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


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users


Get your FREE Baby & Toddler Ticket!

Get your free ticket to the Essential Baby & Toddler Show Brisbane (4-6 March). Register online now to save $20!

11-year-old delivers baby sister - then goes to school

Schoolgirl Caitlin Burke was the only person on hand to help deliver the newest member of the family when her mum went into labour at home.

Toddler blind in one eye after drone accident

An 18-month-old boy lost his right eye when he was hit by an out-of-control drone.

Parents seek biological child after embryo mix-up

A New Zealand couple are seeking answers after their embryos were swapped in a mix-up at a Thai fertility hospital and their surrogate gave birth to someone else's child.

Samsung's fix slammed as 'deficient'

The "plastic bag and tape" fix applied to at least 63,300 faulty Samsung washing machines has been slammed by an expert as "deficient".

Dad orders surrogate mother to abort baby

A man who is paying a surrogate mother to carry his child has demanded the woman abort a baby, or face financial ruin, after learning she is pregnant with triplets.

10 toddler playrooms that will blow your mind

For many of us a playroom for our children is a pipe dream; for others it's a reality. Here are some playrooms that will blow your mind.

A love letter to my mother's group

We spread picnic blankets in the shade of the acacia trees and, while the babies fed or slept or lay gurgling, we talked - about poo.

10 mocktails for an alcohol free Christmas

Facing the holiday season with a bun in the oven can mean passing up some Christmas traditions. But whip up one of these delicious 'mocktails' and all you will be missing out on is a Christmas hangover.

When you can't let go of your 'baby stuff'

Do you still hold on to your 'baby stuff' even though you think your family's finished? Evelyn Lewin explores why we do this, and how to move on.

Woman faces abuse for not wanting children

A woman who admitted she did not want to have children was mercilessly bullied and forced to shut down her social media accounts as a result.

Newborn baby found in a nativity scene

Police are trying to trace a woman who abandoned a baby boy in the manger of a church nativity scene.

Life would be harder without my kids

The Humans of New York Facebook page is well known for sharing touching, real stories from one of the world's biggest cities – and it's just hit the heart of parents everywhere.

Mum dresses as Wonder Woman for last day of chemo

A Brisbane mum dressed up as a superhero to celebrate the end of her chemotherapy and created a moment her family will remember forever.

How a raisin can predict a toddler's IQ

All you need to assess a child's future intelligence is a plastic cup and a raisin, according to new research.

Former Hi-5 member's cannabis hope

Former Hi-5 star Tim Harding hopes a cannabis-derived drug will help control his daughter's epilepsy, which sees the four-year-old suffering between 50 and 100 seizures a day.

The top 5 reasons your toddler throws a tantrum

Whilst to the outside world little people may appear to have it easy, it's actually not always the case – just ask any toddler who's had their toast cut up the wrong way.

Glenn McGrath thought he'd lost his wife and baby

Australian cricket ledged Glen McGrath has spoken about the moment he thought he might lose his wife, Sara and their baby daughter, Madison.


Inside my Centrelink nightmare

Mother Bec Smith has been trying for months to access Centrelink payments. A "serious error" is preventing her.

Warnings over push for hourly childcare billing

Australia's peak childcare body has called for caution around the Turnbull government's push for childcare centres to charge parents by the hour, not by the day.


What's hot on EB

How I survived breast cancer while pregnant

It was last thing Rebecca O'Donnell expected at 30 weeks' pregnant. One morning, while putting on her bra, she felt a pea-sized lump in her right breast.

Grieving father's letter to Bataclan terrorists: "...this little boy will threaten you by being happy and free"

A grieving father whose wife was killed in the attacks on the Bataclan Theatre last weekend has written an open letter to her killers.

5 challenges of motherhood - and how to see them differently

Despite the smiles, the sloppy kisses and the pure magic children bring to our lives, it's hard to deny that motherhood can be tough.

4 challenges of being a new dad - and how to face them

Becoming a parent is challenging – and that applies to both mums and dads.

My battle against antenatal and postnatal depression

I was five months pregnant when I realised I needed help.

Children swapped at birth will not be returned to biological parents

A boy and girl accidentally swapped on the day they were born will stay with the families who have raised them, a South African court has ruled.

A quarter of men believe they get 'man periods'

A British study has revealed one in four men believe they have a monthly cycle.

Baby deposit

How much do you need to save for a 'baby deposit'?

It's fairly straightforward to calculate a house deposit, but how much money do you need to save up for a baby?

Dad's beautiful note to his wife, a nurse

To anyone else it might just look like a picture of a mum having a nap with her toddler.

'I was a complete schmuck': Mike Baird opens up about his wife's postnatal depression

When his wife Kerryn was not well following the birth of their daughter, NSW Premier Mike Baird buried himself in his work.

Mum's desperate plea as whooping cough alert issued

A desperate mother has shared a heart-breaking video of her baby struggling to cope with a coughing fit caused by pertussis.

Coffee could help you live longer

New US research found people who report drinking three to five cups of coffee a day are less likely to die prematurely from heart disease, suicide, diabetes or Parkinson's disease.

The joy and dread of playdates

To live vicariously through your child is to rediscover anxieties you thought dead and buried.

Sick baby could die without scarce special formula, mum says

Lizzie Cann is down to her last three tins of a special formula in short supply.

Adorable toddler's strop foiled by squeaky shoes

We're probably all familiar with the pouty bottom lip and tightly crossed arms of a tot mid-strop.

More sex during World Cup created more baby boys

More sex during South Africa's World Cup meant a disproportionately high number of boys were born nine months later, a new study has found.

ABC Shop perfect for Christmas gifts

What a boon it would be to have your toddler's Christmas gifts covered this year. We have two awesome ABC Shop prize packs to give away to two lucky winners.

Do fitness challenges really work?

Fitness challenges aren't new. There's Michelle Bridges 12WBT and a bunch of other programs if you really want to lose weight.

What are pregnant women Googling?

Pregnancy is a huge change for any woman, so it's natural we'll have questions - and turn to Google to ask them.



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.