3rd Trimester

Induction ? Need advice

So for ayone who's had an induction before, I have a crazy question.  If LO doesn't make an appearance this week on his own, I'm scheduled to be induced next Mon.  If I'm given the choice, do I go with Pitocin, Cytotec (sp?) or the bulb that gets inserted in your cervix (which I'm thinking is going to be painful)?  I'm definitely planning on getting an epidural, but just curious what everyone else's experiences have been.  TIA!

Re: Induction ? Need advice

  • i had cervidal on a tuesday and pictocin drip on wed and thursday.  didn't need an epi until i was in major labor-actually got an interthecal (sp).   which i think i would like again-like an epi but no catheter needed!

    over all a good experience-long but good.  able to deliver vaginally

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  • it all depends on what your cervix is like...it it's thinned out I'd go bulb then pitocin if you need it. If it isn't I'd get that ripened first...you can't get the bulb without at least a little opening to put it in, etc.
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  • With DD, I was already 3cm dilated but no contractions when my water broke. They started me on Pitocin. I got the epi almost immediately after as my contractions ramped up very fast. But my labor went fast as well..from the start of pitocin to 10cm dilated was 4 hrs...then they had me labor down for 2 hours because she was still pretty high. Then 1 hr to push...So total 7 hrs start to finish.
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  • i would avoid cytotec, it's not even approved for pregnant women, it's just used frequently in hospitals because it's cheap.  Do some of your own research.
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  • I doubt you'll have a choice.  Most doctors have a set way of inducing.  If your cervix is not favorable (not soft, effaced or dilated enough) you'll need either cervadil (most common) or cytotec first.  These are used for cervical ripening and can trigger labor but more often than not don't.  then after 8-12 hours of that, they'll start you on pitocin and likely break your water. 

    I don't know much about using a foley bulb, it's very, very rarely done at the hospital where I work.

    DD(7), DS(4.5), DS(2.5), DS(baby)
  • I would refuse Cytotec, but other than that, I would do what my OB thinks is best.
  • As PP said I don't think you really get to decide. I was not dialated or efaced when I went in for my induction. I went straight to pitocin which I am thankful for because my labor went FAST. That is what we are planning to do again for this one.
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  • can someone explain to me what "the bulb" is?
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  • Do NOT get the cytotec.  Definitely look it up on your own but it is very, very dangerous and has been known to cause rupture of the uterus.....

     Take care and have a fantastic delivery! 

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