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3rd Trimester
Totally Flammable: Going to have "the talk" with OB tomorrow
Sooo, I have an appointment tomorrow afternoon with my practice (I can never tell who the doctor is going to be these days, though Weight Nazi is the most obvious choice... : ) and I am considering having the induction talk tomorrow. We had discussed it previously, as an abstract "Oh yeah, once you hit 35w 3d we will induce/schedule induction" whatever sort of thing...but I want a plan.
I also don't want to be induced, be in horrific pain for hours, and end up with an emergency c/s... Especially since pretty much all my docs have said "C-Section is the most likely route" anyway.
I know you can't plan babies. I also know it's not a super great idea to have a kiddo at 35 weeks (although, according to every ultrasound except for my very first one, he'd actually be at 37 weeks... but you know, that's just a minor detail). But the mental anguish over what is going to happen to me in the delivery room is getting pretty intense. Maybe it's because the Zoloft has left my system (for those that don't know, I suffer from Generalized Anxiety Disorder, and the pregnancy hormones + lack of meds = very anxious, emotional Anne) or maybe it's because this is just the way ALL new moms feel when they are facing a scary delivery (and who'm I kidding, what delivery ISN'T a little scary?) but either way...
I am thinking of asking if we can skip the induction process altogether and just scheduling a C-Section.
Flame all you want, I really don't mind, because I've dealt with it on this topic before... but, for those who choose not to, how would you bring this up with your doctor? Especially a doctor who's extremely intimidating anyway?
Jack Anderson
2.28.10
Our amazing little man.
This discussion has been closed.
Re: Totally Flammable: Going to have "the talk" with OB tomorrow
Well the good thing is no doctor is going to schedule a csection for you at 35 weeks because of your mental health. ?
If you want a csection, some will schedule it for no reason. ?You can ask them. ?There's really know reason to be intimidated by your doctor (other than your mental health issues) so try to pretend he's naked or bring in an patient advocate.?
You want to have your baby at 35 weeks? Is the baby mature enough? I mean not size wise, but lung and other vital organs? Are your prepared for the mental anguish that goes along with NICU if that is a need? I've had a child in NICU and it is a heck of a lot scarier than the unknown of childbirth..... Or, are you wanting to induce past 37 weeks? I wouldn't know what to say to you in regards to approaching your Dr. about this, if I don't know the answers to these questions.....
edit: In regards to the c-section part (regardless of when you want it), just burt it out - -- hopefully, the Dr. who you see has looked at your chart and knows a bit about your history and is open-minded! GL!
Don't let your doctor intimidate you. It's your body, your baby. As long as it is safe for you both, then the doctor should not make you feel any way for your choice.
I personally - for me - wouldn't want to jump right to the section, but if that is what is best for you, go for it. I am 100% for a woman making an informed decision on the best kind of birth for HER.
GL!
No flames from me, Babycakes. I feel exactly the same way. Knowing that a high percentage of inductions end in c-sections anyway, I would prefer to go straight to the OR.
You know, the best way to ask is to just blurt it out. Just tell her you're nervous about an induction, and ask her how she feels about scheduled c-sections. The worst she can say is "no".
Well, I'm being induced a couple of weeks early due to some medical issues and the baby's size. I asked the girls on 0-3 if their induction always ended in a c-section because that's what I'd heard. I was surprised by the amount of vaginal deliveries after induction. So, if you're wanting to schedule a c-section because you think it's inevitable, read my post first.
https://community.thenest.com/cs/ks/forums/30602616/ShowThread.aspx#30602616
If that's not the case, don't be afraid to talk to your doctor. Let him/her know your fears and how you'd like your labor experience to go. Ask what the chances are of having a c-section after being induced. If the chances are high, ask if it would be better/easier to just skip the induction process and schedule the c-section. Worst they can say is "No that's not a good idea."
Good luck, love. Keep us updated.
I forgot some of you might not be aware of the rest of the situation.
My doctor is planning to induce at 35w3d because I have PIH, and am at high risk for developing Pre-E. So, yeah, my practice is already planning to do that. My question is about skipping the induction process completely, because at 35w3d, it seems stupid to me.. especially since I've already been told they wouldn't let me go long anyway.
I won't bore you with a post about the positives about keeping your bun in the oven longer than that as it seems you've already heard all that.
What I would strongly suggest is getting a childbirth class for breathing techniques - hypnobirth, lamaze, something, and fast. You will be taught how to remain calm, feel in control of your delivery process, etc. That way should anything go wrong or you go into labor prior to induction or c/s you won't have a stroke; you'll know how to handle it.
If its your gut instict to speak to your doctor do it. Trust me. I had a large talk with my doctor today, im farther ahead then you. I have my concerns about this pregnancy and delivery. I ended up crying in front of the dr for 30 minutes. My anxiety is insanely bad and she gave me some medications but shes concerned about what that is doing to the baby. Aside from that ive had a difficult pregnancy and had some bad times. I told her i was afraid she would yell at me and like pp said its your body and thats what my Ob told me also. She said if im still pregnant next week at 39 weeks we will schedule a c-section so it helps to express your concerns. best wishes for the talk! I was crazy nervous and it helped me to talk about it.
1. There's nothing flameworthy in an elective c-section, IMO.
2. It's more than "not a super great idea" to have a baby at 35 weeks electively.
3. Be straight up with your doc. Tell him about your concerns and let him do his job, which is to educate and reassure you about delivery. If the doctor is a douche, try talking to the nurses on the L&D floor.
4. Is there something about your case that makes your delivery scenario scary? Some kind of complication? Besides the anxiety, I mean.
Oh, okay - I didn't know about the pre-e part and stuff! If they are going to induce anyway, I would just tell him - this is why I want a c-section, etc..... GL! I hope all is well with you and your LO!
This was posted while I was composing my response. It answers my questions.
Like I said, there's nothing "bad" about an elective C.
Maybe I am reading this wrong, but you want an induction or c/s at 35 weeks? I would want to wait. The fear of the unknown would not top my fear of the baby not being ready. DS was born in the 35th week (pPROM) and spent a week in the NICU. He could not BF for over a month because of not being able to latch. He faced a lot of hurdles when it came to milestones. NICU time is nothing compared to labor and delivery. Just something to think about.
Another thing to think about is that the process of labor helps get the baby's lungs ready, which if you're going that early is something you want to ask your doctor about when you have this conversation. My niece was born at 34 weeks, and the doctors told my sister-in-law to be really glad that it was a longish labor, because it helped get the fluid out of her lungs. Also, my OB told me it's part of the reason for the health difference between 38 week C-section babys and 39-week ones that showed up in that huge study that came out last year.
To the first 3 responders: Obviously you guys have not been keeping up with what's going on with Annie. This has nothing to do with her "mental health issues" or her just wanting to have her baby at 35 weeks. It has to do with the fact that she has pregnancy induced hypertension and the early delivery has already been discussed due to Annie's health and the health of her baby. And she's intimidated by her high risk doctor because the doctor IS intimidating.
Sorry, Annie. I think MY blood pressure got high because of those responses.......
With that said, I think it's reasonable to ask. Just bring it up by saying, if we're going to induce at such and such time, and there's a high risk of emergency csection anyway, is it possible to go ahead and schedule a csection to avoid any further complications. I'm in the same boat sort of. My OB has talked about probably having to deliver early, and which hospitals we should deliver at based on how far along I am, but we haven't discussed specific time lines. It bothers me too not know when and how I will deliver this baby. But, in my situation I guess I just have to deal with it.
ETA: And to the other's after the first three with similar sentiments. LOL! Also, it should be noted that she's already gotten steroid shots for baby's lungs in preparation for the early delivery.
Don't forget that the success of an induction depends heavily on the progress you've made prior. So they may want to wait it out a little while and see what your bishop's score is. If it's high you could just have an easy-peasy induction, which would be awesome.
If I remember correctly you're being induced for medical reasons, and I am too. I was extremely apprehensive about it but now I know that my body is physically in the best possible place to make this successful. I felt exactly the same way that I do not want to labor for 12+ hours and THEN end up in an emergency section. I was actually offered a scheduled c-section, but my bishop's score is pretty high so I chose to try the induction.
I would probably discuss the options and then wait until you that week comes that they want the baby out to see what progress your body has made.
This x100000!
If you read her post carefully, you would see that her doctors are already planning to schedule the induction @ 35weeks and 3 days due to PIH. Every doctor is different, and some actually prefer to schedule a c-section for a high risk pregnancy. Just because your practice wouldn't allow a scheduled c-section until 39 weeks doesn't mean that it's the norm.
This. And the ones directly above this response, READ ALL RESPONSES BEFORE REPLYING. Anne posted a response a ways up there explaining her situation better. If you would have kept reading, you would have seen it and understood better.
You know what, you are paying this practice. They should listen to what you have to say and take that into consideration. Yes they know more than us, but...... that doesn't make it ok for them to be jerks. I think if you state firmly, and nicely first that you want to go ahead with the csection, they will listen. And if not, throw a fit!! Its the only time in our lives when we can blame our bad behavior on hormones. Use that to your advantage sister!!
Good Luck!!
You took the words right out of my mouth.
Yeah what the hell is up with the mental health issues comments?
I completely understand Annie because when I was dilating but knew I had to have LO by 39 weeks I was going to consider going straight for the c-section. I dilated though and am now going to try for the induction.
As for telling your OB I know its hard just blurt it out be like so what are my chances of having a successful induction and if they are low shouldn't I just go straight for the c-section?
Annie, if I was in your situation with or without a history of anxiety, I would ask for a c-section off the top. The way I look at it, either way there is going to be major medical intervention. So, if you feel more comfortable mentally preparing yourself for a c-section; I totally get it.
Just tell your doctor that you want to have a c-section. Explain why just as you have done here and more than likely they will say okay unless there is some major medical reason not to.
Having been through a miserable failed induction that ended in a C-section, I would skip strait to the section. Now, obviously, if my situation had turned out differently I would have a different opinion.
As far as the intimidating doc - don't let them do that to you. This is your kid, your delivery. Its hard for me to imagine that your body would be ready for labor at 35 weeks (thus making a successful induction less likely - but I'm not an MD, so I really don't know). But that would be my main question for the OB - How likely is it that the induction will fail and end in a C. If they give you a number over 50% - personally, I wouldn't even bother - I would just take the C.
I agree with the ppl that say talk to your doc. Ask her what her educated opinion is as far as the odds that you will end in a c-section. If she does this all the time she should be able to give you a good idea.
If my doc thought there was a good chance I would end in a c-section, I wouldn't want to deal with all the pain, etc of labor. It's hard on your body.
But, not all inductions end in a c-section.
I don't think you're nuts, but don't be afraid to be an advocate for yourself. Just remember: you may have to endure a look of disapproval for 5 minutes, but this is YOUR baby and you'll have his birth story with you for the rest of your life.
If they're going to induce you anyway at 35w5d, please make sure they check LO's lungs first. Sure. He may be measuring 2 weeks ahead but what about his lungs? Just because he's big doesn't mean his lungs are ready. Be prepared for the possibility of NICU time as well.
Ultimately, the decision about induction vs. C section is yours I believe. I understand the want to not go through the whole induction process to just end up in C-section. Maybe check to see how dilated you are and if your body is even ready to be induced then. Go over the reasons why your doctor wants to induce you as opposed to the C-section. As others have said, the worst they can say is no. Good luck!!!!
Exactly. I know it's hard to bring up a topic like this when you have anxiety, but the way I deal with it is when she walks in, I just pretty much spew out the words as fast as I can. She may not understand me the first time around, but the second time is so much more relaxed and less scary because you've already gotten it out once.
ETA: Sorry, hit the post button too fast lol.
::Headdesk::
Yep. My only concern would be for you and dealing with recovery from a section. From what little I have read and you posted, it doesn't seem like you have a huge support system. Maybe you will once LO gets here and people step up, but I thought it was just you and bun.
Otherwise, ask away. I feel the same way regarding induction. I don't want a section, but that statistic that floats around here scares me too.
Best of luck!
Seriously!! Read people, READ!