Many expectant moms find the last weeks before their baby’s arrival to be fraught with a rainbow of emotions.  The excitement builds as the due-date comes.  This date has been the goal.  Although realistically only 5% of babies are born on their due dates, we still cling to that date as if it means something bigger than it does.  Just as every fruit on the same tree reaches ripened maturity at different points in time, so do our babies.  Another survey suggests 7 out of 10 babies are born past their estimated due dates (as a birth doula, I can say this backs-up my experiences with mothers and babies). 

Babies aren't just hanging around after their due date filing their nails and looking at their watches -- they are still growing and developing, and important changes are taking place.  Babies at this late stage are storing up "brown fat," whose sole purpose is to generate heat -- this helps a newborn maintain his or her body termperature.  Other last week events include:  weight gain, iron storage, sucking and swallowing practice, and of course, lung-maturation.

There is new evidence that babies being born via elective cesarean birth are healthier and have less problems if they are born no more than 7 days before their estimated due date.  The New England Journal of Medicine published these results January 6, 2009.  According to this study, babies "delivered at 37 weeks were twice as likely to have health problems, including breathing troubles, infections, low blood sugar or the need for intensive care."  As far as complications went, the total breakdown (and know this study focused on over 13,000 women) was:

15% of those born at 37 weeks

11% of those born at 38 weeks

8% of those born at 39 weeks

From my limited knowledge, and my (weak!) math skills, I would throw out a guess that of babies born at 40 weeks, 6% might experience complications.  Although this study focused on timing of elective cesareans, the information applies to all babies -- and this is good stuff to remember if an induction of convenience is offered.

Mothers and fathers aren’t the only ones anxious to greet the new stranger; well-meaning family and friends can cause undue stress on the expectant family with their calls, visits, and inquiries as to whether the baby has arrived yet.  Some ways families have alleviated the pressure these loved-ones can unknowingly bring are:

·        Appoint a family member to field phone calls.  Update this family member as needed, and direct phone calls to his or her line.  Have family members call this person for the most up-to-date information. 

·        Leave a message on your machine that lets people know baby has not been born yet, the expectant couple (or family) is resting and gearing up, and you will share the news as soon as there is news to share.

·        Place a sign on your door which explains to visitors (if you do not feel like answering the door, or maybe you are catching up on sleep) that you are resting and wish to not be disturbed right now.  Assure them you will welcome a visit (and a lended-hand) once the baby is born, but for now focus is elsewhere and you are busy resting and nesting.

It is not uncommon for an expectant mother to start to go within herself at this point.  Her inner focus is being shifted from her environment, her house, her life-to-this-point, to her body, her baby, and the process which will unite out of the womb what was united inside those many months ago.  Often she will want time to meditate, journal, rest, enjoy her partner and their last days together before they greet, together, this new human they took part in creating.  Emotions can come freely, including fear, sadness, joy, excitement, relief, apprehension, with interminglings of feeling overwhelmed, unsure, and stressed.

Remember to take care of yourself; rest when you want to rest, work when you want to work, eat when you want to eat.  Pamper yourself – get a massage, have your nails done, visit your acupuncturist – whatever makes you feel special and taken care of.  Have your partner read books to your baby, share in this time together. 

Final words for mom and dad:  Rest, relax, and enjoy each other – strengthen your bond so you can welcome your new baby with love and strength.

Q.  What is your feeling about taking clients that have the same due date?

A.  I would actually prefer to have two clients with the same due date, as opposed to having clients with a two-week space between due dates.  It is speculated that only 5-10% of babies are born on their actual due dates -- that is maybe one out of ten women, so the chances of two women, with the same due date, having their babies at the same time is even less than that.  On a personal note, I have only ever had back-to-back/same-day births with clients where I thought there was a safe distance between due dates, but babies come when babies come -- they don't often get the memo about due dates.

Once a client of mine had a cesarean two weeks early for a medical issue (about 2 pm), and another client had her baby the same day (her due date), 6 minutes before midnight.

Second time I had a client go two days early; my back-up doula had a client go 18 days overdue (my back-up had to leave on day 16).  My back-up's client (whom I was now the doula for) was in the hospital working on day 2 of an induction.  My client went into spontaneous labor, and actually had her baby at about midnight.  Before I left, I went to pop into the other family's room, but their nurse assured me they were sleeping.  I geo home (35 minutes away) and barely fell asleep, when the phone rang.  I ran back to the hospital, very sleepy!  Baby was born about 12 hours later around 3 pm.

Third time I had a client go 16 days past her due date, and another client went a couple of days early.  Over-due mama delivered at about 10 pm; early mama called me at 1 in the morning stating her water broke.  Back to the old grindstone!

A few things you should know about due dates:

-What Goes in a Due Date?
-When is that Baby Due?
-ACOG Guidelines for Induction