Prompt #32Trimester 3
Prompt 32: The Induction Decision Helper
When to use it
Your OB is recommending an induction and you want to understand why, what your options are, and how to make the decision that fits your values.
The Prompt
My OB is recommending induction at [N] weeks. I want to understand the recommendation and my options.
Why they're recommending it:
- Medical reason: [E.G., "preeclampsia" / "gestational diabetes, well-controlled" / "baby measuring large" / "39 weeks and AMA" / "fluid low" / "no medical reason, just offered"]
- My risk tolerance: [E.G., "I'd rather not intervene unless necessary" / "I'm open to intervention for safety" / "I want to avoid C-section if possible"]
- Current pregnancy: [E.G., "low-risk" / "high-risk due to [X]"]
- Bishop score (cervical favorability): [E.G., "I don't know" / "I was told [X]"]
- Previous delivery: [E.G., "first baby" / "had a fast previous vaginal" / "had a C-section"]
Please give me:
1. Plain-English: what induction actually is (the methods, the order, the timeline)
2. The actual risk of waiting (vs. the actual risk of inducing) at [N] weeks
3. The 3 categories of induction methods (mechanical, medication, membrane sweep) — pros/cons of each
4. The "is this truly medically indicated" question (so I can weigh it against my values)
5. What to ask my OB at this appointment (5 specific questions)
6. The "I want a second opinion" script
7. The "I want to decline" path (what to do if I choose expectant management)
8. How to make the decision in the next 24-48 hrs without spiraling
Important: I want to make an informed choice, not just comply.Example output
*"Induction at 39 weeks for non-medical reasons: ARRIVE trial showed no increase in C-section, slight decrease in preeclampsia. Medically indicated (preeclampsia, IUGR, GD poorly controlled): the risk of waiting > the risk of induction. Methods in order: (1) membrane sweep at 38-39 wks (outpatient, low-intervention), (2) cervical ripening (Cytotec or Cook catheter), (3) Pitocin, (4) artificial rupture of membranes. Each has failure rate and C-section risk. Questions for OB: 'What is the specific risk we're managing?' 'What's the risk of waiting 7 more days?' 'What does the induction timeline look like at your hospital?' 'What's my Bishop score?' Second opinion: 'I'd like 24 hrs to think. Can I schedule a follow-up tomorrow?' Your values matter — but so does the medical indication. Weight both."*
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