I also suffer severe SPD in pg and I have been induced with all three of my babies. DD1 (my first baby) was induced as I was no longer able to complete my ADL's - couldn't get out of bed, couldn't get on or off the toilet... I was around 39 weeks on each occasion, DD1 maybe 38w5d-ish? Her labour was hard. My ob inserted gel the night before which caused a few period type pains but nothing more. The next morning he ruptured my membranes and started syntocin. Now, I'm sensitive to every drug I've ever taken and that syntocin put me in to hard and fast labour with no warm up! I was crying for an epidural within half an hour. the epidural came quickly and labour lasted about 4 hours. I pushed for about 20 minutes before DD became distressed with sustained deccels and no recovery. Long story short, she was wedged against my pelvis and requires an urgent episiotomy, failed ventouse and ultimately a forceps delivery. Poor little thing, she had been wedged against my pelvis for a while, her ear was folded over for days and she had an indent on the side of her head from my bone. (Not the forceps, those marks were clearly in a different place!).
DS was induced for medical reasons. Same procedure, but I requested the epidural prior to the syntocin. 1st stage lasted about 3 hours and when I actually started pushing he was out within about 15 mins with a small tear. It was an incredibly stressful delivery as we were unsure of DS's health, but clinically it was an easy delivery.
DD2 was induced because of my SPD. Same ob, but due to my fast labours previously he inserted the gel in the morning. He ruptured my membranes a few hours later and ordered syntocin but my lovely MW and I decided that she was far too busy to put up the synto straight away and I laboured naturally for about an hour before requesting an epidural (hey - I accept that I have a low pain tolerance and in my defence, I labour hard and fast!). About an hour after the epidural I had a cough and DD2 fell out. Well, that's how it seemed anyway! Ob missed the delivery, much to his horror!
Given my experience, I think that the ease of delivery after induction depends a great deal on how 'ready' your body is to deliver. DD1 was not exerting any pressure on my cervix and my ob said that my cervix was not terribly ripe. He did offer an elective cesarian but I declined and chose to attempt a vaginal delivery. With DS and DD2, they were both engaged and my cervix was ripe and favourable. They were were simple deliveries. The fact that you have already had a straightforward delivery should work in your favour as most MW's will tell you that your body 'remembers' how to deliver a baby. As your first delivery was hard and fast, I would ask your ob to go very gently with your induction. Gel first and give your body a chance to respond, then AROM if required and if you require synto start with a small dose and increase increments very gradually.
In terms of your SPD, ensure that all your support people and care givers are aware and assist you to keep your pelvis balanced. Have you checked out the SRC pregnancy shorts? I wore them throughout my third pregnancy and they did make a huge difference to my comfort. Good luck!
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