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Q&A: When to induce labor?

Do I need to induce labor early if my baby is too small?

Re: Do I need to induce labor early if my baby is too small?

The Bump Expert

There is a pretty wide range for what is considered to be normal size for a fetus. However, if the fetal weight appears to be less than the tenth percentile for gestational age, it can be a sign the placenta is not supplying the fetus with the nutrients it needs to grow. There are a number of ultrasound tests (biophysical profile, umbilical artery Dopplers) your doctor can do to tell how well the placenta is working, so in many cases, your doctor will not need to induce labor, especially if you are preterm (prior to 37 weeks). However, if you are at term (after 37 weeks) and the fetal weight appears to be less than the tenth percentile, your doctor may want to induce labor or even perform a c-section, depending on the results of the ultrasound testing.

Dr. Ashley Roman

Q&A: When to induce labor?

I am 30 weeks and have measured small through my entire pregnancy. The dr has done 3 ultrasounds to check the baby and she is doing great...she is VERY active during the day and enjoys it when we talk to her. My dr says that every baby grows differently and that the blood flow from placenta to uterus is normal...so dont worry about a thing...just ask your dr and trust their answers...your instincts will tell you if something is wrong so make sure you listen to them.

angelface152000 |

Q&A: When to induce labor?

I am 39 weeks pregnant and I have been measuring small for the past month or more. I've had 4 profiles to measure the growth of the baby and everything is fine with the baby including her being very active. They think that she weighs any where between 5lbs13oz to 6lbs10oz. My doctor decided to stripped my membranes to try and bring on labor, I go back in one week if it doesn't work this time around.

jesslynn1 |

Q&A: When to induce labor?

I am 37 weeks and last week I found out that my baby is small. This is concerning since at 26 weeks he was oversized. So I have been having NST's, which have been going well so no induction yet but we might soon. I want him here ASAP so I can make sure he's getting enough to eat. I feel so helpless with him in there, the only thing I can do is rest and eat more and I have no idea if it's helping.

okoriley |

Q&A: When to induce labor?

i am 39 weeks today and will be induced in 5 days if i haven't gone into labor by myself by then... i am so ready... i've been measuring 2 weeks ahead throughout my entire pregnancy... the doctor thinks that the baby is between 7 1/2 and 8 lbs...

kelkelsugar |

Q&A: When to induce labor?

I am 40 wks today & have measured small up until last wk. He now measures to be around the same as my last, which was 7lbs14oz.

scmama1983 |

Q&A: When to induce labor?

I am 38 weeks my baby has been measuring a little big throughout my pregnancy. If i have not had him by tues which is my next apt i will be scheduled to induce on thurs of the upcomming week. They are estimating him to be around 8 lbs already which is somewhat scary considering my biggest baby so far was 7lbs 2oz and i struggled to deliver her!

cristiem85 |

Q&A: When to induce labor?

I am 2 days shy of 38 weeks and my baby has measured 1-3 weeks ahead throughout the whole pregnancy. I just had an untrasound and they said she is already 7 1/2 lb at the least and that there is an abnormally high amount of amniotic fluid for this late in the pregnancy. I have been 2 cm dialated and 75% efaced since week 36 when I went into labor and it stopped after I was given pain medication. Since then I have been back to the hospital twice with contractions 2 minutes apart and my doctors will not help my labor to progress until i am past my due date :(

melissahope10 |

Q&A: When to induce labor?

When it comes to inducing you labor, do the research. The cons may outweigh the pros. Drugs used to induce labor can have very nasty side effects on both you and the baby. The off-label use of Cytotec (used to soften the cervix) can lead to a ruptured uterus which can lead to hemorrhaging and even the need for a hysterectomy. Contractions caused by Pitocin are much more intense and can put both you and the baby in distress, often times leading to the need for a c-section. When it comes to making this decision based on whether or not your doc thinks your baby in too small, no that ultrasound test and other text are not always accurate.

pchefshawna |

Q&A: When to induce labor?

I have a doctor suggesting induction for the opposite reason, he thinks my baby is too big. At week 37 she is measuring at 7lb 12 oz, and because I have gestational diabetes, he is 'suggesting early delivery'. Meanwhile my primary OB says that while the baby is big, its just healthy big, and not dangerously so or even very big by GD standards. I dont understand what this 'specialist' is trying to accomplish other than freaking me out.

Kimera |

Q&A: When to induce labor?

I also have GD but am measuring small. They still want to induce before my due date...doc says that they do not like to let the pregnancy go all the way to the due date with GD whether I'd measure large or small. I believe it is the concern over the placenta going bad.

JessHenchey |

Q&A: When to induce labor?

when I was just under 37wks I had vaginal bleeding and began to get contractions 5-6 minutes apart. I was hospitalized and on week 37 day 2 I was induced. The induction took over 36 hrs and was very uncomfortable, the worst cramps you will ever experience in life! however once my water burst I was able to get an epidural, @ hour 38 I went from 3-10cm and had my daughter out in 3pushes. finally I had relief after a very scary few days, it turns out that a small portion of the placenta had detached and caused the bleeding and pain most likely! although she was early weighing only 6# and. 18.5 inches long, my little peanut came out healthy!

lmaddox85 |

Q&A: When to induce labor?

Thank goodness I don't have to be induced until after 42 weeks. The group of midwives I see for prenatal care strip your membranes at 41 weeks, try castor oil a few days after that, and then if you're still not in active labor, you get induced at the hospital.

meg.taylor09 |

Q&A: When to induce labor?

We heard there was a new ruling that doctors are no longer permitted to induce before 39 weeks for anything other than serious medical reasons--i.e. hypertension gets out of control, gestational diabetes, etc. I haven't researched enough to know where this came from or what the exact conditions are, but it wasn't something we were informed about up front. Because I work an hour away from home, I was thinking of inducing about 1-2 weeks early just so our son would be delivered safely in the hospital... while delivering in a car is a fun story for later and is the stuff some rock songs are made of, it's not something I need to experience, thanks.

AorthianArcher |

Q&A: When to induce labor?

With my daughter I was extremely small my whole pregnancy. My Dr, has never worried since I gained my weight and my daughter was extremely active - everyone thought she would only be 6/7 pounds - she came out 9 pounds!! :) It can also be how the baby is lying and the position. - Second pregnancy bigger baby and carrying my weight like the last (different looking bump though!! lol)

KymberleeJean |

Q&A: When to induce labor?

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watson012 |

Q&A: When to induce labor?

yes

jrwhitt22 |

Q&A: When to induce labor?

i am 39 weeks measuring at 38 weeks. was hoping to have her this monday and i am not going to get my wish. :( pretty disappointed but what can i do?? i am in a lot of pain and walking is a major complication anymore. i am miserable just for that simple fact! wish my doctor could do more to help me. the mental wearing is killing me also! wish i could be induced b/c i know this little one is very healthy and active!

stacy410 |

when-to-induce-labor

I'm 33 weeks our little man is measuring at 35 weeks and I have been getting a ton a pelvic pressure and feeling like he is pushing right on my pelvic bone. I have always been getting contractions not daily but maybe every other day. Does anyone know what all the pressure is?

nvincent |

Q&A: When to induce labor?

I am 39 weeks today and at my appointment last week my fluid levels are high but in the high normal range. My Dr wants to induce Thursday and my husbands wants to wait. We have another biophysical wed to see how it looks and go from there. My due date is next week and my Dr nor I want to go much past my date. Anyone else have or had this happen? What are your opinions?

tramik20 |

Q&A: When to induce labor?

I am amused by the number of people referring to their BIG babies who weigh 7-8 lbs... My son was estimated over 8 pounds at my ultrasound at 37 wks. By now he is likely over 9 since my belly is still growing and I gained another 2 lbs. I have had Hypertension (high blood pressure) for the past month and they have been repeating all the labs for preeclampsia over and over since I just miss the cut off on most of them. Who else thinks that peeing into a jug for 24 hours was the highlight of their last month of pregnancy? Kidding. They really wanted to induce at 37 wks, but I ended up passing my labs that week and have held them off for another 2 weeks. At 39 weeks today and waiting for the call from the hospital to come in for my scheduled induction. I really wanted to let everything happen naturally, but their concerns are valid and since I have seen an increase in my symptoms (swelling head to toe, headaches, vision changes, numbness in fingers and toes...) in the past week I'm inclined to think this is the best choice for us. I'm incredibly uncomfortable and ready, but still nervous about the increased risk of complications and c-section that are associated with induction. It is encouraging to read about so many women who had successful inductions that resulted in vaginal deliveries. I hope that I am able to do the same.

Jeanneplusone |

Q&A: When to induce labor?

I'm also on list today to be induced because of the size of my litttle guy, he was weighing in at 8 lb 6 oz at 37 weeks and is now as of 24th measuring in around 9lb 8 oz so my OB wanted to give me a sweep on Monday but with a few tests decided I should go in first to check US, blood work etc as baby was being quieter than normal the last day or so and he couldn't pick up the heart beat (the embilical cord we could hear no problem steady rhythm but to be on safe side he opted for tests first. So after being at hospital all day on monday, they asked me to monitor my blood pressure and come in thursday*(yesterday) and did same tests, passed them and decided with me having some contractions that I might go into labour on my own but put me on list for induction today, so here I am waiting to hear. Nervous and excited all at once.. we normally wouldn't have opted for induction but I'd rather this than aving C section. I'm only 5'1 so, I have the look of carrying twins.. and won't miss people asking me If I'm having twins all the time, LOL!! but will miss having baby so close :) Good luck to all you soon to be Mommies!

Maggsygerl |

Q&A: When to induce labor?

I am a little nervous. I am choosing to get induces 2 days after my due date. I am only 2cm dialated and didn't even know that? Most people say they felt when they were dialating but I didn't. Could be because I have a high tolerance for pain, either way my little pumpkin will be here soon, whether i go into labor tonight or they induce me in 3 days.

LoganMommy13 |

Q&A: When to induce labor?

I am starting my 39th week. Baby is 7.5 lb. I am 60% effaced and 1cm dilated. Doc says we should "make plans" if he is not here by next weekend. Although I feel ready to pop, I am wanting a natural birth. I don't see why he needs to be induced if he's on time so far and not in distress.

SusanTeach |

Q&A: When to induce labor?

Today is my due date and I'm being induced tomorrow. My son weighs about 7 lbs and hasn't even dropped yet. I've been dilated to only 1 cm for the past 3 weeks. I'm so anxious about being induced that I can't sleep. I was really hoping he'd come out on his own when he was ready...

Shana2488 |

Q&A: When to induce labor?

I am 38 weeks pregnant and have had a very uneventful pregnancy, no GD, no High blood pressure, my little guy is very active and I am measuring on target I am however only 50% effaced and 1 cm dilated. I am very healthy and active myself and have kept my weight gain with in normal range for my height and body type, my blood pressure is so good that my doctor has commented several times that it's better than most peoples who aren't pregnant. my problem the only problem I have is that I am 37 years old so I am considered high risk so I have had to have the non stress tests twice a week for the last 2 weeks and they want to induce me in 6 days. When they began pushing this I began researching and all my research has said that babies induced before 40 week are more prone to respiratory problems and often are delayed in meeting developmental milestones. All of my tests were spot on and my LO is in the average range for size just as his big sister was. I am irritated and feel as though I am being strong armed about this induction if my baby is showing no signs of stress and I am feeling great why should I be induced? Why can't I just wait until he is ready to come out on his own? Is anyone else getting this kind of pressure?

EightYearsApart |

Q&A: When to induce labor?

I've been curious as to if I should get induced or not. But from what I've read of many of everyone's comments is basically - try to have it naturally... but then - like many of you other ladies, I am 39 weeks 2 days today (feb 14) and amazingly I'm 3 cm dilated but my plug and water have not popped. This has actually surprised my doctor who says that I should have already delivered. I don't know if it's common - but I have not felt ANY contractions even though I've dilated so much already, and hardly any pain but I have felt slight pinching and pressure in the pelvis and vaginal area. This is my first child, and I'm shocked that I am not going through the pains that many women speak of... I also do not have GB nor have I had HBP throughout my pregnancy until this past month due to anxiety and impatience on my part. My son weighed 7 - 7.5 lbs in week 37... now his growth is good, and he's dropped perfectly normal. However, I am in a bunch of pain in my hips, back and especially my knees. I don't know how much more my knees can hold out - that is why I am considering the "inducing" option if he doesn't come naturally by Wednesday (week 40 Feb 19th). But the cons .... I am afraid of.... I want a natural birth, no epi or drugs either - but it make come down to me being induced... Either way, just want a healthy baby - and the more he grows, I don't know what will happen...

KathrynFN87 |

Q&A: When to induce labor?

My doctor really surprised me by offering to induce my baby at only 38.5 weeks..I am at 40 weeks today. Am 4 cm dilated and almost completely effaced, but haven't had any contractions worth writing home about! It has been interesting comparing how my doctor feels with what my doula is urging me to do...basically, doc says "induce any time, she's ready, why not?" and doula says "NO! SHE'S NOT READY! Let her grow as long as she wants.." If I didn't have my doula's guidance I would have probably already induced! Going in today for a ultrasound to check for adequate amounts of amniotic fluid ( and size I would imagine) and then taking a non-stress test to check on the baby as well. I have decided I want to give her up to the full 42 weeks as long as there isn't a medical reason to induce. SInce I have had so few "bad" symptoms of pregnancy and really AM NOT miserable, I want to give her the choice of when to be born. She's got two more weeks to make up her mind, and then we really WILL have to evict her lol. I can live with that.

grodagirl |

Q&A: When to induce labor?

I am 39 weeks and 2 days and will be induced on my actual due date October 1st. My son has been growing at the same consistent growth rate my entire pregnancy and weighs just about 7 lbs, but is considered to be 2 weeks behind a "normal" size for his gestational age. The doctors worry that if he goes over his due date, that uterine growth restriction will occur and basically to be safe, they're inducing me at exactly 40 weeks. Either way, it is extremely common for doctors to want to induce labor between 39-40 weeks if the baby measure small to make sure the lungs are fully developed and ensure the child doesn't experience any restrictions which could also heighten the likelihood for birthing complications and chances of a cesarean increase.

hollcamp |