Overdue
When you first see your midwife or doctor they give you a date that your baby is due. Sometimes this date is changed during the course of your pregnancy, but mostly it stays the same and is looked forward to with great anticipation. The reality is however that only five per cent of babies arrive on the day they are expected. Ideally you should allow two weeks either side of your due date. Giving birth anywhere between 37 to 42 weeks is considered normal.
There is evidence to suggest that the current methods of estimating the due date may in fact not be as accurate as we think. One study found first time mothers gave birth on average 5 days over their due date and second time mothers gave birth on average 2 days after their due date. Most studies I reviewed suggested that first time mothers had longer pregnancies than women who had a baby before.
Around 10 per cent of pregnancies do go beyond 42 weeks. When this occurs it is known as post-term or a prolonged pregnancy. Concerns regarding problems with the baby increases after 42 weeks. While research findings are contradictory about the risks of post-term pregnancy, it is generally accepted that there is an increase in the death rate of babies over 42 weeks. Part of this increase is thought to be due to babies with malformations – as these babies have a tendency to go overdue. In the majority of cases the outcome is good for prolonged pregnancies. It’s only a minority of cases where problems occur.
Commonly induction of labour is offered once the pregnancy exceeds 41 weeks. Research has found that induction of labour at this time slightly reduces the number of babies who die and decreases the chances of the baby passing meconium (the baby’s first bowel movement) into the amniotic fluid. Induction of labour before 41 weeks is not supported by research.
How can I avoid going overdue?
We have not got very much control over the actual length of pregnancy, when waiting for labour to start naturally. Each woman and baby are biologically tunned for a certain length of pregnancy. Some women find their mother and other relatives routinely go two, three or more weeks over due. They themselves may be predisposed to a longer pregnancy.
However a number of alternative strategies have emerged that are aimed to stimulate labour, with varying degrees of success. Here are some of the commonly recommended strategies:
- Sweeping membranes – during a vaginal examination the midwife or doctor gently separate the membranes from the opening of the uterus.
- Sexual activity – A woman’s orgasm causes oxytocin to be released, as does nipple stimulation. Oxytocin is the hormone that causes the uterus to contract. Semen also contains prostaglandins, which can help soften the cervix.
- Acupuncture or acupressure – consult a qualified practitioner
- Homeopathic remedies – consult a qualified practitioner
- Herbal preparations – consult a qualified practitioner
- Walking
- Good hot bowl of curry
Avoid using castor oil. Castor oil can cause cramps, nausea, vomiting and spasmodic contractions of the uterus. Basically it is down right unpleasant.
If I choose to wait for labour to start naturally, what tests are available to check my baby’s wellbeing?
There are a number of tests offered to women who go ‘overdue’. Unfortunately the research evidence on the benefits or otherwise of the tests is inconclusive. While the tests may pick up a problem, there is not a lot of evidence to say these tests actually improve outcomes of a postdate pregnancy.
The following tests may be available.
- Fetal Movement Counting: A baby who is well moves frequently. A baby who is unwell (or compromised) may decrease the number of movements they make. Counting baby’s movements is a simple way to ensure that the baby is moving adequately and hopefully will pick up babies who aren’t doing so well. A baby who decreases their movements can be assessed further by other tests (see following points). Even though this is an easy and non-invasive test, current research hasn’t found that formal fetal movement counting improves the outcome of pregnancy.
- Non-stress test: A baby can be electronically monitored by a CTG (cardiotocograph). A CTG is where the baby’s heart rate is monitored along with any contractions of the uterus. A print out of the baby’s heart rate and contractions is made and compared. A CTG can assess the health of the baby at that point in time that the test is taken. A CTG cannot predict the health of the baby in the future.
- Amniotic fluid index: Pockets amniotic fluid are assessed by ultrasound and an overall score is given. If there is adequate amniotic fluid present, it can indirectly indicate that the placenta is functioning adequately. Assessment of amniotic fluid is usually combined with a non-stress test.
- Biophysical profile: Ultrasound is used to do the biophysical profile. Four factors are checked on ultrasound: Baby’s breathing, baby’s muscle tone, baby’s body movement and the amount of amniotic fluid. A score is given on these four factors. A non-stress test is also performed. If the result is good, a retest is usually recommended in a few days. A biophysical profile can better predict the health of the baby than a non-stress test alone, but its use does not improve the outcome for the baby.
If I choose to be induced, what methods are available?
There are three main methods of induction of labour. These methods include:
- Breaking the waters: The waters are broken with an instrument shaped like a large crochet hook. The cervix needs to be open a couple of centimetres before the bag of waters can be broken. Breaking the waters can be an uncomfortable procedure, particularly if the cervix isn’t open very far. Breaking the waters may be enough to start labour on its own, but usually a Syntocinon intravenous infusion is required.
- Prostaglandin gel: Prostaglandin gel is placed in the back of the vagina and helps soften and ripen the cervix. In some women, labour may start without further intervention. Prostaglandin administration increases the risk of developing a temperature, diarrhoea, fetal distress and haemorrhage after birth.
- Syntocinon through an intravenous infusion: Once the waters have been broken, an intravenous drip containing the drug Syntocinon can be used. Syntocinon is a synthetic hormone that makes the uterus contract and is a fairly reliable method for starting labour. Problems associated with induction with Syntocinon include failure to progress (resulting in a caesarean birth), increased need for pain relieving drugs, need for continuous monitoring of the baby through labour, increased risk of baby becoming distressed and increased risk of haemorrhage after the birth.
My doctor has said that she would like to do an internal exam and sweep my membranes to help bring on labour. Can you tell me more about this?
Sweeping the membranes (or ‘strip and stretch’ as it’s sometimes called) is where the midwife or doctor conducts a vaginal examination and separates the membranes from the opening of the uterus with their fingers. Sweeping of the membranes before or on your due date can help decrease the chance of your pregnancy going beyond 42 weeks and the need for an induction. The procedure its self can cause discomfort and women often report some vaginal bleeding and irregular contractions afterwards.
(30th August 2001)
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Comments
78 comment(s) on this page. Add your own comment below.
i am 41 week in pregnancy.my baby is in the right position but dosen't drop yet for birth.what can i do for this.i'm very woried because i don't like birth with operation.
Sometimes you need to go into labour before your baby's head will go down into the pelvis. Things to help before labour include: Going for a walk or seeing a chiropractor or osteopath who specialise in pregnancy.
i'm 7 days overdue with my third baby, i went 3 days over with my first and 4 days over with my second, should i be this far over with my third, and in the last day and a half she has barely moved.
Hi Anastasia - Being 7 days overdue is not unusal. However I urge you to contact your midwife or doctor ASAP regarding your baby's movements. Baby movements are a good indicator of how the baby is. Having an active baby is reassuring. If your baby's movements have slowed or stoped, you should contact your midwife or doctor for advise.
I'm currently 4 days overdue with my second pregnancy, I went 11 days with my first so I'm not too stressed, but with my first I never had this much pressure. I was induced after 11 days the doctor said my baby had no plans of coming yet. With this one however my pelvis is so sore and the pressure is sometimes unbearable I have a gut feeling that something is wrong, I have a doctor app tomorrow but I know they will say everything is fine, but I feel I want more than just a quick tummy feel!!! What else can I ask them to do to check on my baby's well being.
Dear Nicole - Talk to your doctor about how you are feeling. The testing available is imprecise and doesn't guarantee a healthy baby, but may give you some level of reassurance. The testing available includes a CTG (cardiotocograph)- which monitors the baby's heart rate. Also available is an ultrasound that can look at the amount of fluid around the baby (and can indirectly give an indication on how the placenta is functioning)
Dear Jane, I'm 9 days past my due date on my second pregnancy. I was 3 days early with my first and had a wonderful calm birth labour without intervention, pain or complications...I really hope for the same experience this time. My obstetrician after performing a CTG at 6 days post dates has arranged for a biophysical profile to be completed on Monday if labour has not commenced prior to then. He will then re-evaluate the situation based on those results with regard to our birth plan to follow the same ideals as last time, and may recommend induction of labour. Reading your comments above regarding induction, I am concerned that having a calm birth experience will be much less possible if my labour is induced. Which method would you recommend if induction is required that will lead to the most natural form of labour possible? I have been experiencing regular and strong Braxton Hicks contractions for many weeks but don't seem to progress further. I'm also unsure that my baby's movements are as regular as they have been...throughout the pregnancy they have been frequent and very strong, and now they are not as strong and not as frequent. I thought this was just due to the lack of space available for movement, but perhaps I should be more concerned? Can you advise about this as well? Thank you for your help, Rebecca
Hi Rebecca
Natural and calm birth techniques can be used with an induction of labour. As can submersing in a bath or pool of warm water. Have you considered acupuncture as a natural induction method. There is an article on this website called Acupuncture Induction for Post Date Babies.
Baby's movements at full term tend to be less vigorous as they run out of room. The frequency of the movements should be similar however. If concerned, just lay down, have something to eat or drink and notice your baby's movements (they usually move when you do this). If concerned, contact your doctor.
Hi Jane... I am 40 weeks 4 days... since 39 weeks 2 days i am getting regular braxton hicks every night, one day it was relieved by Panadol and after that its not working on my body.. its really hurting me and giving me sleepless nights... I talked to my midwife they are just asking me to wait and have planned for CTG during my next appointment..... but how can i get rid of these hicks which is disturbing me whole day and nights...
Hi Jane, This article is very helpful. My due is on 6th of May, yet I did not have any kind of pain or anything at all. Looks like I am going to have an overdue pregnancy, in that case probably I would need induction. I started to be stressed and a bit scared but now I know that I still have time to have a normal delivery. I have heard that climbing stairs or walking on hilly roads help to bring the labor pain, is that right?
Thanks Nadya
Hi Nisha - I am hoping that you have now gone into labour and had your baby by now. Unfortunately some women experience lots of Braxton Hicks contractions before they go into labour. Sometimes submerging yourself in a warm bath can help ease them. Hot packs can also provide some relief. Rest as much as possible and this pattern of contraction sometimes can occur quite a few days (and even a week) before labour starts. If concerned call your midwife for advise.
Hi Nadya - Some women don't get any lead up to labour - it can just start. Other women can get signs for weeks beforehand. Just to know if this is your first baby you are more likely to go over your due date that on or before it. A normal full term pregnancy is from 37 weeks to 42 weeks. Walking or climbing stairs can help increase contraction if you are having them. There is no research to say that it brings on labour.
Hi Jane, I am currently 10 days overdue and am booked in for an induction tomorrow afternoon. I have been told of the risks and what will happen for the induction. I was wondering why I haven't read anything on the internet about the ribbon with hormones on the end that I will be getting as the first step of my induction? Is this a new method or is it not commonly practiced due to side effects or ineffectiveness? My bishop score was 0 at my last appointment 3 days ago and baby is 3/5 engaged. The doctor didn't really say how effective inducement would be in my case, from your experience, how likely would inducing effects be before having to move onto a c-section?
Hi Casey - You will have given birth by now. I hope all went well. I think the ribbon with the hormones you mentioned is Cervadil. This a form of prostaglandin that is inserted in the vagina to help ripen the cervix for induction of labour (it has a string or ribbon that enables the cervadil to be removed if adverse effects occur). Many hospitals are now using this method of induction. A caesarean birth may follow an induction of labour - this will depend on how ready your body is to go into labour and how your baby copes with the labour.
I have had three deliveries with induction. Is it possible that I can have a natural labour?
Dear Saeeda - The most common reason for an induction of labour is that you go over your due date. Different midwives and doctors have different time frames that they believe a woman should be induced. A full term pregnancy is from 37 to 42 weeks. If your labours were induced because you went over your due date, discuss with your midwife or doctor about the possibility delaying your induction to allow your body to go into labour naturally. You could also try natural induction methods.
Hi, Im now three days overdue with my third baby. I have had brackten contractions for about a week now and a number of false labour alerts as they were not strong enough to head to the hospital.
My stomach feels very hard and bloated feeling, the baby is moving slightly but because its getting bigger its not always 100% detectable. I also caught a head and chest infection on my due date and have had a lot of fluids and hot drinks to scared to take anything else. I would like to know how to alleviate the flu during this stage of pregnancy and if it affects labour, im worried about my newborn catching the flu virus.
Also how long before the doctor decides when is the best time to induce labour. I prefer it to happen naturally , i have tried some methods but they have not worked. Please advise. Greatly appreciated.
Hi Nadia - Hopefully your Braxton Hicks contractions will turn into realy labour shortly - you can try some of tips in the above article. Contact your doctor if you baby's movements are reduced. Rest, fluid, vitamin C, Zinc and Garlic are all helpful with the flu. You will have to discuss with your doctor about their preference when they advise induction of labour.
Hi Jane - I'm currently 7 days over due with my first baby I have already has one membrane sweep at 40+1 days which resulted in the loss of the mucus membrane and what looked like a bloody show over 3 days.however since then I've not had anything no Braxton hicks or labour pains I have had what feel like sharp stabbing pains in my pelvic area but not sure if this is down to me having hyper mobility disorder and SPD. I'm due to see midwife again on 1.6.11 for another sweep then induction if this doesn't work.my concern is the induction as I have been advised that I'm having a big baby who is currently back to back with myself but I'm only little and concerned about complications during labour and the possibility of having to have an assisted birth. Is there anything I can do to try and make the midwife/doctors understand my worries as they don't seem to be listening to me or can I requite a c section ???? thanks in advance for any advice u may be able to offer.
Hi Kelly - sorry I sometimes don't get to answering questions for a few days. You will have seen your midwife by now. I hope that you were able to talk to your midwife about your concerns. I know it is late - but you can always request a second opinion from another midwife or doctor. Good luck.
Hi. I am 4 days over due and I am afraid of undergoing induction because I want to experience a natural labor. I was induced during my first baby but it was because I have lost my baby inside my womb and they did induced to let the baby came out. I just really wanted to experience a natural labor. Could it still be possible??
Hi Annarica - Natural labour will occur at some point - so yes it is possible. You will have to discuss with your midwife or doctor about how long they will support you in waiting for a natural labour. Have you tried some natural induction methods?
I'm 7 days overdue and this is my first pregnancy, i dont feel and contraction or any signs of labor. what should i do?
Hi Doris. It is very normal to go over your due date. Sometimes you don't get any warning that labour is about to start. Talk to your midwife or doctor about your concerns.
Hi, My Due date is 17 June but as per doc. baby is not come down yet and she has also given castor oil two times to me. I have back pain on 17 June from 5. pm to 2.am. But after that no pain. Doc. is asking to admit on 18 she will give labour injection if in 24 hrs labour not starts she will do operation. Please suggest what to do ... If i should wait for natural pain or needs to admit.
Hi Jane, I'm currently 41 and 3/7 days pregnant with my first baby based on my last menstrual period. but according to my last BPS,i'm only 37 and 2/7 days. i'm having irregular menstrual period which i think won't matter most but what terrifies me is going through a c-sec delivery which my OB is suggesting. i want to have a normal delivery since there seems to be no problem with my pregnancy and the baby is doing fine as well but there's still no signs of labor except for a drop of blood-tinged fluid leaked yesterday and earlier this morning. am i near labor? or should i consider the c-sec without going through labor pains?
Hi Rida - I am afraid I can't work out the abreviation BPS - it is not one we use. Is this an ultrasound of some kind? Do you mean you are having irregular menstrual period like "cramps"? If so this is a positive sign that labour will start naturally soon. Was the blood tinged fluid mucous like? This could be a little of the show. If you have had a show this is also a good sign that labour will start soon.Why would your obstetrician be suggestion a caesarean if there is no complications? Caesarean sections should not be done without a clinical need.
I m 41 week pregnantn overdue 7 days.i havent done sweep membrance but my midvife decided to me for induction on 25 june on saturday ..i just wanna a know how long it will take for labour after induce,will i get a baby on same day of being induce or next day.must reply thank u
I'm 42 weeks today and I am so desperate for a natural birth, I was induced with my son at 13 days over and he was back to back. I had the drip and was on my back the whole labour as baby needed constant monitoring, which wasn't pleasant as I had all my contractions in my back and was unable to move around freely. This has really put me off being induced this time but I would like to know if the success rate of induction only using a pessary or breaking waters is high, as I would be willing to do that but don't want to progress to the drip again. X
Hi Sarah - I can't give you a statistical rate of success using prostin unfortunately (it differs from woman to woman). The chances of it working on its own are higher as this is your second baby. Also if you choose to have your waters broken artificially - you may well go into labour on your own but you'll need to ask them to wait before proceeding with further intervention. Research your options. You may need to fight a little to have your choices honoured.
I am 41wks today.2 previous scheduled c-sections.1st d/t breech and 2nd d/t doc/facility non-support for vbac.Current doc will vbac, however baby currently head down, back to back presentation and 75%effaced and no dilation.Appt yesterday we ended with plans to return July 5th for induction if cervix favorable or c-section otherwise.I really want to vbac this time.Do you have any suggestions for how to get baby to turn around face to back for favorable drop and vaginal delivery before then.I've been having BH since about 6.5months, but not painful or strong enough to do progress things along.Baby was fine per NST and I have had an uncomplicated pregnancy as with my other 2. Also, my doc/hospital is 2hrs from where I live, for it was difficult to find a doc/facility in my area that would vbamc.Thanks for any suggestions.
Hi Janelle - have you tried acupuncture or seen a chiropractor or osteopath. These are methods that may be able to help the baby move into a better position. To find either an acupuncturist, oesteopath or chiropractor closest to you visit our Find a Practitioner Search
Hi Jane, I am 39wks pregnant and my due date which was 36 wks has passed. This is my second pregnancy after 10 years. I am currently feeling pain beneath my stomach. I feel the baby is moving and shaking. I have been to the hospital twice for labour but to no avail. My doctor wants me to do CS in a wks time but i dont want it . Please advise.
Hi Salril - I am a little confused your due date is worked out as 40 weeks counted from the first day of your last menstural period. Why would your doctor wish to schedule a caesarean birth? It sounds like your body is getting ready to go into labour.
Hi Jane,
My due date was on the 12th july, i see the doctor tomorrow at Brisbanes Mater. They said to me on the phone that they don't want me to wait until this thursday. I think they want to induce me. A few people have already told me that if i go over the due date the babies head will get too big and will get stuck, so i have to be induced and maybe have an epidural and be 'snipped'. This frightens the hell out of me. Is this at all true? Could this be the reason for being induced this week? I have had an un complicated pregnancy, with the baby at normal size and was totally healthy even before getting pregnant. Does the baby grow really quickly in the last couple of weeks?
Regards Lauren
Hi Lauren - there is no evidence of babies getting too big and being stuck when you go past your due date. Unfortunately people like to tell horror stories. Are you able to talk with a midwife or doctor about your concerns? Also ask about the risks/benefits of induction of labour and the risks/benefits of waiting for labour to start naturally.
Hi Jane. I'm 41 weeks today with my first baby.I had a membrane sweep 51 hours ago. After the sweep I had what I assume to have been my show and that evening had what I thought was labour contractions for many hours. They were regular and very painful. They got to approx 6 mins apart lasting for one minute and so I got prepared to go to hospital,however they started to become less painful and then less frequent until they eventually stopped. Because they stopped I assume they weren't real contractions however i'm confused as they had all the signs of real labour until they stopped. I have continued to have tightening's but no longer regular and only slightly painful. Can you offer me any advice on what they could have been ? I'm due to be induced on the 28th of July but I was told that it would be unlikely I would make it to induction as they thought things would progress. How will I know next time I get these tightening's whether they are real or if they will pass. I don't want to go to hospital to be sent home again. Thank you.
Hi Krystiana - it sounds like you got a great response from the membrane sweep and you has some early labour. It is not unusual for early labour to come and go. Hopefully you will start to have some more contractions shortly and they'll continue till you go into established labour. Contractions of established labour usually are strong, last more than 45 seconds, are regular and get closer together. If any doubt ring your midwife, hospital or doctor.
I am currently 5 days overdue with my third child. My dates are accurate as I had an early dating scan. I did go Overdue with both my children, and they were induced about 12 days over. I would like a more natural birthing experience this time but must admit I'm impatient and tired. I am looking at induction at ten days overdue because it's easier for family, doctor ect. I don't know weather I should hold out for the 14 days and see if labour will begin by itself. Is there really a significant risk waiting longer or is the 10 day standard just a thing doctors say!
Hi Jane! I am one week overdue with my third child, my dates are right and my OB very supportive of my want to wait. He has left my induction date up to me 10 days overdue as classically asked for or 14 days overdue. I don't want to induce just because I'm tired, I am impatient though. I am concerned my cervix is not that favorable at this point. Is it better to just wait or are there risks in waiting?
Hi, I'm 5 days overdue with my 4th baby! I've had 3 sweeps but nothing! I have an inducement date for the 9th Aug :( Not looking forward to that. My 1st was born on her due date 2nd 12 days late 3rd 15 days late. It's hard going.x
Hi Natasha - I am sorry for the delay in replying. I've been on holidays. You've most likely made your decision now. The Cochrane database is a great place to find information on what the research tells us for all sorts of issues in pregnancy. Regarding the best time to plan an induction of labour for women who've gone overdue. This is what they say:
Induction of labour in normal pregnancies at or beyond term
A normal pregnancy lasts about 40 weeks from the start of the woman's last menstrual period, but anything from 37 to 42 weeks is considered within the normal range. Births before 37 weeks are considered premature because these babies often have breathing difficulties and other problems as some of their organs will not yet be fully matured, e.g. their livers. Births after 42 weeks seem to carry a slightly increased risk for the baby, and this review sought to find out if induction of labour at a prespecified time could reduce this increased risk or not. There are currently no tests that can tell if a baby would be better to be left in the womb or be induced and born, so arbitrary time limits have been suggested. The review of trials found 19 studies involving almost 8000 women given induction of labour at various times from 38 weeks to over 42 weeks' gestation; some were quite old trials and the quality was variable. The review grouped the trials by induction at (1) 37 to 40 weeks; (2) 41 completed weeks; and (3) 42 completed weeks, compared with waiting to a later date. There were fewer baby deaths when a labour induction policy was implemented after 41 completed weeks or later. However, such deaths were rare with either policy. Women's experiences and opinions about these choices have not been adequately evaluated.
hi im booked in to be induced on tues the 16th if my body isnt ready for labour and i dont progress when given different induction methods will they send me for a c section??
HI Jane! I am currently 40+5 with my second child I just had a biophysical profile done and baby was a 10/10 which is great! But the midwife said my placenta looked old(white spots) I wonder is this really something I should worry myself about or is this normal? I am scheduled for induction on the 19th which will make me 42+1 I just wonder if with this "old" placenta am I risking baby by waiting on her to come out on her own? I just really want to have a natural birth :-) Thanks~!
hi jane! I have been reading the post's here and my concearn is a little different from the others as i am writing out of baftlement and concearn for my sister, who is 7 days past her due date. She was woken from her sleep last night with consistant contraction ranging from 6 to 8 minutes apart and lasting about half a minute to a full minute, and were extremly painful, so she in turn, went to the hospital where they monitered her for the better part of the night, her contractions were reading quite strong but she had yet to progress, so they gave her a dosage of morphene and sent her home. while at home she got very ill feeling and could no longer feel the pain from the contractions but could see and feel the tightenings.with another pointless call to the hospital she was told nothing but to come in when she was in actual labor, she was sent to deal with her constant pain that she'd been having for weeks, her contractions and 2 small children to deal with.she is also in the process of being tested for ms with quite a few rising symptoms in the past year.our mother has ms and with her 3rd child she could not feel the pain from the contractions only the tightenings...we are afarid that something is going wrong but with the babys vitals being good there is nothing they are willing to do for her.so my question is, 1.are you supposed to give a labouring mother morphene to assist with contraction pain? 2. what are the protocals on inducing post term with someone in her position and 3. is there anything that can be done to assist her in stopping the pain? any advice or onformation you can give might be benificial. thanks in advance
Hi Jane, I am due on 15th September with my 2nd baby. With my first daughter i went way over due and had to be induced 4 times before labour would start as my daighter was comfy where she was ;-) my concern that i have with my 2nd is that we are based away from family at present and when i go into labour my sister is having to travel from Scotland which will take 6hrs to be there for my daughter. My question is, is it possible to be booked in for an early inducement or an inducement on my expected due date?? I am stressing so much about the care for my daughter as my husband wants to be with me which i fully understand as our daughter was back to back and was a difficult labour and i need him there also.. Would really appreciate any advice on arranging labour on or near due dates
Many Thanks
Hi Jane!! I´m 40 weeks now of my 2nd. My first daughter has 14 and was induced. Now I have 41 years old and I´m afraid going overdue because of my age. In my last visit to OB last monday I was 75% effaced and 2 cm dilated and he said I was going well. Also I´m feeling cramps and backache, but seems BH contractions are decreasing. When I´m resting nothing occur and is like I´m not pregnant but when I walk I feel some contractions and cramps like menstrual. Do you think my age could interfere in a natural birth?? Should I walk more to increase the chances of natural labour?? What do you think of my case??
Sorry everyone I've been away on holidays.
Jade if an induction does not work and labour doesn't establish a caesarean birth can occur.
Naomi - 10/10 for a biophysical profile is great. This the first time that I've ever heard that white spots on the placenta being reported on in an ultrasound report. I am doubtful that it carries any significance. The biophysical profile would be a far better indicator of your baby's health at the time of the ultrasound.
Krystal morphine is commonly used by some hospitals. It carries side effects for both mother and baby. The pattern of contractions you describe is not uncommon and can occur on and off for days (and sometimes a week or more). Midwives usually provide information and support to help a woman through this (challenging) time. Induction of labour carries risk to mother and baby and unless there are medical indications is not usually done until 10 days or more past a women's due date.
Colette it must be difficult being away from your family. I understand that you want to be able to plan support for your daughter. You can request an induction of labour (whether the health service will do it or not is another thing). I would advise you however to research your options carefully as induction carries risks and can lead to an unnecessary caesarean birth. Why don't you look at natural options for induction - regular acupuncture treatment is reported to help avoid going overdue.
Sandra your age will not affect you going into labour naturally. However if you went overdue last time you are more likely (than average) to go overdue again. Walking is a great idea, as is acupuncture, sex and other natural induction strategies.
hi! i am due date 5days (from my 3th scan) i dont have a regular menstruation but it is possible that the scan can be wrong for few days?
Hi Vera - yes the scan can be wrong in estimating your due date. All ultrasounds have a margin of error. The earlier a scan is done in a pregnancy, the more accurate it is.
I have last seen my period November 2010 then have sex with my husband toward December ending. Now it's September 4th with pregnancy which I believe I am already over due. It's my 1st time. No sign of labour. I am worried. My overdue seems to be 31st of august and now it's September 4th. What can I do. I want my born baby natural. I know Almighty God will get me through.
Hi Jane - Most women have their baby before they reach 42 weeks (2 weeks following your due date). To help encourage labour you can try some of the suggestions above. Good luck.
Hi, I'm 40 + 6 and am booked in for induction at 42 +1. This is my 2nd baby (1st was 4days early normal, fast delivery, no pain relief). I'm really worried about the induction not being successful & having to be induced as I had bowel resection surgery a year ago, because of which I'm classed as high risk in term of c/section. I've alao had a past ectopic pregnancy, so I've got an old horizontal laproscopic incision & a recent vertical laproscopic one. At the start of my pregnancy the obstetricians scared the life out of me warning me of the risks of c/section due to increased chance of perforating my bowel, comes to pass my consultant doesn't even seem that bothered now & I'm scared of the induction not being successful. I'm still hopeful I'll go into labour naturally, but as time goes on I get more & more concerned!!
Jane, my lmp was Nov 29th conception in mid december... Due Date was set at sept 5th. I am 42weeks 1 day. Lost plug, contractions all week. Still pregnant! Hang in there!
Hi Jane, my due date is 26/09/2011 and it's my first pregnancy. Baby position face to my back and head is already engaged few weeks ago. At week 37 I had some pains around my pelvis and cramps for few days and it stopped until now week 39, 3 days. I have a feeling that it would be overdue so I told my doctor. He said come in on 26/09 to have a check up again and maybe we will make a decision that I should start to have induction or not. I've read so much about the induction and it doesn't seem like working for everyone. I don't want to go through so much of pain and days then end up having caesarean. Can you tell me if there is any risk of having c-section because I would prefer to do this way than pushing a baby out unnaturally .
I am almost 39 years old, pregnant with my first and I'm 41.2 today. I was scheduled for an induction but the hospital is too busy with emergencies to find a bed for me. Is there an increased risk to me and my baby for this pregnancy to continue due to my age?
I am sorry but I have been unavailable to answer questions for the last week due to a deadline I had to finish writing the new edition of Pregnancy for Dummies. I will answer Chantal to Amanda's questions:
Chantal hopefully by now you have gone into labour and had your baby. Given your history with your first birth it is highly likely you'll go into labour yourself. If you do choose to have the induction of labour - it is more likely to be successful as you have previously given birth.
Sandy fullterm is 37 weeks to 42 weeks. You are not considered to post term till 42 weeks and beyond. IOL of labour does carry risks. The average length of a first pregnancy is around 40 weeks and 4 days or so. So you have sometime time left. Unless medical or obstetrical problems exist IOL of labour is not advisable at this point. Caesarean birth carries many risks - so should not be done without a good medical indication.
Amanda regardless of a woman's age - full term is 37 to 42 weeks. No evidence that I've read suggests that age is a factor when considering risk around the issue of being postdates. Most inductions would be be scheduled until late in the 41st week.
I'm 37 years old and pregnant with my third child. I'm 3 days past my due date and wasn't really that worried until today. With my oldest daughter I had to be induced at 42 weeks and unfortunately that turned into a c-section. With my second daughter I was 8 days late and on the day he wanted to induce me I went into labor a few hours earlier. Now me and my sister were also both late babies and so I'm not surprised I'm over again.
However my previous doc doesn't deliver anymore and I have a new one which thankfully agreed to let me do another V-BAC. An added complication this time is that I developed gestational diabetes which I have under control through strict diet changes since I was diagnosed about 10 weeks ago. Today I had a stress test and the doc there (another one in the same practice) didn't think he moved enough and let me do another ultrasound (I had one one day before my due date). Even though he had moved quite a bit earlier in the day he didn't move for a long time and the technician didn't see any breathing until almost the end after 1/2 hour. She then said that there wasn't a huge amount of breathing to be seen a few days earlier either. Now the doc that was there was really considering what to do and if my boy would have not started breathing and moving towards the end I had a feeling they would have sent me to the hospital right then. He said I have three factors against me... my age, my diabetes and that I'm overdue.
Now of course I do not want to take any chances but if at all possible I want to avoid another c-section. My next appointment is in 3 days when they will another stress test and ultrasound. From what he said it seemed to me that they would send me to a c-section if my next test isn't better. I was hoping I would have a few more days... but then I definitely don't want to take a chance. He said I really need to monitor his movements. How many movements should I feel minimum? Does it count if I nudge him and he moves then?
Also I know that my previous doc said regarding my planned induction with my second daughter that he could only give me a nudge with the pytocin and then I would have to progress on my own because I've had a c-section before. I had read before that they would not induce after a c-section and was glad he would have given me that chance. Even though in the end it wasn't needed thankfully.
If my test is not better on Friday could I still request that they try inducing me or break my water to see if that gets me going before doing a c-section or do you think that would not be advisable in that case? Again I wasn't worried before but I'm really uncertain now...
When my first one was so late we had sex hoping to get me going and walked a lot but with no success. Reading your article makes me wonder if we should give this another try. Also I've had no contractions or anything so far, but neither did I have this with my previous pregnancies. The difference to the girls is though that he has been really pushing down at times and dropped several weeks ago quite a bit that I at first actually thought he'd come early. This just as an addition to my previous post...
hi, today is my due date and I am getting a bit worried since I can feel that I am going past my due. My doctor told me that my baby is still high and we wait till he drops.. I am have been feeling strong contractions and pain all over. I have been walking all around the place as well hoping that it would greatly help.. is there anything that i can still do to go on active labor? I am already 2 to 3 cm dilated..
Eve you could try some of the natural methods to help encourage your labour to start. You certainly could ask that they try breaking your waters if you chose to try induction of labour. Lets hope you go into labour before Friday.
Clang most first time mothers do go past their due date - this is normal. Your body will start to have regular contractions soon. You could try some of the natural methods of labour induction/encouragement mentioned above.
Hi im pregnant with my first baby due date the 28th sep, now 4days over due! I seen the doc on the 14th sep who told me I would probly need to have a c-section as my baby was not engaged and it appears to be too big for my body frame, all this told to me after the doc pushed around on my stomach. The last scan I have had was at 18weeks. I then waited patiently another week untill the 21st sep hoping my baby would engage, unfortunatly at this appointment the doc advised again the baby was not engaged but nothing said about having a c-section untill my partner reminded him of what he told us the week before, the docs responce to this was "well we will just have to wait and see what happens over the next week". I tried to raise my concerns of if the baby is to big for my build i would prefer to find this out sooner rather than later as i dont want to be in labour for hours and then be told i have to have a c-section, the doc answered with "you will just have to trust me" :( Waiting another week and attending an appointment on my due date the doc advised again my baby was still not engaged and this could most likely be as it is to big but will let me go over until tuesday 4th and if still nothing i would be induced on the wednesday or thursday depending how busy the hospital is. My stomach has not dropped at all and i have had not signs of the baby wanting to come. Im wondering if its normal though to not have any scans from so early on and for a doc to be making such statements by just pushing around on my stomach? and if i do have a say as to what happens in regards to being induced, when this happens and if they can possibly do something to find out if the babuy is too big? I also have been tryin all the natural remedies to bring on labour and nothing at all is working, im thinking babies really do come when they want.
Hi Larissa - Unless a problem develops in pregnancy further ultrasounds are unnecessary. Abdominal palpation (where your baby is felt by pushing on your abdomen) by an experienced midwife or doctor can tell the baby's position, engagement of the baby's head and estimate size. It is not uncommon for a baby not to engage prior to labour with your first baby. My experience is most women with a baby whose head hasn't engaged (even first time around) go on to give birth no problem. It is very common to go overdue - particularly with your first baby. Hang in there - your labour should start soon.
Hello, I am a second time mommy and I am on pregnancy number two. I am now 40 weeks and 3 days, my edd was Oct 7th.. the doctor doesn't let his paitents go past 41 weeks so he scheduled me an induction on October 12th at 9pm.. that's when they will start cervidel, and they will begin patocin the following morning. My question is what is the success rate with the combined cervidel and patocin?.. do a majority of labor inductions end up with a c-section? And is there a lower chance of c-section with cervidel? Thanks, sophia
Hi Sophia - Research evidence does not support induction of labour until 41+ weeks unless there is a problem in pregnancy. You can say no to a medical induction. No the majority of inductions do not end up as caesarean births. However the interventions in labour do increase.
Hello, I am currenty 36 weeks pregnant with my second child. My LMP was 9 days late but a 7 week sonogram confirmed a due date of 11/14/11/. However, I have been measuring large for dates all along. After requesting an ultrasound last month, we found out that the baby was measuring 5 weeks ahead. At 32 weeks, "he" was already 7lbs 6oz. At this point, I figured my due date would be changed to match the baby's size to 10/9/11. However, the doctor just says that I am having a large baby, to expect 10lbs+. My daughter was 8lb 5oz at full term, so I was expecting around 8.5lbs. Also, my daughter was born via emergency c-section because my water broke but nothing else. I didnt dilate, she didnt descend, and I didnt have contractions. Even on pitocin, nothing happened. This pregnancy is with a new doctor as we have moved. But this doctor is refusing to do a repeat c-section until 11/7/11 at 39 weeks, even though I have been having a TON of pressure for a few weeks and irregular contractions for the last week. He is waiting for me to dilate and have regular contractions. But my body doesnt know how to do that. He wants to wait because of lung development, which I understand. But I also think that I am farther along than my due date says. Is the doctor right in making me wait? What are the effects of having an overdue baby? I am just scared that something might happen to my baby because my due date could be wrong. Thank you, Jacki.
Hi Jacki - early ultrasounds are reasonably accurate in calculating due dates. Early scans are called dating scans for that reason - the margin of error is much smaller. Even a scan at 18 to 20 weeks is quite inaccurate (they can be out 7 days either side of a due date). A scan at 32 weeks cannot be used to date a pregnancy as there is so much difference in growth rates of babies. How long did you wait for labour after your waters broke? Sometimes it takes your body up to 3 days to go into labour (and occasionally longer). It doesn't mean that your body doesn't work.
Hi Jane
I am currently 40+6 and am very over this pregnancy. I was 40+4 with my first. I have SPD, which makes for a very uncomfortable pregnant lady. I don't know what to do. My widwife wont do a sweep, but the pain I am experiencing with the SPD is unbearable. I have tried, acupressure massage, curries, walking and sex (even though painful with my pelvis). Do you have any other suggestions???
Thanks Michelle
What about acupuncture or the essential oil clary sage? I've had quite a bit of success with acupuncture particularly. Hopefully you will go into labour shortly Michelle
I just had a biophysical profile today. Baby's heart rate was good 2/2, Breathing good 2/2, Muscle tone good 2/2, Movement was good 2/2, but amniotic fluid they gave me a 0/2. They say there is only 3.48cm of fluid. I know sonograms are not perfect....do I trust their numbers ? I read on some sites that under 5cm is dangerous, on other sites under 2cm is dangerous, and still on other sites that this is a very imperfect system and saying "low amniotic fluid" is just a way to induce induce induce. Help. ..... This is a new Doctor for me, and a new hospital, and truthfully, I'm not sure I trust them.
Hi Jane, I am currently overdue with my 4th child. At 41 weeks my bishop score was 0 - cervix closed tight, long, hard, and back. Baby still very high and resting on the base of my large tummy (a bit of a pendulum tummy) with no pressure on my cervix. Going in to see if can soften cervix with gel at 42 weeks and then the next day see if I have responded and either labour has started or can do inducement. I have had 2 previously successful inducements with gel only which started everything and then ARM to get things moving along and one natural onset. First baby very large anatomically and started to descend and then went back up and he was just stuck and never moved during pushing and so forceps. Lots of trauma from that delivery I suppose from the forceps but also from his large shoulders and abdomen, he was just big and still is. I am concerned this baby will be large and is not going to move from resting on my overhanging belly to descend into my pelvis at all and is going to get stuck also or that induced labour is going to fail. I usually have quite strong braxton hicks, but am not having much of those at all. I just don't feel like I'm going to go into labour any time soon. About 4 weeks ago I fractured a rib from coughing from a chest infection and also have bad sciatica in one hip and leg so have been quite sedentary, sitting and laying down more than usual. The muscles in my lower back are quite tight and I am wondering if that could be preventing my baby from descending and my pelvic region relaxing. I am eating pineapple and will try some acupressure but am unable to walk around too much due to hips and rib. How can I encourage the baby to move into the pelvic region? Any other tips! What will be done if my cervix remains closed after gel, as Dr cannot even get in there to break waters at present and may not favour going over 42 weeks. I suppose only other option is a c-section or waiting another few days. I'm not sure I can go any longer as some days I am unable to walk due to pain sciatica pain. Thanks, Alana
MJ - Ultrasounds are imprecise. Can can request a repeat ultrasound to check that the first one was correct. Also make sure you've drunk plenty of water leading up to the ultrasound. Low amount of amniotic fluid can indicate that the placenta isn't working as well as it should. You do not say how many weeks pregnant you are - the amount of fluid expected differs with how pregnant you are.
Alana it sounds like you've had a rough time over the last few weeks. The two strategies to help baby get in a good position and to hopefully give you some relief from your symptoms are acupuncture and chiropractic or osteopathic treatments. Good luck
Hi, I'm 2 days overdue and getting a little worried about my baby's movements not because they have reduced but because they have increased#! She never seems to stop wriggling. Can a baby be too active?
Hi Leah - Baby's movements that have reduced is a concern. An active baby is reassuring. The baby cannot be too active.
Hi Jane,
I am 2 days over EDD. Started losing my mucous plug 2 days ago and alot of it today tinged with brown blood. Saw my dr. today and she said my cervix is soft and stretchy. She felt the top of the baby's head with her finger. She says these are all good signs that the end is near. Do you feel the same? She will let me go to 41-1/2 weeks. I really want a VBAC. This is a second pregnancy, after being induced at 38-1/2 weeks with twins (due to crowding). These were both IVF pregnancies. Thanks for your advice.
Hi Susan - The signs are certainly very good that labour may not be far away. If you haven't had your baby yet - acupuncture treatment can be good for encouraging labour. You will need to find an acupuncturist that specialises in pregnancy.
Hi Jane, at week 35, my blood pressure had increased from my usual 120/80 up to 135/90. At week 36, is was up to 145/90 but now at week 37 it is down to 125/90.
My doctor would like to induce me close to 38 weeks (I'll be 38 weeks on 17th December), even though there is no protein in my urine. I only have mild swelling on ankles and legs.
Would you consider it normal to induce a patient at 38 weeks because of higher blood pressure, and if so, could you please explain why.
Many thanks
I've been in spurious labour for 4 weeks now with painful contractions all the time. I am exhausted and my due date is tomorrow. I'm afraid of not having enough energy for the actual labour because of how weak i am now. I don't know how much more i can take.
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