Natural Birth

Help with induction

On Monday I will have to make an appointment for a medical induction on Wednesday. Of course I'm trying to avoid it at all costs by trying more natural things like sex, acupuncture, acupressure, blue and black cohosh, castor oil, walking, ball sitting, you name it! I'm 10 days over due and had an NST that came out perfect, as well as fluids that were above what the midwives wanted. I just don't see the urgency of getting him out if he's perfectly fine...

So, my question is, if I do end up at the hospital needing a medical induction, what is the most natural way of going about it? 

Thank you in advance! 

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Re: Help with induction

  • If there's no medical indication requiring induction for the health of you or baby, you can refuse the induction. Seems odd you are seeing midwives and they are going to try to "make" you schedule an purely elective induction before 42 weeks. Midwives are generally more knowledgeable than that, and it is usually the jerk OBGYNS that coerce you into unnecessary, convenient for them inductions.
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  • imagetessatewks:
    If there's no medical indication requiring induction for the health of you or baby, you can refuse the induction. Seems odd you are seeing midwives and they are going to try to "make" you schedule an purely elective induction before 42 weeks. Midwives are generally more knowledgeable than that, and it is usually the jerk OBGYNS that coerce you into unnecessary, convenient for them inductions.

    According to her ticker she'll be 42 wks. on Wednesday.

    Pregnancy Ticker
  • Did they strip your membranes? My labor with my son started about 13 hours later and about 6 hours later with my daughter. i also allowed my water to be broke since baby was at zero station and I was 4 cm dialated. Hopefully labor will start by Wed. GL to you. Enjoy the experience! it is amazing!
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  • Yes, I will be 42 weeks on Wednesday :(

    I asked for a membrane sweep at my Friday appt. and the midwife said my cervix is too high up and couldn't do it. I'll try for it again on Monday. 

    BabyName Ticker Pregnancy Ticker image image imageimageimage
  • I will likely be induced because my baby has IUGR.  I asked my midwives if we could take the induction process slowly and give my body a chance to take over.  So, starting with a cervical ripening agent, but no pit unless necessary, then a small dose of pitocin if necessary, etc.  They were totally on board with going slow & giving my body a chance to do its thing.  Of course, I have no way of knowing if that will be successful, but it seems like the best chance for the least amount of interventions if an induction is necessary.
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  • Debating on induction eventhough I'm just 2 days past due, dr thought I would have this baby at 39 weeks. I'm 3 cm and 85%effaced and waters bulging! No such luck. I am in my best friends wedding in the day that would be my 42 week...getting so stressed about the wedding and being a bridesmaid that I am considering the induction... Let me know what your dr says! I go again on Wednesday!
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  • imagetessatewks:
    If there's no medical indication requiring induction for the health of you or baby, you can refuse the induction. Seems odd you are seeing midwives and they are going to try to "make" you schedule an purely elective induction before 42 weeks. Midwives are generally more knowledgeable than that, and it is usually the jerk OBGYNS that coerce you into unnecessary, convenient for them inductions.

    unfortunately, many MWs operate under the guidance of an OB and could face serious sancture for "disobeying" protocols, like permitting a momma to go past 42 weeks without transfer to the OBs, who likely would be a hurricane force to reckon with. 

    IDK if that is the case with the OP, but this is very common.  

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  • - Hopefully your MW knows how much you want a natural birth. If she doesn't, now would be a really really good time to talk to her about it Smile Having an induction doesn't mean all your natural birth plans go out the window. It means you just need to be a little more creative.

    - Ask your MW about your options. Can you try AROM or a foley bulb induction before going to Pitocin? 

    - If you do need Pitocin, know your Bishop score. Start with cervical ripening if you need it. Preferably Cervidil -- if your MW suggests Cytotec (misoprostol), read up on it on your own and decide whether you're comfortable with it.

    - You'll likely need to be on constant fetal monitors. Ask if your hospital offers telemetry (wireless monitors). If not, make it clear that you will NOT be lying in bed, that you will limit your movement to what you can do while tethered to the monitor, but you will be changing positions, moving around, etc. within those limits.

    - Ask about a low-dose Pitocin protocol. See https://nursingbirth.com/2009/07/09/pitocin-protocol-for-labor-inductionaugmentation-decoded/. Make sure your husband or other support person knows about this, too, and can keep an eye on your Pit levels for you.

    - If at any time, your contractions start coming really close together/on top of each other, ask to have the Pit turned down.

    - Once you reach 6cm dilation, ask if you can have the Pit turned off for a bit, to see if your body picks up a regular contraction pattern on its own.

    - Above all, believe that you can do this, regardless of what interventions get thrown at you. We all know about the "cascade of interventions" and the problems it can cause, but it is always within YOUR power to stop the cascade.

    Good luck! I know the feeling of not seeing the urgency, but hospital policies are hospital policies. Personally, when I was in that situation, I thought it was better to take an induction at 42 weeks (especially since I got to schedule it with my favorite most-supportive OB) than to refuse the induction and likely go into labor with a less-than-supportive OB who would be *very* aggressive with interventions if anything started to look the slightest bit "funny." I had a really positive induction experience and would make that same decision again in a heartbeat if I had to.

    Mommy to DD1 (June 2007), DS (January 2010), DD2 (July 2012), and The Next One (EDD 3/31/2015)

  • imageflyer23:

    - Hopefully your MW knows how much you want a natural birth. If she doesn't, now would be a really really good time to talk to her about it Smile Having an induction doesn't mean all your natural birth plans go out the window. It means you just need to be a little more creative.

    - Ask your MW about your options. Can you try AROM or a foley bulb induction before going to Pitocin? 

    - If you do need Pitocin, know your Bishop score. Start with cervical ripening if you need it. Preferably Cervidil -- if your MW suggests Cytotec (misoprostol), read up on it on your own and decide whether you're comfortable with it.

    - You'll likely need to be on constant fetal monitors. Ask if your hospital offers telemetry (wireless monitors). If not, make it clear that you will NOT be lying in bed, that you will limit your movement to what you can do while tethered to the monitor, but you will be changing positions, moving around, etc. within those limits.

    - Ask about a low-dose Pitocin protocol. See https://nursingbirth.com/2009/07/09/pitocin-protocol-for-labor-inductionaugmentation-decoded/. Make sure your husband or other support person knows about this, too, and can keep an eye on your Pit levels for you.

    - If at any time, your contractions start coming really close together/on top of each other, ask to have the Pit turned down.

    - Once you reach 6cm dilation, ask if you can have the Pit turned off for a bit, to see if your body picks up a regular contraction pattern on its own.

    - Above all, believe that you can do this, regardless of what interventions get thrown at you. We all know about the "cascade of interventions" and the problems it can cause, but it is always within YOUR power to stop the cascade.

    Good luck! I know the feeling of not seeing the urgency, but hospital policies are hospital policies. Personally, when I was in that situation, I thought it was better to take an induction at 42 weeks (especially since I got to schedule it with my favorite most-supportive OB) than to refuse the induction and likely go into labor with a less-than-supportive OB who would be *very* aggressive with interventions if anything started to look the slightest bit "funny." I had a really positive induction experience and would make that same decision again in a heartbeat if I had to.

    That was very helpful! Thank you so much!

    I had another appt today and everything was great! I'm 1-2 cm dilated, and 80% effaced. She wasn't able to do the sweep again, but was able to push around. I guess when my midwife called to schedule my induction, the Dr. wanted me in ASAP. Does no one read charts anymore?? Had she read it, or asked the midwife, she would've known that baby is FINE, and I'm FINE. So they agreed to let me go in on Wednesday am. As a last ditch effort I'm doing castor oil again. Hopefully this will give my little guy the jump start he needs... 

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