Induction question.....(re pg after late loss)

[LionsandBears]

I dont have experience with induction but I can tell you the discussion I had with an OB. He's very senior at a public hospital. Their policy is to usually induce the baby after a stillbirth at 38wks. With a live baby they need to monitor, as the induced ctxs can be so much stronger than spontaneous labour. You can discuss with your OB about starting gently. My understanding is induction is often easier if you're close to going naturally.

In our case, he doesnt recommend induction, due to risk of escalating interventions. As bub died from a genetic disorder, we know it wasnt the pregnancy or birth. However, I also have too much information about things that can go wrong, so this kid has been instructed to be fully grown and be born sometime between 37-39 wks. We'll make the decision wrt induction closer to the date, depending on our mental state.

It's normal for you to be thinking of all this in advance. Having a plan can give you a sense of control.

[skybie]

with izzy i was induced just with the drip because my cervix was all ready to go, from putting in the drip to pushing was an hour and a half, so very very quick. with J from the time the drip started to pushing was 13 hours, my cervix wasnt ready but i went from 5cms to pushing in 2 hours, so cant really answer it, but i was really really suprised it took so long, but then again my mental state could have had something to do with it too.
i'll be induced at 36-37 weeks next time, so most likely i'll have an unripe cervix again, this time i'll opt for the gels though

[mummydreamer]

thanks everyone! turns out because i've had a previous c/s, if i was to have another baby, they won't induce me cause of the risks of uterine rupture, so i would have to go with an elective c/s. oh well, i guess in the end whatever saves my mental state and gets baby out okay

[Indi]

As hard as the end of any pregnancy is the reality is with an artificial induction you just never know. How hard your cervix is impacts on the time along with many other factors. If you can allow babe to come on their time, by doing so you keep the risk of interventions right down, avoid the possibility of a cascade of intervention and are more likely to have the kind of birth that you want.

Also hun you have pushed out two babes the normal way, you can do so a third time. There is so much miss information out there about c/s and normal birth afterwards. The risk are no greater then your first VBAC, if anything I would say given you have done it twice it would be safe to do so again.

I once attended a home birth with a mother who have 2 c/s and had her third at home. The risk of uterine rupture is not as high as some OB's make it out to be. I suggest you shop around for an OB who suits your wants when it comes to birthing or better yet an independent midwife who is not bound by hospital rules and policies and can talk open and honestly with you. Many are happy to do this over the phone at no charge.

[skybie]

with all due respect indi, i think after birthing an angel MD would be quit happy to have an elective C/s
interesting that they induced with J hun but wouldnt with a live baby?

[Traveller]

with all due respect indi, i think after birthing an angel MD would be quit happy to have an elective C/s
interesting that they induced with J hun but wouldnt with a live baby?

The risk of induction after caesarean is that there is more chance the uterine would rupture, leading to blood loss and risk to the baby. As sad as it sounds the risk of a repeat CS possibly was greater than this as J had already passed.

[skybie]

oh ok, that makes sense. was really confused there for a bit!

[mummydreamer]

The risk of induction after caesarean is that there is more chance the uterine would rupture, leading to blood loss and risk to the baby. As sad as it sounds the risk of a repeat CS possibly was greater than this as J had already passed.

yeh, i asked my OB about this yesterday. he basically said with inductions, if things were to go wrong, they would go wrong quickly, and would be a high chance of not saving baby and/or my uterus, so i just don't want to take that risk. not sure i could wait it out to go natural, as i was nearly 42 weeks with DD before i went into labour. don't think i could handle that. so if he says the safest option is c/s, then i'll believe him!