How often does an induction end in a caesarean?

[Taurean]

Don't mean to nit pick... but an artificial rupture of membranes or breaking of the waters isn't officially natural... it was artificially induced. But she sounds like she had an awesome birth and is happy so thats all that matters.

I guess that is true. I personally like to think of natural as drug free. It was an incredible birth though and she was so lucky to get 'stuck' in the bath. That bit was definitely artificial as she lied to the midwife about being stuck so she could deliver in the water! Sounds like the midwife was onto her though but just agreed to 'go with the flow'. LOL!

[BellyBelly]

I know what you mean... but yeah forceps, inductions, episiotomy, vacuum, drips, machines, managed third stage (syntometrine) ... eck! Interesting how the word natural has evolved these days! Scary!

You have to take your own plug in if you want a waterbirth and tell them to get their hands off your property - they aren't allowed to touch without your permission :P

[Taurean]

I know what you mean... but yeah forceps, inductions, episiotomy, vacuum, drips, machines... eck!

You have to take your own plug in if you want a waterbirth and tell them to get their hands off your property - they aren't allowed to touch without your permission :P

LOL! My sister had been told by her gorgeous yoga instructor to tell them it would be impossible to get out so she could stay put. It worked a treat! The midwife did sound fabulous though. It was at a birthing centre so I'm guessing she was as happy to see it happen as my sister was to do it.

[Tobily]

I know what you mean... but yeah forceps, inductions, episiotomy, vacuum, drips, machines, managed third stage (syntometrine) ... eck! Interesting how the word natural has evolved these days! Scary!

You have to take your own plug in if you want a waterbirth and tell them to get their hands off your property - they aren't allowed to touch without your permission :P

Slightly OT but heard a story from someone the other day on this that was an eye opener.

Seems some hospitals are onto this tactic have taken to attaching a stick to the plug. A lady told me she laboured in the tub with this big stick poking out of the bath so that the midwife could get at the plug.

Good grief the birthing room really has become a war zone and battle lines are drawn Can you even imagine.

[Fleur]

Seems some hospitals are onto this tactic have taken to attaching a stick to the plug. A lady told me she laboured in the tub with this big stick poking out of the bath so that the midwife could get at the plug.

Good grief the birthing room really has become a war zone and battle lines are drawn Can you even imagine.

.. Is this for real? That's crazy...
FWIW I can't think of anything worse than labouring in a bath with a big stick in it!
(well I can, but ykwim )

[JellyBean]

Ohh dear - I am planning to have my 2nd in a birthing centre - and I will try my best to have it in the bath but don't want to put up with that sort of nonsense!! Mainly because I so desperately want to avoid tearing/episiotomy and the subsequent traumas that posed for me last time!

[paradise lost]

One question that continues to arise for me, is , WHY if a 'normal gestation' is 38 - 42 weeks are babies routinely being induced at 41+10? My DS1 arrived all on his own at 42+1 (I refused to go to hospital - not that I recommend that) after a 3hr labour, and he was perfectly fine.

This time around I am hoping for a VBAC, I have asked the OB to be allowed to go past 41+10, and she agreed to 41+13 , possibly with a CTG & Scan to make sure everything is ok, and I'm pretty happy with that. I also have the option at that point to elect for a CS rather than induction, and I am not sure yet how I feel about either option - I do not want another CS but I don't want to be induced either! I will be trying everything I can from 38 weeks to bring it on

There are more stillbirths in the 43rd week (i.e 42+anything) than in the 41st and the difference is therefore factored to be in the 42nd week, so they induce you in the middle of it in some places, treating it as a window of opportunity for preventative medicine. It is NOT an evidence based practice, induction at 41+10 has not been proven to reduce stillbirth rates (i.e. the level remains the same for babies born in the 41st week whether by induction or not, and there is no way to determine how many of those babies who are induced would have been born before 42 weeks anyway) and HAS been shown to increase the c-section rate and risk of injury to both mother and babe.

And FWIW unless your ob offers foley's catheter inductions i would be surprised if they offer to induce you at all. Cytotec, prostin and pitocin have all been shown to dramatically increase the uterine rupture rate in VBAC labours.

Bx

[Fleur]

There are more stillbirths in the 43rd week (i.e 42+anything) than in the 41st and the difference is therefore factored to be in the 42nd week, so they induce you in the middle of it in some places, treating it as a window of opportunity for preventative medicine. It is NOT an evidence based practice, induction at 41+10 has not been proven to reduce stillbirth rates (i.e. the level remains the same for babies born in the 41st week whether by induction or not, and there is no way to determine how many of those babies who are induced would have been born before 42 weeks anyway) and HAS been shown to increase the c-section rate and risk of injury to both mother and babe.

And FWIW unless your ob offers foley's catheter inductions i would be surprised if they offer to induce you at all. Cytotec, prostin and pitocin have all been shown to dramatically increase the uterine rupture rate in VBAC labours.

Bx

I'm confused! If the rate of stillbirth is higher after 42+ weeks, i can understand the wish to induce prior to this. But you say this is not evidence based, induction at 41+10 has not been proven to improve stillbirth rates?
Probably just my mushy baby brain but I'm lost...

As for my induction, it was my understanding at my booking appt with the midwife that they would NOT induce due to it being a VBAC; this made sense as I was aware of the increased risk of rupture when inducing a VBAC.
I then heard from a lot of people who had been induced with VBACs. When I asked my Ob she said ARM would be the preference (if they knew that would definitely work)... gel is definitely out... it would most likely (from what I understand) involve synto, and I don't like that idea. Really I'm still undecided and hope it won't come to that anyway
PS What is Foley's catheter induction?