s/o Not being induced

lhull · May 2009

After reading about how so many girls were induced and it ended up in a c-section, I am very nervous for tomorrow. I am supposed to go in for cervadil tomorrow night, then pitocin on Tues. I am apprehensive because I have not had any contractions, no feelings of labor and only partially losing my mucos plug. I know I can refuse it, so what should I do? Just looking for any guidance you can give. Thanks!

BTW: he is inducing because of the baby's size already. I have been measuring big since 32 weeks.

trinise · May 2009

my first labor was induced and i didnt have any signs of labor. i was only in llabor for about 6 hours. If this one doesnt come by 39 weeks we are being induced again. GL

SouthernBellelovesaYankee · May 2009

Good luck tomorrow, either way.

I have no advice, I ended up with a c-section =(

marcandjen · May 2009

Personally, I'm going to avoid being induced as much as possible, and my midwife supports me. I had no progress at my last appointment, and my EFW u/s projected an approximate 9 lb baby (and mostly because of a giant head), but I want to give my body the opportunity to go into labor naturally. I think that mentally, because I KNOW how many induced births end in a CS, I worry that some part of my brain would go into it sort of 'defeated' if it came to an induction.?

That's me. I'm not saying that's how you have to look at it- those are just my reasons for waiting it out. As my grandmother (mother of 7) said to me when I told her this, "No one stays pregnant forever."

clyoungsey · May 2009

This was me with DS. They induced on my due date due to GD, but I had no changes minus partial loss of MP and a week's worth of contractions at night, that did not do anything to my cervix. The only reason I ended up with a c/s was because DS didn't descend due to cord around nexk x2. I dilated to 8-9, but due to complications I went c/s as it was easier on baby. I didn't even have to use pitocin, that was all from the cervadil. So you may be ok...GL

Ekstasis · May 2009

lhull:

BTW: he is inducing because of the baby's size already. I have been measuring big since 32 weeks.

Curious to know what your LO?s size is at this moment? Mine is also large for the weeks I?m at. She?s now 5 and 1/2lbs at 31-weeks. I?ll be having a scheduled c-section 2 weeks before my due date.

Temp534591562502098 · May 2009

ask you doctor if you have other options if this induction "fails". I've read that they can just stop the meds and send you home for a couple days and bring you back and try again. I know they are antsy to get it out sooner then later but maybe a couple days wouldn't matter.

ashleyvc1 · May 2009

I was induced with DD#1 and it was the best part of my pg. It didn't end in c-section....I am being induced with this one too on 6/4 due to GD. Last time I was 41 weeks, my body just needed a "jump start" and then from the time i was hooked up to the time she was in my arms was less than 5 hours. I am hoping for a similar if not quicker result this time!

lhull · May 2009

Ekstasis:
lhull:

BTW: he is inducing because of the baby's size already. I have been measuring big since 32 weeks.

Curious to know what your LO?s size is at this moment? Mine is also large for the weeks I?m at. She?s now 5 and 1/2lbs at 31-weeks. I?ll be having a scheduled c-section 2 weeks before my due date.

At 37 weeks he told me baby was measuring 8 lbs. 6 oz. by ultrasound.

FutureHernandez · May 2009

This is a great post. I'm going to have a heart to heart with my doctor on Wednesday and let him know that I really want a vaginal delivery. He will let me go a week later depending on my NST.

schmittn · May 2009

Sometimes it's good to wait and let mother nature take it's course. The c-sections happen a lot of times because the baby does not progress -- they just aren't ready. It's your call and I'm sure things will be fine, but go with your instincts. Sometimes modern mediccal "intervention" can make things more difficult on you and the baby.

lhull · May 2009

Thanks everyone for your responses. I am sure I am going to go through with it tomorrow night and see how the cervadil works before I start anything. I may even be more dilated (I haven't been checked since Wed.). Maybe I'll take the advice of talking to my doctor to see if I can go home if it fails! Thanks again, I feel much better after hearing the sucess stories!! Big Smile

I'll keep everyone posted from the hosp.

JCM083009 · May 2009

schmittn:
Sometimes it's good to wait and let mother nature take it's course. The c-sections happen a lot of times because the baby does not progress -- they just aren't ready. It's your call and I'm sure things will be fine, but go with your instincts. Sometimes modern mediccal "intervention" can make things more difficult on you and the baby.

This.

THe baby's size it just an estimate. And I've read that after 40 weeks they really don't grow much more so it's not like at 40 weeks you're going to have a 7 lb baby and at 41 weeks a 9 lb baby or anything like that. Often times people are induced for their size and the baby comes out way smallerthan what they said, so I don't think, that alone, is a good enough reason to induce.

Inducing puts stress on your body and the baby. Pitocin brings on contractions that are unnatural. They are stronger and longer than what is normal in labor, with less time in between them. That time in between is when baby gets oxygen back and takes a "break". With things like Pitocin (esp if you're not progressing and they keep turnign it up) baby doesn't get that recovery time and the health becomes to go down hill because of this. Pretty soon you're heading towards an emergency C section because the baby is in distress - all because of induction most times.

There is a time and place for many interventions, I think many are used way too soon and cause way too many other problems.

LadyNikon · May 2009

this is a really good post! When my doc told me they will likely want to induce due to my diabetes I was heart broken. I have heard alot of them ending in a C/S. I have also heard ( dunno how true) how some places will try to talk you into a C/S instead of letting you ride it out.

Liz&Jeff · May 2009

I was induced with my first one. When I walked in I was 0% dialation & 0% effaced. They gave me the cervadil at 10pm that night, pictocin at 8am the next morning and my ds was here at 12:20pm.

zsmommy · May 2009

I was induced at 42 weeks, and didn't need a csection, with my first one.

jolis_petits_bijoux · May 2009

Well, this is a very personal decision, one that only you can make.

If I were in your shoes, I would refuse the induction. I don't think that baby measuring large for dates is a compelling medical reason to induce at 39 weeks. I am in the same boat as you - my baby has been measuring ginormously since 19 weeks, via fundal height and U/S measurements. This Thursday I'm having a growth U/S because I'm currently measuring 8 weeks ahead (fundal height - he hasn't been "weighed" via U/S since 32 weeks)... and unless they tell me he weighs 14 lbs or something ridiculous, I'm not going to consider an early induction.

Maybe it would be good to talk it over with your doc, before starting Pitocin anyway? You have a legitimate concern (that early inductions often result in C-sections) that I would want to discuss further before agreeing to induce early. I realize that there are many valid reasons for early inductions (polyhydramnios (sp?), pre-eclampsia, etc.), but a baby that's estimated to be large isn't technically one of them.

And, this is my first baby so it's not really for me to say, but several moms I know of babies that varied significantly in birth weight (say, 7 lbs vs 9 or 10) and delivered both vaginally have told me that the "better" birth did not necessarily correspond to the smaller baby. One example.... a friend of mine had a 7 pounder and a 9.5 pounder. The 9.5 pounder (first born) had a relatively easy labor and was pushed out in less than an hour. The 7 pounder was posterior and mom had horrendous back labor, hours of pushing, and ended up with 3rd degree tearing, including a urethral tear (shudder). This is just one scenario out of many, but it is something to keep in mind - baby's size isn't the only thing that makes birth easy or hard.

Good luck!

mama2royalty · May 2009

With my first pregnancy, they brought me in and gave me cervadil at 8am, and by noon, I was contracting every 5 minutes and had my DD 10 hours later. I do know people however that get a few rounds of cervadil and nothing happens, I'm sure it all depends.

MeghanF13 · May 2009

I am being induced this week as well. Here, they don't let you go more than 10 days past your due date for the following reasons:

1. by 10 days overdue the placenta can start to deteriorate and this is dangerous to the baby

OR

2. the placenta can keep functioning and your baby will continue to grow, resulting in a larger baby that can't fit through the birth canal and therefore you need a c-section

3. by this point your fluid levels drop and this can lead to cord prolapse, or the baby resting on the cord (because there is not enough fluid to float) and cut off oxygen

My Dr did say there is a slightly higher risk of c-section, but impossible to tell if you would've needed one anyway - i.e. if baby doesn't respond well to the contractions from oxytocin it is likely the baby wouldn't have responded well to natural contractions either. They can also turn down the pitocin if baby starts to not respond well - my Dr will do this before going to c-section.

I also know of quite a few people that ended up going into natural labour after having the gel. More than the number of people I have heard from that eneded up with c-sections.

Good Luck!

greenmtbride · May 2009

I completely understand your hesitation. I hope to avoid pitocin at all costs.

If I was in your shoes, I would probably be talking to my doctor about possible ways to induce labor that do not include pitocin. Cervadil, stripping membranes, nipple stimulation, herbs, etc. My doctor even told me about this balloon that they put inside you that puts pressure on the cervix to help it dialate.

zsmommy · May 2009

greenmtbride:
I completely understand your hesitation. I hope to avoid pitocin at all costs.
If I was in your shoes, I would probably be talking to my doctor about possible ways to induce labor that do not include pitocin. Cervadil, stripping membranes, nipple stimulation, herbs, etc. My doctor even told me about this balloon that they put inside you that puts pressure on the cervix to help it dialate.

i had the balloon and i hated but i wanted the baby out, I was past 42 weeks

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