3rd Trimester

Induction VS C-section

My OB wants Silas to come by 39 weeks because of size issues but so far I have had no dilation or progress. Is it totally crazy that if I don't have any dilation by 39 weeks I might talk to my OB about just going straight for a c-section? I guess I don't see the reason to go through twice the pain and attempt a vaginal delivery only to fail and end up with a c-section.

Re: Induction VS C-section

  • I am sort of facing a similar situation.. if they decide to induce me early, I wish they'd just give me a C-Section and get it over with, because I feel like I could handle a planned c-section much more than an emergency.

    Weird, right? I dunno.

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  • If I were in your shoes I'd talk bluntly with your doctor about the likelihood of having a successful induction if you aren't dilated or effaced at all. If it's likely to fail then I would probably opt to go straight for a c-section too.
  • I don't think it hurts to talk to your doctor, after all it is your body and your delivery.
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  • I had a wonderful c-section experience, but definitely go for the induction first.  I was in labor for 12hrs before they decided to do the c-section.  It sucked horribly (no pain meds), but I wouldn't change how I did it.  

    I still am sad I didn't get the vaginal birth I wanted, but am happy he's healthy. 

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  • FWIW, I have had two induction. Both at 38 weeks due to high blood pressure. I was not dilated/effaced or anything when I went in for either of them. I never had any problems with the inductions. I had two normal vaginal deliveries that were the normal length of time (13 hours for DD#1 and 8 hrs for DD#2). How far along you are when you go in doesn't really matter.

    Good luck either way though.

  • haha...I was just thinking this when they cancelled my c-section on Friday (due to her turning back to head down).

    My doctor said that if I haven't had her by 40 weeks, that she will induce on the 4th of February.

    If the induction doesn't work, and they have to do a c-section anyways, I'm gonna be upset, because we could have just done it yesterday. It just all sucks.

  • imagechris27:

    FWIW, I have had two induction. Both at 38 weeks due to high blood pressure. I was not dilated/effaced or anything when I went in for either of them. I never had any problems with the inductions. I had two normal vaginal deliveries that were the normal length of time (13 hours for DD#1 and 8 hrs for DD#2). How far along you are when you go in doesn't really matter.

    Good luck either way though.

    Good to know! My sister has been induced with all 3 of her kids but she was like 3cms dilated with all of them.

  • imagebabyemily:

    haha...I was just thinking this when they cancelled my c-section on Friday (due to her turning back to head down).

    My doctor said that if I haven't had her by 40 weeks, that she will induce on the 4th of February.

    If the induction doesn't work, and they have to do a c-section anyways, I'm gonna be upset, because we could have just done it yesterday. It just all sucks.

    I wondered and even asked down below.

  • imagemurfygirl:
    imagebabyemily:

    haha...I was just thinking this when they cancelled my c-section on Friday (due to her turning back to head down).

    My doctor said that if I haven't had her by 40 weeks, that she will induce on the 4th of February.

    If the induction doesn't work, and they have to do a c-section anyways, I'm gonna be upset, because we could have just done it yesterday. It just all sucks.

    I just saw that lol! Yeah...they had me all hooked up to the IV and everything, I had even talked and met with the anesthesiologist and the pediatrician. Then, my doctor came in with the sonogram machine to just check and make sure. She felt on my belly first, and didn't feel a head, then did the ultrasound, and sure enough, her big fat head was right there...head down! The child is stubborn!

    I wondered and even asked down below.

  • imagebabyemily:
    imagemurfygirl:
    imagebabyemily:

    haha...I was just thinking this when they cancelled my c-section on Friday (due to her turning back to head down).

    My doctor said that if I haven't had her by 40 weeks, that she will induce on the 4th of February.

    If the induction doesn't work, and they have to do a c-section anyways, I'm gonna be upset, because we could have just done it yesterday. It just all sucks.

    I just saw that lol! Yeah...they had me all hooked up to the IV and everything, I had even talked and met with the anesthesiologist and the pediatrician. Then, my doctor came in with the sonogram machine to just check and make sure. She felt on my belly first, and didn't feel a head, then did the ultrasound, and sure enough, her big fat head was right there...head down! The child is stubborn!

    I wondered and even asked down below.

    Crazy!

  • With Nate I didn't efface/dilate at all until 39 weeks. So, there's still time!

    I agree with PP, though: talk to your doc.

    I don't know if you plan on having more kids or not, but it's difficult (at least in my area) to find an OB willing to do a VBAC.

    You'll have to weigh the pros and cons of recovery time, too.

    In the end, it's up to you and your doc. But it doesn't make you a bad person if you choose a c-section. Smile

  • imageaegrimm:

    With Nate I didn't efface/dilate at all until 39 weeks. So, there's still time!

    I agree with PP, though: talk to your doc.

    I don't know if you plan on having more kids or not, but it's difficult (at least in my area) to find an OB willing to do a VBAC.

    You'll have to weigh the pros and cons of recovery time, too.

    In the end, it's up to you and your doc. But it doesn't make you a bad person if you choose a c-section. Smile

    I guess it sounds lazy but I figure my chances of a c-section are already kind of high considering my whole issue is size add no dilation or effacement and I am just thinking what if I go through 30some odd hours of painful awful labor just to end up with a c-section?! NO way!

  • imagemurfygirl:
    imageaegrimm:

    With Nate I didn't efface/dilate at all until 39 weeks. So, there's still time!

    I agree with PP, though: talk to your doc.

    I don't know if you plan on having more kids or not, but it's difficult (at least in my area) to find an OB willing to do a VBAC.

    You'll have to weigh the pros and cons of recovery time, too.

    In the end, it's up to you and your doc. But it doesn't make you a bad person if you choose a c-section. Smile

    I guess it sounds lazy but I figure my chances of a c-section are already kind of high considering my whole issue is size add no dilation or effacement and I am just thinking what if I go through 30some odd hours of painful awful labor just to end up with a c-section?! NO way!

    lol, are you going epi-free if you don't get a c-section?

  • It's not crazy at all. From all my research I have learned that if your body is not progressing on it's own (no dilation, etc.) then that is when an induction is likely to fail.
  • Obviously do whatever is best for you and LO. But I had a horrible recovery from my c-section and I wish I could have had or at least tried to have a vaginal. LO was breech, so it was not an option. My water broke and I went into labor and had a c-section a few hours later.

    Personally, I felt like I missed out, I barely get to see LO at birth, they whisk her off and u get stitched for 45 minutes, then I was shaking so bad after, had to wait to hold her. Had BF problems which I think were related to my difficult recovery. Also had leaking fluid from my incision and was in so much pain. Its major surgery and many people have no problems, just understand that there are complications from c-sections and for some, a feeling of loss from the experience. Even though I am grateful for my healthy baby and know thats what is important, I still feel sad that I couldnt have a vaginal and LO is 4 months. Good Luck

  • I went straight for a c/s when I had no progress at 39 weeks.  I had zero interest in trying an induction that was nearly guaranteed to fail. 

    I loved my c/s, I gladly signed up for another this time. 

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  • I was dilated 4 cm when I went in for my induction at 10 days overdue. That ended in an emergency c/s. I wished I had just had a c/s even though that wasn't an option for me then. It sucks to recover from 26 hrs of labor and a c/s. I say have a serious talk with your doc and weigh the pros and cons for your personal situation.
    Effing crazy people.
  • mpo: i would want to try for progress first and see if a vaginal delivery is possible.

    my friend just had a 10lb 4oz baby vaginally! how big do they think silas will be when they induce? closer to 9??

  • I just had a c/s yesterday. I can honestly say overall it was a worse experience than I expected pain-wise. In short the spinal didn't full take and they had to do it either three or four times then my bp dropped so low during the surgery that I nearly passed out three times and had to get injected with ephedrine. In recovery all I remember is shaking and itching uncontrollably. Our baby never left our side at all until I just sent him to the nursery to get some sleepso ask if they really have to. Getting up or moving is incredibly painful at this point. Even on the pain meds you aren't painfree by any means. The positives have been quick delivery, on a baby that they confirmed there is no way we could have delivered vaginally ( he came out 10lbs14 oz), no failed labor attempts and we were able to have the baby room in and start nursing as soon as I was stitched up. Honestly if vaginal is a possbility I would consider trying it. The recovery is way harder than i expected
  • They can give you cervadil to soften your cervix or they can do a foley bulb catheter to help dilate. They usually can start that the night before and in the AM start pitocin.

     

  • You should ask your doc what the stats look like. How often is it that an induction fails? 

     Also, the doc is basing the plan on the size of the baby which is determined by ultrasound - a notoriously unreliable measure.  I'd wait it out.  You may progress naturally, and I'd like to point out many women have given birth to 9 and 10 pound babies without any major issues.   My cousin recently gave birth naturally (ie no meds) to a 10lb 5oz baby. It wasn't a good time but it was totally fine.

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  • I don't think anyone is saying C Section recovery is easy.  But OP is looking to avoid a C Section recovery coupled with a labor recovery.

    I told my doctor as soon as she thought there was less than a 50% chance of me delivering vaginally - I wanted a C-Section,  My obs office is used to VBACs and women determined to delivery naturally and drug free - I just wanted to make sure they knew - that was not me.

    She laughed at me and said it was good I was open to all options.  Ultimately, I think they'll let me labor and push for DAYS until there's a medical reason to forgo vaginal delivery.

  • imagemurfygirl:
    imageaegrimm:

    With Nate I didn't efface/dilate at all until 39 weeks. So, there's still time!

    I agree with PP, though: talk to your doc.

    I don't know if you plan on having more kids or not, but it's difficult (at least in my area) to find an OB willing to do a VBAC.

    You'll have to weigh the pros and cons of recovery time, too.

    In the end, it's up to you and your doc. But it doesn't make you a bad person if you choose a c-section. Smile

    I guess it sounds lazy but I figure my chances of a c-section are already kind of high considering my whole issue is size add no dilation or effacement and I am just thinking what if I go through 30some odd hours of painful awful labor just to end up with a c-section?! NO way!

     

    I am in the same boat as you. I've opted for the c-section. They are going to take him at 38 weeks due to me being diabetic. I think that you should go with what your gut is telling you to do, talking to your Dr. might help you make a decision. GL!!!

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