Pregnancy: Your Body

Pregnancy: Your Body

Going past your due date

Going past your due date is common. Most providers watch closely from 41 weeks and talk about induction by 41 to 42.

General research · seeking a stewardpregnancyAlso searched as: overdue, 41 weeks, post-dates, membrane sweep

What it is

Overdue, 41 weeks, post-dates, a membrane sweep: the last stretch of waiting has its own vocabulary. A due date is a guess at the middle of a range. Only about 1 in 20 babies arrive on it. About 6 in 10 come by 40 weeks, 8 to 9 in 10 by 41, and the rest by 42. First babies tend to run later.

What's typical

From 40 to 41 weeks, visits often move to weekly or twice weekly, with a heart rate test and a fluid check. A membrane sweep, where the provider runs a finger around the cervix, is often offered from 39 weeks. It is crampy and starts labor within 48 hours for some. Most US providers offer induction between 41 and 42 weeks.

What's known

ACOG recommends offering induction by 41 weeks and advises it by 42. A large 2018 US trial, ARRIVE, found that induction at 39 weeks in low-risk first-time mothers did not raise cesarean rates; it is debated. Walking, sex, and spicy food do not show much effect in studies.

What helps

  • Stop answering any-baby-yet texts. Put an away message on. This is permission.
  • Ask what your provider's plan is for 41 and 42 weeks before you get there.
  • Plan something each day: a walk, a swim, a movie, a nap. Waiting with a shape is easier.

When to call someone

  • Nowthe baby moving less, your water breaking, bleeding, or a severe headache with vision changes.
  • Todayyou are at 41 weeks and have not heard what the monitoring plan is.
  • At your next visityour thoughts on induction and how far you are willing to go.

Who helps

Tools: Due Date Calculator · Birth Plan Generator

Related

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Sources

  • American College of Obstetricians and Gynecologists — Practice bulletin on management of late-term and postterm pregnancies
  • New England Journal of Medicine — ARRIVE trial: labor induction versus expectant management in low-risk nulliparous women
  • Cochrane — Induction of labour at or beyond 37 weeks' gestation

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.