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Old May 7th, 2017, 13:10 PM   1
PhotoPassion
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Elective Induction


I had my first son at 38 weeks so I never had anyone even mention the possibility of an induction. I was under the impression they wouldn't do them until close to 42 weeks though. I'm at a new doctor now and they seem perfectly fine with scheduling an induction any time I want now (I'm 39 weeks 4 days).

My pregnancy is low-risk and seems normal so far (other than a car accident and breaking my back but that's another story!) So I don't think there's a medical reason for it or anything. I did some research and read that most second time mothers have their babies by 41 weeks. I also read there's a slight increased chance of stillbirth the longer you go after 39 weeks.

I'm not too uncomfortable at this point, but I'm mostly just extremely anxious to get him here so I know he's ok. I've had a lot of anxiety over this pregnancy since the car crash so I feel tempted to go ahead and schedule the induction.

Has anyone had an elective induction around 40 weeks? Would you recommend one or do you think it's better to just try and wait?



 
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Old May 8th, 2017, 01:01 AM   2
DobbyForever
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My cousin was induced around 40 weeks with pitocin. I don't know all the details, just that she labored for over a day with the first and almost a day with the second. She said the birth was easy, but the labor was so intense and painful she thought she was going to die. And she has a pretty high pain tolerance.

I also spoke to my doula and brought it up when she mentioned both plans, and she said while she is open to every mom making their own choice that she could never recommend elective induction with pitocin for various reasons I no longer remember because goldfish brain.

Also, 39 is term but babies are born before they are ready. Because of the cognitive development and brain size, we have to deliver before a baby is done growing otherwise it wouldn't fit through the birth canal and both mom and baby would die. It's why our babies are the most altricial in the animal kingdom. So every week you give baby is exponentially better for baby. But yeah they usually cap it at 42. But plenty of mom's carry past that.

Ultimately, totally your choice. I talk a big game about not allowing myself to go over, but honestly end of day I'd let baby come when baby wants. If he's not out by 42 weeks, I'd likely induce just because of work. If I didn't have to worry about work, I'd go as long as baby needed and was safe to do so.

Have you tried any old tales like spicy food and all that?



 
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Old May 8th, 2017, 01:36 AM   3
Mrs Dragonfly
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No advice really but I was induced at 38+4 with DD1 because of pre-eclampsia. They admitted me to the hospital during the evening and was scheduled to be induced first thing in the morning, I was contracting enough the nurses kept checking in on me to see if I was progressing on my own. The contractions frequency and intensity increased but no progress in labor so in the morning the pictocin was started. It definitely made my contractions a whole new can of beans that were harder to get through.

Would I say yes to being induced again? Yes, I would. Only because I'm anxious about DD2 to be here with my history of pre-e and the warning flags I'm already having.



 
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Old May 8th, 2017, 03:13 AM   4
KRobbo
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I wouldn't choose induction if I had a choice but I'm high risk and I am just accepting the fact that this will be my third induction! That being said my induction experiences at 38+6 and 38 weeks were really good. Both times they broke my waters only and I didn't need the drip. However I always try to get things going with a sweep first to try and get my body to go naturally - is that an option first for you?

I'm still holding out hope that I go into labour naturally this time but when it's all over does it matter how they get here as long as baby and mother are safe, and I do mean mentally as well, anxiety is a bitch so you must do what is right for you x



 
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Old May 8th, 2017, 12:06 PM   5
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I was induced at 40w with my third, with no pain relief, and it was soooooooo nice. I am VERY slow to dilate at first, but they did the cervical ripening gel, which had me at 4cm with VERY mild contractions for a few hours. It was wonderful. (Naturally, I have INTENSE contractions for several hours to get me to that point.) I was then given Pitocin, which I've had with ALL of my labors (because they're soooo slowwww), so I'm used to that. It was my quickest labor! The gel was placed at a little after 11am, and I was holding my baby at 8:22 PM. 9+ hours doesn't sound fast, but it is for me. My labors are usually 22-24 hours. I really, really wanted an induction with my fourth-born, too, since it was so smooth. With him, I couldn't get the gel because my water broke, so it wasn't as wonderful, but it wasn't terrible, either. With this one, I'm really hoping to get this gel induction again. Seriously. Beautiful, easy, and my least painful labor.



 
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Old May 8th, 2017, 19:50 PM   6
Disneyfan88
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If induction would include pitocin, I wouldn't personally recommend that route. I was on pitocin for a looooong time when I was in labor with DD, and I still only got to 3 cm by the time DD was born via c-section (after 40 hours or so, we realized she simply wasn't coming out that way - turns out she was rather big for my tiny frame!).

I lost a lot of blood during my c-section and had a rather significant delayed postpartum hemorrhage about 12 days later. My doctor (who didn't deliver DD) believes that my being on pitocin for so long impacted my ability to clot as I built up a resistance by the time it was administered after delivery. I think it's given to help the uterus contract back down or slow down bleeding? (I'm not positive). Also, pitocin makes the contractions WAY more painful.

DD1 was overdue by 8 days. I was in labor for a long time before she was born, I was on pitocin for a really long time, and DD was born at 9 lbs 5 oz, which was too big for my 5'4", normally around or under 115 lbs frame. My doctor said that any of these (or a combination of all of it) could have contributed to my excessive bleeding, so we are planning on a repeat c-section for safety reasons as I'd like to avoid that experience again.



 
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Old May 8th, 2017, 20:49 PM   7
ttc126
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If it were me I know I'd be induced. I was induced with my first at 36 weeks for severe pre-eclampsia and it wasn't bad at all. Only had pitocin no gel or anything else. It was a fine experience and had I not had an idiot doctor who left a 7cm piece of placenta in me, it would've been a very smooth recovery as well. I know in my mind I will not want to go past 39 weeks. The risks scare me and after all my losses I can't take a chance.



 
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Old May 8th, 2017, 23:53 PM   8
lanet
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I will opt for induction if I get to 39/40 weeks. My water broke spontaneously with my previous pregnancies before 37 weeks and they did induce me with pitocin for both because labor wasn't starting. It was totally fine, not a bad experience at all. 15 hours from water breaking to birth with my first, 11 hours with my second



 
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Old May 9th, 2017, 00:01 AM   9
OnErth&InHvn
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Quote:
Originally Posted by PhotoPassion View Post
I had my first son at 38 weeks so I never had anyone even mention the possibility of an induction. I was under the impression they wouldn't do them until close to 42 weeks though. I'm at a new doctor now and they seem perfectly fine with scheduling an induction any time I want now (I'm 39 weeks 4 days).

My pregnancy is low-risk and seems normal so far (other than a car accident and breaking my back but that's another story!) So I don't think there's a medical reason for it or anything. I did some research and read that most second time mothers have their babies by 41 weeks. I also read there's a slight increased chance of stillbirth the longer you go after 39 weeks.

I'm not too uncomfortable at this point, but I'm mostly just extremely anxious to get him here so I know he's ok. I've had a lot of anxiety over this pregnancy since the car crash so I feel tempted to go ahead and schedule the induction.

Has anyone had an elective induction around 40 weeks? Would you recommend one or do you think it's better to just try and wait?
Ive had 3 and NONE came at 41 weeks. #1 and #2 came at 36wks and #3 came at 40wks.

There is NO more a risk of stillbirth at 39wks than any other week around term. HOGWASH and scare tactics.

I had an elective induction with #3. She was my induced VBA2C. My biggest baby and no issues. Shes 9 now.



 
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Old May 9th, 2017, 21:50 PM   10
PhotoPassion
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Thanks for all the advice! Turns out my decision was mostly made for me. I started leaking fluid last night and started having big gushes today without any real contractions so they decided to go ahead and start the pitocin. This is almost exactly what happened last time so fingers crossed he'll be here by morning!



 
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