22w1d - Advanced maternal age

On Tuesday I had a meeting with the obstetrician at the hospital. This was scheduled because I am borderline for pregnancy risk factors- my age, my weight, and my history of ovarian cyst and abdominal surgery. The meeting, which was very short, was relatively uneventful. However, the registrar said that due to my age, they recommend I have an induction at 39 weeks.  Apparently, once you are 40, your risk of stillbirth doubles from week 39 compared to a younger women. This sounds awful, but what it really means is your risk goes from 1:2000 to 1:1000 which still means you have a .01% risk of stillbirth. Still, this was not news I was expecting or prepared for. It sent me to looking through the internet and forums to confirm this information which does seem legitimate. However, it sort of sucks. Follow up reading suggests that induction does not increase the chance of a cesarean section, although I think this is widely held belief. I guess in part the reality is that older mothers in general have a higher rate of cesareans.

This will be something I need to continue to discuss with my midwife and doulas. I really wasn't planning to have the baby early, and I wasn't even thinking about induction at this stage. I guess I need to, and I need to start thinking about when to do it. It seems unclear if the testing shows a difference between 39w and 39w6d so I could get very close to my due date, or I could just decide to go a week early. Although this would only mean I took a week off of work. Decisions to make. But at least I have time to see how the pregnancy continues to progress and talk to my support team.

In other news, I'm off to the States tomorrow for a couple of weeks which should be good. Going to see family and friends which I'm looking forward to. Although I never look forward to the long flight. Hopefully all will be well. I got compression socks to wear so I can be a good pregnant woman.