Help! Approaching 42 weeks, unfavorable cervix, posterior baby, MW wants to use... - Mothering Forums
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#1 of 58 Old 04-22-2006, 09:28 PM - Thread Starter
 
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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.
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#2 of 58 Old 04-22-2006, 09:37 PM
 
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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!
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#3 of 58 Old 04-22-2006, 09:57 PM
 
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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.
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#4 of 58 Old 04-22-2006, 10:45 PM
 
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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!
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#5 of 58 Old 04-22-2006, 11:08 PM
 
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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.
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#6 of 58 Old 04-22-2006, 11:11 PM
 
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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.
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#7 of 58 Old 04-22-2006, 11:14 PM
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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?

"Our task is not to see the future, but to enable it."
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#8 of 58 Old 04-22-2006, 11:17 PM
 
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you can't do pitocin for a home birth
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#9 of 58 Old 04-22-2006, 11:39 PM - Thread Starter
 
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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!!!
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#10 of 58 Old 04-23-2006, 12:03 AM
 
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Just stay home until labour kicks in and then no one can "offer" to induce you at all!
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#11 of 58 Old 04-23-2006, 12:06 AM
 
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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.
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#12 of 58 Old 04-23-2006, 12:19 AM - Thread Starter
 
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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!
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#13 of 58 Old 04-23-2006, 12:21 AM
 
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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!
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#14 of 58 Old 04-23-2006, 12:39 AM
 
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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.
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#15 of 58 Old 04-23-2006, 02:45 AM
 
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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*
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#16 of 58 Old 04-23-2006, 09:42 AM - Thread Starter
 
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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.
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#17 of 58 Old 04-23-2006, 10:02 AM
 
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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.
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#18 of 58 Old 04-23-2006, 10:21 AM
 
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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.
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#19 of 58 Old 04-23-2006, 10:27 AM
 
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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
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#20 of 58 Old 04-23-2006, 02:11 PM
 
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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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#21 of 58 Old 04-23-2006, 02:44 PM
 
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My second was a cytotec baby after three days of labor (MW as well). Five years later I read about the uterine ruptures. :

I decided with my third that if it happened again, I wanted pitocin because it can be turned off, and when I mentioned it to my doc, she said sure we could do that. She never said anything negative about an unripe cervix being a problem (which mine was and always is until labor starts). Perhaps ask another doctor their opinion?

Oh, and be prepared in case that baby doesn't turn, Ouch!!! I had to deliver mine upright on my knees because it hurt so much to move. I couodn't even get into a cat/cow position. Make sure you have a birthing ball, it will really help.
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#22 of 58 Old 04-23-2006, 03:20 PM
 
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you're more likely to not start good labor with a posterior baby. first time moms are especially at risk for gonig way over and having a "failure to progress" because of posterior babies.

Look at www.spinningbabies.com and think about making an appt with a chiropractor to get your baby better aligned.

Once your baby is in a better position, the good application of the head to the cervix is likely to get labor going.

However, just because your cervix is posterior, that doesn't mean your baby is posterior. In labor, especially with a first time mom, your cervix has to move forward before dilation can really get going. It's all part of the process.

I'd say blow the induction and wait for your body to work. Otherwise, you're just in for a mess of a labor.
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#23 of 58 Old 04-23-2006, 03:42 PM
 
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Please, please, please, find that homebirth midwife, or another one in the area. Don't go near a practice that would use Cytotek to induce. Chiropractic and accupunture are good, as is Evening PRimrose oil. You could try homeopathics, too. But frankly, nothing's going to put you over the edge until baby's ready to go.

I had an ectopic pregnancy and they used cytotek to "save my tube" (this was several years ago). It was a nightmare. My husband and my mother were both afraid that I was going to die. I bled so much... The ctx were scary, they immediately started one after another without a break (maybe 15 sec. between?). Three years later, I read about the dangers of Cytotek being used off lable, and found out that they used almost ten times the "recommended" "safe" dose for my "induction." To think about what could have happened just gives me shivers and nightmares. Please, please don't go anywhere near a practice that would so blatently disregard the information available about the horrible dangers of cytotek. The OB you'd be transferred to agrees with the midwife using cytotek, or wouldn't be her "transfer of care" doc. Please, run and run fast and far.

I'm sorry that this is even an issue for you, it's a stress you don't need during pregnancy, especially at the end!

Mama to two awesome kids. Wife to a wonderful, attached, loving husband. I love my job-- I'm a Midwife, Doula and Childbirth Educator, Classes forming now!

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#24 of 58 Old 04-23-2006, 04:10 PM
 
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insist on pushing your dates back--



many folks have addressed the cytotec issue-- stay clear of it when the company writes it's own warning to protect themselves from being sued you know there is something going on--
and I want to mention that there is one small study on the use of castor oil that had greater success for vaginal birth with or without pitocin --- than controls who did not use castor oil--
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#25 of 58 Old 04-23-2006, 04:29 PM
 
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There have been some good ideas thrown your way- staying home and cancelling appointments, changing providers, and spinning babies, etc.

I have some things to add, some may be repeats, others you may choose to ignore. I am going to put it all out there, and let you sort through it. I do not have the energy to try to be nice or PC. I am sorry if anything offends. I do not mean to.

Cytotec should NEVER EVER EVER be offfered for induction. If you have done your research at this point, you will have seen that for yourself. So, while I know you are saying you will refuse this route, it also begs a different question: what kind of care provider is this to be recommending something that can/has killed mothers and babies at a higher rate than acceptable? What are her other practices that you haven't found out about yet? She is not putting your or your baby's safety at the foremost. Do you trust her then as a care provider?

It is NEVER TOO LATE TO CHANGE CARE PROVIDERS until the baby's head is out. It takes gumption and resolution, and strength. But is better at times than the other option.

You also say that you are sure your dates are off. Your care provider is refusing to listen? That is not a good midwife. Period. A good midwife is guided by the mother's wisdom. You are the expert on your body and your baby, not someone else. They are there to serve you, and help provide you with accurate information, and also to listen to you. Regardless of whether you buy time with the date issue, you may very well still be in this situation 10 days from now if your baby is not yet ready to be born. So do not think that dealing with this date thing alone is the solution. You may still have more ahead of you. Do you want a care provider that does not listen to you? I had a freind who knew something was wrong with her baby... her care provider refused to listen. The baby died. Not meant to scare you, just that I think our primary reponsibility in birth is to listen to the mother.

As far as induction: Right now I will be honest. You have NO MEDICAL REASON to warrant induction with any thing- not pitocin, not cervidil, not even herbs or castor oil. There is nothing wrong. NOTHING WRONG! Your body is not late, your baby is not late. In fact, your baby cannot at all read calendars. Do you have fruit trees? Some fruit is ripe before the others. Some will be the last to fall. On the same tree! What you are dealing with quite frankly, and I am sure you are smart enough to know, is an issue of politics and policy. That is the reason for induction. If you have researched induction of any kind, you will know there are very real risks. I hope you have your copy of Goer's Thinking Woman's Guide to a Better Birth.. Labor happens when it is time. It has for eons. No one ever walked around pregnant forever. I hope you can protect yourself enough to avoid a non-medically indicated intervention.

Moreover, if indeed your baby is posterior: Do you KNOW THIS? If s/he is posterior then you DO NOT WANT TO INDUCE LABOR BY ANY MEANS! You know this by now, right? You need to get the baby into an anterior position, and then the bbay will be able to do the work of birth. Of course posteriors are born if left alone, but why ever should a woman knowingly induce one? Go get in the water. Don't sit on anything other than a birth ball- scrub your florrs, spend time all day on hands and knees... if your care provider is not good at palpating- maybe you are, or is there a HB mw around? Perhaps she could verify position?

AND PLEASE LISTEN UP: DO NOT DO ANY SQUATS until you can confirm that baby has rotated anterior. You do not want to have a posterior baby drop (which squatting will encourage) and be locked into a non-optimal postion for birth. In fact, if the baby is low right now, and posterior, part of what you may need to do ifs knee-chest in order to get the head unengaged before it can freely rotate. BUT PLEASE DO NOT SQUAT until you know it is not OP.

I do not mean to yell, just this is so long winded I want you to be able to see the really important things.

I am furious. Not just for you, but for all women, and our babies. I am so tired of women thinking their bodies are broken, incapable of going into labor.

You are a mother, a woman. You are designed perfectly for birth. You are to be honored, and listened to, and empowered. You still have options. Rise up, woman, rise up!

I know you are tired, and want to see your baby. You will. In time. I wish for you something different than all those posters who hope you go into labor soon. I hope for you that you claim your power. I hope for you that you have attendants that honor you and listen to you. I hope for you that your baby is born gently and easily- in his/her own perfect time. And I hope you share that gift of unfoldment with others... whatever that means.

Jaya- unschooling mama to Ariah Rayheartbeat.gif1/02   Rukundo Pacifiquebuddamomimg1.png11/08  

missing Trace Oak candle.gif 10/25/06

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#26 of 58 Old 04-23-2006, 05:57 PM
 
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Eloquently said, Jaya.
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#27 of 58 Old 04-23-2006, 07:06 PM
 
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You've gotten some great advice, and I also want to add that an herbal/castor oil induction can be a very gentle way to attempt induction.

A synthetic induction is just setting yourself up for needing an epidural.
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#28 of 58 Old 04-23-2006, 07:22 PM
 
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My dd3 was posterior (we didn't know it until she started to come out... well, not exactly true - I knew during transition that something was wrong and said it over and over but it was a little late in the game to make anything different at that point). She was 11 days late. I really think that those posterior babies don't hit the right spot to signal our bodies that it is time for labor.

I wish I had known my baby was posterior so I could have done some things to get her to turn. If I was you, I'd spend all my time and energy trying to get that baby to turn. Once you have a good anterior position, I think you will go into labor. I'd just avoid the midwife til then myself... They can't make you come in for a NST. They can ask and threaten but if you "forget" an appointment here or there, no one takes away your birthday.
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#29 of 58 Old 04-23-2006, 09:28 PM
 
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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.
I had an induction at 18 days past EDD with a completely unfavorable cervix. Dilated zero and thick. I had ONLY Pitocin and it worked. Granted it was an awful experience but I didn't need cytotec or cervidil. I don't like it when health care providers say that something definitely won't work. Every woman, every body is different.

I don't like how she told you that your baby will probably do the same thing your dd did either. DOes this woman think she is psychic?

Also, wanted to add that unfortunately being past 42 weeks does increase the risk of fetal death, but thankfully it doesn't sound like you are truly nearing that far along yet. NSTs are good to see if there is a obvious problem with aging placenta or something but someone can get a passing NST one day and still birth the next. Not trying to scare you at all but I would say inform yourself if you are planning to let yourself go far. I am about as anti induction as it gets, but I have done a lot of research on it and there are risks involved and it sucks to have to weigh those risks but I'm a 10 month mama x2 so I have had to.

I did EPO vaginally and orally, sex, chiro 2X a week, accupressure, walking treadmill daily, squatting, etc for last 2 months and I still went 18 days and then 15 days past EDD with my 2 pregnancies and my dates were 100% accurate. Would have gone longer with the first had I not been induced.

~Erin
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#30 of 58 Old 04-23-2006, 10:01 PM - Thread Starter
 
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Originally Posted by ariahsmum
I know you are tired, and want to see your baby. You will. In time. I wish for you something different than all those posters who hope you go into labor soon. I hope for you that you claim your power. I hope for you that you have attendants that honor you and listen to you. I hope for you that your baby is born gently and easily- in his/her own perfect time. And I hope you share that gift of unfoldment with others... whatever that means.
Thanks Jaya.

I am feeling pretty confident about my appointment tomorrow. I am not going to let this woman dictate what happens to my body. And I am very positive about my dates, the more I think about it.

Thank you to everyone who has posted--I really appreciate it! Hopefully, this won't even be an issue, because I've been having pretty good contractions every 3-5 minutes for over three hours now.

: for it to keep on going!!!
clynnr is offline  
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