If I have to be induced, what order??

Re: If I have to be induced, what order??

• AmyRI member

  December 2012

  I am more afraid of a 24 hour time limit on AROM than I am of pitocin when administered correctly and slowly, and you have the chance to turn it off once you are in a good ctx pattern. I probably would agree to AROM first if the foley bulb got me to 3-4 cm so I could avoid the IV and constant monitoring that comes with pitocin... but I'd have a really hard time agreeing to AROM super early on.

  Membrane sweep (as PP said, you can be sent home after this)
  Cervadil (if not softening/effacing)
  Foley bulb (assuming you're dilated enough to have it placed)
  AROM if dilated more than a few cm
  Pitocin (low-dose, increased slowly, turned off once you are in a constant ctx pattern)

  
  

  #3 Due April 2016

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• Meinschatz11 member

  December 2012

  AmyRI:

  I am more afraid of a 24 hour time limit on AROM than I am of pitocin when administered correctly and slowly, and you have the chance to turn it off once you are in a good ctx pattern. I probably would agree to AROM first if the foley bulb got me to 3-4 cm so I could avoid the IV and constant monitoring that comes with pitocin... but I'd have a really hard time agreeing to AROM super early on.

  Membrane sweep (as PP said, you can be sent home after this)
  Cervadil (if not softening/effacing)
  Foley bulb (assuming you're dilated enough to have it placed)
  AROM if dilated more than a few cm
  Pitocin (low-dose, increased slowly, turned off once you are in a constant ctx pattern)

  Thanks! This is very helpful. I had forgotten that you could go home after membrane sweep. My MW is comfortable letting me go to 42 weeks as long as everything still looks ok. I'm hopeful that he will come on his own, but I wanted to have something thought out in case he doesn't. I appreciate your input!
  

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• memo9 member

  December 2012

  I would do:

  Membrane Sweep

  Castor Oil (Never say never)
  

  Foley Bulb

  Pitocin

  Membrane Rupture
  

  

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• Amanda&EricB member

  December 2012

  The cervadil put me into labor, within hours. I didn't need pit or anything else after that. I know it doesn't work for everybody but I never expected it to work for me either!

  Wyatt 9/6/2011 

  Tessa 7/5/2013

  Baby #3- ????? (ttc soon)
  

  
  

  
  

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• amandaleigh1 member

  December 2012

  You can't membrane sweep or do the foley bulb if you ate not at least 1 cm dilated. That was the case with me and my induction.
  
  I started with cytotec and moved on to lowest dose pit. I only had the pit on for two hours at the beginning and a little bit at the end.
  
  It is good to think about this stuff if it looks like it might happen. I thought about and talked about my induction extensively with my OB. I felt like I was invested fully in the process and still had a really positive pain med free birth experience because of it.
  
  I declined AROM during my labor as I was not sure I would like the effect it would bring and I didn't want the pressure of the clock.

  
  IVF #1 ET 1 d3 embryo 10/30/11 BFP
  3 Embryos frozen (1 d5, 2 d6)
  
  DS born 07/29/12
  
  FET #1 ET 1 d5 embryo 02/10/15 BFN
  
  FET #2 1 d6 embryo didn't survive thaw, transferred last d6. CP 

  
  

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• Meinschatz11 member

  December 2012

  Thanks again ladies. I may bring it up at my appt tomorrow, but at least I have something to go on for now.
  

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• georgi611 member

  December 2012

  Amanda&EricB:

  The cervadil put me into labor, within hours. I didn't need pit or anything else after that. I know it doesn't work for everybody but I never expected it to work for me either!

  I was also induced with cervidil, and went into labor within hours.  It was inserted at 5:45pm on a Sunday, my water broke on it's own around 10pm, contractions started like crazy, and Miss Emelia came into the world at 2:36am on Monday. haha

  My midwife said it was a good batch of cervidil...another girl on the floor had the same thing happen!  Didn't need pitocin or anything!

  

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• JoySeattle member

  January 2013

  I haven't birthed yet, but I'm a professional doula and my personal preference would be:
  

  • Miles Circuit - https://www.milescircuit.com/
  • Acupuncture
  • Chiropractic
    
  • Membrane sweep
    
  • Nipple stimulation
  • Evening Primrose Oil (orally and/or vaginally)
  • Herbal Teas/Tinctures and/or Homeopathy
  • Castor Oil
  • Cervadil (if not softening/effacing; note: I would not do Cytotec)
  • Foley or Cooks Catheter (assuming you're dilated enough to have it placed)
  • AROM - only if dilated past 4cm with a well engaged baby
    
  • Pitocin (low-dose, increased slowly, turned down/off once you are in a consistent contraction pattern)

  Best of luck!
  

  Met 07/07/05, Wedding 07/07/07, Legal Marriage Ceremony 12/9/12, Baby Boy Born 08/09/13

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