On paper my pregnancy looks high risk but these are the individual circumstances:
- Inflammatory bowel disease - well controlled no meds no flare since first trimester
- Iron was low, had infusion now back to normal levels and being maintained at last blood test
- Have Gestational Diabetes, few high morning readings, refused Metformin due to possible bowel disease flare trigger so put on nightly low dose insulin (forgot to take insulin for a number of nights - no spikes).
- Had a additional growth scan between 4 weekly appointments after 13 days due to triage visit for reduced movement. Was an unusually busy stressful day and I couldn't remember if I had felt movements. All was fine (saw a few Braxton hicks on ctg - baby manage them well). Baby moved on this scan from 88th centile on individualised growth chart to 93rd centile. Sonographers commented baby's limbs were akwardly placed to get measurements. Baby is only 60th centile on a generic growth chart.
- Had another routine growth scan 2 weeks later baby back (just under her line) but the plot comes up red as a reduction in growth.
- Preferred plan was to birth naturally, go to full term (40+6 agreed) without intervention and hopefully use MLU.
- Decided would accept consultant led birth as continuous monitoring available and happy to have it if needed.
- Started insulin and suggestion for 39+4 induction made. Agreed and said that will get cervix checked if favourable and method of induction is acceptable will accept otherwise will elect C-section.
- Based on growth scan date has been moved to 39 weeks on the dot for induction.
- Going weekly for scans - this week to check cord blood flow and fluid (always been good).Week after growth scan.
- C-section is being discouraged as second baby and first was natural birth, also measured big in scans but was 25th centile.
- Movements have been great last few weeks. I feel happy and healthy otherwise. Baby is in optimum position and moving down into pelvis.
Based on all of this I'm thinking to refuse induction at all and let myself get to at least 39+4 or even push for them to leave me alone until 40 weeks. Anyone changed their mind later and refused? When I asked initially to be on MLU they booked me a call with the senior leadership team as I was making a choice out of hospital policy. Would they do similar if I say no to induction at next appointment? Also does anyone know if I can request a diabetes midwife in my consultant appointment because the last consultant was awful and she lacked people skills.
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Personally, I won’t be accepting induction in any circumstances; we are planning a home birth after a previous unplanned c-section so are constantly told we are “outside of guidelines” but I have done my own research and this feels right for us.
If you would rather go ahead with a natural birth be strong and stick to your guns, you are much more likely to succeed with a build of oxytocin so tell them your decision and refuse contact for ‘X’ period of time. No one can make you do anything so just focus on yourself, your family, and being in that lovely bubble before the baby arrives 🥰
I had a presentation scan about 10days ago which has led on to them suggesting I have polyhydramnios and they have been fully scaremongering and trying to make me fit to their schedule rather than what we want. Luckily, we have an IM who has dispelled all their suggestions but hospitals are unfortunately all about anti litigation plans rather than what is best for mothers now.

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