October 2015 Moms

Being Induced because baby cannot engage?

Hi all, FTM here currently clocking in at 39 weeks 5 days. A bit of back story, I have scoliosis and had a spinal fusion at 12 which left me with two harrington rods screwed into my spine on either side and more or less the stunted torso length of a 12 year old. My OB was informed of all of this going in but never really seemed very concerned and did not bother asking about x-rays until just a few weeks ago when getting them was basically impossible. As baby has gotten bigger, due to lack of space to stretch up into my ribcage my stomach just continued to stretch outwards, so I have a huge drooping baby bump and crippling sciatic nerve pain that until recently had me seeing a physical therapist every week.

When I started my weekly appointments she noted during a check that my baby was very engaged in my hips and that she could almost feel her head. At my next appointment she said she couldn't feel my baby at all and she physically pushed my baby down unto my hips with her free hand while she was checking me. Painful is an understatement. She then sat down and asked if I'd considered inducing. She told me that because of how short my torso is, and because of how much my stomach sticks out that she doesn't think my girl can comfortably stay engaged enough in my pelvis to trigger my body into thinning and dialating and that I should consider inducing at 40 weeks if she wasn't here on her own before then. But I can't help but be confused, if my daughter can't engage in my pelvis then why would my doctor induce instead of suggesting a c section? Have any of you ladies heard of this? She's a pretty ditty doctor honestly and I'm not overly fond of her. I fact my distrust has only increased these last few weeks. (At my last appointment she asked me how I was doing with the stuff she gave me at my last visit. Umm crazy lady you didn't give me anything...She then giggled said "Oh well then let's start you on raspberry leaf tea and primrose oil! You'll see a huge difference I swear!" Thanks, would have been nice to know three appointment tents ago so it might actually have time to kick in. :-w )

Re: Being Induced because baby cannot engage?

  • Sorry about typos, evidently it's hard to use words at 5:33 in the morning and my phone won't let me edit my post.
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  • Are you able to find another OB for a 2nd opinion? If you're untrusting of this one you might at least for the next baby (if that's what you desire) find one that you can trust.

    I'm naturally short (4'10), baby sticks out a lot. But I didn't have any problems with my first, and at this time don't expect problems with this one either. However with your spinal issues I would either trust your ob or get a 2nd opinion.
  • I don't have any medical background but it seems like with the space baby can engage but cannot stay there so there isn't a constant pressure on your cervix. Contractions help bring baby down and would help baby stay engaged to be able to birth vaginally. She's probably trying to help you avoid a c section if possible.
  • I think it's great that your doctor doesn't want to jump straight into c section. I'm not a doctor obviously but it seems like she was engaged at one point so it seems possible that you could still deliver vaginally? But because of your back issues she wouldn't stay engaged and therefore it would be harder for you to dilate is my guess. I don't think I would switch OBs but if you are doubtful then a second opinion wouldn't hurt.
  • Thank you ladies for the responses! Her choices make much more sense now, and I can see how she is trying more to avoid a c-section, which I appreciate. I suppose in all my over thinking I just became unreasonably concerned about my LO getting stuck while trying to deliver vaginally. My doctor isn't very good about explaining her thought processes and is usually pretty scatter brained and rushed no matter when I schedule my appointments so I have had a bit of a rocky experience with her. I feel much better about my induction now but I won't lie I'm still hoping that by some miracle my little one will decide to kick things off naturally on her own.
  • edited October 2015
    I would see an Ob just to be sure. I was seeing midwives and had some doubts. Now I'm seeing an Ob and I'm much happier and feel less worried.
  • I think a 2nd opinion would be wise. :)
  • You could see about a robeezo. It helps adjust the baby gently. There are classes for it. It seems like upright laboring would be helpful too. But you could always see about a second opinion or switching. But many doctors are moving towards letting women labor and going from there. I'd be happy that my doc wasn't quick to cut. And even without your issues sciatica and bad positioning can be a problem and sometimes there are non surgical options.
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