induction

Emilycon · May 2010

OK...I am not trying to be annoying. I posted this last night and got some opinions. I am posting it again, to see what the ladies that are on in the morning think. It is stressing me out!

"At my appointment today (39w 1d) I have had no progress as far as dilation. The doctor is having me come back Thursday to check again. If there is a change he wants to talk inducing...if there is no change then I will go back Monday and check again. He doesn't want me to go to far past my due date (which is Monday). Thoughts on inducing??"

Additional thoughts: I really want to have my doctor deliver the baby! He is working this weekend. This feels like a convenience though, and I don't want to bring a baby into the world based on that. I am more thinking that if there is no progress on Monday, maybe inducing early next week would be better. I only weighed about 105 pounds before pregnancy, so I am very small. My concern is that if I wait to long the baby will be to big which will increase my chance of a c-section.

UGH!! HELP ME GIRLS! This is all I can think about! I just wish my water would break right now, so that I wouldn't have to worry about all of this. P.S. I am walking...ALOT to try to speed things up, but so far to no avail!

Alexandra*sMom · May 2010

Have they done an u/s to estimate growth?

I have been induced twice due to size and if baby does not come by Tuesday, I will be induced for the 3rd time. I am 5'9" and about 160 pre-PG, so my 8-2 and 8-14 girls weren't too unexpected. The doc is expecting this one to be 9-9.5 lbs. I had my membranes stripped Thursday and Monday and go back again tomorrow for another round to try to speed things up. I also walk 1.5 mi a day (at least) and have tried accupressure and pumping just recently. I have never gone natural, so I have nothing to compare it to, I am just hoping to get it this time since it is our last baby.

I do not think induction is bad if done right. If you are not progressing on your own, you are unfavorable for induction. They should start with cervadil or another cervical ripening drug at night - then remove that and start pitocin in the morning. For me, nothing has really worked well until they break my water - but that is risky too since big babies tend to not engage in the pelvis until the last minutes before birth.

Good Luck with your decision!

mysticporter · May 2010

It's a tough call. Inductions can be linked to a 'cascade of medical intervention', but research I've read has also shown that the same type of thing can happen with a wait-and-see approach and no induction in post-term babies because of their size. For most everything I've read, though, that's 41 or 42 weeks, not right at your due date, unless there are other factors involved.

If your doctor hasn't given you any other factors (other than your pre-pregnancy size), that wouldn't be enough for me to consider induction at 40 weeks, and I'd want to give it a few days to a week, personally.

Emilycon · May 2010

I had an U/S at 30 weeks and the baby was 3 lbs. 1 oz. I had another at 34 weeks to estimate the growth and was at 4 lbs. 12 oz. I wonder if I can ask for another U/S to help with my decision.

Alexandra*sMom · May 2010

Emilycon:
I had an U/S at 30 weeks and the baby was 3 lbs. 1 oz. I had another at 34 weeks to estimate the growth and was at 4 lbs. 12 oz. I wonder if I can ask for another U/S to help with my decision.

At 1/2 a lb a week - from 34 weeks, baby may have gained about 3 lbs. You could be looking at an 8 lb baby plus or minus a pound (since that is how much the u/s's can be off).

BelhurstBride · May 2010

I would do some research rather than depend on the opinions of a bunch of people on the internet.

Induction only works when your body is ready for it anyway. If you've made no progress the induction is more likely to not work which can lead to a c/s. In addition, the APA states that the possibility of a large baby is not a reason for a induction. Those guesstimates can be off by literally pounds and there have been multiple reported cases of a baby being induced because they're going to be "too big" who ended up too small and in the NICU.

IMHO, as long as the NST and BPP look good I'd push to wait as close to 42 weeks as possible.

JG362009 · May 2010

I absolutely love my doctor and would totally love to have her deliver my baby, but I would never schedule an non-medically necessary induction just because she was on call. Most of the time you will grow a baby your body can handle, so unless they've given other reasons besides you being tiny, I would wait it out.

aldyn · May 2010

I had an induction and I really wish I hadn't needed one (my water broke and I never got contractions). I *hated* pitocin, it made the process more painful for me, it made it harder on my baby (my baby's heart rate dropped too low during the process so everything got stalled while we waited to see if she'd recover) - I'm *really* hoping I won't have to be induced again this time!!

jmtcaw02 · May 2010

My doctor won't even discuss the possibility of induction until 41 weeks. I appreciate this approach, my husband and I feel that the best way to go about this is as naturally as possible. However, I wont lie; I am doing everything I can to get things moving on their own. Walking, birthing ball, pineapple (old wives tale). I was 5'2 and 107 prepregnancy so I understand your concern, but my doctor and I agree that this concern is not a reason for induction. Our bodies are designed to handle things better than we might think!

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