this post was submitted on 24 Nov 2025
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[–] Ifera@lemmy.world 4 points 2 months ago (1 children)

It is common, to a point. And part of why it is seems as not necessarily something to worry about is due to the widespread intervention of medical professionals requesting the patients to be induced.

There are far too many variables in placental health and viability, and the risk increase after the 42nd week is SHARP. Plus, we don't have the technology required to live monitor the placental health closely enough to take chances.

So, it is a lot like measles and polio, we don't think much of them because of how prevalent immunization has become, but if we lower the protocols, that is when death counts start rising fast.

[–] FellowEnt@sh.itjust.works 3 points 2 months ago (1 children)

Yeah from my experience mothers-to-be assume they're being asked to be induced as a standard procedure so the hospital can organise their schedule better. Not because of a particular medical necessity.

[–] Ifera@lemmy.world 1 points 2 months ago

That certainly happens too. But it is not 100% schedule, at least where I have worked, they use a risk matrix based on multiple factors including risk, pregnancy length AND personnel availability, to keep themselves from overstaffing, and that way keep the spending and budget margins under control.

I can't speak for every hospital, of course, and also there are psychological factors at play, such as the fact that telling a patient vs asking a patient gives far better and more streamlined processes.

Even if done with good intentions, often times it is not productive or time efficient to explain everything to patients, so they don't have time to argue. And while that is absolute bullshit, in my opinion patients should be informed of all relevant information, most people are not logical and rational while they're at the hospital, and this does not limit to expecting mothers.

Patients when given a chance, don't always choose treatments by success or survival rate, they might choose riskier, more expensive alternatives when faced with amputation, and the psychological effects of this on medical personnel are massive. Most doctors, when they lose a patient, lose sleep and confidence, they spiral into "I could have done this", "I should have done that", and often times letting a patient choose against what them as doctors consider the best option, and getting a bad outcome, makes them psychologically vulnerable for a while, because the medical professionals feel they weren't convincing enough, and that even if it was the patient who chose what procedure to have, it is still their own fault.

And that is only one of the reasons why healthcare worker burnout is so prevalent and risky. Most people lack the emotional fortitude not to carry those decisions with them, and that is why medical professionals are taught to be professional, clinical and distant, and can be read as them being aloof and uncaring. Because the more one connects emotionally to a situation, the harder the emotional recoil will hit us if it has a bad outcome.