Originally Posted by eilonwy
Jenny, I think I've figured out what's going on here... you're the only person who could possibly know what's going on with anyone's body, isn't that it?
If you want to get a c/s to just not have to go through labor- be my guest. If you want to induce because your OB is going to be on vacation, have a great time. This discussion was not about what is going on with any particular person's body- it was about the safety of EPO and the reasoning behind using it when it's not indicated for any reason, including deciding, out of the blue, that 36 weeks is term although most of us do not give birth at that time. I think that's a totally valid argument and important to discuss, and it's sad that instead of discussing something like this in a useful way, you get snippy/defensive and leave little useless messages like the one above.
If the theory behind EPO is that it stimulates prostaglandins, and that kind of gentle ripening is being used to bring forth a more gentle induction process (which I believe the original poster was describing), well, then why not use a very low dose of a vaginal prostaglandin gel? That is meant for vaginal use, where you know the exact dose and can control it, and perhaps ramp it up over time? The fact that her fluid was low- if it's because it's leaking- really, REALLY means that putting something on the cervix that's not intended for vaginal use, and isn't sterile, could be a big issue!
I"d be really interested in knowing if anyone has heard of this type of more "gentle" induction process, and if it could help someone facing a more standard type of induction. I also wonder about the rates of pitocin use, in terms of how quickly they ramp it up for people.. is that standardized? Is there a way to buy more time to have it happen much more slowly? I wonder how much this has ever been looked into. I'm guessing not so much, but I don't know the history of it at all. Of course some people have to face the induction process out of medical necessity.. it would be nice if they could tailor that to the particular situation, and give someone more time if possible!