Let's talk inductions

[lostinfaith225]

Jun 18, 2016 18:17:16 GMT -5 lovegrilledcheese said:

I will get induced on 6/30 for medical reasons if she decides to move out of the transverse position. Otherwise we will do s scheduled c-section on that day. I should know plan next week.

When is your due date again?

[reesarice]

I was induced with DS at 41 weeks 3 days. It didn't take as long as I thought it would but I was already pretty effaced and a couple centimeters dilated.

They would have induced me at 39 weeks because my husband was scheduled to deploy when I was 39 weeks 3 days. Once again I was already pretty effaced and 2 cm dilated, but they moved his deployment date up to 38 weeks 6 days and they don't do elective inductions before 39 weeks.

[Susan0utLoud]

Jun 18, 2016 18:17:16 GMT -5 lovegrilledcheese said:

I will get induced on 6/30 for medical reasons if she decides to move out of the transverse position. Otherwise we will do s scheduled c-section on that day. I should know plan next week.

Did they offer to try an external version? My ds was frank breech and I had a failed external version before going do the c section.

[lovegrilledcheese]

Jun 19, 2016 17:03:51 GMT -5 Susan0utLoud said:

Jun 18, 2016 18:17:16 GMT -5 lovegrilledcheese said:

I will get induced on 6/30 for medical reasons if she decides to move out of the transverse position. Otherwise we will do s scheduled c-section on that day. I should know plan next week.

Did they offer to try an external version? My ds was frank breech and I had a failed external version before going do the c section.

Yes and I said hell no. It only works about 50% of the time. I have had an awful pregnancy and don't want to go through somethnic so painful with that kind if success rate. The hospital has a policy that my OB has to offer to do a external cephalic version before the c-section. 

[Susan0utLoud]

Jun 19, 2016 17:07:37 GMT -5 lovegrilledcheese said:

Jun 19, 2016 17:03:51 GMT -5 Susan0utLoud said:

Did they offer to try an external version? My ds was frank breech and I had a failed external version before going do the c section.

Yes and I said hell no. It only works about 50% of the time. I have had an awful pregnancy and don't want to go through somethnic so painful with that kind if success rate. The hospital has a policy that my OB has to offer to do a external cephalic version before the c-section. 

I think you made a wise choice! It was more painful than the c section recovery. I had 3 people with their hands on my belly pushing and pulling all at once. I have squeezed my husbands hand so hard. He even said, "please don't ever do that again. Ever."

I hope baby turns on its own!

[lovegrilledcheese]

Jun 19, 2016 17:09:46 GMT -5 Susan0utLoud said:

Jun 19, 2016 17:07:37 GMT -5 lovegrilledcheese said:

Yes and I said hell no. It only works about 50% of the time. I have had an awful pregnancy and don't want to go through somethnic so painful with that kind if success rate. The hospital has a policy that my OB has to offer to do a external cephalic version before the c-section. 

I think you made a wise choice! It was more painful than the c section recovery. I had 3 people with their hands on my belly pushing and pulling all at once. I have squeezed my husbands hand so hard. He even said, "please don't ever do that again. Ever."

I hope baby turns on its own!

I could tell by how my OB was choosing her words that she didn't necessarily agree with the idea but the hospital I'm delivering at is pushing for less c-sections.

[Susan0utLoud]

lovegrilledcheese I had zero pressure to do or not to do it. I thought it was worth a shot, but the extent of the pain was downplayed when explained to me. I was 39 weeks at that point too, so I was not set up for success.

[ginabini]

Jun 17, 2016 10:22:11 GMT -5 katelou said:

It's looking likely. I am on bi-weekly monitoring for SGA/IUGR (baby is in 7th percentile). I will be induced if she doesn't pass a BPP or NST or if she has fallen in percentiles at my 36.5 week growth scan. If she stays between the 5th and 10th percentiles I will probably be induced between 38-39 weeks but I think my OB will want to hold out a little if I don't have a favorable cervix. A c-sec would be really complicated with all my previous abdominal surgeries so no one wants that. My DD was a spontaneous vaginal delivery at 39w so this is new to me.

I'm not familiar with IUGR at all, so I apologize if this is a dumb question! Why would they induce you early if baby is measuring too small? I would think you'd want them to cook as long as possible?

[melody330]

Jun 20, 2016 8:25:27 GMT -5 ginabini said:

Jun 17, 2016 10:22:11 GMT -5 katelou said:

It's looking likely. I am on bi-weekly monitoring for SGA/IUGR (baby is in 7th percentile). I will be induced if she doesn't pass a BPP or NST or if she has fallen in percentiles at my 36.5 week growth scan. If she stays between the 5th and 10th percentiles I will probably be induced between 38-39 weeks but I think my OB will want to hold out a little if I don't have a favorable cervix. A c-sec would be really complicated with all my previous abdominal surgeries so no one wants that. My DD was a spontaneous vaginal delivery at 39w so this is new to me.

I'm not familiar with IUGR at all, so I apologize if this is a dumb question! Why would they induce you early if baby is measuring too small? I would think you'd want them to cook as long as possible?

With IUGR there is a lot at risk beside just small size. Usually there is a reason for the lack of growth. Placenta is failing, there is a problem with cord blood flow, something like that. Those things are very dangerous if they aren't monitored closely and if things start to look sketchy the baby needs to come out.

[vk]

I was induced with DS at 41+1. I was told at 39 weeks I would be having a c-section because a) the baby was measuring around 9+lbs and b) there is no way I could deliver vaginally because of how low my pelvic bone is.

So at 40 weeks we ended up changing hospitals so my OB could do the c-section instead of a student.

Thursday (41 weeks) we went to the hospital to start the induction process. I was not dilated at all. Friday morning, still not dilated they started pitocin around 830-9am and that is when everything started. I got my epidural a little while later, and dilated to 8 within the hour.

My OB was still convinced I would not be able to deliver on my own, but my nurse wanted me to try to push anyways. Around 12pm we started and I really couldn't feel anything, but we still tried. My OB came in to check and said "nope not gonna happen" and 5 minutes after she left the baby's head decided to make an appearance. We called her back and after a few different position changes DS was born! I pushed for like an hour and 15 minutes.

Sorry that was probably tl;dr. But I would love to be induced again because everything was kind of planned. I knew when the baby was coming and knock on wood everything will go semi smoothly the same as before. Also, H works midnights so going into labor while I am home alone with DS scares me and I worry I won't be able to get a hold of anyone to come over.

The earliest I would be induced is 39+6. But if I can I would like to hold out until 40+6.

[ginabini]

Jun 20, 2016 8:31:43 GMT -5 melody330 said:

Jun 20, 2016 8:25:27 GMT -5 ginabini said:

I'm not familiar with IUGR at all, so I apologize if this is a dumb question! Why would they induce you early if baby is measuring too small? I would think you'd want them to cook as long as possible?

With IUGR there is a lot at risk beside just small size. Usually there is a reason for the lack of growth. Placenta is failing, there is a problem with cord blood flow, something like that. Those things are very dangerous if they aren't monitored closely and if things start to look sketchy the baby needs to come out.

That makes total sense. Thank you!!

[tootsie]

How accurate was that size measurement for you vk?

[vk]

Jun 20, 2016 8:42:16 GMT -5 tootsie said:

How accurate was that size measurement for you vk ?

I don't remember the actual week I got the U/S. I think it was around 38-39 and in my OB office u/s they said almost 10lbs at that time. So we were looking at a potential 12lb'er. They sent me to the hospital to get a second opinion and baby was measuring 9.5lbs. 

So two weeks later when I gave birth DS was born at 8.5lbs. 

[cabbagecabbage]

Jun 20, 2016 9:14:48 GMT -5 vk said:

Jun 20, 2016 8:42:16 GMT -5 tootsie said:

How accurate was that size measurement for you vk ?

I don't remember the actual week I got the U/S. I think it was around 38-39 and in my OB office u/s they said almost 10lbs at that time. So we were looking at a potential 12lb'er. They sent me to the hospital to get a second opinion and baby was measuring 9.5lbs. 

So two weeks later when I gave birth DS was born at 8.5lbs. 

Your experience pisses me off on your behalf. I'm so glad for modern medicine and I'm not a trained doctor at all but I hear so many versions of moms being bullied into interventions based on things that don't pan out. Ugh! And I have a lot of feelings about my own OB who just walked out while I was pushing my damndest to get an OP baby out. It's extremely unhelpful to have doctors basically set you up to fail with their attitude. Grrrrr.

[katelou]

Jun 20, 2016 8:31:43 GMT -5 melody330 said:

Jun 20, 2016 8:25:27 GMT -5 ginabini said:

I'm not familiar with IUGR at all, so I apologize if this is a dumb question! Why would they induce you early if baby is measuring too small? I would think you'd want them to cook as long as possible?

With IUGR there is a lot at risk beside just small size. Usually there is a reason for the lack of growth. Placenta is failing, there is a problem with cord blood flow, something like that. Those things are very dangerous if they aren't monitored closely and if things start to look sketchy the baby needs to come out.

What she said basically at this point, if any additional concerns come up, it's better for her to be outside than inside. We are still hoping she is healthy but naturally small and not actually growth restricted, but it's hard to tell. If she stays about the same percentile at my next growth u/s, we will assume she constitutionally SGA (small for gestational age) and is OK to cook til 38-39 weeks. If she falls in percentiles we will assume she is growth restricted and she will come out.

[tootsie]

Jun 20, 2016 9:14:48 GMT -5 vk said:

Jun 20, 2016 8:42:16 GMT -5 tootsie said:

How accurate was that size measurement for you vk ?

I don't remember the actual week I got the U/S. I think it was around 38-39 and in my OB office u/s they said almost 10lbs at that time. So we were looking at a potential 12lb'er. They sent me to the hospital to get a second opinion and baby was measuring 9.5lbs. 

So two weeks later when I gave birth DS was born at 8.5lbs. 

Oh wow. Good for you for going elsewhere. That's not even freaking close!

[vk]

Jun 20, 2016 9:24:27 GMT -5 cabbagecabbage said:

Jun 20, 2016 9:14:48 GMT -5 vk said:

I don't remember the actual week I got the U/S. I think it was around 38-39 and in my OB office u/s they said almost 10lbs at that time. So we were looking at a potential 12lb'er. They sent me to the hospital to get a second opinion and baby was measuring 9.5lbs. 

So two weeks later when I gave birth DS was born at 8.5lbs. 

Your experience pisses me off on your behalf. I'm so glad for modern medicine and I'm not a trained doctor at all but I hear so many versions of moms being bullied into interventions based on things that don't pan out. Ugh! And I have a lot of feelings about my own OB who just walked out while I was pushing my damndest to get an OP baby out. It's extremely unhelpful to have doctors basically set you up to fail with their attitude. Grrrrr.

Yeah, with it being my first I had no idea what to expect so I just went with the flow of everything. It was scary to be told to expect such a large child. But overall I am okay with how the actual birth happened. 

[vk]

Jun 20, 2016 10:17:50 GMT -5 tootsie said:

Jun 20, 2016 9:14:48 GMT -5 vk said:

I don't remember the actual week I got the U/S. I think it was around 38-39 and in my OB office u/s they said almost 10lbs at that time. So we were looking at a potential 12lb'er. They sent me to the hospital to get a second opinion and baby was measuring 9.5lbs. 

So two weeks later when I gave birth DS was born at 8.5lbs. 

Oh wow. Good for you for going elsewhere. That's not even freaking close!

I know!!! I literally was expecting a giant to be pulled out of me! I know they tell you +/- 1.5-2lbs but still, it was way off!