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Discussion Starter · #1 ·
I am scheduled to have a nighttime induction at 41 weeks and 1 day. Has anyone done this at night? I had to do my last one at 8am and labored miserably until finally giving birth to a 9lb 7oz boy at 7:30pm. Along the way were a lot of problems and no pain relief. So difficult, I cannot so it again. It was so bad that a c-section sounds good. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> This Dr wants to induce me the night before he goes away for 4 days. Is this a set up for a c- section?? Or is it so he can be there after office hours? I have found him to be the best ob if you have to see an ob. he works at a birthing home so he is little alternative. anyhow I am worried if I can't get labor started on my own I will be too tired to give birth at 3 or 4am after pitocin all night long. Anyone else tried a nighttime induction??
 

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I have never heard of such a thing. I feel really awful for you!<br><br>
As a doula, when a client wants to induce, I usually suggest that they do it in the a.m. after a good night sleep and some food. You will be on no sleep and no food.<br><br>
I am sure he is expecting that you will just be in a labor pattern by breakfast and that he will have you delivered by dinner but perhaps he is also hoping the hospital will be quiet and you can doze through the early parts.<br><br>
I cannot imagine that a nighttime induction will be any easier than a daytime one. Induction is hard on the body no matter when.<br><br>
Don't be worried about being too tired to give birth no matter what time. Your body will respond by increasing adrenalin and endorphines to get you through.<br>
I would definitely try everything you can think of at home first.
 

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Why get induced at all? Normal pregnancies go from 37 to 42 weeks. Anything less is early, anything more is late!<br><br>
A lot of problems stem from interfering and induction is the first step ! Not all babies are ready to be born when their mothers are induced and this cab make labour horrible for the mom.<br><br>
Why not get them to reschedule the induction for 42 weeks and 1 day? Even if you have a big baby, labour and birth go so much easier if left well alone!
 

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Hmmmmmmmmmmm....<br><br>
vwmama, I think you're the best judge of this, even though you did your Pit during the day last time.<br><br>
KeysMama has some good points, esp. the food one...when I was induced in the a.m., (for convienence, 'cause my beloved OB was going out of town and I only trusted him to deliver my baby <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/rolleyes.gif" style="border:0px solid;" title="rolleyes">: ) I was without food from midnight the night before.<br><br>
You need food for energy to birth--did you get to eat last time? How much energy did you have for birthing your baby?<br><br>
Did you WANT pain relief w/ your last birth? Is the anesthesiology staff around overnight? Seems to me you'd have a better chance getting drugs during business hours, but for your previous birth, that wasn't true.<br><br>
I think Pit inductions before 42 weeks or withought a medical indication (preeclampsia, for example) are <i>always</i> set-ups for c-secsions...<br><br>
...because if the induction doesn't take, they'll just do a c-sec. That is ALWAYS the way it works. You aren't going home after 5 hours of Pit and a broken bag of waters to remain pregnant for a few more days.<br><br>
From your message, I am getting the idea that you are really scared about this labor and birth--maybe it would be helpful to you to explore why. Are you worried your body can't do it on it's own this time? Are you worried some other doc will be there, cutting the episiotomy you don't want? There's more than one way to birth your baby--you don't have to do this 41 week induction deal if you don't want to...belive it or not, YOU'RE in charge.<br><br>
BTW, a doula can help make sure your wishes are accomodated during your labor and birth, esp. if you're worried about continuity of care w/ a different doctor--you'd still have your doula with you if your regular doc does go on vacation while you're still pregnant.
 

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Everyone I know that has been induced are induced at night... they come in late in the evening... 9pm or so and they start the pit so they expect you to sleep while on it and then have the babe in the morning...<br><br>
I'm going through the same thing right now, they want to induce before i get to 42 weeks, so i'm trying to find out anything i can do between now and the next 9 days to induce myself...<br><br>
Hence my thread on Castor Oil!
 

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My Doctor had me come into the hospital at midnight! They didn't start the pitocin until morning after a night of trying to get my cervix to show some change with that inserted thing (what is that called again?) He started pitocin in the am and waited until I was 5 cm to break my water. My son was born at 9:14 pm, no problems , no c-section.<br><br>
Jerri
 

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They normally bring you in at night in oreder to do cervadil or something to cause your cervix to "ripen" and then do the pit in the morning.<br><br>
(JavaJerri---Ds is STILL wearing his new clothes! The fall ones are going to fit again for the most part "D)
 

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i was induced with dd (due to pregnancy induced hypertension). i was in the hospital for a total of 4 days before the started any pit - 2 days one week prior for gels and cervadil, then another 2 days right before, again for gels and more cervadil to ripen my cervix. the pit was not used until my cervix was ready. the actual drip was started at 6am in the morning. dd was born at 3:45am the next day.<br><br>
the patience the cnms showed in my induction was wonderful. they did not rush things. i had a wonderful vaginal birth despite things not being as i had hoped them to be (had planned for an all natural labor, had hired a doula, etc). i pushed for 4 hours and no suction or forceps either.
 

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<div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">i had a wonderful vaginal birth despite things not being as i had hoped them to be</td>
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quoting myself from above. hee hee.<br><br>
i should add that this time i am doing everything in my power to AVOID INDUCTION. while i have a positive attitude about my daughter's birth...it was still VERY hard. pitocin induced labor is like uber labor. my contractions were right on top of each other for hours. it was very hard on me and on my daughter. some complications did arise because of the induction (mainly shoulder dystocia, because my body wasn't ready to open as it would have if nature had been allowed to follow its course).<br><br>
i think induction has its place, but if you and the baby are in good health, i would advocate to wait longer...42 weeks or even a bit longer. you may still be in labor when he needs to leave the next day, so why not just wait?
 

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Discussion Starter · #10 ·
Hmmm, I had only heard of being induced in the morning. I am supposed to go in at 6pm and begin. Last time it took 10 hours to deliver but that was with complications. This nighttime induction is making me question the Dr's motives because the next morning after my induction he is supposed to be away for 4 days, so will he come in and deliver or will some other on call show up? It does sound nice to have a rest just before you go full throttle into labor. Knowing myself I am a night owl and I would be so wound up I can't sleep before midnight or 1am at which point I could already be in transition...Oh Geez...<br><br>
I am also forgetting to point out I am trying like heck to get this babe out on it's own!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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Can he really induce you simply because he is going on vacation?<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/jaw.gif" style="border:0px solid;" title="dropjaw"> That seems very unprofessional and downright dangerous to me. Am I missing something? Is there another reason for the induction?<br>
There is no way I would let someone induce me at 41 weeks because they need to be out of town. If it came down to it I would deal with a stranger while he was gone rather than the induction.<br>
It really doesn't matter what he <i>wants</i> to do to you. You hired him to help deliver your baby. You tell him what you want. No one can do anything to you that you don't want done.<br>
Beth
 

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Discussion Starter · #12 ·
Beth I am sorry to be so confusing.. He wanted me to induce at 38/39 weeks due to a past big baby (9lbs 7oz) with shoulder dystocia. This little guy was looking to be 9lb.4oz at 38 weeks, so they are worried about it now. Yes I know ultrasounds are inacurate and he does too. I personally think their practice must've had a problem recently because he and 2 midwives are treating me like I am "high risk" now. Other OB's wanted me to just do an automatic c section. I really do like him as far as having to go with an OB. He doesn't feel comfortable letting me go as long as he has, but it's my decision and he knows that. I am the one that doesn't want to get stuck with a psycho Dr. on call who will just force the c section on me as we have had a "moderate shoulder dystocia" and that is every ob's nightmare.<br><br>
I have been doing lots of things to encourage labor to begin and was dialated to 1cm Mon and have been going to see acupunturist and doing herbs and will do castor oil next Mon. But I am really not wanting to induce with pit OR to chance a lousy OB who just doesn't care and wants to make the $$ from a c-section as I am his or her perfect "canidate" So I don't feel I have good choices now. I have hired a doula so there's a positive!
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">Can he really induce you simply because he is going on vacation? That seems very unprofessional and downright dangerous to me.</td>
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My OB with ds tried to get me to do this. She was going out of town and wanted to induce me right before me edd. I said no way. She said "it will be July, you'll be so tired of being pregnant you'll be begging for that baby to be out". She's an idiot.
 

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I had a night time induction with my first dd- we went into the hospital at 10:00 at night. It was completely ridiculous- I would never do it again. They had a couple of women come in in labor, so they didn't end up starting me on the pit until 3:00 in the morning. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> I ended up with an epidural about 7:30 in the morning, but at that time I hadn't slept the whole day before (too excited!) and then didn't sleep all night. (too uncomfortable!) It just wasn't the ideal way to start out- it would have made a lot more sense to start an induction with a good night's sleep, as others have said.
 

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Gosh, VWmama every time I turn around there's a new thread about your care providers wanting to induce you. Aren't you tired of this? I thought on the last thread you came to the conclusion that you wanted to wait this out and let the baby come when he/she was ready.<br><br>
It sounds to me like your care providers 1. Aren't listening to you and your concerns, 2. Aren't forgiving of births natural process, 3. Are setting you up for unrealistic time frame and 4. Chipping away at your confidence in your knowledge and trust in your body.<br><br>
The Dr. wants to induce you the night before he leaves. So, that means, you'll have until 8am to deliver?!?! I can't imagine the Dr. will be spending the night with you in the hospital if he's getting ready to leave in the morning. Nor can I imagine that the Dr. will be patient with your progress. Also, isn't there something to be said about self-fullfiling prophesy and how this guy thinks you should have been induces last week? Sounds like a set-up for failure to me. But, that's just me.<br><br>
I would certainly take my chances with Dr. on call if I should happen to go into labor the 4 days out of 42 weeks I was pregnant. Afterall, if you stay home as long as possible, then all the Dr. has to do is catch.<br><br>
You need to do what you feel best doing. If you don't have the support for delaying IRL, then it would be difficult, I imagine to delay. If you decide to go through with the induction, then I hope it goes as smoothly as possible and that your Dr. is surprised by the good results.<br><br>
And, hopefully, you go into labor naturally BEFORE that magic day that he goes on vacation. You'll be in my thoughts and prayers. Best wishes!<br><br>
Edited to add: I think your "high risk" treatment (but not diagnosis) has more to do with you not doing just as they wish. Sounds like they're treating you as a "trouble maker" instead.
 

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If this Dr, who you like, is going to be gone for 4 days, then comes back, if, in the 4 days he's gone, you go into labor, can't you just stay home with your doula until the last minute and go in?<br><br>
Chances are your body will hang on to the baby anyhow until the Dr you like comes back into town.<br><br>
I'd wait. Pit induction SUCKS. My second child went into labor on his own and oh what a difference! I DID have the drug-free hospital birth I wanted--by letting him go into labor when he wanted to, having a doula at home, and walking into the hospital at 10 cm <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"> !<br><br>
Shoulder dystocia is often CAUSED by induction, I believe.<br><br>
Good luck,<br><br>
Mel
 

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I agree with Sparklin and Gurumama - I think that you're at higher risk for them rushing you through the night. Ugh.<br><br>
This sort of thing is not something that women need to deal with at the end of pregnancy. You should be relaxing and getting lots of reassurance and love from everyone - so you can birth your baby when it's time and perfect.<br><br>
(The previous shoulder dystocia issue is not an issue, in my book. Positioning and poor rotation of the baby - typically caused from epidurals, being on your tailbone, vacuum extractors, etc. put the baby at higher risk - no matter how "big" it is)<br><br>
Still, we all need to make our own decisions. You just keep posting here with doubts, so I'm assuming you don't want to do this. Perhaps you do - then just do it. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
(Nighttime is when our natural oxytocin levels are at its highest - hence the horniness at night, more women go into labor at night, etc. Still, the scenario given sounds a bit like he wants you to deliver by morning - you could end up with a cesarean based on his need to get it over with!)
 

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Discussion Starter · #18 ·
I was going to wait it out and then I keep hearing from my doula who works at the hospital I am going to how the other OB's have issues with managed labor and routine episiotomies for EVERY woman. I can stay home but it's my 3rd, I don't know how fast I will be and I live 35 minutes from hospital and if there's bay area traffic I don't know how long it would take to get there. This practice has seen 2 freeway deliveries recently and I am not going to be the 3rd. How could I stay home long enough to avoid any interventions and still arrive in time for delivery, I don't want to be driving bad traffic in transition!!<br><br>
I was prepared to wait it out thinking my doc would be going away the end of Sept, as he kept saying, more around the 22nd of Sept. I am not sure I can handle some dr who will force a c section or who might use the vaccuum and cause another dystocia. I wonder if the induction is the reason for my last dystocia OR was it the combination of factors.... I was just going to schedule the induction but can always back out. I just talked to the office and they assure me he will be around the day after my induction. So technically he will only be gone 3 days. When I am 41 weeks and 3,4 and 5 days along. So I now have 6 1/2 days to start labor on my own and if I don't want to be induced next Wed. then I will not show up! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Does anyone else notice they get bigger as the day progresses? I measure 42" around my biggest point at belly button in the morning and by 3:30pm I am almost 45"and by bedtime I am a 1/2 inch bigger. I always see my Dr at 3pm or later so that has to be why I am measuring ahead, swelling and big lunches! I am really thinking this over...
 

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Just wanted to point out that *no one* can *force* you to have a c/s. You don't have to sign the papers. They can't knock you out against your will and cut you. The episiotomy is trickier but you also can't be forced into that. When the doctor walks in just keep repeating , "No cutting, I'd rather tear. I don't care how big the tear is, no cutting." Yell if you have to, "NO MEDICAL CONSENT FOR EPISIOTOMY!" The phrase "no medical consent" can be very effective. If I was in that situation I'd probably be very vocal about my willingness to SUE for cutting.<br><br>
What is YOUR doctor going to do about the (remote) chance of dyscotia? Do you have permission to deliver vertically? I hope so, as the lithotomy position will not be your friend.<br><br>
Here are some links that might help getting the baby in the best position for birth.<br><br><a href="http://www.homebirth.org.uk/ofp.htm" target="_blank">http://www.homebirth.org.uk/ofp.htm</a><br><a href="http://www.spinningbabies.com/index.html" target="_blank">http://www.spinningbabies.com/index.html</a><br><br>
Good luck.
 

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Ok, that makes a little more sense. Sorry for my confusion. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
Trust yourself, your body and your baby. It seems to me like you know you can deliver this baby naturally when he/she is ready to come but they keep telling you things that make you doubt that knowledge.<br>
I had a pit induction with my first and it sucked. The night induction sounds really fishy to me...like you are being set up for a c-sec. I would ask them why a night induction and try to talk them into a first thing in the morning induction.<br>
That is, of course,if you want to go through with the induction at all. I can't know exactly how you feel, but if I were in your shoes I would keep putting off appointments until baby came on his own. But I understand what a difficult situation you are in. Good luck with it all!<br>
Natural induction advice...sex (lol), walking...no, RUNNING (lol), telling your baby to get a move on, (lol).
 
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