I had my first dd with no drugs or interventions at 39 weeks. The thought of epidurals and c-sections gives me the willies. (Although, I do remember thinking last time I was in labor that having an epidural may not be such a bad thing.) I'm getting real mad that I need to start thinking about this.
I would VERY MUCH like to match my labor experience with my first: no drugs. But I need to consider the possibility that I'll be 42+ weeks and need to go in. Please give me some perspective with your own experience.
BTW, my doctor is VERY laid back. He's not the bullying kind. He waited until the very end before suggesting to my co-worker that she be induced. I also think it was kind of humorous as I remember him just leaning against the wall as I did my thing. All he did was catch the baby. It really drove home to me that I really only needed him for pre-natal care. I could take care of the rest.
That being said... before they start pitocin you can ask them to give you cervidil. It is a suppository they insert in your vagina. It helps "ripen" the cervix and for some (like my friend who had a babe last month) it was enough to get labor started. For me, it produced contractions that showed on the monitor but I couldn't feel them at all and it didn't produce much cervical change. Once they gave me the pitocin I was able to manage about 20 hours without relief. They ruptured my waters at about the 12 hour mark and my labor was VERY intense after that. Anyway, I took a shot of nubain at about 20 hours, because I was just so tired and kept getting tense and couldn't relax. At 24 hours they called in an OB to consult because I hadn't really progressed. At that point I was given an epidural in preparation for a c-section. Ultimately I avoided the c-section because of some good thinking on the part of my midwife, but that is a story for another time.
That was my 1st child, and when I labored with the second (which was completely natural) the labor never got as hard. I kept thinking I had hours to go because I wasn't getting contractions that were as painful as on the pitocin. Ironically, that labor was 2 hours long. In that first labor, I held out for a long time without any pain relief. The pain didn't get unbearable until I got tired. I had done about 8 hours with the cervadil before they even started the pitocin- and we entered the hospital at 6 p.m. on the day I was 42 weeks- so by the time I asked for the nubain I had been awake for nearly 2 days. The reason the labor was so long was probably due to a malpositioning problem- my daughter was born with her hand over her head. So I would say that it is do-able. It will probably be different, and possibly tougher than your natural labor. A doula would be a great resource.
Just because there is no "visible" change in your body does not mean so much -- where there is change is with your baby. Your baby is getting closer to being ready to meet the outside world. I personally will not force another baby of mine out before he/she was ready unless something harmful to me or the baby was going on.
Wishing you speedy labor vibes!
I was induced with baby #2 at 39 weeks. Baby #1 was a c/s and I wanted to avoid another one. There are other reasons that I agreed to an induction, but that's not relevant here.
I agree totally with PP that you should put off induction as long as possible.
Althought they kept giving me greater and greater doses of pitocin for 12 hours, they said my contractions weren't strong enough. (Yah, think that was because the baby wasn't ready to be born yet...?) After the 12 hour mark, they convinced me to have the bag broken. Up until that point, even with the pitocin, I was not in terrible pain. I could ride each wave and breath and remember to relax. After they broke my water though, it was hell. It wasn't so much the physical pain, although that was seriously worse, it was the feeling that the strength of each wave was pulling me underwater and I wasn't sure that I could find my way back to the surface. That kind of terror is not what labor should be, IMHO.
I made sure the midwives we chose are not nervous about the 40 week mark, or about breech babies or about twins...
Oh, and don't let them get near you with cervadil. It is NOT for softening the cervix, that is an off-label use and it is known to cause serious problems.
Calm, naturual labor vibes to you...
I opted for an epidural and in our tiny hospital you take it when you can get it (our only anthes. was going to be in surgery all day). This was around 930 am. I had only been on Pit since 830am. Worked great until 5pm and just stopped (bolus back then). Of course the Pit was up pretty high but my endorphines were very low! Had ds at 907pm and didn't have any other drugs. Hurt.. but do-able.
With dd I again was induced (Pre-e this time). Cytotec at 8pmThurs (yeah, I know all about it NOW.. hindsight again). Fri I was at 4cm and put on Pit at 10am. My mom said "you better get your epidural cause you can't make it without it".. that pissed me off!!! So, I did it without and she was OP until right before crowning. That was pain.. but I am so happy knowing that I did it without pain management besides positions!
If you put it in your mind that you do not want drugs, you can do it!
HIRE A DOULA!!!! This will make all of the difference. My midwife acted as my Doula and this is what made me decide to become one full-time.
You Can Do This!
If you need any encouragement, PM me!
Happy Vibes to you!
ps.. don't be induced:
See this link for info on induction. It's very informative and I wish I had read it before my first labor.
Also, here is the pharmaceutical insert for pitocin:
Now that I am doing this again, I know that I want to avoid induction as best I can. I was induced at what my doctor called 42 weeks 1 day and what I *knew* to be 41 weeks 2 days. My OB is wonderful but LOVES her wheel and everyone has a 28 day cycle according to the wheel! ACK!
Whatever way you go, you can do it!
(I was 42 wks 4 days)! No pain meds and I was out of my mind in Hell. I had dd2 with a mw standing by in case I wanted guidance ( I didn't ) and I smiled and laughed the whole time. Big difference. Knowing what I know now I would have chosen to go into labor naturally with ds- barring a real medical reason
My friend Christy was induced last year. They said her blood pressure was questionable and scheduled an induction. The pit caused her uterine to rupture and her baby girl died. She blames herself because she chose the induction. Sometimes inductions are necessary and save lives, but I think they should only be used when there is a good medical reason because sometimes they cause harm.
I completely agree with Alegna
Second, my sister and I have both been induced, and neither of us used any pain medication. I was induced on my due date for pre-e. I think I was very close to labor anyway, as I was more dialated that day than the day before, and was already having painless, erratic contractions when I arrived for the induction. I was given prostaglandin gel. Contractions started up well a couple of hours later. Several hours later my water was broken to keep labor progressing. My baby was posterior, and consequently I had a very active, very uncomfortable, rather long labor. Baby was born less than 24 hours after I reported to the hospital. It was long, and I definitely would have accepted an epidural, except that my mom and dh kept the nurse away so she couldn't offer me one! Baby was born 3 hours after my lowest point, so it wouldn't have been worth it anyway, to me.
They thought my sister was over-due, though, given how iffy her dates were, they should have known better. She was induced with pitocin. She had a 4 1/2 hour labor. The last 1 1/2 was really intense. She was not able to be as active because of the drip. I think she did some hypnosis on her own, from previous training, not birth preparations.
If I had to do it all over again, I would definitely up the monitoring and postpone induction as long as possible. When my doc and I decided together that induction was necessary (as we did the first time), I would choose methods (again) that allowed my mobility over methods that strapped me to a bed.
I definitely agree that a doula could only be a plus in this situation, and as it is becoming very common, it should be easy to find one that you click with who has lots of experience with this!
Oh yeah, and I have never had any "visible progression" until the birth day. All those braxton hicks never seem to win me any "free" centimeters. You could go into labor tomorrow and not know about it until it happens. Here's hoping you do
dd-00, ds-02, dd-04, ds?-due 10/06
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!
Because Pitocin induction SUCKS MONKEY BUTTS! And no, I have no idea how to get through it without an epidural. I'd take the epidural if I had to go through pit induction again, as I did with my first. It's really horrible, in comparison to natural labor. Particularly if they have you in bed to "monitor" you and your contractions and the baby's reactions. Bleh. In my case, it was absolutely medically necessary - I had severe preeclampsia at 34 weeks. But outside of that, feh. Some babies take a little longer to cook!
Originally Posted by ckhagen
I wonder sometimes if the amount of pitocin administered has anything to do with needing pain relief.
1) Induction with pitocin
2) Unbearable pain
4) Stalled labor as a result of Epidural
Homeschooling mama to 6 year old DD.
Originally Posted by Melaya
I had pitocin and never used any pain relief. It was rough, but it can be done.
it was with my first and i did not know how much "worse" it was supposed to feel.
it was with my first and i did not know how much "worse" it was supposed to feel.
Melaya (29) - Mom to Z (9) and soon to be I (due Nov 2013)
Birth mom to M (7), O (5), & C (2).
World Health Organisation’s document “Care in Normal Birth: a practical guide”
Suspect Diagnoses Come with Biophysical Profiling
Elective induction of labour.
I do understand considering induction after 42 weeks because of the increased risk of stillbirth. I'm very anti induction but I couldn't sleep at night if I encouraged someone to refuse an induction at or beyond 42 weeks. With my 2nd I did refused induction and signed an AMA but had my baby on my own at 42 weeks. This time I had a doula and never layed in bed and had the NCB of my dreams. Still if I had gone much further I definitely would have considered the induction again.
Hoping you have a natural, easy birth, and have great support in any event!