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3rd Trimester
jess11779
member
nervous about possible induction!
jess11779
member
Just went 4 my 40 week appointment today & was hoping to hear I had some progress going on....not so much. My cervic isnt budging & is slightly softened. I have been going to accupuncture since last week & it hasnt helped. So because I'm gestational diabetic, & even though my blood sugars have been perfect they said they will induce me thursday. I was surprised I didnt even get a option to go another week or so, the doc said with diabetes it's not ideal to let you go that far past sue date cuz Lo can get big. Im praying I go into labor between now & then on my own! Just a little disappointed cuz I wanted to go in2 labor on my own, but it is what it is as long as LO & myself are safe that's all that matters. I'm just nervous about the whole induction process, dont know what to expect, anyone have advice about it????
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Re: nervous about possible induction!
Have you had any growth u/s's lately that would indicate a large baby? Were you measuring ahead during the last few weeks? If not, you are the patient and have the right to refuse induction.
I spoke to my doctor about this because I too have GD (very mild and easily controlled with diet) and asked her if I can refuse induction if my LO isn't measuring too large and there is no other medical reason to induce and she said yes, I have the right to refuse anything.
So the point is, is you do not have to do exactly what your doctor says. As long as there is no medical reason to induce such as high BP, etc, and the baby is measuring fine, then you can push it off. It is also very possible to vaginally deliver a 10 lb baby. Many women do it, it's just the doctor's not wanting to deal with it. C-section is much easier for them.
I will put off induction as long as my LO is measuring fine. Right now he is measuring right on target, not a day ahead.
BFP #1 3/13/13, MMC 4/17/13, D&C 4/19/13
BFP #2 8/7/13, Beta at 4w6d = 3,796
Good luck going into labor on your own!
Like you, I'd prefer that over an induction. I had always heard about inductions being a long process but I didn't have one with DD, nor had anyone I'm really close with been through one. However, my sister just had an induction last week and hers was so very different than ANY other story of induction that I had heard.
From the time she went into the hospital, to the time my nephew was born was about 5 hours. She had pitocin for maybe 3-4 hours of that time. She received her epidural at 4 cm, and in the 15 minutes it took for her epi to be placed, she went from 4 to 10 cm and felt the urge to push before the epi could even kick in! She then pushed for maybe 30 minutes and my nephew was born! I had never heard of an induction going SO quickly, but apparently it happens. We are all in disbelief at how much she progressed in such a short time!
I am being induced at 39 weeks due to gestational diabetes, not because of the size of the baby, but because of increased risk of stillbirth beyond that point. It is not terribly common, but like my doctor says, better safe than sorry (and I'm with her as the medical professional). However, it sounds like yours has been very well controlled and I wouldn't worry about that risk if your doc hasn't mentioned it.
FWIW, I'm not concerned at all about induction because I've already had 2 excellent experiences! My first was induced at 39 weeks and was 10hrs from start to finish, 8 of which I did with Pitocin and without an epidural. My second was at 38.5 weeks, and was 5 hours from start to finish. Both of them were over 8lbs, perfectly healthy. I had excellent deliveries and recoveries, absolutely nothing out of the ordinary! So, just know that whatever you decide, you can still end up with a really great delivery experience. Good luck with your decision!
I would like to echo the suggestions from the other ladies who've encouraged you to at least have an ultrasound to substantiate your doctor's concerns about your baby possibly measuring large due to GD.
Also, if you're not showing much progress in terms of dilation or effacement, your doctor attempting to induce you is a really good formula for it escalating into a c-section. If you haven't already done so, I would encourage you to do some research into inductions and what factors contribute to a successful/unsuccessful delivery without further interventions so you can form your own opinion.
Good luck!
My understanding is that stillbirth rates can increase past 42 weeks due to issues with placental degredation. As an alternative to induction, this risk can be monitored with NST's and biophysical profiles.
I support your right to select the treatment option that makes the most sense to you and makes you feel the most comfortable but wanted to at least mention this to anyone else who may be reading who was not aware of the alternatives and might be interested in them.
i know there are concerns with the placenta with diabetes as well. that is why our doctors are pushing for induction at 39 weeks. we have adamantly argued about it and are wearing down.... I have type 1 and am very well controlled and get US at every weekly visit showing baby is an appropriate size. They said they can't monitor the placenta to show if it will stop functioning and that is why there is such a risk for still birth. I know lots of people have gone past their due date with diabetes and been fine... but I would hate to be that 1 that doesn't.
share your concerns with your doctor. ask questions. come up with a solution that you feel comfortable with and that they feel is safe. I promised I would come for an US every single day if they would avoid induction with me
Honestly, if I start to dilate and efface - I dont have the energy to fight anymore and will just be induced.
If like you I haven't - then I would talk more about how long they are willing to wait. because that does increase risk of csection. but again - if that is the safest alternative. than that is the safest alternative.
good luck!
I'm the complete opposite. I'm on baby #2 and I was induced at 10 days past my due date and from the start of the induction process to my DS out took 5 hours. I also had no progress whatsoever, which is why I had to be induced. My little guy did not want to come out!
I'm now more scared to go into labor on my own with #2 because I'm afraid of how long it could take. Everyone's experience is different, but my induction was not bad at all. I have complete and total trust in my doctor and my DH was a great coach to help me get through it.
Now matter what the outcome is, I'm sure you will be fine! Good Luck!
With gestational diabetes, however, those numbers are different. My OB has suggested that because of an increased risk of stillbirths with GD babies born after 39 weeks that we induce at that point. It is different than just your normal pregnancy with the 42 week marker. And as I said in my OP, if her doc has not mentioned that to her, I wouldn't worry about it in her case.