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Saturday, February 24, 2018

PROS AND CONS OF INDUCING A PREGNANCY

Even though I had a totally normal pregnancy, because I was well into m 40's I had a consult with a perinatologist.  Based on his recommendations, I was induced  at 39 weeks.  His reasoning was that older women tend to have "lower quality" placentas because their eggs were older to begin with (although my placenta was fine).  As the pregnancy progresses toward the end, the placenta starts to deteriorate - so older women have a double whammy (i.e. lower quality placenta - failing placenta).

This article talks about induction as an option:

SEE ALSO: WHAT IS THE REAL RATE OF PREGNANCY COMPLICATIONS OVER 40 (getpregnantover40.com)


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This seems to be the case for first-time mums, according to a review of 80,000 women in England. Gordon Smith of the University of Cambridge and his colleagues found that when women aged 35 or older are induced at 40 weeks, only 0.08 per cent of their babies died. But in women who waited until they gave birth naturally, or who were induced at 41 to 42 weeks, this rose to 0.26 per cent.
This means that, for every 562 women who were induced at 40 weeks, one stillbirth was avoided.

Failing placenta

After a certain point, the longer a pregnancy continues, the more likely it is that a baby will die unexpectedly in the womb – probably because it gets too big to be supported by a deteriorating placenta. By 40 weeks, the placenta is beginning to fail, says Smith.
Birth can be triggered with medicines that open the cervix and bring on contractions, but this tends to make labour longer and more painful. Induction is currently recommended in the UK if a woman has gone overdue by one to two weeks, regardless of her age.

www.newscientist.com 




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