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Reasons I’ve heard include work schedule conflicts, a grandparent wanting to fly in for the birth, wanting to make sure a certain doctor is available, and not wanting a certain birthdate such as 9/11. I do see patients who ask to be induced or to have a C-section right at 40 weeks or on a certain day. We expect to get what we want and get it quickly. But children are not convenient or necessarily accommodating. No one says your child has to walk at exactly 12 months old, so why do we try to rush childbirth? Every child has a developmental curve, and every woman has a labor curve. Unfortunately, they are so common now that most people don’t think of them that way. The risk of C-section is definitely higher with induction of labor compared to spontaneous labor.Īs for C-sections, they are major surgery, with increased blood loss and risk of infection. This can include having to lie flat on a bed attached to a fetal monitor and not being allowed to eat or drink anything other than clear liquids.Īnd sometimes, no matter what we do to try to induce labor, you may end up needing a C-section because your body just wasn’t ready to deliver. However, if you have an induced labor, your care will be subject to hospital protocols. During this time at home, you can move around however is comfortable, you can eat, or you could take a shower if you want. If you aren’t scheduled for induction or C-section and have had an uncomplicated pregnancy, we’ll tell you to stay home, time your contractions, and come in when they are five minutes apart for an hour. We want the best outcome for mom and baby, and sometimes that means intervening to get a baby delivered.īut for moms and babies who are healthy, I feel letting the body do its own thing is best for everyone. Without a doubt, there are medical reasons for inducing labor or doing a cesarean section. Inducing labor or having a C-section is not always the answer

They do better in school later in life.Īlso, labor tends to be shorter if the body gets to decide when it’s ready. So let nature take its course.

They are neurologically mature after 39-40 weeks and not before.

But there is a lot of soft data about the benefits to your baby going to term: It’s sometimes difficult to convince a healthy mom that it’s OK to go past her estimated due date. Certain complications do increase in pregnancies beyond 41 to 42 weeks -but we are not exactly sure what exactly causes this. So we look for a balance between letting your body go into labor naturally and making sure mother and baby stay healthy. There is a national study going on in first-time moms to look at outcomes in pregnancies that last 39 to 40 weeks versus those allowed to continue to 41 weeks. We may have some better information in the future. We’ll probably never know for sure exactly how long is too long. There’s no clear answer to how long a pregnancy can safely go. Some Ob/Gyns are comfortable letting a woman go one week past her due date, and others may let her go two weeks past her due date. I loved the answer Prince William and Kate Middleton gave when asked about their due date they were vague and said the baby would come in "mid- to late April 2015." Accepting a due date range instead of a single day is the perspective I encourage all my patients to have. Not every woman ovulates on day 14 of her menstrual cycle, and not every woman conceives on that date. Even if you know you had sex on a certain day, the egg and sperm can sit in the body for up to a week before connecting.Įarly ultrasounds at six to eight weeks can give us a good idea of the conception date, but that date can still be off by five days each way. I dislike the term “due date.” The only pregnancy in which we know the date of conception 100 percent is when pregnancy is achieved through in vitro fertilization (IVF), when we combine the egg and sperm in a lab.įor all other pregnancies, determining how far along you are is a little hazier. But be patient. Unless there are medical complications, your body will let you know when it’s the right time to go into labor. You may be tempted to ask your doctor to induce labor – or even to perform a cesarean section.

It’s hard when you have a date in mind for delivery and it goes by – especially when you’re feeling big and uncomfortable. Then your due date comes and goes and… no baby yet.Ī day passes and then a maybe even a week goes by and still no bundle of joy. You’ve spent the past 40 weeks waiting to meet your new baby.