Late Preterm Birth - STOP THE MADNESS
The CDC released another report on lat preterm birth today. ?Here are some of the key findings:
- The U.S. late preterm birth rate rose 20% from 1990 to 2006. If the late preterm rate had not risen from the 1990 level, more than 50,000 fewer infants would have been delivered late preterm in 2006.
- On average, more than 900 late preterm babies are born every day in the United States, or a total of one-third of 1 million infants (333,461).
- Increases in late preterm births are seen for mothers of all ages, and for non-Hispanic white and Hispanic mothers.? The rate for black mothers declined during the 1990s, but has been on the rise since 2000.
- Late preterm birth rates rose for all U.S. states, but declined in the District of Columbia.
- The percentage of late preterm births for which labor was induced more than doubled from 1990 to 2006; the percentage of late preterm births delivered by cesarean also rose markedly.
Okay so what do you need to know about this? ?DON’T GET INDUCED.
Don’t do it for any of the following reasons:
- You are tired of being pregnant. (Your baby is still enjoying the ride.)
- You are uncomfortable. (Long, hard labors don’t make you comfortable.)
- You can’t sleep. (Sleeping in the NICU is hard too.)
- Your doctor is only on call on X date. (Then wait until baby picks their doctor.)
- Your mom has a plane ticket to visit on your due date. (Either change her flight or suck it up.)
Seriously how many sick babies have to be born before someone takes a stand and says enough? ?900 per day. That is a lot of babies who are greater risk of breathing difficulties, trips to the NICU, dying from SIDS, problems breastfeeding…
Surely you can stick it out a few more days or even a couple of weeks. Do it for your baby.
I am seeing this more and more in my practice. Women began begging for induction even before 37 weeks for a myriad of reasons–most often, being so uncomfortable and “I’m just DONE!”
In my prior practice, with a homebirth/birth center clientele, it was another story. Rarely did anyone ask to be induced, and if there was a situation where I felt induction was indicated, the woman was often begging to wait just another day or two.
Why the difference? How can I help my current clientele adopt the more healthy, non-interventive mindset of my homebirth/birth center group?
here’s a link to the report:
http://www.cdc.gov/nchs/data/databriefs/db24.pdf
i wanted to see whether the indications for induction of labour were outlined. it’s hard to believe that a health care provider would agree to inducing a woman before 37 weeks without a good reason (i.e. not the ones listed in this posting). in my community, the wellbeing of mother or baby would have to be quite compromised to induce before 38 weeks.
unless the woman had entered preterm labour on her own, her cervix would likely not be favourable for induction, which would account for the increase in c-section rate.
there’s also the consideration that women who have indications for early induction, for example gestational hypertension, might go into preterm labour on their own….nature’s way of getting the baby into an environment that is more suitable than in utero.
i’m definitely not the biggest fan of inductions. just wanted to add my two cents.