I am 10 weeks pregnant and trying to plan out my birthing plan.
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At what point past 40 weeks do you induce labor with drugs?
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Labor induction with medications may be done anytime after the 39th week. Medically indicated inductions are done for complicating factors such as hypertension, diabetes, lupus, or other conditions that may jeopardize your pregnancy if carried too long. The timing of induction is dependent if any of these complicating conditions exist and on patient/physician preference. I would recommend that your labor plan be flexible and voice your labor desires to your physician early on incase he/she seems inflexible; you could find another physician to care for you. If you don't have a physician yet, I would recommend you interview a few physicians to match up your communication styles.
Rarely have patients go beyond 42 weeks pregnant, more typically 41 weeks.
Hello, first let me say it is very difficult to plan this so far out. There can be many circumstances where you need to be delivered/or your baby comes spontaneously earlier. When you are 41+ weeks, you are considered to be postterm (officially 42 weeks but most doc's will not let you go this far) and we offer you induction with either cervical ripening and/off oxytocin which will start your contractions. Other options are breaking your water first then see if you go in labor on your own. It depends how far you are dilated at this point. A little bit of advise; try to be flexible, only 5% of babies are actually born on your exact due date and sometimes your due date can be off as well. Most important is that you and your doctor discuss all options to your satisfaction!
Term is defined as 37 to 42 weeks. Years ago we did not begin to intervene in uncomplicated, low risk pregnancies until a woman was post dates (defined as greater than 42 weeks gestational age). Data now indicates the safest time for a baby to be born is from 39 - 41 weeks. Typically, we terminate uncomplicated, low-risk pregnancies by 41 weeks unless the cervix is completely unfavorable. There is much variation in induction practices so it is best to consult your primary care giver to get an understanding of how they handle this situation.
It's probably kind of early to be planning induction of labor but since you asked, as with many issues if you poll doctors you will likely get different answers on this question. The current consensus seems to be that pregnancies should not be allowed to continue more than one week past the due date. The main risks of 'post dates' pregnancies are fetal death, meconium aspiration, oligohydramnios or decreased amniotic fluid , and fetal distress. According to a recent large multicenter study, at 41 weeks these risks outweigh the risk of inducing labor. The main risk of inducing labor is that it may not work, and a Cesarean Section may be necessary, however this risk has decreased as newer and better labor induction methods have been developed.