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Induction anyone?  

post #1 of 50
Thread Starter 
At my last appointment, the main concern has been the fact that my blood pressure (top number) measures high. The weird part about this is that it measures well in the normal range at home or even when I'm out running around-- I try to stop at a drug store to measure it. They've gotten normal pressure readings a few times after having me rest a bit, but come to think of it, the only person who has gotten normal readings for me this way is my OB. The midwives and nurses always get high readings no matter how much I rest.

BTW, by "high reading" I mean anywhere between 145/67 to 170/75. My OB thinks I have white coat hypertension because I have no symptoms of pre-eclampsia, and she does believe me when I tell her that I measure in the normal range at home.

HOWEVER, at the last appointment, I was told I need to get an induction. HBP is serious business, even if occasional. I suppose the good thing is that they didn't rush me to the hospital ASAP. They made an appointment for December 4th when I'll be exactly 39 weeks.

Now, I did see this coming, as the BP has been an issue from the very beginning of my pregnancy, and in the third trimester I've gotten blood work, several NST's and an extra ultrasound (all normal). But I have to admit I had mixed feelings when I got the piece of paper with the date and instructions for when I get admitted for the induction. On the one hand, I feel some relief that I won't have the added stress of waiting or going past my due date, but on the other it looks like I'm going to be getting quite a few drugs. I feel some disappointment and maybe a bit of fear, too.

Does anyone have an induction scheduled or had one with a past pregnancy? How do/did you feel about it, and what was your experience?
post #2 of 50
I won't scare you with any of my induction stories but wanted to offer my support. It's a tough spot to be in right now, I'm sure. If it's not something you feel is 100% necessary, after doing your due dilligence, you can always cancel your induction appt. or not show up. I'm not familiar with hypertension issues so I'm not sure how much that factors in to a necessity for an induction, but it sounds like it's not something to mess around with. However, if it is just white coat hypertension, I don't think that's something to worry about too much. If you get different readings with your OB than anyone else, request your OB do all you bp checks from now on. Are you plus sized? If you are, & they don't use the right pressure cuff, I know that can affect the numbers.

Good luck with your decision!

Shannon
post #3 of 50
I am not an expert, but I don't think your BP is high enough for me to consider an induction if it were my BP. My mw always tells me that the bottom number is the most significant, and your bottom number is great!!! Remember that 120/80 is just an AVERAGE non-pg BP. BP always rises in the last trimester due to increased blood volume. Your bottom number is still BELOW the non-preg average. I think that's great.
If I were you, I'd increase my water intake, salt your food to taste, eat some yummy protein, stay active, and get a second opinion. BP is only really significant if it's super high or if it accompanies pre-eclamptic symptoms.
ALSO- ONE BIG POINT. If a doctor is really worried about something to the point of an induction, IT WOULD BE HAPPENING TODAY. Anything can wait isn't worth inducing for.

Good luck with your decision,
Rachelle
post #4 of 50
Go to the library or your local bookstore RIGHT NOW and pick up the book, "The Thinking Woman's Guide to a Better Birth" by Henci Goer, then when you are better informed make your decision.
post #5 of 50
I'd fight it. Discuss getting a BP cuff and checking your own BP at home throughout the day. See if keeping a log of your BP through the day would satisfy their worries.

Besides, it's the bottom number that is most important when it comes to blood pressure worries.
post #6 of 50
I was induced with Elle because of my BP being high. The thing I really disliked about being induced was that I had to be continually hooked up to the fetal monitor and the IV. They didn't want me to get out of the bed, they just wanted me to lay there even though I was really uncomfortable. I ended up locking myself in the bathroom where I could sit on the toilet (and was much more comfortable) until my water broke (they were less than happy about this ). Then they gave me an epidural and I had Elle about an hour later. Overall I still feel I had a wonderful birth experience. Yes there were things about it that I want to do much differently this time but being induced IMO is not the end of the world. My main concern for you would be that if they induce you and your cervix is not favorable you do increase your risk of having a c-section. I was induced on my due date and my cervix was completly closed, firm, and high. They started talking c-section about 2 hours before I delivered because I had been on the Pitocin for about 9 hours and had no change to my cervix at all. I got the epiural and within 1/2 hour I was 9-10 centimeters and ready to push. I consider myself very lucky!!

Amy
post #7 of 50
I'm scheduled for induction on Tuesday due to my high BP. Monday night I go in for cervix softening and we start the pitocin drip Tuesday morning. I'm nervous and anxious all in one. I will be right at 37 weeks, which I think is a bit early, but if my doc (who I trust my life with) thinks that it would be best for me and the baby to deliver...then that's what we will do. He told me that high bp's cause the placenta to calcify and in turn keep the baby from getting the blood supply that it needs. We've been doing NST and blood pressure checks twice/week for the last month. I just had another one today, and the baby looks good but I do have a trace of protein in my urine...so that tells us that pre-eclampsia is on its way. I'd rather deliver before it gets to that point (which I'm informed can come on suddenly).
post #8 of 50
Sounds like you have a good relationship with your Dr., Brenda, which is great

A little protein is generally okay, though...I've had that with no problems, before...so if anyone else is having that don't panic! As long as you're watching for excessive swelling etc and bp issues (big ones) you're probably okay.

Blood pressure is such a funny thing. I wouldn't go for an induction based on that unless it was way out several times. But then, pitocin scares the poop outta me I just know with my history that if I got induced I'd have a csection because labour takes a loooong time for me anyways...if I wasn't ready to go and forced into it, I'd be in labour for 4 days or something
post #9 of 50
I also read somewhere yesterday that high bp in pregnancy that needs immediate attention is 170/110. If that gives you any baseline...
post #10 of 50
ITA with the mama who suggested keeping a log of BP through the day to see if that would make them happy. I was induced with dd6 and it was not a big deal, but she was my second, I was 3cm, my body had BTDT and I actually only had pit a short time before my body took over. I hate to hear of a 1st time mama being induced, especially before her due date...seems like sooo often it is one intervention after another until it ends in a c-section.

If you were getting high BP's other times, it would make more sense, YK? I mean, I would rather have interventions even a c-sec to keep my babe healthy, but if the babe is not really in any danger...?

Have you looked into some natural methods to bring labor on?

mama, this can't be easy. : that you and your medical pro's will make the best decision for your babe.
post #11 of 50
Quote:
Originally Posted by Mom2Ellis View Post
I'm scheduled for induction on Tuesday due to my high BP. Monday night I go in for cervix softening and we start the pitocin drip Tuesday morning. I'm nervous and anxious all in one. I will be right at 37 weeks, which I think is a bit early, but if my doc (who I trust my life with) thinks that it would be best for me and the baby to deliver...then that's what we will do. He told me that high bp's cause the placenta to calcify and in turn keep the baby from getting the blood supply that it needs. We've been doing NST and blood pressure checks twice/week for the last month. I just had another one today, and the baby looks good but I do have a trace of protein in my urine...so that tells us that pre-eclampsia is on its way. I'd rather deliver before it gets to that point (which I'm informed can come on suddenly).
Brenda-
I'm scheduled for induction on Tuesday also! Maybe we'll have our babes on the same day! Mine is due to my PUPPS, and I also trust my OB with my life! My BP's have been great so far, mine today was 130/70. I'm scheduled to be at the hospital at 6:00 AM when after I get "settled" they will start the cytotec. Hopefully that will put me into labor enough that I won't need the pitocin. The nice thing about my OB is that he already talked to the hospital staff and informed them that I don't want to be hooked up to the monitor ALL THE TIME, but I will need to be for the first hour after the cytotec is inserted. I'll also have an IV, but they are cool with me laboring in the whirlpool that'll be in my room. I'm excited but nervous at the same time. I just can't wait for the babe to finally be here! It seems so CRAZY, because it seems like just yesterday we were all introducing ourselves, and now we are all having our babies soon! I love it!
post #12 of 50
Thread Starter 
Thanks for the wonderful advice, everyone! BTW, I have a monitor that saves all recent readings that I take at home, and that's why my OB believes it's "white coat."

I have another 10 days before my scheduled induction, and I do have one last appointment a week from today, so I think I'll take it one day at a time. As of my last appointment, my cervix was dialated about one fingertip, so maybe that might work in my favor.

Brenda, you brought up an excellent point about the placenta calcifying due to high BP. The problem is that there's no way of telling when or if that might happen, and everyone knows that doctors want to err on the side of caution anyway.

Magen, way to go with arranging for a whirlpool in your hospital room!
post #13 of 50
High BP is one of those things midwives and doctors don't seem to like to mess around with. mama, I'm sorry you are going through this, but hopefully your BP will level out and things will be fine and you won't need to have that induction after all!

Pre-eclampsia is scary stuff, so I understand why they do tend to err on the side of caution with that... it can come on soooo fast. One other thing to consider is what BP is normal for YOU. My MW's always take that into account when evaluating my BP, they look back at what it has been to see if there are drastic changes, staying the same, etc.

Anyways, take care of you, rest, drink tons and tons of water, and relax, and hopefully all will go well!
post #14 of 50
I guess I am confused that if the dr knows it is white coat, why is she concerned? In other words if your blood pressure only goes up when you are at the dr then it shouldn't be a concern.
I was induced last time for no reason other than "we induce twins at 38 weeks". I did the cervical gel before and was dilated a fingertip. Then the next day had 18 hours of pitocin to end up with a c/s since I wasn't progressing fast enough and my cervix started to swell most likely from all the interventions. I would hate to see anyone go through that for no reason. I regret it to this day.

Good luck with whatever you decide!!
post #15 of 50
Hi mama. I am butting in... I have had hbp during both of my pgs.
My first son I was induced and it was not a truly happy experience.
I did not know my bp was climbing untill I started feeling bad and went in. NO one had told me it was a bit high before. Once a week OB appts- and no one said a word.
During my 2nd pg I knew this was of great concern as i was wanting to birth at home and needed to be healthy. I made sure it stayed within a low enough range to not be dangerous by some herbals and eating lots of protein and taking Vitamin B.

take a mixture of cream of tartar warm water and lemon juice is supposed to bring it down. hit search on here.

I would NOT reccomend inducing. It is ALSO NOT SAFE.

Good luck mama.
I am disturbed by the fact that your OB and MW's did not help you to maintain a lower BP during your pg when they knew this was a previous problem. I would ask them why?
post #16 of 50
Isn't cytotec scary stuff? I would look into that before consenting...
post #17 of 50
Quote:
Originally Posted by ~*~MamaJava~*~ View Post
Isn't cytotec scary stuff? I would look into that before consenting...
From what my OB explained to me, whom I trust with my life, he said basically it's a tablet that they insert behind the cervix and it's supposed to help you start to dialate and start contractions. I had pit when I was induced with my dd, and didn't really like it, and the hospital only uses pit as a last resort. I'm also going to see how long I can labor with out any pain meds, but I doubt that will be for that long, cuz I get a hangnail and am moaning about it... I have no tolerance for pain...
post #18 of 50
Cytotec is bad news, and has not been approved by the FDA for labor induction.

http://www.midwiferytoday.com/articles/misoprostol.asp
post #19 of 50
Quote:
Originally Posted by tiffany21074 View Post
Cytotec is bad news, and has not been approved by the FDA for labor induction.

http://www.midwiferytoday.com/articles/misoprostol.asp
Thanks for the info, but like I said, I trust my OB with my life, and he wouldn't put me in harms way.

Plus, that article was from 1999, almost 6 years ago, and it mostly talks about women that used Cytotec as induction after a VBAC. I had my daughter vaginally and plan on having this one vaginally.
post #20 of 50
http://www.mothering.com/articles/pr.../cytotech.html


I think we should trust ourselves with our lives.
Please read this article if you think you want to induce with cytotec. While this article is from 2000 there has been no change in the general makeup of the drug there has not been adequate research to know the effects when using to induce labor.
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