will your doc INDUCE you for a VBAC?

SNL0605 · January 2011

Mine wont....I HAVE to go into labor on my own OR

I have to have a "favorable" cervix and she'd only give me LOW dose pitocin.

Is this the "norm"?

lorryfach · January 2011

Mine would consider membrane stripping at 41w3d and induction at 42. I didn't ask if "induction" meant pitocin, foley catheter, or what. I was pretty sure I wouldn't make it to 42 and I figured I'd cross that bridge if I came to it. I went into labor at 40w1d and was augmented with pitocin the next day.

It does seem like no induction or low-dose pitocin only is very, very common, though.

LiluBee · January 2011

I believe most won't induce with pitocin. However, it might be used in a small amount at some point but VBAC studies show rupture is more common in those that are induced with pitocin.

erbear · January 2011

mine will strip membranes but will not induce or use pit. I have to go into labor on my own before about 41 weeks.

HikerBride07 · January 2011

My midwives are going to start weekly membrane stripping if I'm dilated enough starting at 38 weeks. They also suggest that I start nipple stimulation/pumping at 40 weeks. I have until 41w1d to go into labor or I'll have to have a c/s. Pitocin induction is not an option.

disbride061103 · January 2011

I was induced with my VBAC attempt. My doctors allow you to go to 41 weeks. I was induced using a foley cath and moderate amount of pit.

jen5-03 · January 2011

No, my OB would not induce. Neither would the pro-vbac OB I started with (switched providers because she was too busy not for vbac-related issues).

BetchySprout · January 2011

My OB will use a low dose of pitocin but I have not asked about the foley bulb. I only know that prostaglandins are the 100% no-no.

ReeseM · January 2011

Mine will not. I get til 42 weeks to go on my own though. I am sure once I hit 41 we will schedule the section for 42 weeks, but otherwise, it's all about baby getting out when she is supposed to! She better too

MAprincess · January 2011

I was induced with moderate pitocen. Pit is acceptable in VBACs, just not at the high dose they give non-VBACers. In low/moderate doses it does not increase the chances of rupture.

I successfully VBACed after my induction (at 41 weeks).

RandZB · January 2011

My practice will not induce for a VBAC, but I am going to have to ask if that is ANY form of labor-inducing or just the full-on start from zero induction.

papagena · January 2011

My doctor (and the OB I spoke with at the hosp I'll be at) both were comfortable inducing w/ pit, and I'd hope to start with a foley bulb if my cervix was favorable for that. I hope not to have to do that, though! No prostaglandins (sp?), which is standard.

Ceefome · January 2011

Just asked my doctor today, and she said the same thing - low dose pit if the cervix is favorable. I asked about foley catheter, and she said she did not know if it was counterindicated for VBAC, so obviously they won't do that.

bluedahlia · January 2011

I found out today at my appointment that I actually have the option to attempt a VBAC, and that they will not induce. Like you I have to go into labor on my own.

jessicasuzann · January 2011

My practice will not induce for vbac either. I have till 41 weeks to go into labor on my own.

penguingrrl · January 2011

My OB told me that she wouldn't induce for a VBAC, but when my blood pressure started rising and I was already 4 cm she offered to. Because cervadil is contraindicated in a VBAC she said she tells everyone off the bat that induction is not an option so they don't get their hopes up. But, since I was favorable (fully effaced and 5 cm when I got to the hospital days after she scheduled my induction) she was happy to use a low dose of pitocin and break my water. I did successfully VBAC and am so happy I did!

drakee · January 2011

My practice would not have done a Pit induction, but I did get a Foley ball induction. Near the end, I got a little Pit, but it was just to push me from 9 to 10.

preg_amy · January 2011

My practice will let you go to 42 weeks as long as everyone seems healthy. They will induce if your cervix is favorable. They will use a foley bulb, it sounds like. Maybe a low dose of pit.

Geekchick921 · January 2011

MAprincess:

I was induced with moderate pitocen. Pit is acceptable in VBACs, just not at the high dose they give non-VBACers. In low/moderate doses it does not increase the chances of rupture.

I successfully VBACed after my induction (at 41 weeks).

This. It also does not increase rupture rates if it's used to augment spontaneous labor. Mechanical forms of induction, like the foley bulb, are safe as well. Prostaglandins and Cytotec are the bad things, as they really increase rupture rates. I believe they think that prostaglandins soften the scar tissue as well as your cervix. Bad news.

Hi MAPrincess! I'm seeing Ronni for my first appointment in February. I loved her when I met her in July. Thanks again for the recommendation for her.

FASHIONISHA · January 2011

For a VBAC I was told that I would be induced after 41 weeks. I didn't specifically ask by what means but I'm almost certain it would be with pitocin.

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