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Mothering › Groups › February 2013 Due Date Club › Discussions › Induction?! Tonight?!

Induction?! Tonight?!

post #1 of 30
Thread Starter 

So I just got a call from my midwife, apparently the 24 hr urine collection I turned in last Friday after they let me go home for high blood pressure came back with moderately high protein. So they have diagnosed me with pre-eclampsia. They want me to go in tonight to start an induction.bigeyes.gif

 

Now I went yesterday for an appt and my bp was good and dipstick showed no protein, but apparently if the urine is dilute it might not catch the protein. However, I am pretty swollen and gained about 4 pounds in 5 days.

 

I'm 39 weeks 2 days, but I haven't had any cervical checks so I have no idea if my cervix is even favorable, but they want me there in 3 hours to start with cervidil. I feel like someone just dropped a house on  me. Ummm what a surprise.

 

I called my doula (also a homebirth midwife), and we kind of formed a plan.  I'll go in tonight, start the cervidil, let them monitor me and baby, listen to my baby come out hypnobabies track, have them do another 24 hr urine catch to see if it's going up or down. Depending on my vitals and babies, we'll see tomorrow or Friday if there's been any progress with my cervix, and what the 24 hr urine looks like. If everything looks good, then I'm going home, even if it's AMA. They don't let you eat at this hospital, so I'll be sneaking food, they're nuts if they think I'm going days without eating.

 

If anything is off, my bp, babies monitoring, increase in protein, then I'll stay and let them start pitocin.

 

I am trying so hard to adjust to this change in plans, but seeing as how I just found out I am struggling a little, and feeling kinda pissed and scared. I'm hoping I have the strength to fight for what I want  and need, and the wisdom to know when to let go and allow them to intervene, and when to fight.

 

 

 

Anyone have any good induction stories they'd like to share?

post #2 of 30
Just wanted to wish you luck! Glad you have some good support!
post #3 of 30

no good induction stories, but prayers and peace to you.  

 

the no eating thing is hard, but you can find a way.  i had a 3 day labor after induction and my midwife made my hubby feed and juice me before pushing against the regulations.  i did have my son vaginally, but it was not a happy induction story.

 

glad you've got support and that you're able to prepare for this!

post #4 of 30

Good luck. Your plan sounds good! Just as an encouragement, I have one friend who has been induced twice for pre-e at 39 weeks, and both times all she needed was Cervadil. They had to remove it pretty quickly because it started such strong contractions. Labors were both pretty short start to finish.

 

So, not super common but it totally does happen. Let us know how things are going!

post #5 of 30
Sounds like a good plan. I hope you have a quick delivery and are holding your baby very soon.
post #6 of 30

Good luck! The cervidil sounds like a good way to go-- glad you don't have to deal with pitocin.

post #7 of 30

sounds like you have a great plan - and having a doula who is also a midwife sounds awesome too ..

 

I had a decent induction with #2, there are things that totally sucked about it (related to the epidural that i ended up with, having a doula could have made all the difference)  but overall it was my easiest labor and quickest recovery -- I also had a friend who had a quick and easy induction (1st baby, 38ish weeks) with cervidil and never got to the point of needing pit 

post #8 of 30

I don't have any advice regarding induction but wanted to say good luck, you will be in my thoughts!

post #9 of 30

I also don't have any advice for inductions, but I'll be thinking of you!

post #10 of 30

I think that sounds like an excellent plan.  Definitely sneak food.  I have a good friend who had a very smooth easy induction, but I forget any details about it.  It's definitely possible!  Good luck!

post #11 of 30

Oh, Dakota, I had a wonderful induction with my son!  I was very much in the same situation as you, although at 35 weeks.  

 

I can especially identify with the emotions you mentioned in your last paragraph, so I'll speak straight to that.  Here's the thing about pre eclampsia- it is serious.  I understand that this is a very hard idea to embrace when you have likely spent all of your pregnancy focusing on "pregnancy is natural, normal, healthy and safe, for me and my baby"  I used Hypnobabies, too, and that was my mantra.  I had great difficulty adjusting to the need for an induction because it was so far off my radar at the time.

 

Much of what I learned about pre-e came afterwards.  My fast advice to you is have the wisdom to know when to let go a bit.  For starters, a urine dip is probably not going to be the best method of detecting protein at this point.  The standard is a 24 hr urine.  It is far more reliable and that is likely what the hospital staff will want you to do.  Pre-e only gets worse.  It doesn't get better until the baby is born, so you may want to adjust your thoughts about going home.  I'd really suggest you reconsider the AMA part, especially.  Your blood pressure is likely to increase and it can go up quickly.  If you are home, you have no way of treating that.  I'm guessing you know what the outcome of super high blood pressure.  Its not good- for you or baby.  If you are at the hospital, your BP can be treated with meds.  Ask for the safest class of drug (methyldopa is generally considered the safest but not always the most effective)  Hypnosis is going to help, but it cannot compete with what your body is doing.

 

Considering how far along you are now, I'd suggest going for the pitocin now.  It is far better to have an induction when you are stable than when you are reaching more of a crisis mode (which is going to happen if your pre e continues)  

 

Adjust your thoughts about meds as much as you can.  It is very likely that you may need some.  Magnesium is very commonly used with pre e and it's purpose is to prevent moms from having seizures during birthing.  So..... try (as much as it may be difficult) to see the meds as a potentially helpful thing, if you can.  You can always talk over every decision with the doc beforehand.  

 

Ok, and then there's the pitocin.   Work your Hypno as much as you can.  Listen to your Fear Release over and over.  But also try to accept that pitocin does something to your body that natural labor does not.   If the time comes when the birthing waves are more than what you expect, be open to pain relief in med form.

 

Don't worry about eating.  Eat when the nurses are out of the room, though that won't be very often.

 

If you still have time to read more, I gladly tell you that I had the most wonderful induced labor with our son.  It was not at all what we had prepared for with Hypnobabies, but it was still great.  We  let the nurses know that we had planned and hoped for an intervention free birth.  They understood what that meant to us and respected all of our requests.  We kept our room dark, we listened to Relaxation Music the entire time.  Everyone used low voices.  After the cervadil was placed, I had pitocin about 12 hours later.  DH and I kept working through all of the Hypno tracks.  By 1pm, the Pitocin was just more than what I could work with and I had an epidural.  It was exactly perfect and what I needed.  I relaxed, laughed, enjoyed the company of the drs.  By 2pm I was pushing.  I asked the dr to perineal massage and she did.  Our son was born 20 minutes later.  BFing went perfectly and I saw no ill effects of any of the meds (and there were a lot!)  He was alert and a good eater and honestly, I felt great, too.  The next day I had no soreness, I really felt awesome.  The birthing was just the most perfect thing.  I would do it over again every day if I could.  

 

You will do great!

post #12 of 30
Thinking of you Dakota! I will be sending nice, easy induction thoughts way. Happy birthing!! You can do it!
post #13 of 30

I'll be thinking of you!  Glad you have a doula to help you through this birth.  Good luck mama!

post #14 of 30
Thread Starter 
Thanks ladies. I started off at about 11 pm with cytotec and a bishop score of 7. Only dilated to a stretchy 1-2, been contracting and trying to sleep all night, last check about 3 hrs ago was a 3. Bp was high for a while but good now. Baby looks great. So so happy i have a doula! so hopefully baby todayish?!
post #15 of 30
That's awesome! Hope all continues to go well and yay for having a doula!
post #16 of 30

Positive thoughts your way.

I had a very similar situation as yours with my first. 39 weeks and a day, and diagnosed w/ Pre-e. Was induced with cytotec and 10 hours into my labor "started spontaneously" my water broke. And from there on out the hospital let me labor on my own. With Hypnobirth cd's and a doula I had the most spiritual, amazing experience of my life. TRUST. That's all I can say... and stay focused on that beautiful baby that you are about to meet. yay! Babies!

post #17 of 30

Thinking of you!!

post #18 of 30
Thread Starter 
Still at 3 cm. Did a 12 hour urine, still high protein, bp right up if I move or talk too much, but baby looks awesome still. Going to keep trying cytotec until around 11, and if still no changes I'm gonna request the night off, some benadryl to sleep, and then we'll start low dose pitocin in the am. Fingers crossed we don't need it, and thatif we do i get some sleep tonight.
post #19 of 30
Quote:
Originally Posted by Dakota1235 View Post

Still at 3 cm. Did a 12 hour urine, still high protein, bp right up if I move or talk too much, but baby looks awesome still. Going to keep trying cytotec until around 11, and if still no changes I'm gonna request the night off, some benadryl to sleep, and then we'll start low dose pitocin in the am. Fingers crossed we don't need it, and thatif we do i get some sleep tonight.

thinking of you!

post #20 of 30
Quote:
Originally Posted by Dakota1235 View Post

Still at 3 cm. Did a 12 hour urine, still high protein, bp right up if I move or talk too much, but baby looks awesome still. Going to keep trying cytotec until around 11, and if still no changes I'm gonna request the night off, some benadryl to sleep, and then we'll start low dose pitocin in the am. Fingers crossed we don't need it, and thatif we do i get some sleep tonight.

blessings!!!

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