articles/biophysical.asp

In the past year, I have had a number of letters and phone calls from doulas, midwives and childbirth educators about a flaw in this testing method. An unusually large number of diagnoses seem to be made that "there is not enough amniotic fluid." This seems to be the factor in this outline that is most often used as an excuse for induction. It is important for parents to know that this is likely an inaccurate assessment.
Midwifery. 1991 Mar;7(1):31-9. Related Articles, Links

A Timely Birth Gail Hart
http://www.midwiferytoday.com/articles/timely.asp
The timing of birth has major consequences for a baby. Too early or too late can mean the difference between life and death. Or so we have come to believe; and it's undoubtedly true at the extreme ends of preterm and postterm birth dates. Although few babies are born at these extremes of the normal length of pregnancy, much of our prenatal care is based on bringing babies to birth "in a timely fashion"—neither too early nor too late. But our understanding of "timely" is clouded, and some of our methods are self-defeating. By intervening in the natural timing of birth, we sometimes exacerbate the problems or create entirely new ones.

Normal human pregnancy is approximately 280 days, with a variation of about three weeks. There may be reason for concern if labor has not begun weeks after the due date, since placental function begins to slow after some point in gestation. Placental insufficiency can lead to poor fetal growth and, eventually, damage to the baby's organ systems or even stillbirth. This is rare, but it is not necessarily connected to the calendar. The placenta can begin to fail at any point in pregnancy, and part of good prenatal care is monitoring growth and fluid levels so we can act before the baby's reserves are drained. We induce labor—even advise a cesarean without labor—if the baby is in trouble, regardless of due dates. It is obvious that a baby is "better off out than in" if the placenta can no longer nourish him/her or if the uterus has become a dangerous place.
What is Normal? Marsden Wagner
http://www.acegraphics.com.au/articles/wagner01.html

Active management illustrates the confusion in the medical approach as to what is normal and what is pathological in birth. A WHO publication states:

By medicalizing birth, i.e. separating a woman from her own environment and surrounding her with strange people using strange machines to do strange things to her in an effort to assist her (and some of this may occasionally be necessary), the woman's state of mind and body is so altered that her ways of carrying through this intimate act must also be altered and the state of the baby born must equally be altered. The result is that it is no longer possible to know what births would have been like before these manipulations. Most health care providers no longer know what "non-medicalized" birth is. This is an overwhelmingly important issue.

Almost all women in most developed countries give birth in hospitals, leaving the providers of the birth services with no genuine yardstick against which to measure their care. What is the range of length of safe labor? What is the true (i.e. absolute minimum) incidence of respiratory distress syndrome of newborn babies? What is the incidence of tears of the tissues surrounding the vaginal opening if the tissues are not first cut? What is the incidence of depression in women after "non-medicalized" birth? The answer to these, and many more questions is the same: no one knows. The entire modern obstetric and neonatology literature is essentially based on observations of medicalized birth. (WHO 1985a).

Medicalization also results in distortions of what is abnormal or pathological birth. How can it be that when the active management protocol is applied, over 40 percent of Dublin women having their first baby have a "dysfunctional myometrium" incapable of expelling a baby without the help of doctors and drugs? Active management was devised "for the early recognition and correction of inefficient myometrial activity" (O'Herlihy 1993), but the inventors of active management had never attempted to measure myometrial activity!
Prospective risk of unexplained stillbirth in singleton pregnancies at term: population based analysis
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC28178/

Unexpected late fetal death is tragic but not uncommon, most such fetal deaths being unexplained. Although five times more common than sudden infant death,1 they have attracted scant public attention.

The risk of unexplained stillbirth at
35 weeks is 1:500
36 weeks is 1:556
37 weeks is 1:645
38 weeks is 1:730
39 weeks is 1:840
40 weeks is 1:926
41 weeks is 1:826
42 weeks is 1:769
43 weeks is 1:633
A Doctor's Comments on Post-Maturity
http://www.joyousbirth.info/articles/drcommentsonpostmaturity.html

With the background of my experience with postmature babies, which is far more comprehensive than most other practitioners under the rule of induction at forty-two weeks or earlier, I have to assert categorically that the so-called recognized signs of postmaturity are fallacious because babies mature at different rates. Those signs are practically never due to real postmaturity, they are more likely to be due to other factors like a severe illness during pregnancy, or placental infarction well before term.

I knew that postmaturity signs were unreliable long before I ever started attending homebirths, because I can still remember the famous and respected paediatrician Kate Campbell telling us students about postmature babies having long hair and long fingernails and other signs, and premature babies having the reverse. But once I got into general practice and was ********** babies in hospital, I noticed that those signs were most unreliable, and that some babies born before term had long fingernails and hair, and some babies born after term did not.
Postdates: separating fact from fiction
http://www.theunnecesarean.com/blog/2009/10/3/postdates-separating-fact-from-fiction.html


http://pregnancy.about.com/od/induction/a/risksinduction.htm

5 Reasons to Avoid Induction of Labor

1. Increased risk of abnormal fetal heart rate, shoulder dystocia and other problems with the baby in labor.

2. Increased risk of your baby being admitted to the neonatal intensive care unit (NICU).

3. Increased risk of forceps or vacuum extraction used for birth.

4. Increased risk of cesarean section.

5. Increased risks to the baby of prematurity and jaundice.
Nice, simple article, good for sharing around. Explains a little of the five points with footnoting.

Edited by Emmi_


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Post Options Post Options   Thanks (0) Thanks(0)   Quote sarasal Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 3:26pm
Hope your bubs decides to be born soon ... it's so tough waiting. My son was born at 41 wks and the nurses said I was lucky he was in such good condition as the placenta had calcified ... but he was perfectly fine, no problems at all. I have a friend who was told she was 3 weeks overdue and pressured for an induction. She refused and her baby was born perfectly full term ... her midwife had messed up her dates. So if all is well with baby's vitals and you're happy to wait, I'd say trust yourself. Most likely he'll be here any day now. Good luck!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2011 at 3:47pm
I went past 42 with both of mine. I was induced with DS1 at 41+5, and DS2 at 42 - both took an extra 3 days to come! My MW says based on the amount of amniotic fluid I had and the appearance of the babies, she suspects I am a natural 43 weeker and if there was a next time, she would fully support me going to 43 weeks with close monitoring. So I think it depends on your history, your LMC and how things are looking. Interestingly, even the most-interventionist OBs at my hospital were planning to send me home for a few days at 42+2 since the inductions weren't working - so obviously, they accepted that some babies just needed time.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote countingdown Quote  Post ReplyReply Direct Link To This Post Posted: 22 April 2011 at 4:20pm
Update! The next day after starting this thread I went into labour naturally! When contractions started I was so sure that it was just 'wind' pain, as I had it in my head that I would have to be induced again. Luckily my husband persuaded me otherwise as little Willa arrived only 4 hours later.

So thanks Emmi for posting all that info! I'm still a big believer in babies coming when they're ready, whether that be on 'time' or a bit later than we expect. I hope my experience gives a bit of hope to those in a similar situation!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bizzy Quote  Post ReplyReply Direct Link To This Post Posted: 22 April 2011 at 6:20pm
woohoo - congratulations!!!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmi_ Quote  Post ReplyReply Direct Link To This Post Posted: 22 April 2011 at 7:34pm
WOw thats amazing countingdown! congratulations!!


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Post Options Post Options   Thanks (0) Thanks(0)   Quote sarasal Quote  Post ReplyReply Direct Link To This Post Posted: 24 April 2011 at 10:47am
awesome, congratulations!
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