Dr trying to talk me in to induction

karleegirl · February 2012

So I'm 38 weeks pregnant with my 3rd baby. I go to a large physician practice and I see 5 different md's. For the most part I like all of the docs. Yesterday at my appt the doc told me I'm measuring 3 weeks ahead and the baby may get to big for me to deliver being I'm so short 4ft9.5 inch. He wanted to schedule me for an induction next week. He and I had a back and forth "heated" discussion for awhile. I told him I had an 8lb5oz baby with no pain meds when I was 16 so I felt like I'd be fine. He pointed out that I had a lot of trauma with the birth (vacuum extraction,blood transfusion). So I'm going back wednsday to be checked again and we'll talk again. I'm not against doing what's best for lo, but I really don't want pitocin again. I had it last baby and hated it. The contractions were much worse and my son didn't react well with it. Dh of course thinks we should do exactly what the md says. He's pushing me too. He says b/c I'm a RN I'm overthinking it and I need to trust the md. I feel so torn. ( sorry for format, I'm on iPhone)

pinkshades05 · February 2012

Mmm, this is a tricky one, but I would say trust your gut and take it one day at a time. I can understand your reasons for not wanting an induction, especially if your previous births were traumatic. While the doctor and your husband are looking out for your best interest, you also know yourself best and this needs to be a decision you feel comfortable with.

ktroutm2 · February 2012

I'm not trying to start anything but I am an RN as well and you know that we have seen a lot and know things regarding medications and such. I am not saying that people who arent in the medical field dont know anything or havent done their research. I agree with you standing your ground. Everyone knows their own body best. Good luck hopefully things start to happen by your next appointment.

pinksweetpea2 · February 2012

I think your OB sounds like an ass and I personally would consider getting a second opinion. I would be concerned that even if you do go into labor soon, that your OB (who shounds very intervention happy) will be pushing pit on you anyway. It seems to be very commonplace these days to hook a woman up to pit as soon as they arrive at the hospital and since most hospitals follow an arbitrary "progress" timeline, I would stay home as long as possible.

All of that trauma you had with your first could very well have been attributed to the pit and each birth is different, so that should not even be a factor in your consideration IMO.

If you do decided to stay with him, I would point out that not only is inductions for estimated size reasons not supported by evidence based medicine, but also that it is discouraged by the ACOG. You could even ask him to produce a study that supports his methods- something he will not be able to do.

I know it is hard, but stay strong and stick to your guns. Try to educate your DH too so he can be more supportive.

lakermommy24 · February 2012

Oh I have been in a similar situation, being 5'1" and carrying a bigger baby and now being a few days overdue , also their are quite a few different Docs in the practice I go to also , the one I normally see the most was the one trying to push the induction on me , at 1st I thought it was something I was going to have to do and didn't have much choice in , but after seeing another doctor in the practice who seen it completely unnecessary at this point I felt much better. As miserable as I am and ready to get it over with the induction almost sounded appealing but DH reminded me thats not what I want unless I have to go that way so I stuck with the 2nd opinion and am still sticking it out 2 days overdue now , NST scheduled today and as long as LO is still looking good no induction for me in sight ....but hopefully LO does decide to make his appearance sooner rather than later!! Goodluck!

btartaroind · February 2012

I agree with pps, I'd you dont want it, say no. Although make sure you take into consideration all the reason why he wants you to. Will you see another doc next week? Maybe you can get a different opinion then. I didn't want intervention if I didn't have to, and my dr asked me (after laboring 24 hours in the hospital) If I wanted my water broken and I said no and she respected it. I did agree to pitocin, but I was at a standstill at 4cm and was pretty sure my body would respond positively, which it did. If you think yours won't, then maybe you can explore other options.

karleegirl · February 2012

Let me clarify , my first was not induced and I had a hard delivery. Vacuum, blood transfusions, tearing. My second was an induction and ds2 didn't respond well. The doc I saw yesterday is not my regular one. I'm gonna ask for another md next week.

jonsuz · February 2012

I definitely agree with PP to not have the induction if it is not what you want. As a RN, I know that I feel strongly about what I see happen to patients when they don't advocate for themselves or do not know enough to ask for different treatment. That being said-I also go straight to worst case scenario in my head. The OB sounds like a jerk saying you need to trust the MD, especially in L&D where I think it is usually so collaborative. I hope you get a different doctor and the delivery you want!

MollySm · February 2012

karleegirl:
Let me clarify , my first was not induced and I had a hard delivery. Vacuum, blood transfusions, tearing. My second was an induction and ds2 didn't respond well. The doc I saw yesterday is not my regular one. I'm gonna ask for another md next week.

This was going to be my suggestion, but I guess you are already there! Having another opinion might make you and your H more comfortable with whatever you decide!

girley75 · February 2012

pinksweetpea2:
I think your OB sounds like an ass and I personally would consider getting a second opinion. I would be concerned that even if you do go into labor soon, that your OB (who shounds very intervention happy) will be pushing pit on you anyway. It seems to be very commonplace these days to hook a woman up to pit as soon as they arrive at the hospital and since most hospitals follow an arbitrary "progress" timeline, I would stay home as long as possible.
All of that trauma you had with your first could very well have been attributed to the pit and each birth is different, so that should not even be a factor in your consideration IMO.
If you do decided to stay with him, I would point out that not only is inductions for estimated size reasons not supported by evidence based medicine, but also that it is discouraged by the ACOG. You could even ask him to produce a study that supports his methods- something he will not be able to do.
I know it is hard, but stay strong and stick to your guns. Try to educate your DH too so he can be more supportive.

I have to agree with this. I desperately wanted a natural labor and by the grace of God I got one last Monday. It was 2 days after my due date. If I had been induced prior to Monday, I doubt my labor would have went the way it did. I was in labor for 6.5 hours f/ first contraction to delivery. I know this is not the case for everyone, but you have to do what you feel is right. Good luck! Keep us posted on how things go..

ChristinaL27 · February 2012

My doctor told me I may have to get and induction due to my pre eclampsia depending on my lab results...So I read how to do it myself safely.

I ate a whole fresh pineapple the evening after I went to the doctors because they told me I was not dialated... That morning I woke up with light contractions and a little bloody show. That afternoon they faded so I got another pineapple and ate it. Needless to say the contractions came back and in less than 24 hours I delievered my very healthy baby girl on 2/2

Good luck!

greeneyed_bride · February 2012

Is he basing this on an ultrasound or on fundal height? I've been measuring 3-4 weeks ahead, and my OB was starting to worry that the baby would be too big for the size of my pelvis. They did an ultrasound, and the baby is only measuring about a week ahead, and according to the measurements, he/she will likely be around 8lb 4oz on my due date - definitely not a huge baby. If your doctor is basing all of this purely on your fundal height, he sounds irresponsible. Definitely see a different doctor.

noryang · February 2012

Hey Karlee - Stay stong. Eowyn was "measuring" in the 95th percentile at 36 weeks. I was told she was already 7 lbs 14 oz. Well she was born three weeks later at 7 lbs 7 oz. so unless she hit the Jenny Craig pretty hard - my scan was way off. Like many of the pp - I wouldn't make a decision to induce based on this kind of scan.

karleegirl · February 2012

greeneyed_bride:
Is he basing this on an ultrasound or on fundal height? I've been measuring 3-4 weeks ahead, and my OB was starting to worry that the baby would be too big for the size of my pelvis. They did an ultrasound, and the baby is only measuring about a week ahead, and according to the measurements, he/she will likely be around 8lb 4oz on my due date - definitely not a huge baby. If your doctor is basing all of this purely on your fundal height, he sounds irresponsible. Definitely see a different doctor.

He is going by fundal height.

karleegirl · February 2012

noryang:
Hey Karlee - Stay stong. Eowyn was "measuring" in the 95th percentile at 36 weeks. I was told she was already 7 lbs 14 oz. Well she was born three weeks later at 7 lbs 7 oz. so unless she hit the Jenny Craig pretty hard - my scan was way off. Like many of the pp - I wouldn't make a decision to induce based on this kind of scan.

Lol little Jenny Craig baby! I'm going to stay firm unless they give me some real medical evidence baby girl needs to come out. I'm just trying to convince dh I'm not just being hard headed.

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