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Opinions on Induction

jewel05jewel05
in Natural Birth

At my 35 week checkup my midwife wanted to talk about what happens at the end of my pregnancy.  I was actually really thankful that she brought it up now so that expectations could be managed, and we could have a calm conversation when everyone is relaxed and rational.  I guess I should throw in there that she is a Hypnobirthing instructor (we're using this too) on top of being a CNM.  I'm due on 23 June.  She said that if I haven't delivered by 29/30 June they would offer to induce me - when I decline, I'll be referred to a high risk doc where they will do a NST and check my fluid levels.  If all is good, they'll let me go as late as 4 July before they induce me.  Now, this is all just hypothetical, but if my bishop score is still low on 4 July what would you do?  She said in her professional opinion, she wouldn't go any further because the risks are just too high and the desired outcome is healthy baby/healthy mommy.  I totally agree, I'm just curious if you all would allow yourselves to be induced knowing that the chances of a c-section are so high?  I am probably freaking out about nothing, but I'm high on information right now and have too much time to think ;)  Thanks!   

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Re: Opinions on Induction

  • whitney1170whitney1170 member
    I know in my case, I asked for Cervadil and refused pitocin or the other form of induction (I forgot the name, it's commonly used in place of Cervadil). I didn't want any interventions, but at 2 weeks late I figured the risk associated with being later than 2 weeks was higher than me needing a c-section. It worked great, and my doctor and nurses worked really well with my wants. I'm sure your midwife will too.
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  • danieliza1127danieliza1127 member

    I definitely wouldn't put myself or the baby in a high risk situation just to try to stick to my birth plan.  If my MW was strongly recommending that I be induced, and I was that late, yes I would definitely do it.  You can still have a drug-free birth and be induced, it might be harder, but it's not impossible.

    My best friend had an at-home water birth planned with midwives but after being 18 days late, they wouldn't let her go any further and she had to be induced and have the baby in a hospital.  She also ended up having an epidural.  It was the total opposite of everything she planned but in the end, it was the best for her and the baby and she has a really smart and awesome kid now.  It taught me that not everything is in your control.

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  • mb314mb314 member
    FYI - I think you can also refuse the NT scan/ultra sound it sounds like they'll offer you at 1 week late.  Ultra sounds are not very accurrate at determining baby size or fluid levels at that point in pregnancy.  It's not uncommon for doctors to recommend induction/c-section because your baby seems big on the ultra sound, and then when you have the baby you find out it was within the normal range.  I personally would forgo any tests/interventions until you reach the 2 week late mark. 
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  • sschwegesschwege member

    My practice will recommend induction the evening of 41w6d (provided everything else is looking good).  So that's how far I would be comfortable going,  I would go to 42w, but not beyond...

    Have you considered what will happen if you refuse?  I know with my practice they asked you to sign a waiver and then you were free to continue for as long as you wanted.  I always wondered though by doing that if insurance could refuse coverage since you were going AMA.   

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  • x0stephaniex0stephanie member

    The 4th of July isn't even 2 weeks overdue, and thats the longest you are "allowed" to go for?  I'm surprised you'd need to be referred to a high risk doctor for being a week overdue, that seems like a bit much.  I stayed under my midwives care until I was 42 +1 and we decided to induce.  I get that you don't have much say in your care providers policies but that really sucks!

     

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  • x0stephaniex0stephanie member
    p.s. I only had 1 ultrasound and NST at 41.5 weeks.  
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  • jewel05jewel05
    I just really really really don't want a c-section.  They can monitor him all they want - I have no problem with a NST or checking the fluids.  But if my bishop score is at a 3 and they intervene anyway to induce labor, I'm almost guaranteed to need a c-section.  I guess just not showing up is always an option, but I won't put my baby or myself at risk just so I can have it my way.  Annnd I think I just answered my own question...  
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  • x0stephaniex0stephanie member
    You don't have to put your baby at risk though.  You can just say you don't consent to an induction unless there is a medical need (placenta calcifying, low fluid levels, failed nst etc).  You can just keep getting nst's every day.  My midwife was supportive of me going further than 42 weeks if I wanted but by then I was just done.  
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  • lylipadlylipad member
    As far as inducing goes I figure if there is a legitimate reason for it than do it. I feel like there are a lot of horror stories out there and yes a lot of times doctors do push for interventions but when the time comes you will do what is best for you within the guid lines of your provider. That being said let me just tell you that I had a very good experience being induced. My water broke but I was 0-0 so after about 6 hours with no progress they gave me cervadil and told be that 12 hrs later they would start pitocin and if by the 24 hr mark I hadn't delivered we would have to talk about surgery. I alternated walking and relaxing and began to contract several hours later. I went from "oh, I think I feel something" to "Holy *** I think I am DYING!!!!" in 2 hours. I ended up delivering before they even considered giving be the pit. Sometimes your body needs a little kickstart.
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  • KathzooKathzoo
    What risk is she referring to?  Is it absolute risk or relative risk?  Kim James has a great page on her website discussing the difference in the situation of post-dates.
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