Jump to content

Induction for 'older' mums
Automatic induction at 40 weeks?

15 replies to this topic

#1 Still hopeful

Posted 11 April 2012 - 09:10 AM

At the first appointment with my OB, he said that 'AMAs' (women of advanced maternal age) can only go to 40 weeks and are then automatically induced. The reason he gave was the increased risk of stillbirth. Ofcourse, I don't want to take unnessecary risks, but I was really surprised. I always thought that you could go +2 weeks (or at least 10 days). I have just turned 40 and this is my first baby. I am very keen to avoid interventions if possible - even though the OB seems good, with a nice manner, I am starting to think about switching to midwifery care. Any thoughts or experiences on AMA induction??

#2 katpaws

Posted 11 April 2012 - 09:25 AM

I was 34 when i had DD. Getting to 40 weeks, my blood pressure went up and there were some indications that the placenta might have been degrading. I spent a day at hospital to make sure everything was ok (It was). At 41 weeks my OB suggested an induction the following week if no baby popped out by itself. However, it was not a case of policy of induction for women of my age but more concern about the baby staying in the womb okay (not overcooking lol).

At 42 weeks plus i had two pessary inductions that were not successful and ended up with a hormone drip and manual breaking of the waters, although i was given the option of an elective caesarean.

For some women, inductions work out ok for them, others like me not so good results. All i can say (advise) is that you fully understand the implications of having an induction ie what happens if a pessary induction is unsuccessful or successful, what happens if you progress to a hormone drip induction ie will you have stay on a monitor for the length of labour and what happens if that form of induction is not successful. Inductions for older women is often associated with increased interventions, from what i have read and anecdotal stories.

Some women can go past the 40 week period with no negative outcomes for mother or baby but each person is a different case and has different medical needs/circumstances. A good health provider would ensure proper monitoring and testing to ensure the placenta was working ok and the mother and bubs health was being maintained.

Edited by katpaws, 11 April 2012 - 09:26 AM.

#3 Wigglemama

Posted 11 April 2012 - 09:28 AM

My workplace offers inductions for that reason, however, women have the right to decline the induction. It is in the public system, and I don't know the policies of the hospital you are attending, but surely you can refuse an induction? I would also consider changing obs to someone who is more flexible and woman centred.

#4 heffalumpsnwoozles

Posted 11 April 2012 - 09:33 AM

I was AMA for both my babies (35 for first, 37 for the second) and neither of my obs cited that as their policy.

I was induced at 41 weeks with my first, my second I would have been allowed to go to 42 weeks with monitoring as long as all was going well, but she showed up spontaneously on her due date.

If it was me, I would consider changing obs. He sounds a little intervention happy, and a little as if he just works to rule rather than to the needs of the individual.

#5 liveworkplay

Posted 11 April 2012 - 09:45 AM

I was AMA for my 3rd child. I was also VBAC so no mention of inductionat all. I am guessing here, but I assume the reason for increased still birth is due to placental function. I, again assume, that this declines more rapidly the older you are. If this is the reason, I would be requesting placental function monitoring after 40 weeks instead of an induction. You never know, you may go into spontantious laboour well before that original.gif

#6 Etcetera

Posted 11 April 2012 - 09:52 AM

I would find a new OB.
I had one try to pressure me into an induction before I was even due! I was 26. Some OBs are very into interventions.

#7 PurpleNess

Posted 11 April 2012 - 10:35 AM

Find a new carer, that's crap & I'd be very very annoyed & angry. There is no reason for an automatic induction. If they have concerns about you , the baby, your placenta, pre eclampsia etc then you should be monitored and kept informed & be involved in the decision making process.

I had my first at 40 and there was no way I was having an unnecessary induction just because of my age, especially after a perfect pregnancy.

Get a new OB, or better yet join a midwife program.

#8 Guest_bottle~rocket_*

Posted 11 April 2012 - 10:40 AM

Well I suppose at least your OB was upfront about his policy on AMA women and mentioned it at your first appointment.  I wish I could have said the same about mine.

I vaguely remember reading a news article about the higher risk of stillbirth in mothers aged 40+, perhaps this is what he was referring to.    

In any case it is your choice whether you are induced or not, regardless of whether you are a public or private patient.  I think I would be seeking another OB or switching to midwife led care in which you are encouraged to be involved in decisions about your care.

Edited to add link to article about inducing women over 40:


Edited by bottle~rocket, 11 April 2012 - 10:48 AM.

#9 SeaPrincess

Posted 11 April 2012 - 10:41 AM

I was 35 when I had DS1, he was induced at 41+1 due to my blood pressure increasing.
I was 37 when I had DS2 and there was some talk of inducing early due to GD, but he came on his own at 36+5.
I was 39 when I had DD, and she was induced at 40+1 for a number of reasons, none of them the fact that I was AMA.

OP, where are you located? Perhaps someone can suggest a different care provider?

#10 Still hopeful

Posted 11 April 2012 - 10:51 AM

QUOTE (shmach @ 11/04/2012, 10:41 AM) <{POST_SNAPBACK}>
I was 35 when I had DS1, he was induced at 41+1 due to my blood pressure increasing.
I was 37 when I had DS2 and there was some talk of inducing early due to GD, but he came on his own at 36+5.
I was 39 when I had DD, and she was induced at 40+1 for a number of reasons, none of them the fact that I was AMA.

OP, where are you located? Perhaps someone can suggest a different care provider?

I am in Sydney Eastern Suburbs - happy for all recommendations! (I previously received PMs after asking for OB recs).

#11 cinnabubble

Posted 11 April 2012 - 11:01 AM

Sounds ridiculous. I had a child at 41 weeks when almost 37. Labour started naturally, but was augmented. At 40, I was induced at 41+2 because I was considered overdue enough.

Honestly, I'd ditch the OB and go public unless something other than your age puts you at risk.

#12 Shellby

Posted 11 April 2012 - 04:04 PM

My friend had her little baby 6 months ago and she is also 40. I asked her when she was reaching 40 weeks if they did induction due to age and she was saying no, they just following your pregnancy along like everyone elses - if a problem comes up then they will deal with it just like someone who is 24. She ended up going into natural labour at 40+1.

So I would ask him if he is willing to allow you to go over if you wish at the time - he maybe willing to be flexible with what he does. If he isn't then I would be looking for someone else also - unless you really want to be induced at 40 weeks and not go over.

#13 katbalou

Posted 11 April 2012 - 04:11 PM

DS1 - I was 37 and was induced at 38 weeks due to IUGR, but nothing to do with being AMA.

DS2 - I was 39 and birthed naturally at 40 weeks + 6 days.

DS3 - I was 42 when labour started naturally at 40 weeks (waters broke then contractions), then stopped. I needed a little help to get things going again.

No-one at any stage mentioned being induced due to age - only due to how baby was progressing.

Good luck.  First bub at 40 - how exciting for you!

#14 50ftqueenie

Posted 12 April 2012 - 01:26 PM

DD arrived at 41 weeks when I was 35
DS arrived at 42 weeks when I was 38

I wasn't induced for either and my OB was happy to see how things went with some monitoring after 40 weeks.  I can't advise you what you should do, but just wanted to let you know how things worked out for me.  A second opinion won't hurt, but I can tell you that those last 2 weeks with DS were the longest weeks of my life!  I'll cross my fingers that your baby arrives happy and healthy and "on time"  biggrin.gif

#15 Etta

Posted 12 April 2012 - 02:20 PM

I was pregnant at 41 and a midwife dismissed any worries that I was too old for Family Birth Unit - she didn't seem to think that 41 was old at all. Later when I had GD the obstructician told me 'we induce at 40 weeks and 39 if you are insulin dependant'. I managed to get out of obs control and back to FBU, and went into natural labour at 40+3 days.

I stuck to what I knew was my due date rather than the hospital's date - by their reckoning I would have been about 2 weeks over. Everything was fine - healthy baby and natural labour, although some placental deterioration. Nobody but creepy obs seemed to be fussed about induction and dates - more concerned with monitoring mine and my baby's health.

#16 au*lit

Posted 12 April 2012 - 02:28 PM

I was 37 when I had DS. I was induced with gel on the evening of 41 + 1 with the intention of coming in for ARM/drip the following morning, but the gel was enough to get me going.

My age was never mentioned as a reason for inducing, my OB only talked about the possible degradation of the placenta.

Reply to this topic


2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users


Kourtney Kardashian goes nude for art

We've all done some pretty radical things after a big break-up, but Kourtney Kardashian has gone one better.

Video shows babies 'singing' to music in the womb

A new study has shown that babies may actually be able to hear from as early as 16 weeks – 10 weeks earlier than was commonly thought.

Prevent pelvic pain with pre-pregnancy exercise: study

Women who want to stave off aches and pains in pregnancy should exercise regularly before they conceive, experts say.

Dad's hilarious blog about life with twins

A stand-up comedian in the UK has plenty of new material since becoming a dad to twin boys.

Dinosaur products for babies and toddlers

Dinosaurs are one of those classic childhood crazes. We've put together a host of products for dinosaur-mad parents, babies and toddlers.

Restaurant manager sticks up for noisy baby

A mum was left upset by a note from neighbouring diners saying her screaming baby had ruined their dinner.

His name is Cayden: Mum and social media hit back after racist Facebook attack

When a man posted a selfie with a co-worker's son to Facebook, it became a magnet for racist comments.

Join the Real Mums Test Drive Team

Five new mums will join the Essential Baby Test Drive Team and discover great new baby toys from Fisher-Price & write a review to be published on Essential Baby.

The Chinese tradition for new mums that can now cost $37,000 a month

Opulent rest time is becoming the gold standard in postpartum recovery, inspired by a Chinese confinement custom known as "sitting the month".

How the media can shape our decisions when it comes to labour

We all like to think that we make our choices in fair, reasoned and well-thought out ways. Not many of us would admit that we allowed the media to influence us in our life choices.

Mum told to express in pet relief area at airport

A woman who flew from Boston to Washington says staff with United Airlines at Washington's Dulles Airport suggested she pump her breast milk in the pet-relief area.

Heartbreak as mum dies and her baby chokes to death

An Australian woman living in the US collapsed and died while feeding her baby, who then choked to death on his food. 

The hidden mental health illness of anxiety

Anxiety took over Robyn Read's life to such an extent she could not even buy the groceries and felt suicidal.

Two children fall from second storey window

Two young boys have been rushed to hospital after falling out a second-storey window of a home in Eastwood.

Mum gives birth to India's heaviest baby

An Indian woman has given birth to a baby boy weighing a whopping 5.97kg, setting a new record for the country's heaviest baby.

Grandma surprised with brand new granddaughter

Finding out you’re going to be a grandmother can be a very emotional moment. Finding out that you’re a grandmother and the baby is already here is just out of this world.

Saltwater Sandals for babies and toddlers

Many mamas are wearing Saltwater Sandals - why not buy them for your babies and toddlers too?

How to spring clean your body and mind

Whether you're pregnant, already a mum, or are just trying to be a bit more healthy, there are ways to use the rejuvenating season to give yourself a boost.


What's hot on EB

Stella McCartney honours mum with lacy bra

Fashion designer Stella McCartney has honoured her late mum, Linda McCartney, by designing a special bra for post-mastectomy patients.

Don't panic: A granddad midwife's guide for dads-to-be

Mark Harris has helped deliver 500 babies. And he's now telling fathers what to expect.

How to be a calm parent when you're feeling anything but

Being a calm parent takes a lot of work, sometimes more than is obvious to those around us.

The joy and isolation of being a stay-at-home dad

It's cool, kind of like a second childhood. I love him to bits and think, on average, I'm an okay dad. But I also want to talk about the other stuff.

How baby Teddy's short life is helping save thousands of lives

He may have only lived for 100 minutes, but that didn't stop baby Teddy from saving the lives of others.

A heartbreaking trail of missed chances in death of baby forgotten in car

A haunting reminder to stay mindful about babies in cars, especially as we approach summer.

What to do if your baby has tongue-tie

Tongue-tie can cause feeding problems. However once it is diagnosed, the condition can be easily treated.

How to move house without losing your mind

Some people move frequently, while others like to stay put. But everyone finds it stressful.

'She had nowhere to go': how new mum's life began to unravel

The birth of her first child should have been happiest of times for Campsie mother Phuong Cao, but friends say it marked the beginning of when her life began to unravel. 

Women giving birth to a son keep some of his Y chromosomes

It was an experiment doomed to failure - they were looking for male cells in female bodies. And their search was stunningly successful.

Photos: How babies fit in the womb

A gorgeous photo series shows babies in the first hours after their birth - as they were positioned in the womb.

Baby tries to persuade stubborn bulldog to walk, fails

We don't know what he's saying, but this baby has a very clear message for his bulldog pal: let's walk - NOW.

The best toddler gift ever? Nine gender-neutral play kitchen picks

Without a doubt, one of the best gifts for a toddler turning two or three is a play kitchen.

9 easy steps to improve your baby photography

With a few simple tips you can take your images from random happy snaps to lovely clean images that create beautiful lasting memories.



Can't decide?

Check out the Essential Baby Names section for some inspiration

Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.