Originally Posted by Rands
At my hospital they will not induce with pit...there is a slight option for them to augment with it if you are further into labour though. I think my options for induction, if need be, are foley cathedar or ROM.
Personally, b/c of how differently pit is usedin vbacs v. unscarred mothers, I don't see the difference between pit induction v. pit augmentation at that point. The dose for my pit inductin was 2mu/min w/increases only if labor didn't start or progress. They never got over 6mu.
Even knowing the risks of pit induction for a VBAC, I would insist on pit before AROM. At least if it doesn't work, you can still go home and try again later. AROM puts you on the clock and once you're on that clock, they'll either use pit to get you going or send you to the OR.
Say they do a foley cath, you get to 3cm and it falls out. but ctx haven't started yet or aren't progressing how they want them to. they will either do AROM or augment with pit. If they do AROM, and nothing gets started, or starts too slowly for their comfort, (b/c you're on the artificial labor clock) they'll probably do pit anyway.
From what you've been posting here your best bet is to not let them do any more cervix checks till you're at least 41 and a half weeks. that way you can stop worrying about it and just gestate. If they're worried about the baby they can do NSTs and US.