Inducing Labor At 39 Weeks Can Lowers Risk Of C-Section
Inducing Labor At 39 Weeks Can Lowers Risk Of C-Section.
C-Sections are epidemic in the United States. 1 out of every 3 women who is pregnant right now will have one. If you need a C-Section to save the life of your baby, it’s nothing short of miraculous, and worth every bit of pain and risk.
A recent study, published in The New England Journal of Medicine on Wednesday, found that elective induced labor at 39 weeks resulted in a lower likelihood of certain complications and did not result in a greater frequency of adverse outcomes for the baby. Waiting longer to deliver the baby could raise the mother’s likelihood of needing to undergo a cesarean section, according to the study.
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Pregnant woman who reach full term have long been advised to “wait it out” until 41 weeks before doctors will recommend inducing labor. That’s because inducing labor earlier was thought to increase the risk of delivery by Caesarean section. But now, a new study suggests otherwise.
Many pregnant women would do anything to avoid a C-section, as the procedure comes with the same risks associated with a major surgery and may also cause problems in future pregnancies. Knowing that recovery also takes longer than it would from a vaginal birth.
The study involved more than 6,000 U.S. women with healthy pregnancies who were randomly assigned to either be induced during their 39th week of pregnancy or to wait for longer to go into labor.
The findings suggest that it’s now “reasonable” for doctors to offer labor induction at 39 weeks to women who are similar to those in the study — that is, women who are healthy, first-time mothers with low-risks pregnancies, according to the American College of Obstetricians and Gynecologists. But this isn’t a blanket recommendation for induction at 39 weeks. Rather, it means that labor induction at 39 weeks may be an option for certain women who wish to be induced then.
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“I don’t think the conclusion of this paper should be we should be recommending or encouraging induction at 39 weeks,” Dr. Errol Norwitz, chair of obstetrics and gynecology at Tufts University School of Medicine, who was not involved with the study, told The Washington Post. “But if someone comes to you and desires to be induced, it is a conversation we should now be having,” he said.
Avoiding a C-Section
Cesarean Sections – surgical births – are not always preventable. And sometimes they are literally lifesaving. In most cases, however, C-Sections can be avoided, and that’s a good thing. There is a myriad of advantages to vaginal birth, both for the baby and for the mother. You can significantly reduce your chances of having a C-Section by informed choice of a caregiver and birth place. Here’s how:
1. Exercise moderately during pregnancy
Sedentary women are 4x as likely to deliver via caesarean section as women who did aerobics during the first or second trimester.
2. Find a caregiver who has a low C-Section rate
Find a caregiver who has a low C-Section rate and is experienced with successful VBACs. This is true even if you don’t need a VBAC, because it means your caregiver doesn’t default to caesareans.
3. Ask your caregiver what she does if your baby is in a breech position
Ask your caregiver what she does if your baby is in a breech position in late pregnancy. You want to hear that she is experienced with turning babies and always tries that before scheduling a C-Section.
5. Check Hospital policies
If you’re considering a VBAC, be sure to use a hospital that allows VBACs.
6. Arrange continuous trained labor support
Arrange continuous trained labor support which studies show keeps labor moving. If you aren’t using a midwife, supplement your OB by hiring an experienced labor doula. A 2001 study in the journal of perinatal education showed a 56% reduction in the risk of caesarean in women receiving continuous one to one nursing/doula or midwifery care.