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need info  

post #1 of 29
Thread Starter 
Ok hopefully I won't get flamed for this but I need all of your wise, motherly advice on induction at 37 or 38 weeks.

I am wanting to know all I can as I get through January. I may look into voluntary induction if this pain gets any worse. right now I am not sleeping well, have a lot of swelling, knee pain, a lot of BH contractions, strained abdominal muscle, and worse of all SPD.
I would like to wait but if the pain gets any worse...

So I want to be as informed as possible. What do you know about voluntary induction, what is your experience, any way I can have a good birth with it?
post #2 of 29
Well, if your body isn't ready for labor, beginning an induction is a good way to end up with a c-section. It's often the first step along that road, so if you're eager to avoid the surgery, I'd try to avoid induction. Also, I don't know how things are in your area, but around here nobody will induce you at 37 or 38 weeks just because you're in pain or miserable (I know; I BEGGED with my first . Unless there's a medical reason (i.e. pre-ecclampsia) you might have a very hard time convincing anyone to induce you.

Induction at that stage would likely begin with cervidil or something similar, which is meant to 'ripen' the cervix. In most women, cervidil alone will not cause contractions, but a few are hypersensitive to it and will begin contracting quite painfully. The cervidil has to be administered in the hospital, and you have to stay there (any doctor who will send you home after inserting it should lose their license). After your cervix is ripe (very soft, thinned out somewhat, often beginning to dialate), they'll start you on pitocin (a synthetic version of oxytocin, the hormone your body produces to make you contract). Pitocin induced contractions tend to be more painful than the natural variety, but some women do manage to labor without drugs even when they're being induced (and I give them mad props). The pit is administered via I.V.; you'll probably have one put in before the cervadil (sorry, I forgot that part). You will also be on constant fetal monitoring at this point.

If you are very lucky, and your body was ready for labor anyway, the pitocin could well be enough for you to deliver. If, however, you are nowhere near labor (as is likely to be the case) the pitocin will not be enough-- your labor will stall out and you'll probably need help to get to sleep. At this point, someone will suggest artificially rupturing your membranes. Not only will labor become more intense and painful after this happens, but a deadline will be established-- after so many hours (12-24, depending on the hospital/doctor), they will insist that your baby be delivered. This is how so many women who go in for inductions end up with c-sections.

Regardless of how accurate your dating, you should know that it's entirely possible for the baby to be undercooked, despite having achieved 38 weeks gestation. In other words, you may end up not only with a c-section, but with a NICU babe. Not only that, but if you do have a c-section, the baby's lungs won't be squeezed out so you could be looking at a few hours of NICU time regardless (that's not a given, but it's very common). I've got a niece who was born at 43 weeks, and weighed 8 lbs 6 oz. On the big side, to be certain, but at 38 weeks there's just no way she would have been finished. Likewise, my BooBah was born at 39 weeks and weighed 6 lbs 13 oz. She was tiny *then*; a week or two earlier and she would have been teensy and, likely, undercooked.

In your position, I would look into natural induction/encouragement things (i.e. evening primrose oil), and pain relief alternatives. I know it can feel really awful-- with Bean, I was So ready to be DONE by the time I was 34 weeks along. . . but it really is best for the baby if s/he cooks to term.
post #3 of 29
Awww I'm sorry you're hurting so much. I totally understand you pain. I, too, can't sleep, my wrists and hands just ache all of the time and golly the SPD is horrid. I think I'm lucky with the BHs thought. I seem to be averaging about 2 an hour, but they aren't at all painful.
Personally I haven't thought of an induction. When I feel really horrible I let DH know and he tried to help. He's good and rubbing my back and stroking my hair, which relax me the best and that seems to help alleviate the pain.
I wish I had more for you. It's only my first so I've never gone though this and I don't have more ideas. All I can suggest is to try hard to relax.
Good luck!
And I don't think anyone here will flame you, gentle guidance, but no flaming.
post #4 of 29
I'm prepared to flame you if necessary. I think you're nuts. Your BH are moving baby into a better position, ready for labour- and I KNOW they hurt like hell, because two of my pregnancies have come with non-stop ctx from 32 weeks onwards.BUT they gave me two painless labours, and it turned out that pregnancy-from-hell #1 was 14lb at birth, obviously a brow presentation until shortly before labour started naturally and was transverse before that. Oh, and he was 24" long, which is a lot of baby for my uterus to manipulate into position. PFH #2 had her hand pushing my cervix away during contractions, which tells you everything you really need to know about my daughter. Certainly Alex would have been an automatic section if we'd gone in. Instead, they were gentle, peaceful, normal homebirths because the fantastic, wonderful mechanism that is my uterus got baby out safely. Yours will do this too.
The SPD is the relaxin softening your ligaments, ready to release your baby gently into the world. You KNOW this. It is, at most, just two short months now. You're not the only one, most of us are at the fed-up, uncomfortable, "I can't do this" stage of pregnancy now, where everything really really hurts but it's too early to hope for the sweet, sweet release of labour. Don't take the drugs. Let us get you through this, and whinge together. Please.

That said, there's enough studies to show that 37 weekers have a LOT more problems than 38 weekers, who have a few more problems than 39 weekers. This only applies to babies who are induced or c-sections, not those who arrive on their own schedule, btw.

And finally, two of mine arrived spontaneously at 42 or 43 weeks, and one arrived spontaneously at 38 weeks. The early one is the one who was admitted to hospital with septicaemia at 3 months, has vaccine reactions, multiple food allergies, eczema, asthma, you name it, he has it. ALL of this is more common in preemies, apart from the vaccine reactions. We've nearly lost him more than once. Now it could be that he came early because he needed to, but it's still a huge gamble.
post #5 of 29
Quote:
Originally Posted by flapjack View Post
That said, there's enough studies to show that 37 weekers have a LOT more problems than 38 weekers, who have a few more problems than 39 weekers. This only applies to babies who are induced or c-sections, not those who arrive on their own schedule, btw.
I'd go with this, except to say that I've had two born at 36w5d and 37w3d, both of whom were born following spontaneous labor and neither of whom was fully cooked despite that fact. meanwhile my 39w1d baby was born by emergency c-section after no labor (and no signs of it, my cervix was still locked up tighter than Fort Knox) and she was *still* in FAR better shape, developmentally, and either of the other two. She was the only one who nursed with no trouble at all, and while she's got a tendancy to wheeze when she's ill as well as a congenital kidney defect, she is still a very healthy child while her little sister (the 36+ baby) has the asthma, hypersensitive skin, and catches every little illness that goes around. Bean is fairly healthy, but his immune system has clearly been slow to develop on it's own (hence the fact that he's the only one of my kids who has asked to nurse since I lost my milk-- this immediately preceded, as always, an illness .

I guess what I'm saying is, even if you were to spontaneously go into labor at 37 weeks, you have no guarantee that the babe will be fully cooked; If you induce at that point, you're pretty much guaranteeing that he *won't* be.

Quote:
And finally, two of mine arrived spontaneously at 42 or 43 weeks, and one arrived spontaneously at 38 weeks. The early one is the one who was admitted to hospital with septicaemia at 3 months, has vaccine reactions, multiple food allergies, eczema, asthma, you name it, he has it. ALL of this is more common in preemies, apart from the vaccine reactions. We've nearly lost him more than once. Now it could be that he came early because he needed to, but it's still a huge gamble.
I really think that more attention needs to be paid to babies who come in the last month of a term of pregnancy. There's this idea that if you go into labor, the baby is finished. It's clearly not true for women who go into labor in the second trimester, but in the late third. . . well, most women are shocked when their near-term babies end up in NICU, or having a childhood/lifetime of medical issues that they thought happened primarily to preemies. Ever since Bean went to NICU, this has been on my mind-- I realize that most babies born at 37 weeks are "healthy enough," but the health problems that they do have really make me wonder.

Bella did a great many things which I'd read about and learned were very common to preemies, despite the fact that she was so close to term. She didn't wake to nurse, when she cried it would be very brief and then she would just pass out. She even did that (very disturbing) thing when she was really upset where she'd fuss and fidget, cry for a bit, and then go into a kind of shocked unconsciousness, totally freezing in whatever position she was in. I mean it was scary as heck to see, and totally strange to me to have a baby who reacted so negatively even to bright light as did Bella. I thought she was cooked enough to be past all that, but she clearly wasn't. Yes, she weighed six pounds; Yes, she was born closer to 37 weeks than not, and yes, I went into spontaneous labor with her. None of it changes the fact that the girl just wasn't fully baked when she was born. None of it changes the fact that as she approaches her second birthday, her speech hasn't even begun to resemble that of her siblings at this age, nor the fact that she has been so far behind her siblings on every. single. milestone as to be on a different scale entirely. She's the least healthy of her siblings, though she's only slightly smaller than her brother was at this age. In many ways, Bella has been my first "baby," despite being my third child-- neither of the other two was a baby at 10 months, to say nothing of 15; Bella is, at 21 months, only recently more of a toddler than an infant. And while that's cool, I have to wonder if a couple of extra weeks in utero might not have been a heck of a lot better for her than getting out so quickly. If it could have prevented the asthma, the allergies (Bella's the ONLY one of my children to maintain a food allergy beyond 12 months, save BooBah's lactose intolerance which is really a very different thing), the "ooh a virus is going around, let's get sick!" deal, I'd have gladly coped with the sciatic nerve pain for another month.
post #6 of 29
Allyn

I'm sorry you're in so much pain. Do you feel this is different than when you were at this stage of pregnancy with Savannah?

I'm a first-time mom, but I want to encourage you to trust your body. It's preparing you for labor. And even if that preparation is painful, it's the hard work that needs to be done. Having a baby--bringing a LIFE into this world--is hard work. That's why you're so awesome for having done it once already and for being on your way to doing it again.

If you induce, your baby won't be developed as much as it needs to be to join this world as healthy as possible.

Hang in there.
post #7 of 29
ITA with the pp's... avoid induction at all costs. It really is almost a guaranteed route of birth getting out of your control.

That said, and I'm sure folks will push the ignore button on me for saying this again, have you tried a chiropractor for some of the pelvic pain and discomfort?

www.icpa4kids.org has a doctor search feature, and many/most of the docs listed on that site have extra training working with pregnant women. If there isn't anyone there that is close to you, I'd check out www.sorsi.com or www.soto-usa.com to find a doctor that does a technique called SOT. I've found that technique can be very helpful in the last part of pregnancy with the loose ligaments.

HTH!



PS. Eilonwy - what a great description of induction - I hope that wasn't from personal experience!
post #8 of 29
Quote:
Originally Posted by Mindi22 View Post
That said, and I'm sure folks will push the ignore button on me for saying this again, have you tried a chiropractor for some of the pelvic pain and discomfort?
Yes! A chiropractor can do wonders for your pain. I've been seeing one every 1-2 weeks during pregnancy, and every time I get an ache/pain, he's able to take care of it for me!
post #9 of 29
Quote:
Originally Posted by snozzberry View Post
Yes! A chiropractor can do wonders for your pain. I've been seeing one every 1-2 weeks during pregnancy, and every time I get an ache/pain, he's able to take care of it for me!
And a good massage therapist- a good deep tissue prenatal massage! The only thing that helps me is going every other week for a massage and an adjustment. Adjustments by themselves don't quite get rid of the pain/discomfort for me. It's been 3 weeks now and I'm really looking forward to going today for both. I know it can get pricey (unless you go for a student massage, which can be quite good and a reasonable chiro- mine charges $30 a visit) but its worth the cost to avoid induction and being miserable. I always feel like a normal person again rather than a lumbering penguin afterwards.
post #10 of 29
Stay away from an induction. Thats all I'm gonna say. Really... labor isn't that fun when you're induced. And your babe isn't done cooking.

Pregnancy sucks sometimes. The pain is normal unfortunately, and its a part of having a baby. You've just gotta suck it up and keep going.
post #11 of 29
I just want to say I understand just wanting all th joint pain to stop. I had SPD with my last 3 pregnancies and for a full year after ds was born. In other words, birth is not necessarily a "cure" for SPD, so induction may not be as helpful as you're hoping.

With this pregnancy, my SPD has completely disappeared as of Thanksgiving weekend and has not returned (Thank God!). I had been preparing to call a chiropractor the following Monday, but ended up not doing that since I wasn't in pain anymore. I have been wracking my brain trying to figure out WHY this suddenly disappeared. I've come up with 2 possibilities. First, I began taking a probiotic supplement daily around the time the pain went away. I also began using facial toner that includes Geranium Essential Oil which is said to help balance hormones and SPD is essentially a hormone issue. I don't know which (if either) of those got rid of my pain, but they might be worth trying. Either one would be easier and safer to try than induction, though.

The toner I use (which has also made my complexion much nicer than usual during pregnancy) is about 2 cups of water mixed with 5 drops of Tea Tree Oil and 5 drops of Geranium oil.

I hope that helps! I understand your desperation, though. Dd #2 was my first experience with SPD, and I carried her for almost 42 weeks, including 6 weeks of on-again, off-again prodromal labor. I was miserable, but even in my misery, I knew I didn't want to trade my joint pain for either pitocin pain or the risk of a c-section with weeks of post-op pain. Hang in there. February will be here before you know it.
post #12 of 29
An aside... related, but really just a rant... my friend was scheduled to be induced last week, but started having contractions naturally that morning. Instead of sending her home they put her on pit anyway!
She was very impatient to be done (like we all will be around our due dates) but I guess the docs took advantage of that. Then the epidural stopped working right at transition. Yikes, 0 to 60!

Quote:
Originally Posted by Nature View Post
Stay away from an induction. Thats all I'm gonna say. Really... labor isn't that fun when you're induced. And your babe isn't done cooking.
post #13 of 29
Thread Starter 
thank you mamas for your information and support.

I totally have days or times of weakness, I know that I do not want to push this baby to come out if he is not ready.

I did not have this pain with Savannah, so this is all new, and somedays I am just a baby.

Thank you again, we will all have to lean on each other to get through the next month or so of pain and discomfort.
post #14 of 29
Quote:
Originally Posted by Mindi22 View Post
PS. Eilonwy - what a great description of induction - I hope that wasn't from personal experience!
No. . . BeanBean's birth was hellish for entirely different reasons. : That's just pretty standard induction protocol (the sort of thing that you could see on those birth shows they used to run on Discovery Health).
post #15 of 29
sending a and : supermom vibes
post #16 of 29
Not in your DDC, but I'm at 26wks with twins and dealing with SPD as well. I am making my first appointment with a chiropractor as soon as possible. Just wanted to let you know I'm in the same boat with you, and you have all my sympathy.
post #17 of 29
All I wanted to add is that not all inductions are bad. I had two very successful ones.

My first was induced at 40+6, by a midwife. I had Cervidil (and Ambien) at 2am, Pitocin at 9am, my membranes ruptured on their own, and I had a baby before noon. (My midwife had gone shopping; we actually had to wait to start pushing until she made it back to the hospital. She didn't expect a baby until 5 or 6 that night.) I pushed for a grand total of 15 minutes. She was a 9 pounder.

My second was induced at 39 weeks and some change. Totally honestly (don't flame me, it is in the past), I started asking to be induced at 37 weeks. I had GD that I was struggling to control even with insulin, baby was sitting so low that I was using the restroom 30-40 times a day, I wasn't getting any sleep, I was DONE. Nobody agreed to an induction until 39 weeks.

I was given Cytotec orally (again, no flames please, I didn't know any better) at about 8am, but there was only one OB on staff that day, and a lot of people decided to have babies, so she didn't get back around to me to start the Pitocin for about 10 hours, give or take. My water broke on its own, and soon after, baby came out. I didn't push at all. (In fact, I had requested a midwife do the "catching", and she asked me if I was pushing, and I told her no, because I wasn't. Baby pushed her own way out!) She was 8 1/2 pounds.

I had epidurals with both, and my labor didn't stall. My cervix was checked two or three times with both labors. My epi was started at 4cm with the first, and I have no clue how far along I was with the second, because nobody checked me, they just gave it to me. Both had APGARs of 9 and 9. Nobody did anything to me that I didn't approve of; my labors, if anything, were relatively hands-off.

All that being said, I'm giving birth at a birthing center this time around, and I can't wait to experience spontaneous labor. I dislike being pregnant in general, and I REALLY dislike it at the end (I'm starting to feel the REALLY dislike part already), but if it means avoiding the hospital, I'll do what it takes.

I just wanted to pass along that not every induction ends in a c-section, failure to progress, artifical membrane rupture, etc. Yes, these are possibilities, I'm not denying that. But from my personal experience, induction hasn't been a bad thing (FOR ME.) Maybe I got lucky. It's also probably a good thing that nobody would agree to an induction until I was close to 40 weeks.

I would just hate for someone to read this thread, who may end up with a medically-necessary induction, to think that it automatically means your labor is going to be horrible and you're going to end up with a c-section at the end. It's a possibility, but it's not inevitable.
post #18 of 29
Quote:
Originally Posted by AlwaysByMySide View Post
I would just hate for someone to read this thread, who may end up with a medically-necessary induction, to think that it automatically means your labor is going to be horrible and you're going to end up with a c-section at the end. It's a possibility, but it's not inevitable.
Not at all; But the fact is, at 38 weeks, many babies aren't ready to be born and many mammas aren't ready to be in labor. Inductions cannot succeed if the body isn't ready for labor, and failed inductions tend to end in c-section (if you're lucky).
post #19 of 29
Didn't have a chance to read everyone's response..


I would go for finding an acupuncturist first... maybe go to a few days before scheduled induction date... hopefully things will move along on their own...


now to read!
post #20 of 29
I had an induction for medical reasons(pit only as my water was already spontaneously broken PLUS I was at 3cm) and it was godawful! I managed it without drugs but oh my god! It was so so so much worse than my labor with my first daughter a day past my due date. The pain from being induced doesn't stop like normal contractions where you get a rest. It's harder, it's faster, and it hurts more. YOu get no rest. FOR HOURS! I went 11hours. And the worst part was, it took me 10 hours to make it from 3cm to 5cm. And then all of a sudden my cervix shot open and my baby barreled down the birth canal and was out in 45 minutes. I do NOT recommend signing up for this. You would be one very very miserable lady. I am pretty uncomfy right now chasing around 2 kids as a single parent and working nearly full-time as a waitress and struggling day to day but just the thought of that pit induction keeps me pregnant each day. I would rather go late than go through that hell again. It was awful.

Oh and I just went back and read the responses and I want to say that my induction was medically necessary due to PPROM at 32 weeks and they induced me at 34weeks due to seriously elevated blood pressure bordering on pre-e and fetal distress. My daughter was born at 34weeks and spent 2 weeks in the nicu learning how to survive. I"m not flaming you for your choices but I want you to know that even 1-2 weeks makes a HUGE difference for your baby. My daughter came out at a good weight(5.3lbs) but completely unable to suck and swallow. She couldn't maintain her body temperature on her own. She had apnea episodes where she would randomly "forget" to breathe and needed to be stimulated. We wore those chest leads attached to the apnea monitor until 6 months old. She went through countless blood draws, iv's, ekg's and a spinal tap along with constant poking and prodding in the nicu. She caught RSV at 5 weeks and was back in the hospital on oxygen fighting to inflate a collapsed lung. And my girl had it easy. It happens all the time that a 37 or 38weeker has trouble breathing and needs to be sent to the nicu with respiratory distress. And my little girl is nearly 3 now and still catches some sort of lung or other respiratory illness at least once a year that puts her in the ER and the hospital. She catches every cold and germ that comes around despite nursing until 22months. She has sensory integration issues. She's terrified of doctors and their latex gloves and it gives her panic attacks. I just want you to realize that even a week or two makes a HUGE difference. I would have gladly been in pain or have done another month on bedrest(I went on full bedrest at 21 weeks) to keep her safe inside growing and developing and getting reflexes(do you knwo what it's like to see a baby without certain reflexes?) and putting on weight and giving her nervous system a chance to mature. Please don't let yourself look back on this 2 or 3 years later and say, "man I wish I would have figured out another way to handle this pain. I wish I could have taken my child's pain upon myself to spare her/him that." Her screams from that spinal tap still wake me in a cold sweat at night and the smell of that antiseptic soap at the hospital leaves me dry heaving.
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