Induction?

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Re: Induction?

Post by mychaelelaine » Thu Aug 30, 2012 07:30 am

Thanks caryn! I will read.

Re: Induction?

Post by caryn » Thu Aug 30, 2012 11:01 am

Against widely held opinion, our exploratory analysis showed that women with gestational hypertension or mild pre-eclampsia at term who have an unfavourable cervix benefited more from labour induction than other women.

http://www.ncbi.nlm.nih.gov/pubmed/22703475

With gestational hypertensives, they are actually *less likely* to need a Caesarean if they are induced than then are if they wait for spontaneous labor. That seems to be because they're more likely to progress to a crisis situation waiting.

Now, if you're really not having any symptoms, that's one thing. But hypertension controlled by meds - which we see a lot of around here - is not the same thing as asymptomatic. The symptoms are controlled, for the time being, on meds...

Re: Induction?

Post by mychaelelaine » Wed Aug 29, 2012 10:26 am

I see. Thanks Angie!

Re: Induction?

Post by angieb » Wed Aug 29, 2012 09:10 am

mychaelelaine wrote:So, what are negatives to being induced? I've read several times of members wanting to go into labor on their own. You guys are right. I'll have a conversation next week. Petunia thanks for answering, I asked on the other thread why you were being induced.


Mainly, you might be setting yourself up for a difficult labor and delivery and you are more likely to end up with a c-section.

Unless you do an amnio prior to test for lung maturity, the baby's lungs might not be fully developed (although after 37 weeks, that risk is relatively low), or other "preemie" issues- jaundice, difficulty breastfeeding, etc. But there's no guarantees. My friend had a c-section at 41 weeks and her baby ended up having jaundice and a lot of trouble feeding too. DS's lungs were fine, he needed the lights for jaundice for a day and a half or so (but not so bad he couldn't stay in our room), and we did struggle a bit with nursing-though that was mainly due to very unhelpful/not-breastfeeding friendly staff at the hospital. (It got much better after we were finally released and he ended up breastfeeding for over a year.)

Re: Induction?

Post by mychaelelaine » Wed Aug 29, 2012 02:57 am

So, what are negatives to being induced? I've read several times of members wanting to go into labor on their own. You guys are right. I'll have a conversation next week. Petunia thanks for answering, I asked on the other thread why you were being induced.

Re: Induction?

Post by Petunia » Wed Aug 29, 2012 11:07 am

We will be inducing at just under 38 weeks if I have no problems and don't go into labor before then. My MFM wanted to induce between 36-37 originally, but with seeing how well things are going *knock on wood* we've pushed it back a bit. Nobody is comfortable going the full 40 though just because of my loss history. I would love to go into labor on my own, but it's certainly NOT a top priority. Maybe if I'm lucky enough to have another healthy pregnancy after this one, we'll let that one happen all on its own? Right now I just can't stomach the idea of going to 40+ with how stressed I am.

Re: Induction?

Post by MomTimesThree » Wed Aug 29, 2012 10:47 am

I think anything and everything is scary after loss- especially delivery when you've already had a traumatic birth on top of everything else. I understand wanting an induction. I didn't think I did at all- but then circumstances as they were it was what was going to happen. It wound up being the most peaceful and controlled birth possible, a 180 from our daughter's crazy, fast, unprepared birth. I think our 2nd's birth was one of the most healing things for me- and it was ok for our son who came out screaming and hasn't looked back since.

I was very let down that we had to be induced again with our 3rd and final, because as peaceful as his induction was I really wanted that normal "It's time" moment to happen not in a hospital attached to an IV already. And I definitely feel a lil' grief over it. Our third also wasn't ready to be evicted, and I think even had we been able to eek it out until 37 weeks probably still wouldn't have been ready to join the outside world.

It's complicated no matter what as is everything after loss it seems. I think a frank conversation with your MFM about the physical aspects of delivery as well as the emotional ones are a great first step.

Re: Induction?

Post by angieb » Wed Aug 29, 2012 08:28 am

I'm delivering no later than 36 or 37 weeks due to my classical c-section.

My friends who have had stillbirths (though theirs were both unexplained/unknown reasons), both delivered early because of their history of stillbirth. One had an amnio at almost 37 weeks but his lungs weren't ready yet and she was induced at 38 weeks, ended up having a c-section due to decelerations during contractions, baby was fine. My other friend was induced with just cervical ripening stuff and then went on to have a natural birth and had a healthy baby right at 39 weeks. (She was given the option to do an amnio and deliver at 37 weeks, and our MFM would have really preferred that.) Both of them also had twice weekly NST's with fluid checks and doctor's appointments from 32 weeks on.

I don't blame you for wanting to deliver earlier, (I have no desire to go a day longer than 37 weeks), I would remind them of your history of stillbirth as well and see if that makes a difference.

After my first pregnancy, with Luke, my MFM expected me to be on bedrest by 24-28 weeks. My OB's "goal" for my pregnancy was to get me to 28 weeks. They were both pretty shocked that I never got sick, even with gestational diabetes and notching and my blood pressure a little labile the last few weeks, no pre-e. You may surprise them.

Re: Induction?

Post by mychaelelaine » Wed Aug 29, 2012 12:07 am

I don't know why, just makes me nervous! I think it's because of how rapidly pre-e progresses. I just don't want to take any chances. I've already lost a baby. Don't think I can handle it again so I'd just rather my MFM induces. I don't know. I'd like to hear the pros/cons of inducing.

Re: Induction?

Post by Bmoremama » Tue Aug 28, 2012 10:53 am

I'm a vbac hopeful with no plans to induce at all if I don't have pre-e. my midwives are fine with that. Of course, at this point, it's a pie-in-the-sky goal, but I'm 100% hoping/praying/wishing for spontaneous full-term labor.

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