Induction -- any cons? — The Bump
3rd Trimester

Induction -- any cons?

I'm due on the 14th of June. My OB usually induced by the 41st week.

Today I asked when they'd likely induce me if my due date came and went ... they said likely the 16th and 17th. I was surprised because I figured they'd wait about 7 days to induce, not 2 or 3.

Either way, I tend to usually do whatever the doctor wants to do ... but I figured I'd put this out there. Anyone have thoughts on why and induction at that point would be bad, as opposed to waiting a little longer?

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Re: Induction -- any cons?

  • Pitocin contractions are suppose to be far far worse than non-induced contractions.

    Also, the general rule is the more medical interventions the more likely you are going to need a c-section.

    I spoke to my OB about when he would want to induce, and he seems to be more inclined to waiting, but checking the baby & placenta w/ NSTs and u/s to make sure everything is ok, and if it's not, then inducing.

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  • lynseflynsef
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    Pitocin contractions are suppose to be far far worse than non-induced contractions.

    Also, the general rule is the more medical interventions the more likely you are going to need a c-section.

    I spoke to my OB about when he would want to induce, and he seems to be more inclined to waiting, but checking the baby & placenta w/ NSTs and u/s to make sure everything is ok, and if it's not, then inducing.

    This.  I was induced with DD at 41 weeks and the cervadil actually caused me to start contracting (which its not supposed to) and I went from no contractions to very painful contractions every 30 sec. within 2 hrs of placing the cervadil.  They took it out and then waited until I dilated a little and then started the pitocin.  It is also true that you are more inclined to need a c-section.  I was close with DD.  I don't think I'll have to be induced this time around though, timing contractions as we speak...

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  • image lynsef:
    image thatgirl84:

    Pitocin contractions are suppose to be far far worse than non-induced contractions.

    Also, the general rule is the more medical interventions the more likely you are going to need a c-section.

    I spoke to my OB about when he would want to induce, and he seems to be more inclined to waiting, but checking the baby & placenta w/ NSTs and u/s to make sure everything is ok, and if it's not, then inducing.

    This.  I was induced with DD at 41 weeks and the cervadil actually caused me to start contracting (which its not supposed to) and I went from no contractions to very painful contractions every 30 sec. within 2 hrs of placing the cervadil.  They took it out and then waited until I dilated a little and then started the pitocin.  It is also true that you are more inclined to need a c-section.  I was close with DD.  I don't think I'll have to be induced this time around though, timing contractions as we speak...

    This. Although they didn't take it out of me.My dr scheduled my induction for 5 days after my due date because that's when she was working the maternity ward. They broke my water when i wasn't even 2cm (thats as far as I ever got) noticed the merconium, waited a couple hours to see if I'd progress then did the c-section when his heart rate kept dropping. If I had to do it all over again I would have held off on the induction another couple days

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  • I was induced with my last baby at 40weeks and 2 days and started pitocin at about 11pm, was in active labor at 7am and delivered the baby at 4:30pm.  The pitocin contractions were very strong, but once I got the epidural everything was great.  Baby did have some decelerations and came out blue and not breathing, but I'm not sure if it was due to the induction or other reasons.  She is just fine now, but I'm trying to avoid induction and will wait until 41 weeks.
  • All of what PP said but my doctor also told us that typically induced labors last longer also. And that the first induction attempt doesn't always work and the more things they have to try the harder the labor is on both mother and child.
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  • The movie Pregnant in America (don't know if I would trust these "facts" completely) cites the rate of c-section after induction to be 1:2 or 50%!! That's enough to make me want to wait as long as possible. I was mentioning this on the June board... do you KNOW that your ovulation date was correct? In other words, were you charting or using a monitor to verify if your conception date was accurate because if not, you may not be overdue at all at 2-3 days past.
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  • It would be helpful for you to know your Bishop's score before making a decision about how comfortable you feel about an induction.  The rate of other interventions being needed drops dramatically if you have a high bishop's score.  For example, if you are not dilated or effaced and the baby has not dropped, your induction is likely to go less smoothly than if you are induced at 3 cm, 80% effaced and at 0 station.

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  • image dandi799:

    It would be helpful for you to know your Bishop's score before making a decision about how comfortable you feel about an induction.  The rate of other interventions being needed drops dramatically if you have a high bishop's score.  For example, if you are not dilated or effaced and the baby has not dropped, your induction is likely to go less smoothly than if you are induced at 3 cm, 80% effaced and at 0 station.

    Hmm ... I hadn't heard of the Bishop's score, I'd like to look into this. I just turned 38 weeks and I'm currently 50% effaced (I've been so for 3 weeks), 1-2 cm, and baby's been head down since about 31 weeks.

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  • I was induced at 41 weeks with DS1 and it went great. From the start of pitocin to when he was out was only 8 hours, and thats with absolutely no previous progress. I never really thought about waiting longer, I tend to listen to my ob and since I was past my due date and measuring a week ahead anyway I figured all was well.
    Mom to 2 healthy boys, and a baby girl in Heaven. Heard her heartbeat on 7/18, heartbeat was gone on 7/20. Miss you forever.
  • image tikitomban:
    image dandi799:

    It would be helpful for you to know your Bishop's score before making a decision about how comfortable you feel about an induction.  The rate of other interventions being needed drops dramatically if you have a high bishop's score.  For example, if you are not dilated or effaced and the baby has not dropped, your induction is likely to go less smoothly than if you are induced at 3 cm, 80% effaced and at 0 station.

    Hmm ... I hadn't heard of the Bishop's score, I'd like to look into this. I just turned 38 weeks and I'm currently 50% effaced (I've been so for 3 weeks), 1-2 cm, and baby's been head down since about 31 weeks.

    Definitely ask your bishop's score before induction. A score of less than 8 will likely lead to a more difficult induction. You will need to know your score on the day of induction. Pitocin should not be started for a score of 7 or less yet many doctors do... do some research. Induction can be a good thing but it is often not.

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  • I've been induced for 3 out of 4 of my pregnancies, and had a vaginal births with all of them, pain med free (IMO the contractions with pitocin are that bad).  I know everyone is different, but you also have to realize some of the people who are induced that end up with a c-section would have ended up with a c-section anyway. 

    1) If you go past your due date (be it 3 days or 3 weeks) if your body isn't progressing you are going to end up with a c-section to get your LO out.

    2) some inductions are done early due to the health of the baby or mother, and if your body won't progress due to it not being ready, again you will end up with a c-section.

    3) If you are induced and your LO doesn't tolerate labor well you might end up with a c-section, but who's to say that if you went into natural labor that your baby wouldn't have reacted the same way?

    Are there people who get induced that end up in a c-section that might have not needed one had they waited?  Sure, but you have to read the research as to why and when women were induced to get an accurate answer.

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