Induction

[br99]

A pregnancy with well controlled GD, normal baby weight, and no other abnormality, do you consider induction early or continue to watch it until week 42?

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[Global Disrobal]

well controlled with diet or pharmacotherapy?

 

[br99]

Well controlled with pharmacotherapy.

 

[THP]

Well controlled with pharmacotherapy.

Typically induction at 39 weeks but you have to individualize treatment with each patient.

 

[anonperson]

A pregnancy with well controlled GD, normal baby weight, and no other abnormality, do you consider induction early or continue to watch it until week 42?

Delivery by a patient's due date at the latest. Generally delivered at 39 weeks or so.

From what I understand, the stillbirth rate is increased after 40 weeks compared to the general population and although the absolute number may be low, the benefit does not justify the risk of this.

 

[Global Disrobal]

Ditto. 39 weeks.

 

[307Doc]

A2 or greater equals 38 , 39 weeks at our clinic. Depends on control.

 

[Geekchick921]

Typically induction at 39 weeks but you have to individualize treatment with each patient.

Out of curiosity, what would your answer be if it was controlled with diet?

 

[THP]

Out of curiosity, what would your answer be if it was controlled with diet?

Well controlled on diet, I would wait for her to labor with induction sometime between 41 and 42 weeks like everyone else. A lot depends on cervical exam.

 

[Geekchick921]

Thank you!