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#1 of 18 Old 09-28-2010, 09:20 PM - Thread Starter
 
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So I just got home from my last midwife appointment before my scheduled induction in 5 days (I will be exactly 39 weeks). I've had 2 acupuncture sessions and have been walking a lot. I started getting some contractions on Sunday so I was pretty optimistic that there was some progress.. Well I guess the contractions haven't been doing anything because I had an exam and I'm still only 1/2 cm dilated.. 30% effaced.. and baby is at -3 station.

The MW said without having made more progress on my own although they will start with the gel to try to soften the cervix I will almost surely end up with pitocin.

I guess since there hasn't been any progress since my exam a week ago it is unlikely that a miracle will happen in the next 5 days and I will go into labor on my own..

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#2 of 18 Old 09-28-2010, 09:31 PM
 
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Why are you being induced at 39 weeks, if you don't mind sharing?

Loving wife partners.gif and mama to my sweet little son coolshine.gif (Fall 2008) and a beautiful baby girl babyf.gif(Fall 2010)

 

When a stupid man is doing something he is ashamed of, he always declares that it is his duty. --George Bernard Shaw

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#3 of 18 Old 09-28-2010, 09:49 PM - Thread Starter
 
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My baby has a Single Umbilical Artery (SUA). It makes no difference in most cases but I've been monitored pretty closely by my MW team and an SUA specialist they recommended since finding out. About 2 months ago her growth rate was at 20% (on the small side but not alarming). About 1 month ago it dropped to 15% which was still okay but then about 2 weeks ago it dropped to 9% (she was about 5 lbs 4 oz). There is no way to know for certain but they think it is likely that her growth is slowing because of the SUA which doesn't allow her to get enough nutrients. She has been very active and passes all other test with flying colors but the growth rate has dropped considerably. Most babies with SUA get nice and big and have no issues but since her growth has slowed they feel it is better to be safe.

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#4 of 18 Old 09-28-2010, 09:59 PM
 
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Is this your first? With baby #1, a half centimeter is actually pretty normal for this point. A lot can happen in 5 days! Hang in there.
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#5 of 18 Old 09-29-2010, 08:41 AM
 
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#6 of 18 Old 09-29-2010, 09:10 AM
 
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I agree with Naomismom that a lot can happen in 5 days. Just try to keep thinking good birth thoughts, talk to your baby about it being time to come out.

Things will work out well either way.

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#7 of 18 Old 09-29-2010, 12:19 PM - Thread Starter
 
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Thanks mamas.. I'm going to try to talk this LO out every day until Sunday.

Naomismom - Yes this is my first. It's nice to know 1/2 cm is normal.. I keep seeing other people say they are 2-3 cm dilated so I thought maybe that meant labor was a long way off for me.

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#8 of 18 Old 09-29-2010, 12:32 PM
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Virgo, if it helps you any, this is my second baby, and at my 37 week appointment, they said I was not dilated at all, the baby was high, and my cervix was softened but not effaced at all yet. SO, you're ahead of me, at least!! I can understand how you must be feeling, and I wouldn't want an induction either, but it would help very much to know that it was really being done for the health and safety of the baby, which is sounds like it is in your circumstance. So, keep thinking baby thoughts, but also try to take comfort in the fact that you're going to have a healthy babe in your arms soon in any event! hugs!!

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#9 of 18 Old 09-29-2010, 02:46 PM
 
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granted this is my 6th, but I went from completely closed to 3cm in 7 days b/t my 38wk and 39wk appts.

are you taking EPO? either orally and/or vaginally? that might help soften/ready things.

also you might try nipple stimulation. i've never done that before but I'm trying to avoid a lot of intervention w/my induction that will happen on friday (my due date) so even though i'm not desperate enough to pull out the big guns (castor oil, cohoshs, etc) i have used my breast pump a few times and though i've never had a prodromal or pre-labor contraction in 5 pregnancies, it has worked and i have had some mild ctxs while i'm pumping.

above all, try not to worry! i've had pit 4 out of 5 times (looks like it'll be 5 out of 6 now) and even though i'm not gonna lie and say it doesn't suck, IME it has worked pretty well for me.

hang in there mama!!

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#10 of 18 Old 09-29-2010, 03:50 PM - Thread Starter
 
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Thank you so much for responding mcimom.

What is EPO? I really wanted to go epidural free but I've heard that pitocin without an epidural is the worse kind of torture. Would you recommend still going without the epi even with pitocin or is that next to impossible?

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#11 of 18 Old 09-29-2010, 04:03 PM
 
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sorry, EPO is evening primrose oil. it usually comes in 500mg capsules and you can take up to 3 orally (I only took one/day but have been taking it since 37 weeks) and 'they' say up to 2 vaginally (right before you go to bed, as it disolves and the goal is to try to get it right on your cervix if possible)

it's a precurser to prostaglandin so it won't/shouldn't start labor, but it will hopefully help you dialate.

honestly every time i've gotten pitocin i have gotten an epidural. i've had natural labor twice and IME it is a WORLD of difference, but i've also known other people who don't find pitocin as rough as i did.

i don't think you "have" to have an epidural w/pitocin, but i personally have. DH commented after i tried to go natural (no epi) with our 5th (I had our 4th at home in my only completely natural birth) after being induced w/pitocin that "they should just hand the epidural out w/that stuff!"

IDK, i think if you can get a care provider who will start off really slow and perhaps even try backing it off if it establishes labor that it'd be a lot more do-able. A friend of mine had MWs who did that for her at her birth center births. IME in the hospital w/OBs though they follow the protocol of starting slow, but cranking it up incrementally and IME no doc has ever suggested 'backing it off' to me to see if my body would keep going w/out it or w/a lower dose.

I've wrestled w/trying castor oil this time b/c i really, really want to avoid induction and pitocin, but honestly for me - I know how pitocin will affect me. I don't know how the castor oil would and so I'm a little afraid to try it. However, of all my friends who have had both pit and castor oil inductions, they all - every one of them - said they'd do the castor oil first in a minute - no hesitation. You didn't suggest that and I'm not suggesting it to you, but just throwing it out there as it's something I considered.

WOHM married to SAHD, living the dream w/our: 3 girls (14,12,10) and 3 boys (7,5,3) and tie-breaker due Jan 2014

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#12 of 18 Old 09-29-2010, 04:11 PM
 
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Virgo, I just wanted to let you know that with my last labor I had pitocin and no epi. I can't compare contractions to natural ones though because unfortunately I have had pitocin every time.

For me they have turned the pitocin up until labor was established and than just left it alone. I am to chicken to try castor oil. Like pp said, I know how I respond to pitocin, but not castor oil.

Aimee - Wife to one hard working DH, SAHM to DD - Sunshine (5), DD - Cupcake (3), DS - Boo (1), and expecting a Surprise - Oct 2010!
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#13 of 18 Old 09-29-2010, 07:19 PM
 
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I have been avoiding the DDC, so I just saw your post. I had a couple things to share

First, I was 75% effaced and a fingertip dilated for a MONTH with my son. And having enough contractions that showed up on a monitor (I was closely monitored as well) that they admitted me for possible pre-term labor at the beginning of that month! NO CHANGE to my cervix! And then *poof* went into labor. So your not being very dilated is NOT an indicator of ANYTHING.

As for pitocin and no epidural - I did it, but I have a couple caveats. I started out in labor, so I *can* compare my personal experience of natural labor to Pitocin. The main difference, in my experience, is that there is NO time to prepare to ride out a contraction. Whereas my contractions built up, peaked, and then subsided naturally, they just took off and peaked seemingly instantly with pitocin. When I had natural contractions, I even had these little mini warning contractions. They were even visible on the monitor. Nothing like that with Pitocin.

I also don't know if the fact that my body was already going made any difference. Pitocin seriously hurts, I won't lie. The contractions are more intense, but it was the shape of them that really got me. I just couldn't get myself in a good space to deal with them well. I was a big baby! And rightly so!

Also, I was on magnesium (which is what stalled my labor and led to the need for pitocin), so I'm not sure if that made it easier or more difficult to deal with the pitocin contractions because I was not exactly "all there." (but who knows what was labor and what was magnesium?)

So, it's totally do-able. Sucks that it could be your first labor and birth experience. Lots of hugs!

...And I hope I haven't freaked you out more. Really, it's do-able without an epidural - you need great labor support, and I think telling them WHY you don't want an epidural so they can remind you is SUPER helpful. I had (and again have) very specific reasons - things I can visualize (it makes me queasy to watch an epidural be administered) and things that really scare me about an epidural (like permanent damage to my way-too-loose pelvis if I can't feel a bad position). There are more reasons, but it was helpful for my doula to remind me when I was in the throes of transition and thinking an epidural sounded pretty darn good!

B, happily married to M. Mother to two boys: B (3/08) and A (9/10)
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#14 of 18 Old 09-29-2010, 07:35 PM
 
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My experience is similar to what ILP suggests. My natural contractions started off easy and got harder, progressively over a span of about 5 hours until I delivered. I still had a point where they came 'one on top of another' but it was still less *intense* than the pit ctx.

With my dd3 I started off in natural labor and it took me a full 6 hours to realize it was labor b/c the ctx simply did not hurt. B/c dd1 and dd2 were induced and I had never felt a natural ctx, only a pit-induced one, I didn't realize it was possible to have ctx that weren't intensely painful.

I'm not trying to scare you either (and I hope I'm not) b/c that's just MY experience. I know many moms IRL and online who made it through pitocin w/no epi (or other pain relief) and even some who suggest there wasn't really any difference to them b/t their natural ctx and their pit ctx.

I just personally really noticed the difference. The thing is you should have time to decide even if it comes to induction, right? With all of my inductions I started out saying no epi and sure enough just before hitting transition I ended up caving and asking for it (and having time to get it).

Like Pie said, if you really, really don't want to fold though you need to have someone reminding you and there for you to be strong b/c otherwise it's awfully easy to fold - especially as you near (or are in) transition...


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#15 of 18 Old 09-29-2010, 09:00 PM
 
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I was induced due to premature water breaking and no labor starting. I have nothing to compare it to really, because I had nothing but BH contractions. A friend of mine who did it both ways, and both natural, said that the Pit contractions were definitely less fun, but still, she made it through.

I on the other hand did not, I needed more emotional support than I got, so we hired a doula this time around. The pit regimine was really merciless, and I was totally stalled for one reason or another at 3cm after 11 hours... but then the epi made my blood pressure crash, so they gave me medicine, and it made the baby's heart rate spike and they freaked out again and totally cut the pit. Then they gave us a break and had to start all over again. So... the epi has definite side effects that rather sucked, but then again I don't know that I could have made it another 21 hours without one, which is what it took.

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#16 of 18 Old 09-30-2010, 07:38 AM - Thread Starter
 
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Thank you so much for all of the personal experiences.. it doesn't scare me at all.. it is actually so helpful to hear how how you ladies really felt about the experience.. It's more the "not knowing" what to expect that scares me.. I would like to avoid an epi for so many reasons like I know it can often stall labor which would increase the chances of a c-section.. but I'm not entirely confident that I can do 24-48 hours of a pit induced labor without screaming for it.. My midwife and OB are going to start off with a few rounds of gel to try to soften the cervix and see how that goes for 24 hours before staring pit.. So at least I feel like they are really trying everything possible within reason to shoot for a vaginal delivery.. I scheduled one last appointment with the SUA specialist for this Friday to see if by some chance her growth rate magically increased and if there were even the slighest chance that it would be safe to let her bake a little longer.. fingers crossed.

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#17 of 18 Old 09-30-2010, 11:46 AM
 
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DDCC

I like to share my experience to give some hope. I am sure my induction was not the usual but worth knowing it is possible!

DD was my first and my water broke the day before I was due.. I was not dilated (maybe a fingertip - I think MW was just trying to make me feel better lol) and not very effaced...

After about 16 hours of not much happening (walking napping ball sitting) we went back to the hospital and I was maybe 1cm and we started pit. About 2 hours later not much had changed but I was at least having contractions. They turned down the pit and then gave me a sleeping pill (maybe 9 or 10 pm) but the contractions continued to get stronger, then I threw up and we realized I had moved on to active labor... Sat in the tub for awhile (helped a lot for me) etc.

About 7-8 hours after starting the pit drip - I pushed for maybe 15 minutes and out she came!

No epi or anything else. The key for me was being able to fully relax between contractions in the tub. I tried to not think about the next ctrx but just appreciate the moment of relaxation. Fear and anxiety are the enemy here.

The point of this long story is that even a first baby, pit. induction, no dilation to speak of COULD still end up with a baby in less then 8 hours and without an epi. It was intense and fast but great (especially in hindsight).

Remain flexible and confident and do whatever you can handle at the time!

Now I figure if I made it through that I might be lucky and have natural contractions this time and it should be a breeze right?

Jcregan, Mom to DD 4yo. DS born 3/10/2011.winner.jpg  waterbirth.jpg   and trying cd.gif  for the first time.
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#18 of 18 Old 10-01-2010, 09:14 AM - Thread Starter
 
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Quote:
Originally Posted by jcregan View Post
DDCC

I like to share my experience to give some hope. I am sure my induction was not the usual but worth knowing it is possible!

DD was my first and my water broke the day before I was due.. I was not dilated (maybe a fingertip - I think MW was just trying to make me feel better lol) and not very effaced...

After about 16 hours of not much happening (walking napping ball sitting) we went back to the hospital and I was maybe 1cm and we started pit. About 2 hours later not much had changed but I was at least having contractions. They turned down the pit and then gave me a sleeping pill (maybe 9 or 10 pm) but the contractions continued to get stronger, then I threw up and we realized I had moved on to active labor... Sat in the tub for awhile (helped a lot for me) etc.

About 7-8 hours after starting the pit drip - I pushed for maybe 15 minutes and out she came!

No epi or anything else. The key for me was being able to fully relax between contractions in the tub. I tried to not think about the next ctrx but just appreciate the moment of relaxation. Fear and anxiety are the enemy here.

The point of this long story is that even a first baby, pit. induction, no dilation to speak of COULD still end up with a baby in less then 8 hours and without an epi. It was intense and fast but great (especially in hindsight).

Remain flexible and confident and do whatever you can handle at the time!

Now I figure if I made it through that I might be lucky and have natural contractions this time and it should be a breeze right?
Thank you so much for posting your story. Just knowing it's possible gives me hope. I will focus on relaxing as much as possible but I might need to print out your story as a reminder.

Yea it should be a piece of cake for you this time around!

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