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Help! Approaching 42 weeks, unfavorable cervix, posterior baby, MW wants to use...

post #1 of 58
Thread Starter 
cytotec to induce on Monday night.

I won't be 42 weeks until Thursday, and so far she has been okay with me postpoining, but she has to transfer me to an OB at 42 weeks. I went in for an NST today because the baby wasn't moving much, and had to roll on my side to get a reactive test. If it had been non-reactive, she would have wanted to induce me today.

So I let her check my cervix (which I hadn't done before), and she couldn't even reach it. We're talking fists under my hips and she couldn't find it.

I have an appointment scheduled for Monday afternoon, and she has tentatively scheduled an induction for Monday night (which she says I can cancel at any time). I couldn't remember which drug was the bad one, but after coming home and doing my research, Cytotec is the one that is NOT FDA approved for induction, and can cause serious problems.

I've been walking a ton (been to the zoo twice and the Children's Museum once in the last week or two), DH has been...ahem...fulfilling his duties for three days in a row, and I'm still nursing my DD, so I'm getting plenty of nipple stimulation.

I don't really want to go down the castor oil/cohosh route, but I need some help! My MW said to spend lots of time on my hands and knees, but DD was posterior and didn't rotate until the last hour of labor, so she thinks the same thing will happen this time.

Suggestions? Help? Please?

Oh, and she also said that she is okay with everything I have refused so far, because she can tell that I am really in tune with my body, and I have called her every time my mama gut told me something didn't feel quite right.
post #2 of 58
I would run from any provider that suggested that I used cytotec. Are you sure about your dates? Is it possible that you could be off a week or so? Would you be confortable saying you were off by a week? My best advice is just try to relax. My 3rd dc was 1 1/2 week past my edd. I stopped going to for prenatals after I was at term because I did not want to be pressured with an induction. I was still terribly upset once I went past my due date. Once I talked myself into getting over it and just going on as if everything was normal I went into labor. Hopefully things start rolling for you soon. Good luck!
post #3 of 58
I went 12 days past my due date, so I know what it feels like, I was pressured by my midwife to induce, but I just said no. There is no way anyone is going to tell me when to give birth. End of story. Do what feels right to you. Have you had any prodromal labor or regular contractions? During my last pregnancy I had a series of regular contractions that kept me up one night just before my due date but they faded to nothing after a couple of hours. A friend of mine told me that I would go into labor exactly two weeks after that night of regular contractions. She was right.
post #4 of 58
I was thinking the same thing, perhaps your dates are off. Or perhaps the positioning of your baby is not encouraging the baby to drop, put pressure on your cervix and thus efface/dilate it. My advice: find a chiropractor, go 4x/wk or more if you have to, to get the baby turned. It worked for me. GL!
post #5 of 58
I agree with running a mile from anyone with Cytotec!!! Poison!!!

Try this for reassurance about "postdates" pregnancy.
http://www.joyousbirth.info/articles...tmaturity.html

And this on Cytotec. Here's a snippet but read the rest at the link.
http://parenting.ivillage.com/pregna...,,6xr4,00.html
Quote:
Cytotec's only FDA-approved use is treating ulcers. In August 2000, Searle, Cytotec's manufacturer, sent physicians a letter reminding them that Cytotec was not approved for use as a cervical ripening agent and that it was contraindicated for use in pregnancy (14). The letter listed serious adverse effects associated with using Cytotec, including maternal or fetal death, uterine rupture, and severe vaginal bleeding and shock.
post #6 of 58
Are you having any contractions? Try squatting every time you have a contraction to get that baby applied to your cervix and get things moving.

I, too, would run far, far away from a Cytotec induction.
post #7 of 58
Quote:
Originally Posted by JanetF
I agree with running a mile from anyone with Cytotec!!! Poison!!!
:


You can contract so hard your uterus ruptures.


Just curious, why induce with cytotec and not pitocin?
post #8 of 58
you can't do pitocin for a home birth
post #9 of 58
Thread Starter 
Quote:
Originally Posted by A&A
Just curious, why induce with cytotec and not pitocin?
Because my cervix is unfavorable (unreachable, really), and she said without a cervix that's even remotely ripe, pitocin wouldn't work anyway. She also hates pitocin.

Quote:
Originally Posted by scatterbrainedmom
you can't do pitocin for a home birth
She only does hospital births, so that's not an issue for us.

I found a chiropractor/acupuncturist in my town, so I'm going to give her a call on Monday to see what she could do. I will also be nursing my DD as much as she will consent to tomorrow. I spent over an hour on my hands and knees after nursing DD to sleep tonight, and had a few good contractions, but they went away.

DH and I have already agreed not to do the cytotec, so we'll see what she has to say about that on Monday. She already knows that I really don't want to induce, and that I only agreed to her scheduling me a spot in L&D because I know I can choose to cancel it at any time.

I have had a couple nights of ctx every 3-5 minutes for a couple hours, but both times it just stopped. Plus the ctx were not strong--more like BH ctx. I get good ctx with nursing, but DD doesn't nurse for long periods of time, and they go away.

As far as dates, I was nursing when I got pg, and I have told my MW a hundred times that I'm *positive* that I ovulated a week later than would be normal. I didn't get a positive test until cd38 or so. Both u/s have backed this up--one at 21 weeks and one last Wednesday, but both were so far along that she wouldn't change my dates.

I really don't want to do an induction--even with cervidil or pitocin or whatever--but I don't really want to deal with an ob either. : for labor!!!
post #10 of 58
Just stay home until labour kicks in and then no one can "offer" to induce you at all!
post #11 of 58
Why not at least start with something mild like semen to ripen the cervix? Sheesh.

While you're waiting for labor to start, you could try researching other midwives in your area.
post #12 of 58
Thread Starter 
Quote:
Originally Posted by sapphire_chan
Why not at least start with something mild like semen to ripen the cervix? Sheesh.

While you're waiting for labor to start, you could try researching other midwives in your area.
We are trying that. And I plan on calling a gal from my LLL group tomorrow who just had a homebirth... I just wish this were easier!
post #13 of 58
Have you thought about evening primrose oil to ripen the cerivx?
And squatting is so awesome!
Also, I second the acupuncture
I unfortunately, nieavly was talked into cytotek by a midwife...for less of a reason than you! It sucked...and I wish I'd known better.
Much love to you!
post #14 of 58
Have a cyberhug, mama.
Sounds to me like you are at most 40 wks 2 days today, or just barely due, making the day you are scheduled for induction not even 41 weeks. Second and subsequent babies often don't descend into the pelvis until labor, so having the baby and cervix high and floating are no indication of anything, other than that you aren't in labor.
I think you need to insist on having your dates adjusted, especially if you have a negative test from earlier in your cycle. If your MW is agreeable, have her write a note in your chart that you found your calendar, and lo and behold, your LMP is a week off. If she's not agreeable, than I would insist on not being induced unless something is wrong.
If you tested positive CD 38, you are probably more like 10 days off on your due date, possibly making you not even due yet.
post #15 of 58
What about the prsotaglandin gel instead of cytotec?

Thank god she's not just going to dose you up on pitocin with an unripe cervix. *shudder*
post #16 of 58
Thread Starter 
Quote:
Originally Posted by doctorjen
Have a cyberhug, mama.
Sounds to me like you are at most 40 wks 2 days today, or just barely due, making the day you are scheduled for induction not even 41 weeks. Second and subsequent babies often don't descend into the pelvis until labor, so having the baby and cervix high and floating are no indication of anything, other than that you aren't in labor.
I think you need to insist on having your dates adjusted, especially if you have a negative test from earlier in your cycle. If your MW is agreeable, have her write a note in your chart that you found your calendar, and lo and behold, your LMP is a week off. If she's not agreeable, than I would insist on not being induced unless something is wrong.
If you tested positive CD 38, you are probably more like 10 days off on your due date, possibly making you not even due yet.
Thank you!! This is what I have been trying to tell her. I had a biophysical on Wednesday, and scored 10 out of 10, with a 9.0 for fluid, so there is no reason (in my mind) to induce this baby. She did say that if I refuse induction I will have to do a biophysical profile twice a week, which of course gives them plenty of opportunity to find a reason for induction.
post #17 of 58
Does the practice that you go to see a lot of pregnant women? If I were in your situation I would simply stop going to appointments. They will most likely assume that you had your baby and forget about you.
post #18 of 58
I didn't read the whole post, but saw "midwife" and "Cytotec" in the same sentence so had to reply....

DO NOT USE CYTOTEC!

I cannot say that loudly enough. I had a friend whose midwife also used Cytotec to induce her homebirth. I warned my friend of everything that could go wrong. Implored her not to take it. The only thing that didn't happen was a uterine rupture and her baby did not die, BARELY. Her baby suffered neurological damage and seizures, my friend was in the hospital for almost a month after her emergency c-section. She had infections and 2 surgeries. Was on every kind of antibiotic they could put in her. And her baby was in the NICU for a while.

It is NOT WORTH IT.

Keep waiting. Your baby WILL COME OUT. If you HAVE to be induced, go the hospital with an OB and use cervadil and/or pitocin. They're much gentler than Cytotec. That drug is evil.

Good luck. Sending labor vibes that your babe will get things going on it's own very quickly.
post #19 of 58
I woke up thinking about you this morning... how is everything? I assume you have seen all the OFP sites with info to turn a posterior baby such as http://www.homebirth.org.uk/ofp.htm ...?

and also thought of perhaps a diaphragmatic release for you?
http://www.naturalchildbirth.org/nat...or/labor29.htm
post #20 of 58
Your pregnancy is being managed very badly. I'm sorry you had to get to this point before finding that out, but better now than in labor!

If all the evidence points towards this baby not even being term yet, your midwife is not looking out for your best interests, and if it were me I'd refuse to let her have anything more to do with the pregnancy and birth. It just doesn't make sense to have someone in charge of your care that you can't trust to make good decisions for you. Have you met the doctor your care would be transferred to? Maybe it's worth it to interview them, you never know, maybe they're less likely to try to turn this into a medicalized birth than your midwife is wanting to. Although of course if you can it would be good if you could talk to other care providers as well. Most probably wouldn't be thrilled to take on someone that late in the pregnancy, but I have known midwives who were happy to under such circumstances.
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