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12-11-2012 at 10:33 PM
nofrogs
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Does anyone know statistics on how many women go more than 2 weeks overdue?

I am delivering at a midwifery birth center, that has a policy that they do not allow mommas to birth there after 42 weeks. At 41 weeks, they typically do a biophysical profile and non-stress test, just to be sure baby is still safe in there. At 41 weeks, 5 days, they introduce labor-stimulating herbs. If the baby isn't here by 42 weeks, I would have to transfer to an OB, who would pressure me for an induction.

I had a dating scan, so I know my due date is accurate within 4 days. I am worried, because my mom was overdue with both my sister and I by 2 weeks, but didn't have a dating scan to determine an accurate due date.

So, does anyone know what percentage of babies are born after 42 weeks, without medical induction, with an accurate due date?


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12-11-2012 at 11:42 PM
J+MS
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This is something you should discuss with your MW. You know the risks of going over 42, yes?

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12-11-2012 at 11:50 PM
SkyBee
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J+MS:
This is something you should discuss with your MW. You know the risks of going over 42, yes?

This. Why do you want to keep baby in there past 42 weeks? There is a reason even MW's don't go past that mark.


 
12-12-2012 at 2:30 AM
animalcrck...
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I do not think you will find much as far as statistics go.  I would say most OBs, MWs and birthing centers will allow anyone to carry baby past 42 weeks.

I honestly would not worry about this right now.  How far along are you?  I do not think your mother's birthing experience has much impact on when your baby will arrive.

 I was 1 week late and my first was born at 35 weeks and my second, on his due date. 


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12-12-2012 at 7:38 AM
BekW2009
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SkyBee:

J+MS:
This is something you should discuss with your MW. You know the risks of going over 42, yes?

This. Why do you want to keep baby in there past 42 weeks? There is a reason even MW's don't go past that mark.

I doubt make women make it beyond 42 weeks because they usually get inducted. My DD's pediatrician said it is dangerous to keep the baby in there past the 42 week mark because you placenta starts to detiriorate and the risk of a stillborn increases. Plus at 40 weeks you will be so ready for that baby to enter the world, you might be asking for an induction! 

EDIT: I meant I doubt many women not I doubt make women 

Also, induced not inducted. Now that I retread my post its littered with grammar no-nos... Sorry, just waking up! 


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12-12-2012 at 7:46 AM
jerseygirl...
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SkyBee:

J+MS:
This is something you should discuss with your MW. You know the risks of going over 42, yes?

This. Why do you want to keep baby in there past 42 weeks? There is a reason even MW's don't go past that mark.

All of the above. I'm very much anti-induction, but much past the 41 week mark I would be worried about the other risks to the baby.


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12-12-2012 at 8:30 AM
nofrogs
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I know the risks of going over 42 weeks, that's why I am asking what percentage of women do go over. I am 18 weeks.

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12-12-2012 at 8:49 AM
animalcrck...
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nofrogs:
I know the risks of going over 42 weeks, that's why I am asking what percentage of women do go over. I am 18 weeks.

Not many because most do not allow you to, get it? 


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12-12-2012 at 10:01 AM
letranger
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I went at 42 weeks but didn't have an accurate dating ultrasound. I remember my midwife saying it was slim to make it to 42.

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12-12-2012 at 10:04 AM
watermelle...
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nofrogs:
I know the risks of going over 42 weeks, that's why I am asking what percentage of women do go over. I am 18 weeks.

I don't know the answer but I'd say it's very low BECAUSE of the risks of going over 42 weeks. What doctor would risk that? It doesn't sound like yours wants to either.


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12-12-2012 at 10:09 AM
elmoali
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animalcrckr:

nofrogs:
I know the risks of going over 42 weeks, that's why I am asking what percentage of women do go over. I am 18 weeks.

Not many because most do not allow you to, get it? 

Exactly.  I would argue that the only significant number of people who go over 42 weeks are people not receiving prenatal care.  I think most doctors are persuasive enough with the examples of fetal demise to make most women opt for induction. 


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12-12-2012 at 10:37 AM
MrsWindyCi...
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Like others have stated, you aren't really going to find "true" stats. Even if you find that 10% of women have babies in week 42/43 (just making up that number), a large fraction of that number are going to be women who went into labor because they were induced.

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12-12-2012 at 10:44 AM
LibbyLouHo...
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elmoali:

I would argue that the only significant number of people who go over 42 weeks are people not receiving prenatal care.  I think most doctors are persuasive enough with the examples of fetal demise to make most women opt for induction. 

I agree with this. Most women and doctors would not be willing to risk it.


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12-12-2012 at 10:56 AM
homebird
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I don't think most OBs or MWs would let a woman go past 42 weeks. My OB was willing to let me go UP to 42 weeks, but no longer. I believe it's because the placenta begins to degrade and you're putting your baby at risk.

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12-12-2012 at 11:11 AM
smurf605
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Did you mom have an accurate dating ultrasound with you and your sister? I would guess not.  More than likely, she tended to ovulate a bit late and wasn't actually 42 weeks when she delivered both of you.  I think it is unlikely that you will go that long.

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12-12-2012 at 11:20 AM
jeremiahz_...
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Well I had my DS at 42 weeks I don't remember how many days. But then again I really don't know my EDD that time. According to my LMP my EDD was June 4th 2010 at the A/S my EDD changed to May 30th 2010. So my OB went with that. When May 30th came around and I was still pregnant she said "let's wait until you EDD with your LMP" which was June 4th 2010. That day came around and we waited some more. In the end DS was born on June 14th 2010 and he had some medical problems but I doubt they were caused because of how long I was pregnant. It's not fun being pregnant for that long especially in the summer. lol Oh and I started labor on my own the same day I was scheduled to get induced.

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12-12-2012 at 11:42 AM
singahappy...
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From an article online (literally the only one I found, it was for Australian woman).

1.2% of babies were born post term (greater than 42 weeks gestation). 

 If you go past 42 weeks, your baby is at a much., much higher risk at being still-born.

if you are planning on trying to wait for as long as possible....well just make sure your decision is centered at the best for your baby. Not what you think would be best for you or based off of what your mom's experience was.

12-12-2012 at 12:04 PM
Shari 86
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If you make it to 42 weeks most likely you will need to be induced. I tried everything including caster oil to get me started ( which I do not recommend) and nothing worked. My mother also had to be induced with both my sister and my self. 

I had DD at 42 weeks and was induced with the pelvic gel. No Iv, or pit, just gel and I was aloud to go home and spend most of my labor there. I had no other intervention and went on to have a natural vaginal birth within 6 hours.

I requested to only be induced with gel, no pit unless for some reason my labor stopped and DD was in trouble.

At my hospital they will do 4 rounds of gel before they look to any other intervention, you should ask your Doctor about the options for induction rather than being deterred against induction all together. 

12-12-2012 at 12:12 PM
SouthSideD...
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I'll chime in with a dissenting opinion here for the "fetal demise-ers". MD's and MW's don't "let" people go past 42 weeks for liability reasons, not health reasons. Some people who think they are 42 weeks may be 41, or 40. Those same people who think they are 40 might be 38, and voluntarily agreeing to  induction. A dating ultrasound helps in these situations, so you can be more confident that you are actually 42 ish, but as long as baby is not in danger, and that's easy enough to determine with an NST there should be no reason to force an induction on anyone or get all "fetal demise" on people.

That said, it soulds like when the time comes you're just going to do everything you can to get your body to go into labor since your MW will not agree ot continue to provide care for you beyond 42 weeks. Try not to worry now. But in the meantime it doesn't hurt to educate and arm yourself with knowledge.


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12-12-2012 at 12:14 PM
SouthSideD...
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singahappysong:

From an article online (literally the only one I found, it was for Australian woman).

1.2% of babies were born post term (greater than 42 weeks gestation). 

 If you go past 42 weeks, your baby is at a much., much higher risk at being still-born.

if you are planning on trying to wait for as long as possible....well just make sure your decision is centered at the best for your baby. Not what you think would be best for you or based off of what your mom's experience was.

IF you aren't recieving prenatal care and fetal monitoring. I don't know if you chose to leave that out of if your source did.


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12-12-2012 at 12:45 PM
singahappy...
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SouthSideDrea:

I'll chime in with a dissenting opinion here for the "fetal demise-ers". MD's and MW's don't "let" people go past 42 weeks for liability reasons, not health reasons. Some people who think they are 42 weeks may be 41, or 40. Those same people who think they are 40 might be 38, and voluntarily agreeing to  induction. A dating ultrasound helps in these situations, so you can be more confident that you are actually 42 ish, but as long as baby is not in danger, and that's easy enough to determine with an NST there should be no reason to force an induction on anyone or get all "fetal demise" on people.

That said, it soulds like when the time comes you're just going to do everything you can to get your body to go into labor since your MW will not agree ot continue to provide care for you beyond 42 weeks. Try not to worry now. But in the meantime it doesn't hurt to educate and arm yourself with knowledge.

I  understand what you are saying, but they don't go past 42 weeks for the liability reason: because if something goes wrong, they will be "in trouble". It sounds like common sense to me, if most dr's world wide (speaking in terms of those who have the type of medical world here in the US, like Australia, Canda, Europe. etc) have a rule about not going past 42 weeks, i'd say to follow it.

I'm not saying every person who goes past 42 weeks and a day will have a horrible birth and their baby will be dead, not at all!!!!!! I'm not even saying half of the babies born after 42 weeks wont survive: I'm saying the risk is higher, prenatal care or not. With prenatal care they can monitor you and see if something is going wrong and intervene before it gets "bad".

My guess is when you get to 42 weeks you'll do anything (safe) to get your baby delivered ;)

12-12-2012 at 12:46 PM
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I would be a bit worried about going more than 42 weeks, so many more things can possibly go wrong. You could naturally try to bring on labor yourself after your due date and see what happens there is lots of ways to do that. For me most people I know get induced after a week over due, they don't like people to go too much longer becasue of the risks for mom and baby. I don't think really your mom's due dates/labors could be anything like yours, every pregnancy is different.

 
12-12-2012 at 12:56 PM
daylights1
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My friend had your plan almost exactly but she is 41 weeks today.  She went in for a checkup and she has been leaking amniotic fluid.  Her fluid levels are too low and she is being admitted to the hospital today to be induced.  

Plans are good and she was very set in her plan but know that anything can happen and a healthy baby should be the ultimate outcome.  

FYI, my OB won't let me go past 41 weeks because of the risks.  

 

 


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12-12-2012 at 1:08 PM
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The liability issue is related to the health risks to the mother and baby. I've cared for newborns that are post dates (42+) and they generally do have more complications such as blood sugar stability, temp stability, and LGA. The LGA issue can cause labor issues, often ending in a c-section. The risk of fetal demise is greater and for that reason alone, I would not chance it. 
 
12-12-2012 at 2:35 PM
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MrsWindyCity:
Like others have stated, you aren't really going to find "true" stats. Even if you find that 10% of women have babies in week 42/43 (just making up that number), a large fraction of that number are going to be women who went into labor because they were induced.

 

This.  My Doctor/Hospital will not allow women to go past 42 weeks due to risks to the baby.  Last pregnancy, my doctor was going to induce me at 41 weeks if I didn't go on my own, but I went at 40 weeks, 1 day.  By the time 41 weeks came around, I would've asked for an induction anyway.  This time my doctor is doubtful that I'll go to 40, but we'll see.  I'm hoping I go early or on time.  My baby boy is measuring a week ahead, but my uterus is right on track, and we are 100% sure of my dating. 




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12-12-2012 at 7:15 PM
katie6/26/...
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My mom was almost 4 weeks overdue with me.  DS was born on his due date.  I expected to go 2 weeks late with him given what happened with me.  It really is not a good indicator of what will happen.
 
12-13-2012 at 10:10 AM
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My mom gave birth totally naturally to four children, but at the time (1970's) and with her specific OB, they were less adament about inducing. I was her first and was due on Thanksgiving, but was born on Christmas Eve. Super late. With my siblings, she was at least two weeks late with each and we're all totally healthy. Don't know if it has anything to do with it, but we're a really tall family - mom is 6', dad was 6'3", I'm 6', sisters are 5'11" and my brother is 6'6" - and we were all big babies - between 9 and 10lbs. When I give birth in April I'm expecting a big, late baby :) Knowing my family history, my MW is fine letting me go as late as I need to, as long as baby is doing well.

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12-13-2012 at 10:59 AM
homebird
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SouthSideDrea:

MD's and MW's don't "let" people go past 42 weeks for liability reasons, not health reasons. Some people who think they are 42 weeks may be 41, or 40. Those same people who think they are 40 might be 38, and voluntarily agreeing to  induction. 

I thought that was just understood/implied. But I suppose I shouldn't assume around here. :) 


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12-13-2012 at 1:46 PM
Brianswife...
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My mom was two weeks overdue with me and had a fairly normal uncomplicated labor, however, she was just over 4 weeks overdue with my sister.  The complications were horrendous.  My sister was born with the cord wrapped around her neck, very little amniotic fluid left and she was being suffocated by the placenta, she was born completely blue.  The doctors had a hard time getting her heart started and when they finally did they told my mom that if she survived, she'd likely be severely handicapped.  They didn't allow my mother to even see my sister for two days after she was born because the doctors were convinced she would die. When they finally did let my mom see her, they kept stressing that she would not be 'a normal child'...

Thank God she turned out perfectly, no lasting problems or anything and is now a very healthy young woman who is the mommy to two precious children of her own, however, it was very clear that the problems occurred because my mom had been allowed to go over the 42 week mark.

Compared to going through this, my mom would tell you any day that if she could do it over again, she would have been induced and my sister would have been born two weeks earlier.


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12-18-2012 at 12:05 PM
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I actually delivered at 42 weeks with my daughter. She was 8lbs 8oz and 21 inches, so totally normal. I luckily went into labor naturally but we were definitely talking induction at that point. Midwives have to do a lot to protect themselves since they are a more vulnerable profession so even though your baby would probably be fine going past the 42 week mark they can't afford to take that chance. Like I said, I went into labor by myself and was in labor for 24 (?) hours at home (with the intention of having a home birth) and then we decided I needed to transfer to the hospital because I was stalled at a 7 for about 6 hours. Once we got to the hospital I got an epi, even though I was really against them my whole pregnancy I found out they do have a place, and was able to sleep and not get a c-section. I woke up at a 10 and pushed her out! They did give me a little Pitocin to help things along and since my body was ready it helped and didn't get in the way of my labor. Good luck and don't worry about things before they happen or you'll go crazy! 

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