frustrated! 80Circe that first because Normally, that's a safe bet. :) Thanks. I've copied and pasted it into a file breastled "ammo." Heh... so you it, but right Well, I tried that with...
frustrated! 81Ooh, ouch. Pulling the dead baby card. Bad doctor, no cookie! Seriously, though, I know how hard it is to decline in the fact of an authority figure, but...
Here's the study. (It's a little confusing because it talks in terms of days from conception-ovulation rather than the LMP date. But if you do the math, you'll find that 274 days from ovulation is, in fact, 41w1d and 268 plus 1 days--the figure for multips--is 40w3d.) =====================
The length of uncomplicated human gestation R Mittendorf, MA Williams, CS Berkey, and PF Cotter
By retrospective exclusion of gestations with known obstetric complications, maternal diseases, or unreliable menstrual histories, we found that uncomplicated, spontaneous-labor pregnancy in private-care white mothers is longer than Naegele's rule predicts. For primiparas, the median duration of gestation from buttumed ovulation to delivery was 274 days, significantly longer than the predicted 266 days (P = .0003). For multiparas, the median duration of pregnancy was 268 plus 1 days, also significantly longer than the prediction (P = .019). Moreover, the median length of pregnancy in primiparas proved to be significantly longer than that for multiparas (P = .0032). Thus, this study suggests that when estimating a due date for private-care white patients, one should count back 3 months from the first day of the last menses, then add 15 days for primiparas or 10 days for multiparas, instead of using the common algorithm for Naegele's rule. =================================
Remember, you don't need to "talk your doctor out of induction". All you have to do is decline. Your doctor doesn't need to talk you *out* of it, but convince you it's a good idea. If he-she can't convince you it's the right thing to do, you're not under any obligation to change his-her mind.
He may mean 41 completed weeks, which would be standard of care. But you should check.
If you feel you might be pressured to do something that's not in your-your baby's best interests or you don't feel you can rely on your provider to provide you with accurate information about what's in your-your baby's best interests because he's got an agenda, by all means, change providers.
Aw, don't do that. Just remember that no one can make you have an induction if you don't agree to it. You may agree if the time comes because the evidence supports the decision. But you don't *have* to agree just because your provider says you should. -- Be well, Barbara
