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:

http://www.heraldsun.com.au/news/induction...1-1226315327326

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



  


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Mum assists in own caesarean surgery

A mum who partly delivered her own twins during a caesarean has encouraged other women to take control of their birthing experience.

How to handle common childhood regressions

Regression can be a natural and common part of development prompted by a variety of factors, but that doesn't make it less frustrating.

Disgruntled dad's pram ad goes viral

When buying a second hand pram, there are lots of things to take into consideration. 

Man discovers he's a dad after finding 55-year-old letter

Discovering you are about to father a baby is startling enough - never mind finding out you have a 61-year-old son.

15 thoughts mums have during a tantrum

Ranging from mild to feral and triggered by events both minor and major, tantrums certainly keep life interesting.

Natural pain relief in the early stages of labour

While managing labour pains on your own can be daunting, there are a number of natural pain relief options to help you cope until you are admitted to hospital.

Forgotten Baby Syndrome claims the life of toddler

One baby dies every eight days in the back of a car in the US, victims of 'forgotten baby syndrome'.

For a brief time, I was touched by an angel

For a brief time, I was touched by an angel. You stole my heart, and changed me into the women I am today.

Chrissie Swan has reached her "sex quota"

Chrissie Swan says she and her partner have sex once a year due to her fear of falling pregnant.

Chinese woman gives birth to quintuplets

After six years of trying for a baby, a couple’s dreams have come true many times over after the mum gave birth to quintuplets this week.

Five-year-old shoots nine-month-old brother dead

A nine-month-old baby boy died on Monday after he was shot in the head by his five-year-old brother in their grandfather's home.

'Is that baby yours?'

She is my daughter. I gave birth to her. I nurse her. But she doesn't have any of my genes.

Episiotomy in childbirth: not just 'a little snip'

Episiotomies have a place in maternity care – and can occasionally save lives – but should not be performed routinely.

Toddler aggression not caused by language delays after all: study

The logic was that children who don’t have the language to fully express themselves will lash out when they’re misunderstood. Not anymore.

Why we chose to adopt a child with Down sydrome

Everyone in foster care (and really in life) has something that makes them more vulnerable. We just know what our son's is.

Object of desire

Curvy mums make clever babies

Scientists appear to have discovered why women have evolved to have more curves than men – shapely thighs and bottoms lead to healthier babies.

'We'll make sure they know how much she loved them'

A first-time mum will never get to hold her four newborns, dying shortly after giving birth to the quadruplets.

The baby names NZ knocked back in 2014

A New Zealander has tried to name their baby Senior Constable but didn't get away with it - and numbering children is also a no-no.

How can you go into labour without knowing you're pregnant?

For most of us, the idea that a woman could carry a child to full-term without knowing she is pregnant is mind-boggling.

Will you get to the hospital in time?

Worrying your baby will be delivered by the roadside is a common concern for many mothers-to-be. So how likely are you to be caught short?

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Stars help save choking babies

It's an important lesson to learn, but one that busy new mums and dads might overlook until it's too late.

New Girl star Zooey Deschanel pregnant

Actress Zooey Deschanel is expecting her first child with her producer boyfriend Jacob Pechenik.

16 times 'dad reflexes' saved the day

Of course, in some cases they may be the ones who actually got their child into a precarious position in the first place, but we'll ignore that for now.

Couple's 'non-traditional' pregnancy announcement goes viral

Knowing you are not the father of your pregnant wife's baby would usually indicate a rocky relationship ahead for traditional parents.

The trials and tribulations of identical triplet newborns

Pip Donnelly is still playing spot the difference with her newborn identical triplets, Isabelle, Georgina and Frankie.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Earthquake baby thriving five years on

Jenny Alexis is lucky to be alive after spending four days buried in the rubble of the 2010 Haitian earthquake, but now she's a thriving five year old.

Please don't say I'm lucky because I was adopted

On the one hand I was having a regular life with friends and sports and sleepovers and school. But I was also always wondering: Did my mother love me? What was wrong with me?

An open letter to non-parents who offer advice on child-rearing

Kitty, when you’re the parent of my child you’re welcome to wade in with an opinion – but until then, I’d prefer you to have a supportive ear and a glass of wine ready.

Couple arrested over baby gun video

A US couple faces charges after investigators say they found mobile phone videos showing the woman's 12-month-old daughter putting a handgun in her mouth.

NSW Health dumps 10-year limit on frozen embryos

A 10-year time limit on storing frozen embryos that were created with donor sperm has been dropped by the NSW government.

How my happy-go-lucky husband became a monster

Sharan Nicholson-Rogers watched her husband change from a happy-go-lucky police officer into an unpredictable man prone to violent and emotional outbursts.

Dads-to-be experience hormonal changes, too

Dads-to-be experience hormonal changes in line with their pregnant partners, a new study shows.

'They were just doing their job': mum of toddler killed in police chase gone wrong

"They were just doing their job. I feel so sorry for them. It is all just too sad."

Miscarriages to be formally recognised by NSW government

Women who miscarry will be able to obtain an optional "recognition of loss" certificate as a formal recognition of their often heartbreaking loss.

Cafe cubby house 'too noisy' for neighbours

Teenage parties, domestic disputes, or raucous late night pubs are the things that usually come to mind when you think neighbourhood noise complaints.

Dad films baby playing with snake

Most parents would not consider a snake an appropriate playmate for their baby, but a US dad who filmed his daughter playing with a python has defended himself against criticism.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Back to School Offer

Findababysitter.com.au

We've got you covered for this school year. Use www.findababysitter.com.au to meet local nannies now.

 
Advertisement
 
 
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.