Topic: How long is too long?

This question is mainly for those going the more natural route. In regards to another post about being "over due" I am curious to know when you all think you should be induced? For those that don't already know, I'm having a home water birth, but also have a backup CNM (midwife) for the hospital. At 42 weeks my primary midwife will not deliver me outside of a hospital so care is then transferred to the CNM. Technically I can go over my due date as much as I want because no one can force me to into the hospital for an induction. Both midwives recommend not going more than 42 weeks past my due date, especially because I am 100% sure when my lmp was. How far past due date would you be comfortable with if everything seemed fine with you and baby?

Re: How long is too long?

10-14 days.  Boog was 18 days over (they didn't believe at 17 I knew when I had had my period or sex) and his placenta was showing serious signs of decline when he was born.  He also had scratched himself in utero with his long nails, had no vernix left so was dry and cracked (read: bleeding around ankles and wrists, and other joints that moved with creases) and had dangerously low blood sugar levels, because of the placenta no longer being up to snuff.   My midwife starts offering natural "come on baby" methods at 10 days past.  Personally, I would not be comfortable delivering much after 42 weeks again.

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Re: How long is too long?

I think that about 10 days past I would start looking at herbs and castor oil ...

Re: How long is too long?

Riley was 10-days past due and finally came on his own. All though I wouldn't want to go much longer he was okay.

Re: How long is too long?

7-10 days and I'd be doing natural induction techniques...12 days, hospital induction (that gives 48 hours for labor and delivery by 14 days past). I'm not willing to take risks when it comes to potentially affecting baby's health.

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Re: How long is too long?

I agree with others....two weeks would be the absolute longer I would be comfortable going, and I would say more like 10 days.  The womb just starts becoming less of a safe and healthy environment for them.  For me personally, I am 38 weeks, 1,5 cm dilated, 70% effaced already so I will likely go into labor effort then but if not I will be induced at 41 weeks.

Re: How long is too long?

Supposedly after 2 weeks the environment for the baby is not ideal.  Personally I think that 2 week window was built in for people that didn't really know when they conceived.  I wouldn't let it go any further than that.  In your case, if you have a midwife, just let her pick a date and go from there!

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Re: How long is too long?

I wouldn't go past 42 weeks.

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Re: How long is too long?

Ugh. Let me just say that I'm so very glad I never have to make this decision again!  I'd go to 42 weeks but like Palegreen said I would prepare to start a few days before so that I wasn't pushing the envelope too much. If I felt like signs were starting between 41-42 I would really try to hold out if all was well.

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10

Re: How long is too long?

I have to say, before I would've said longer.. but now I think I would be fretting at 7-10 days past due date (because we know for sure).  I have a friend who went to 42.4 and her baby didn't make it.  Had she been induced, even at 42.3 he would be here today.  It's a horrible choice to have to make, hopefully your baby is perfect due date love and gets here right on time!

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Re: How long is too long?

For me, personally, I would feel comfortable going that late.  But it is because of my family history.  My Grandmother delivered two weeks late.  My mother delivered 4 weeks late (back in the 70's when they didn't induce).  My sister delivered 12 days late.  My sister's OB gave her the fear of god that her placenta was going to hell, right around her due date.   She ended up having the biggest placenta the OB had ever seen, and it was totally healthy!

I think that due dates also reflect on the assumption that you ovulate on day 14.  I haven't got my BFP yet, but I think this cycle is the one.  If so, I conceived on day 23.  So in theory, my baby should grow a week behind schedule.  So if my family history runs late, but they conceived at a normal time, then I could easily go over 42 weeks.

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Re: How long is too long?

MummyBird wrote:

I think that due dates also reflect on the assumption that you ovulate on day 14.  I haven't got my BFP yet, but I think this cycle is the one.  If so, I conceived on day 23.  So in theory, my baby should grow a week behind schedule.  So if my family history runs late, but they conceived at a normal time, then I could easily go over 42 weeks.

My midwife bases my EDDs on date of conception, or date of ovulation, and counts 38 from there.  Going by LMP then yes, there is more room for error.  Much easier when you KNOW within a 24 hour window when it happened!

Baby's health aside, I didn't say it before, but who the heck wants to be pregnant and extra 2+ weeks?  Am I the only one who starts getting labour itchy at 38 weeks?  Ugh!  I remember every day DRAGGING before Boog was born, being super uncomfortable, and having a zillion people say "haven't you had that baby yet?" or "oh my, you're still pregnant" and being too bloody fat to kick them.  Yeah, and extra 2 weeks is plenty long enough, in my opinion.

Goob - who is keeping all crossables crossed I follow my past trend, Boog was born at 42.4, Moose at 40.0, Tiny at 38.4, so I'm hoping BabyBoyLT will be born 38ish weeks too!

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Re: How long is too long?

Goobie wrote:
MummyBird wrote:

I think that due dates also reflect on the assumption that you ovulate on day 14.  I haven't got my BFP yet, but I think this cycle is the one.  If so, I conceived on day 23.  So in theory, my baby should grow a week behind schedule.  So if my family history runs late, but they conceived at a normal time, then I could easily go over 42 weeks.

My midwife bases my EDDs on date of conception, or date of ovulation, and counts 38 from there.  Going by LMP then yes, there is more room for error.  Much easier when you KNOW within a 24 hour window when it happened!

Baby's health aside, I didn't say it before, but who the heck wants to be pregnant and extra 2+ weeks?  Am I the only one who starts getting labour itchy at 38 weeks?  Ugh!  I remember every day DRAGGING before Boog was born, being super uncomfortable, and having a zillion people say "haven't you had that baby yet?" or "oh my, you're still pregnant" and being too bloody fat to kick them.  Yeah, and extra 2 weeks is plenty long enough, in my opinion.

Goob - who is keeping all crossables crossed I follow my past trend, Boog was born at 42.4, Moose at 40.0, Tiny at 38.4, so I'm hoping BabyBoyLT will be born 38ish weeks too!

Oh I sooo hear you! I am 38 weeks 1 day right now and the idea of being pregnant another FOUR weeks makes me want to cry!

Re: How long is too long?

JayJay wrote:

Oh I sooo hear you! I am 38 weeks 1 day right now and the idea of being pregnant another FOUR weeks makes me want to cry!

Yes, this! DW is 39 1/2 weeks and SO ready to HAVE THIS BABY ALREADY OMG. smile I remember the feeling! I went 6 days past my DD with Rowan and would've started natural induction methods at 41 weeks, being induced at the hospital by 41 1/2 weeks. Especially after reading the horror stories of people losing their babies because of the placenta breaking down. 6 days past my DD was torture enough, especially with how hot last summer was.

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Re: How long is too long?

MNmommas wrote:
JayJay wrote:

Oh I sooo hear you! I am 38 weeks 1 day right now and the idea of being pregnant another FOUR weeks makes me want to cry!

Yes, this! DW is 39 1/2 weeks and SO ready to HAVE THIS BABY ALREADY OMG. smile I remember the feeling! I went 6 days past my DD with Rowan and would've started natural induction methods at 41 weeks, being induced at the hospital by 41 1/2 weeks. Especially after reading the horror stories of people losing their babies because of the placenta breaking down. 6 days past my DD was torture enough, especially with how hot last summer was.

Yep!! I totally feel her pain.  We need to explain to these babies that Hotel Mommy is SHUTTING DOWN for the season!

Re: How long is too long?

I would probably start natural induction methods at 41 weeks and hospital just shy of 42. I was 41 weeks 1 day with Ry and I was scheduled to be induced the day after I had her. I would definitely not go past 42 if I could help it. Rylie was 9lbs and 1oz compared to my 38 weeker at 7lb 7oz.

Re: How long is too long?

Our mw said two weeks was the longest she'd let us go, but that most first timers went about ten days over. She closely monitored us in the first week over and had uUS do an u/s to check on him. The tech said they saw merconium in the water and low fluids. She didn't tell us this till after, which I appreciate as it would have freaked us out. She did however have us come right in and she checke d DWs bp etc. They found her gp was elevated. We used homeopathics to bring it down. She then told us we had a few options. One was to wait and see, but if bp went back up it may not be easily brought down and we might end up at a hospital. Two, go to the hospital for an induction. Or three, do a natural induction with a fole y catheter actinf as a balloon on the cervix mimicing his head. We chose number three and he was born a week late.... with loads of fluid and no merconium in the water! For us we feel such a strong bond with our mw that we just trusted her advice. We knew she had similar natural beliefs as us and felt really comfy with her advice. If we had th same situatiom again, we'd do the same.

I know you want as natural as possible, so maybe asking what type of inductions your mw offers would be good? The natural ones are way less likely to run into the csection complications that pitocen and cervadil do! Also since he's your second you'll probably not go over, statistically speaking anyways. :-)

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Re: How long is too long?

I have a good friend with seven children. Her last five, I believe, were all born at home with a midwife. She never induces and all her pregnancies go 40-44 weeks. She's a smart cookie, teaching a lot of women's health courses and a registered doula so I'm pretty confident she knows when she conceived. She is very convinced that the baby comes when ready. She hasn't had any complication with any of her children and they have all been born healthy.

I've never made it past 39 weeks and I would never chose to go further. I have read reports that a baby born after 42 weeks is at risk for as many complications as a baby born before 38 weeks. While I wouldn't feel comfortable, I know there are a large group of women, midwives etc that believe going until your body naturally goes into labor is the best thing for all.

Jamie
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Re: How long is too long?

In the UK, if you have had a healthy pregnancy they won't induce you until 42 weeks, because the prevailing attitude is that it's better to give nature a chance to work.  So I would wait until then, keeping my fingers and toes crossed that I went into labour before then.