Induction is a Grey Area: How to use medical procedures to your benefit.

Image from PregnancyBest.com

If you are facing an induction because you are approaching the 40-week mark, and your care provider does not want you to go past your EDD, you have more than one option available to you. This is not an all-or-nothing proposition. The burden of proof for induction, no matter the reason, lies with your care provider. It is their prerogative to make sure you understand clearly any medical concerns.

If there are none, as in the case of induction for postdates, a Biophysical Profile (BPP) might be a great tool you can use to your (and your baby’s) advantage.

Present the option as a compromise to your care provider. State that you are uncomfortable with induction for a non-medical reason. Agree to come in as often as they want you to, in order to do a BPP. Agree that if your score is a 6 or less, that you will be open to discussing induction.

A BPP score of 6 is considered to be borderline, so you still have room to compromise even then. Get a second opinion. Keep asking questions until you feel satisfied that you have enough information to make a fully informed decision. This means that you understand the benefits, risks, and alternatives available to you in your particular case.

One quick tip I give all my clients: Never make your final decision with your care provider in the room. You and your partner should be left alone. If you are not, it is your right to request that you be given privacy to discuss it. If possible, take 24 hours to decide. Then, once you know what you want to do, make your decision together, and be willing to accept any consequences that may result from it – good or bad.

Remember, you can only be induced if you show up. I strongly urge you that, if you are inclined to showing up for an induction, please make sure you feel very certain of the real reason, and that you are at peace with it.

If you were induced for postdates, and there were no other indications, was the BPP made available to you? What questions would you ask your provider in this particular scenario? What other compromises could you make with your CP in the case of a non-medical induction discussion?

Grace & Peace,
Tiffany

Advertisements

1 Comment

Filed under Induction & Augmentation, Informed Consent/Refusal, Other Interventions.

One response to “Induction is a Grey Area: How to use medical procedures to your benefit.

  1. Meg

    An interesting topic… I never reached the 42 week mark, where my care providers would have started to talk about induction with me, but I’m interested in hearing other people’s stories. Who knows what I’ll face as we have more children in the future.