thread: Possible Induction @ 39wks - pros & cons?

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  1. #1

    Jul 2009
    Out North, Vic
    8,538

    Possible Induction @ 39wks - pros & cons?

    OK so had an OBs appt a week or so ago and it's been playing on my mind more and more.
    I am currently PG with DD2 and will be 21wks on friday, at my OBs appt they told me due to my first labour being so quick etc etc there is a chance they will induce me at 39wks if i don't labour before then.
    Avas birth story http://forums.bellybelly.com.au/foru...ome-birth.html will explain what i mean about quick labour etc.
    I assume they are also worried about another breach birth and that i might not make it to hospital again.
    I would prefer NOT to be induced as i can quite clearly handle natural births with no intervention and it's not something i had ever thought about doing.
    I know i need to do whats best for my little girl and they said a quick labour can often be more distressing for the little one than a long labour but i really DON'T want to be induced.

    Can anyone tell me a bit more about pro's and con's of being induced, just to set my mind at ease a little, i am really against the idea so am keeping my fingers crossed lil miss wants to visit us before then.

    Is it true the pain can be worse from induction as your body hasn't started the process itself?

    I laughed at my OB as i always think of being induced for babies who don't want to come out not because they might happen too quickly!

    Thanks for reading, probably silly to even worry about it, it may not be in my control.
    Also do you think as Ava was breach and so quick etc they may request a scan at 32wks just to be sure?

  2. #2
    BellyBelly Member

    Dec 2005
    3,130

    i'm not sure i can answer all of your questions but i can comment on the pain side of things..
    i was induced with DD1 with no signs of cervix being ready at all, no pre-labour etc. had to have gels to prepare cervix and dialte enough to break waters. really bad pain.

    DD2 was induced again but cervix was open 3cm already, had a bloody show that morning and all in all was pretty much ready to go. pain built up and i handled it MUCH better.

    so i wouldnt be induced if after an internal you show no signs of being ready yet.

  3. #3
    Registered User

    Jun 2007
    ...not far enough away :)
    1,413

    I can only comment on the pain myself too, I was induced with Charlie on his due date & the contractions started a min apart from the word "go"....so there was no take some panadol & have a rest IYKWIM. It was full on from the start. His head was also around the wrong way & this meant pushing for a VERY long time & resulted in suction (almost forceps) and one distressed baby that I d?dn't get to see first up. Now that may have or may not have been due to the induction but I often wonder if we had waited til he was ready. I can't comment for sure, but have heard that many inductions end in c-sec also, someting to look into.

    It's a tough one, you really need to look at all the info you get & make the decision that feels right for you and your bubs.

  4. #4
    Registered User

    Dec 2006
    Out of my mind. Back in five minutes...
    3,304

    I would personally wait till 38 - 39 weeks to be even thinking about making a decision like this. By then your OB would know bubs position, and you can make a decision based on facts then. Just cause it happened last time, does not mean it will happen this time, and anyway, you know what labour feels like and can high tail it to the hospital when it starts.

    And if bub is breach there are ways to try and turn her, and also, you can work on positioning to encourage this little one to head DOWN. Google spinning babies. I am following some of the ideas there, as my last baby was posterior and didn't engage, so I want this to come out naturally.
    I don't like the thought of you discussing induction now just on a "what if".

    I am trying for a VBAC and my OB and I have agreed that we wont even discuss any other alternatives till a month before I am due, and keep an open mind, knowing we need to book a c-sect a week in advance...

    Good luck hun... xoxo

  5. #5
    Registered User

    Feb 2007
    In the jungle.
    4,809

    There are different ways to be induced. You may just need gels administered and that will be enough to start your labour. Or perhaps you'll need your waters broken, or the assistance of syntocin. Obviously there is no way of knowing until you are at that point. I was induced for medical reasons with my first daughter. They broke my waters and i walked up and down the stairs for 3 hours trying to make some cx happen. I had no luck, so then i was put on the drip. The Cx from the drip felt much more uncomfortable than my second labour when i went into spontaneous labour. Obviously i preferred not being induced. But if i needed to be induced again for whatever reason i wouldn't be opposed to it, but i would do my best to avoid it.

    If i was in your situation i guess i would play it a bit by ear. How far do you live from the hospital? You could always go in at the first niggle....

    I too have heard that super fast labors can be traumatic for the baby. I don't really know anything about that statement though....

  6. #6
    BellyBelly Life Subscriber

    Feb 2006
    South Eastern Suburbs, Vic
    6,054

    I don't imagine that an induction would be too much more painful than a very fast labour, unless you started a very fast labour at say, 5cm and an induction at 1 or 2cm dilated. Either way, it's probably like the difference between stubbing your toe on the coffee table or on the filing cabinet - they'll both hurt a bit!

    I understand about you wanting to consider your options ahead of time just to get your head around things, but as others have said, it's not really a decision you can make til later in pregnancy. I don't think breech births are that common, so it's very possible that this time bub will engage head down and a speedy birth at home won't be as tricky.

    How are you going logistics-wise in preparing? Do you have people who can come over at the drop of a hat if things go quickly again? Have you processed the last birth okay?
    All the best with your preparing. xo

  7. #7
    Registered User

    Aug 2009
    Pakenham
    90

    I was induced at 39 weeks in my first pregnancy due to health reasons also, and my body clearly wasn't prepared for it. Before I was admitted for induction, my cervix was still hard. I had gel put on at 6, again at midnight and started having contractions at about 12.30. I only dilated 2.5cm's up to 11am.
    I had to be stretched to have my water broken and that was agonising. Never again!

    Good Luck with everything. You'll know whats best for you

  8. #8
    Registered User

    Nov 2008
    Melbourne
    2,008

    After having had an induction that ended in a CS after 12 hours I would advise anyone to do everything they can to avoid having one. Yes there are some circumstances where it is necessary to induce, but if it isn't then why do it...

    In my case my hind waters broke and my OB agreed to give me 96 hours to go into labour naturally as I had my show while I was at the hospital. But DS had never engaged and didn't, so four days later I was induced. After being in position he turned and ended up posterior and his head lodged in my pelvis at the worst possible angle. In the end I had to go for an emergency CS.

    I think if you are going to be induced I would personally try and have the gels to start with over the syntocin drip, from what I've read they are a lot gentler than the drip. I had to have the drip because my waters had broken and within an hour of it starting I was having contractions every two minutes that lasted 70 seconds, not long after I ended up with terrible nausea from the pain and opted for an epidural after 3 hours after initially hoping to only use the TENS machine. I'm not a medical expert, but an induction isn't just hard on the mother, I believe it is also very stressful for the bub and in my case think that it was the stress of the extreme contractions from the beginning that caused him to freak out and change position.

    After the labour the midwife who was with me through it told me that while she had never given birth she thought that the intensity of induced contractions is twice that of contractions you have in a spontaneous labour. I don't if it is true or not, or if she was trying to make me feel better about having had the epidural, but for me it definately wasn't the labour experience that I had hoped for.

    I hope I haven't been too negative, but thought I should share my experience with you. FWIW if it was me I wouldn't agree to an induction unless there is a very good medical reason for it.