upset at my 27 week apt..

[Honeybunches26]

so my pregnancy is considered high risk because we had a stillbirth at 26weeks for unknown causes and because I have hyperememsis(HG), even though I seem to be doing better because of my history the doc today informed me that I will have to be induced at 39 weeks.. I told her under no circumstance do I want to do that.. but Im now wondering what should I do? keep seeing her because this is one of only two offices in my city that works with highrisk pregnancies and has a specialist.. the other office has a specialist as well but that one isnt in office hes an hour and a half away and thats why I choose this office in the beginning ... my question to you ladies is what would you do in my shoes? part of me says stay and consider it although im against it and the other side says stay here until about 38 weeks and then switch offices... does that make any sense..

thanks 

Qualyn

[LuvAZmomma]

Hyperemesis does not make you high risk. I have had it with all 3 of my Pregnancies. I can inderstand why they would want to watch you carefully because of a previous miscarriage but miscarriages do not happen for no reason what so ever. I would refuse induction unless she can give a better reason than its what they do routinely

[schultzal]

I really can't work out why you are considered high risk for those things. I had a miscarriage at 20 weeks (unknown reason for fetal demise) and hyperemesis (last time and this time) and my midwives consider this, my 2nd pregnancy, a normal, healthy pregnancy.

[joyful_mama]

Without a good medical reason, I would refuse an induction. Induction carries a great amount of risk and should only be used when absolutely necessary.

Natural birth advocates think they know better than OBs because very often they do. OBs are trained to mess with the natural process of birth. They generally have no idea what a truly natural birth looks like. Just because something is SOP doesn't make it a good idea, and most often it is a bad idea, especially in obstetrics. So very little of what OBs do is evidence based medicine.

[tabi_cat1023]

Couldnt say it better myself.

I honestly cant think of a reason induction would be necessary

Quoting joyful_mama:

Without a good medical reason, I would refuse an induction. Induction carries a great amount of risk and should only be used when absolutely necessary.

Natural birth advocates think they know better than OBs because very often they do. OBs are trained to mess with the natural process of birth. They generally have no idea what a truly natural birth looks like. Just because something is SOP doesn't make it a good idea, and most often it is a bad idea, especially in obstetrics. So very little of what OBs do is evidence based medicine.

[Duquesne]

I hate the insinuation that natural birthing mothers ignore distressing signals and put our children in danger to be "natural." OBs are great when there are issues and medical problems in pregnancy. They can be great for a regular pregnancy. But they go unchecked. They offer intervention for convenience. They feed lines that are not evidence based and they feed into fear. They ignore current research. If a neurosurgeon performed surgeries without medical reason, people wouldn't sit back and let it happen. People wouldn't agree to that surgery without researching the options.

So why is it when we advocate women research their options and not follow their surgeon's suggestions blindly, we're putting our children's lives in danger?

[JWu]

I had a 39 week loss due to placental abruption. We did not know the cause until delivery. The following pregnancy I had a BPP done and then weekly NST until the 34th week when I went to twice weekly NST. It was in the 34th week that my last baby was having heart rate decelerations. Our original plan was an induction by 39 weeks but it was moved up to the 35th week following steroids to mature my daughter's lungs in the 34th week. My daughter ended up healthy and is an advanced 8 year old today. I am now pregnant again and we are planning on a 39 week induction again. Ask for the BPP and subsequent NST perhaps that can be the determining factor for you and your doctor to both feel confident in the safety of the pregnancy. Good luck.

[joyful_mama]

http://en.wikipedia.org/wiki/Placental_abruption

According to that the risk of placental abruption can be reduced. Also, it just doesn't make sense to me that an induction is the way to go to prevent it. The contractions produced by induction are much stronger than what occurs naturally and would lead to an increased likelihood of an abruption.

Quoting JWu:

I had a 39 week loss due to placental abruption. We did not know the cause until delivery. The following pregnancy I had a BPP done and then weekly NST until the 34th week when I went to twice weekly NST. It was in the 34th week that my last baby was having heart rate decelerations. Our original plan was an induction by 39 weeks but it was moved up to the 35th week following steroids to mature my daughter's lungs in the 34th week. My daughter ended up healthy and is an advanced 8 year old today. I am now pregnant again and we are planning on a 39 week induction again. Ask for the BPP and subsequent NST perhaps that can be the determining factor for you and your doctor to both feel confident in the safety of the pregnancy. Good luck.

[joyful_mama]

http://www.ehow.com/list_6901681_labor-induction-risks.html

A known risk of induction is abruption.

[AimeeE]

What about just getting a second opinion from the other specialist in your area? Maybe that will give you some more info?

Quoting Honeybunches26:

thats what I asked.. she said we can revisit our options as we get further along.. so I tried to let it go but it did upset me.. and she made it sound like my loss was more concerning because they had no cause of death, and like that changed the situation? which before her acting that way I have never heard... I havent agreed so far I told her Im opposed and sure we can revisit the subject but unless we were in danger I see no reason for it.. and she said okay we can try natural possibly but we have to wait and that she had planned to induce me from the start based on the history of stillbirth.. and thanks.. I imagine this is just common practice.. but if there is a medical reason I dont mind considering it but if not I may need to find a new doctor which sucks with my high risk nature! 

Quoting VintageWife:

How very odd.  I wouldn't understand what she was trying to say, honestly. I don't understand how a 20-something wk loss would have to do with a 30-something week birth unless they knew why it happened. I guess I'd be asking a lot more questions before agreeing to anything.

BTW, I'm very sorry for your loss :(

Quoting Honeybunches26:

she said because of the history of stillbirth.. but when I asked her does that make it neccessary she said its still too early to make a decision either way, but that it most likely will be whats done.. and not to worry about it now.. which really didnt reassure me at all! 

Quoting VintageWife:

I don't understand why in the world she'd insist on an induction.

 

[Juliet8826]

It sounds to me like you're doing a really good job of communicating with your doctor and she seems reasonably open to listening to you. If you feel comfortable with her I would stay where you are and continue to say that you will not schedule an induction unless medically necessary as time progresses. If she does start to seem worried ask for a biophysical scan to assess baby's condition. That should buy you some time to go into labor on your own. I would not want to switch doctors at 39 weeks. That sounds needlessly stressful. If you think that she'll listen to you and not force the issue, then I would stay where you are.