Hello doctor,
I have completed 38 weeks of pregnancy. My baby's heartbeat is 143, cephalic presentation. Myf AFI is 7 cm. Can I be induced for labor?
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At 38 weeks of pregnancy when the head is a cephalic presentation but not yet fixed in the pelvis and there are no decelerations or fetal distress on CTG monitoring and if you do not have any high-risk factor-like IHCP or gestational hypertension with pre-eclampsia then there is actually no need to be induced before the labor starts naturally.
There are certain set criteria for induction at 38 weeks or before as mentioned above, else at 39 weeks gestational diabetes, and at 40 weeks plus three days, if post diatoms and no labor initiated naturally, then induction should be done. I do not see any reason why you should be induced at present with AFI normal and heart rate acceptable. At this stage more than heart rate, CTG tracing is more important to assess the fetal well being. So please review with reports and ultrasound and CTG tracing or please furnish details of this being a high-risk pregnancy.
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