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Talk to me about pitocin induction! - Page 3

post #41 of 66
Quote:
Originally Posted by tonimk19 View Post
Do you have the option of other induction drugs such as cytotec
Isn't cytotec considered completely unsafe for use when you have an infant inside you now??!?? I'm pretty sure it is.
post #42 of 66
I had all 4 pregnancies induced. Gotta tell you the contractions come on hard and strong. At some points it just seemed like one full contraction. I didn't get time to rest between and meds didn't work for me. Tried the epidural for my last 2 pregnancies and they were unable to start it. So I did them all on my own. I am unable to tell you the difference between induced and not induced since all mine were induced. Hopefully I didn't scare you but you need to be ready for it. It was painful but like I said I don't have anything else to go by. Good luck....
post #43 of 66
At 40 weeks, 3 days, I was 100% effaced and 4 cms dilated without feeling a single contraction. Despite my gut saying not to, I caved and consented to a Pitocin induction.

I got to the hospital at 6:30, got admitted, paperwork, get to the room, and all that. My doc showed up around 9:15 and checked me. I got the Pit drip which they said they said wa the "test dose" to make sure baby and I could handle it. Doc broke my waters, and never asked first if it was OK.

After 45 grueling minutes, the nurse came and asked if I wanted to talk about pain meds (which I was dead set against all along). I said if it was going to be like this for hours, I'd need something. I cried.

Doc came to check me. I was 10 cms, ready to push. I felt no urge to push, which I later found out (Here, of course!) is a common problem with Pit inductions. 45 minutes of pushing later, baby was born. I had had the Pit turned off, but the doc started it back up again. She also basically bullied me into an episiotomy. I was strapped to the bed with the EFM thingy and couldn't move around.

The contractions are hard and fast and very intense on Pitocin. I unfortunately have nothing to compare it to, because I was having productive contractions but never felt them.

For number 2, I will not consent to Pit again unless there's a huge medical issue. there were reasons for the docs to want to induce the first time, but the problems didn't truly warrant it in my mind. I should have listened to my gut.
post #44 of 66
First of all cytotec, or Mesoprosin (SP?) is an ulcer medication not even approved by the FDA for use as a labor inducer. It cannot be controlled like pitocin can and it has been know to cause uterine rupture. It is also used to induce abortion, popular with Mexican immigrants and poor woman who cannot afford to have a clinical abortion. A DR. friend of mine claims it is safe, but just like any other form of induction it has it's risks, and like I said, it's not been approved by the FDA, so you are pretty much a Guinea pig when on it. .
Anyway, I have never been induced, so I cannot share an opinion with you, but I will share with you this, if you think that you may need to be induced, than you may just convince yourself that this is true. So stop!!!! Keep thinking natural, induction free birth and more likely than not, it will come true!
post #45 of 66
Quote:
Originally Posted by tonimk19 View Post
Do you have the option of other induction drugs such as cytotec or breaking your water before pitocin is considered?
Cytotec is an unapproved drug for use on pregnant women. To the point where the manufacturer and the FDA have written to ob/gyns to ask them to STOP using it for induction of labor.

Doctors (and midwives) who are using cytotec (misoprotosol) are disregarding it's poor track record and gambling with pregnant women and mother's lives. It is expressly not recommended in any literature I've read for standard of care in many books.

I am astounded that it is still being used, frankly. I guess ob/gyns aren't quite afraid of litigation as they are made out to be...

AN unpopular stance I am sure, but I find myself in good company professionally.
post #46 of 66
I was induced with my second birth, after a natural first birth. The contractions felt very similar to my "natural" contractions with first birth. I did not need any pain meds. I actually experienced much more pain while dilating with my first birth (not induced), but I attribute that to being a first birth.

Things in my favor:
My body was very ready for birth (ob said it was "like picking ripe fruit"), so responded well to induction. I believe that family factors were preventing my body from going into labor naturally when it was really time to do so.

I had already had a natural birth, so I was familiar with the sensation of contractions (honestly, the first *natural* contraction I had with dd scared the crap out of me....my water broke before contractions began, and they started *hard*.....my induction started much milder!).

The pitocen was started low and slowly titrated up to an effective dose.


I did have a pit drip during the entire labor and after. I was able to move around, but limited to the space around room because of fetal monitoring. I used a rocking chair, I swayed and rocked while standing, and when transition hit--I kneeled on the side of the bed and rocked through the contractions. The pain was very manageable ime.
post #47 of 66
Quote:
Do you have the option of other induction drugs such as cytotec or breaking your water before pitocin is considered?
Personally, I would never give informed consent to Cytotec, and I wouldn't agree to having someone break my water. Two very unattractive options, IME.

Mothering's Cytotech article

Marsden Wagner's Birth Interventions

Wake Up!
post #48 of 66
I only read the first post in this thread...but, I just wanted to share my pit experience.

I was induced with pit at 42 weeks. Tried everything to go into labor on my own (except for wait long enough, obviously) and finally caved to an induction at 42 weeks. While I am disappointed I let myself be induced, it was really a fine experience. I did not have any pain meds and was able to have the pit turned off before pushing. I had a lovely hospital birth - great midwives and nurses. Now, for future births, I am considering nothing but homebirths, but there are no practicing homebirth midwives where I live right now. I will be moving before I have another baby.

Best of luck.
post #49 of 66
I've had two induced labors and they are NO picnic, but I think the approach makes a big difference in how bad things can get.

With my #1 I was induced for pre-e; closed up tight and high, but they put me on Cervadil and when I dilated to a 1 they broke my waters and pumped the pitocin up high. I thought I was going to DIE! There was no break between contrax and I couldn't even catch my breath. The nurse finally turned it down after a while because the baby wasn't "handling it well" (DUH!)
I ended up with an epidural (which was heaven) and a huge episiotomy+tear after they had vacuumed my son out of my body because he wasn't handling labor well.
This was the typical "cascade of interventions" you hear about.

With my #2 (different hospital) I was induced because her placenta was dying (minor abruption a couple months before). I was dilated to a 3 and my cervix was low and mushy. They turned the pitocin on low and it was manageable. I ended up getting an epidural because I was scared of having my waters broken (trauma from #1). Things worked out okay. Labor was 6 hours, but my epidural only took on one side of my body. I handled it okay because they kept the pitocin low. The biggest discomfort of all? The stupid epidural site hurt for weeks afterward.:

This time around I will be going as drug and intervention free as possible. I do not LIKE pitocin, but I guess (to me at least) having it in a sensible way is better than choosing a c-sec right off the bat.

Just my two cents...:
post #50 of 66
I haven't read previous responses yet but I delivered dd on pitocin with no pain meds. It definitly wasn't the birth I had hoped for but it's the birth that we had to have. I was able to move around a little bit. They did require that I was on the monitor all the time except when I was in the bathroom (I had to use the bathroom a whole lot that day ) but even on the monitor I was able to get up beside the bed, stretch, bounce on the birthing ball, and do some slow dancing with dh. The pole that had the pit drip moved easily with me and that was dh's job that day.

They used cytotec the night before the pitocin started to get my cervix more "ripe" and that got me from a 1 to about a 3 and 75% effaced. The midwife broke my water right before the pitocin started that morning and within and hour I was having contractions on top of each other that had no break in between and were off there monitors. But I just kept it in my head that I WOULD NOT have any more interventions, and I didn't. I had one nurse who kept offering "a little something to take the edge off" and I told her to get out of my room. Dh was great and was there when I needed anything. They did keep the pitocin on the entire time but turned it down substantially after I started pushing. The entire labor was 13 hours and I spent 3 1/2 of that pushing. My body really wasn't ready to deliver dd but thankfully it cooperated pretty well and we didn't end up with a c-section.
post #51 of 66

castor oil

My firstborn was 41w5d when we discovered he was breech and born by c/s weighing 10lb 12oz. With my second, at 40w my midwife said that my cervix felt ready, and I could try castor oil to induce if I wished. I downed it, but no labor.

Then at 41w, I tried another dose (when the supervising OB told the midwifes that I should start thinking about scheduling another c/s). Within hours, contractions picked up and my water broke and we had a great VBAC.

I think castor oil is great for getting things started, if your body and the baby are ready.
post #52 of 66
I was induced at 39 weeks due to pre-eclampsia. I couldn't even sit up in bed without my BP shooting up.

I was given Cervadil first, when I reached 3 cm, my water was broken and pitocin started shortly afterward. Contractions went from mild to hurts-like-hell in less than an hour. Very close together, I felt like I had no time at all to rest in between. I asked for an epidural when I was about 5 cm. I think if the contractions hadn't been so close togehter I could have handled the pain much better.

After they called the anesthesiologist until he came and gave me the epidural was appoximately 40 minutes. During that time I went from 5 to 10 cm. In fact I got the most intense urge to push while they were giving me the epidural. I birthed my baby only twenty minutes later.

If I knew it was going to be over as fast as it was, I would have skipped the epidural, it didn't have time to take effect and I felt everything anyway.
post #53 of 66
My first was induced with pitocin. I did NOT want it, but my water had broken and they insisted that it was necessary because I had not progressed enough after two hours. I didn't know at the time to just say, "screw that - I don't care!" I was deadset on a natural birth. With the pitocin, the contractions just never stopped it seemed. I'd heard about contraction timing of course, and wondered how people really could time it?! It was constant pain for me. I went about 18 hours before they told me I should just get the epidural to relax (had been dilated ALMOST all the way for 5-6 hours). The nurse was very, very sweet about it and they'd been awesome about not saying the E-word until then. But I was in such horrid pain that I didn't even care anymore and just said, "yeah sure fine". Then I slept. Gotta say, best sleep ever. They did turn off the pitocin I think, but turned it back on when I started pushing. Had to turn off the epi because I don't know how on earth people can feel to push!!

With my second, I labored at home, and had him at a birthing center in the water about 20 minutes after I arrived. HUGELY different experience. I waited a bit too long to leave home (unless of course I wanted an unassisted homebirth - which was tempting, but I didn't ), as I was well past transition when I got there. But up until that point, at least I got a break between contractions! We walked around the neighborhood, I rocked in the rocking chair and watched stupid TV, had a bath in my own tub - MUCH more pleasant and easy to "relax", which is what they said my issue was in the hospital. Yeah, not the most relaxing situation!

Anyway, I've ranted a lot but that's my experience. I will NEVER be induced again unless there is some real reason that I believe in.
post #54 of 66
My pit induction was horrible. Background, I was 42 weeks and 3 days overdue when I came down with a fever (caused my membrane sweep if you are interested) which meant we had to induce right away (I was going to be induced the next day anyway for being so overdue)

So we went in, I got the pit, I was doing fine for 18 hours, but really no progress not even strong contractions, went without pain meds no problem. Then the pit was finally turned up to its highest. I had about 3 or 4 really good waht I'd consider labor contractions - strong, hurt a bit, but doable, nice break in between.

And then.... the 45 minute contraction from hell began. I was in the tub, which was a mistake since I felt trapped there, couldn't move. I contracted in such a way that I felt like someone was literally sawing my hip off. No break in the pain, no break in the contraction, just continuous. I toughed it out as long as I could with my poor DH and trainee doula trying to say positive things to me, finally I gave up and said I can't do this I need some pain meds so we ordered the epidural.

In the end it turned out I had been in that horrific pain for a full 45 minutes. I am not talking normal labor pain here, seriously horrible not ceasing pain. In the end even with another 6 hours of pit with the epidural I made no real progress, uterus was contracting every 30 seconds with no pressure (as measured by the internal monitor they put in after the epi) so I had to have a c-section - we couldn't wait longer due to the infection.

Anyway, I definitely did not react well to the pit - who knows how much the experience was affected by the other conditions I had going on: a big baby (10.5 pounds), a posterior baby and a uterine infection.
post #55 of 66
As long as we're all being honest here...

I believe that, in hell, everyone has a pitocin drip.

Just don't do it. Not without medical indication.

(The calendar indicates nothing but what day it is. Oh, okay--some of them tell you the stage of the moon, too.)
post #56 of 66
I haven't read any of the other responses, but I wanted to answer your questions. I was induced at 42 weeks after trying less drastic methods like sex, evening primrose oil, acupuncture (three treatments) lots of walking, and two membrane sweeps. I was dilated 1-2 cm and was 80% effeced, -1 station when I went into labor. I had some contractions in the 24 hours before the induction, but didn't get into a regular labor pattern. I had a hospital birth with a midwife, a doula, a doula-in-training, DH, and 2 friends helping me out.

how bad is it compared to natural labor?
I don't know, because I've only had one labor.

Did you need the drip the entire labor, or was there a point that you were able to have them stop it?
I needed it the whole time. My midwifes started me on the lowest possible dose and increased it every half hour until I was having contractions that were a minute long and 2-3 minutes apart, which took about 2 1/2 hours. When I would get in the labor tub, they had to put the telemetry unit on battery power, and the batteries kept dying. They went through 4 or five units! Every time this happened, there would be a short period when the drip stopped, and each time my contractions slowed down. I didn't find this out until later, because I was in laborland at the time.

Were you heavily monitored?
I had a telemetry unit to deliver IV fluids and the pit, and continous EFM.

Able to move around?
Yes, but it was cumbersome. I thought having the heplock would be painful or annoying, but that wasn't bad at all. It just took a long time to get anywhere, like in and out of the tub, or into the bathroom.

Anyone have pit and not have pain meds? Is it doable?
I did not have any pain meds. And it was doable. The contractions definitely hurt, a lot, but every single one of them was doable. I would say that the worst of them were an 8 or 9 on the pain scale, but never a 10. I had a ton of support, and my birth was tough, but very peaceful and joyous. It wasn't traumatic, and I felt like a rock star afterward.
post #57 of 66
Mine was TERRIBLE.

They gave me pit ~9 am. It was the worst labor pain ever. It was a thousand times worse than pushing dd#1 out for three hours past a cervical lip in a lithotomy position. They decided to break my water at ~noon and it took them an hour to do that while I had to lay flat back that whole time. I was not allowed out of bed but to pee once in awhile, IV and all. It was seriously traumatizing pain. It's the only labor pain I really still remember.

I was heavily monitored with EFM and IFM. I ended up with an intrathecal that they botched right before he was born (he came out when I laid down).

Turns out he was early (which is why it took so much to get me started-but the u/s was wrong, of course).

I would NEVER do that again, no matter what.
post #58 of 66
Just had my first with a pitocin induction. My experience:

Pain was doable although I asked for an epi at one point when I thought I felt I had been laboring too hard and not made any progress. The anesthesiologist was busy though, so I ended up not getting one.

Continuous fetal monitoring was required, but I was hooked up to telemmetry so I could move around. I was also hooked up to antibiotics for GBS, and that was a bigger PITA since I had to drag the IV hookup around with me.

Once I was well into labor, they agreed to turn the pitocin down and then off because it was obvious I could keep the show on the road without help.

I wish I could compare the pain to a natural labor, but I can't. It only REALLY hurt at one point where I supposedly was only 4 cm but feeling overwhelming pushing urges - that was the WORST.
post #59 of 66
I had it because the midwife on duty that night (not my primary care) didn't believe me that my high blood pressure is almost exclusively stress-induced. She panicked and I didn't know enough then to refuse.

Never again. I have nothing to compare the intensity to but there were no breaks in contractions whatsoever. Just one looooong contraction.: And I was really counting on those breaks, damnit. I did do it without drugs but man was it tempting.

Avoiding that again is one reason I'm birthing at home this time.
post #60 of 66

just ask your OB to turn off the pit as soon as your

contractions are coming normally and let your body take over naturally.Pitocin does make the contractions come closer together and stronger.

They will say they cannot turn it off and do it this way but they can with a docs orders.....
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