break it down for me...RE: cons of inductions

Keribells · July 2011

Can someone break it down for me why inductions are less preferred? I'm feeling like a newbie with all of this and after reading the PG check-in it got me to wondering.

rssnlvr · July 2011

Through a series of "one thing leads to another," inductions have a higher likelihood of ending in a c- section.

MrsAJL · July 2011

What rssn said.

Keribells · July 2011

rssnlvr:
Through a series of "one thing leads to another," inductions have a higher likelihood of ending in a c- section.

ahh...Thanks K! lovin' all of the pictures of your cuties!

Keribells · July 2011

MrsAJL:
What rssn said.

lol...your response was shortened! lol

ssinca · July 2011

I was scared of the pitocin, I'd heard contractions are worse with the meds. Turns out they gave it to me anyway, even though I'd gone into labor on my own. Also, my doc said an induction goes better when you are already a few cm dilated, but I don't know if this is true.

carlinlp · July 2011

From this article at The March of Dimes:

Like any medical procedure, induction has side effects and risks. Some of them are described here.

Oxytocin can make labor contractions very strong and lower the baby's heart rate. Throughout an induction, medical staff carefully monitor the baby's heart rate. Adjusting the dosage of the drug can decrease the strength of the contractions and reduce the effect on the baby's heart.
Women who have inductions and their babies are at increased risk of infection.
The baby may have problems with the umbilical cord. For example, the cord may slip into the vagina before the baby does. This is more likely to occur if the baby is breech (feet or bottom first, instead of head first). Also, the cord may be compressed, decreasing the baby's oxygen supply. These problems can be serious for the baby.
Sometimes treatment doesn't work, and the woman has to have a cesarean delivery.
Uterine rupture is a rare complication of induction. A rupture is a tear in the uterus. This can cause serious bleeding. Women who have previously had a cesarean section are at increased risk of uterine rupture; c-sections leave a scar in the uterus.

Keribells · July 2011

so when is it a good time to bring this up with my OB? My doc is out for 4 weeks so the next time I see her I will be about 28 weeks....that about right?

ssinca · July 2011

Keribells:
so when is it a good time to bring this up with my OB? My doc is out for 4 weeks so the next time I see her I will be about 28 weeks....that about right?

*most* docs don't want you to go past 41 wks, although they might let you go to 42 if you come in every few days to get monitored. At least this is my understanding.

CollieJade · July 2011

Keribells:
so when is it a good time to bring this up with my OB? My doc is out for 4 weeks so the next time I see her I will be about 28 weeks....that about right?

Has there already been talk about inducing you due to medical reasons so far in your pregnancy? I know they induce a lot of women with GD or pre-e because the risks of going too long in those cases is sometimes higher than the risks of induction.

If you don't have any medical reasons now or you aren't on the verge of having medical issues at this stage that might later necessitate an induction, then I would honestly not worry about it until you are at the point that your doc feels you need to be delivered sooner rather than later. I think the standard of care is to let women with low risk and uncomplicated pregnancies go to about 41 weeks before induction is suggested. My doc was prepared to let me go to 42 weeks, but I chose a crunchy doctor specifically for that reason. My doc didn't even really feel like we had to discuss the induction possibility until my 41 week appointment, and even at that point, she said, "If you don't go into labor within the next 6 days, I will want to induce you the morning of your 42 week mark." DD played chicken with me and decided to come at 41 weeks 5 days.

At any rate, not all doctors are okay with letting someone go that long, and it's certainly a conversation to have about your doc's philosophy about inductions, but unless you think there may be a medical reason for you to have an induction, I'd not really worry about it until the time comes.

Angie&Doc · July 2011

No cons here. I had two, both planned inductions and they were both AWESOME!

ebat · July 2011

Here are my cons to add to the other reasons posted

1) They typically break your water with an induction which can lead to the cord being wrapped around your baby's neck(b/c it drops fast or something.) DD's cord did end up wrapped around her neck, although it may have anyway. Then it broke when she was born and the doctor went to unwrap it. DD ended up being fine and really just had to have 1 extra blood test and her stump was itty bitty, but it was scary, as soon as she was born the doctor turned her back on me to clamp it quickly, H was watching, and I was like what's going on.

2) This is just me really, but I HATE having my blood pressure taken, for some reason it hurts me, and when you're on pictocin it gets taken every 30 minutes. I was on pictocin for over 18 hours. Once you get an epi it gets taken every 15 minutes, I am seriously considering trying to go med free just b/c of the blood pressure thing, if that's any indication of how much I don't like it.

3) Silly emotional reason - I didn't get to time contractions or say "it's time"

Keribells · July 2011

Thank you everyone for your responses...lots of info to consider.

CJ- At this time, everything is routine so I have no medical reason to be on alert...I'll keep that all in mind though.

Duckie07 · July 2011

Keribells:
so when is it a good time to bring this up with my OB? My doc is out for 4 weeks so the next time I see her I will be about 28 weeks....that about right?

I don't think it's ever too early to discuss with your OB what L&D might look like for you. It gives you an opportunity to discuss several things that could happen, and gives you plenty of time to do research. Just because you discuss these things with your OB doesn't mean it has to happen that way. But, it's definitely nice to be informed and as prepared as possible going into L&D.

SarahPLiz · July 2011

Even though I have to do it, a big con for me is the constant monitoring. This inhibits your ability to get into different laboring positions (shower, walking, squatting). and my baby is small, so they will be monitoring as much as possible and I'm not looking forward to that. Im going to sneak in some pacing in my room this weekend, and I squat as much as possible these days to try to get him to come down where he needs to be. The nipple twisting

will begin on Sunday... I do not want pitocin.

2H2L · July 2011

MrsRosie:
Read The Thinking Woman's Guide to a Better Birth. That being said, I had a successful induction due to pre-e. I'm fine, our baby is/was fine, and I was nowhere close to needing a c-section throughout the induction process.

me too, twice.

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