2nd time+ moms...Question about induction

Stef33 · February 2012

I am going to be induced (no date set yet) and had a couple of questions that I'd never even thought to ask my doctor.

When you get induced, do you have options as to how you want to do it? Breaking your water/other natural methods? Do they go over different medications with you? Or do they just start you on 1 medication no questions asked? If you have been induced before, how did it go? My doctor said she wants to wait as long as possible while not going past 38 weeks since that may make my cervix more favorable. I'd never even thought about how the condition of your cervix can effect induction.

I will ask my doctor all of these questions on Monday but I'd like to hear from some ladies first hand. TIA!

kris_kelsey · February 2012

they will recommend a method of induction based on what your cervix is dilated to. if you are closed and firm they will use some sort of cervical ripening, and if you get a bishop score at or above 7 they may start pit or break your water. they can't break your water even if you want them to if the head is too high...not engaged in the pelvis. You are an active participant in your induction but your options will be very limited based on your cervical exam and fetal station.

Kristinmo · February 2012

First question is why are you being induced early? Complications like GD? If a normal pregnancy, I would refuse induction before my due date (and honestly I would refuse before 42 weeks but to each their own).

I was induced twice with my first (1st time didn't work). We discussed at the appointment that we scheduled the induction. I was dilated to a 3, so my OB felt that going straight to pitocin was the best bet. When 8 hours on pit caused no cervical change, we did 12 hours on cervadil and then another 8 hours on pit with no change. Then I was sent home (This was 41 weeks).

At 42 weeks I went in and did another 12 hours on cervadil. They then started pit and broke my water. DS was born 3 hours later.

The reason they didn't break my water the first time around is that my doctor and hospital don't consider it a medically necessary induction until 42 weeks. Once they break your water, if the other augmetation techniques don't work, you are stuck with a c/s.

Stef33 · February 2012

Should have stated before that I have Pre-e and was put on bed rest at 33 weeks until I deliver, which is why I am being induced.

shannm · February 2012

Kristinmo:
First question is why are you being induced early? Complications like GD? If a normal pregnancy, I would refuse induction before my due date (and honestly I would refuse before 42 weeks but to each their own).

I was induced twice with my first (1st time didn't work). We discussed at the appointment that we scheduled the induction. I was dilated to a 3, so my OB felt that going straight to pitocin was the best bet. When 8 hours on pit caused no cervical change, we did 12 hours on cervadil and then another 8 hours on pit with no change. Then I was sent home (This was 41 weeks).

At 42 weeks I went in and did another 12 hours on cervadil. They then started pit and broke my water. DS was born 3 hours later.

The reason they didn't break my water the first time around is that my doctor and hospital don't consider it a medically necessary induction until 42 weeks. Once they break your water, if the other augmetation techniques don't work, you are stuck with a c/s.

This. I had a failed induction and then an emergency section. If you move forward with induction, know that you are much more likely to have a section. You should be prepared for that possibility. As for their induction methods, as pp stated, it will really depend on your body. I know at 38 weeks, I would have not been ready at all. Ask your OB lots of questions and read as much as possible about the options so you can have an educated opinion about your doc's choices.

Kristinmo · February 2012

Stef33:
Should have stated before that I have Pre-e and was put on bed rest at 33 weeks until I deliver, which is why I am being induced.

Gotcha. Totally understandable. Just ask lots of questions about what the plans are and what the backup plans are so you have a good understanding of what will happen if things don't go as planned.

Keri Marie · February 2012

...Pitocin is made by Satan...

ghdst1 · February 2012

I would ask what their "norm" is and if there are other options so that you are most informed. Cervadil can ripen your cervix and if you are ready possibly start contractions on their own. Pitocin and breaking the water are very quick ways to get labor started but they can be overwhelming for you and baby as well because of how quick they CAN (not will) work.

I agree with PP to just ask a lot of questions. Write them down and go in ready to get as much information as possible.

cookies+milk · February 2012

Maybe I just got really lucky, but I was induced and had an amazing experience w/ a vaginal delivery, minimal tearing and an 18-hour labor (typ for a FTM).

shanad · February 2012

shannm:
This. I had a failed induction and then an emergency section. If you move forward with induction, know that you are much more likely to have a section. You should be prepared for that possibility. As for their induction methods, as pp stated, it will really depend on your body. I know at 38 weeks, I would have not been ready at all. Ask your OB lots of questions and read as much as possible about the options so you can have an educated opinion about your doc's choices.

I had a failed induction and c/s too. They started my induction with a foley bulb, which got me from no dialation to 3cm overnight, then started pit, then waited 24 hours for no progress past 6cm. This was on my due date, I was induced bc of high bp. My body just wasn't ready and baby started getting stressed out so I agreed to a c/s. This time I'm trying VBAC. Just ask your dr.

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