To induce or not to induce?

Zowie - posted on 08/17/2009 ( 59 moms have responded )

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Im not pregnant but i know alot of people who are. I am Very against Incducement and i just would like to hear other peopls thoughts about it.



My argument is, inducement is another way for doctors to control what the mother does. I think it is the most ridiculous invention. It is stupid to force someones body into a normally natural thing called labour. So many of my friends are forced to do it and the process has not worked. The birthing process is supposed to be natural and in control by the mother.

The way this world is going the so called "professionals" are taking away all our rights to how we want to birth. If you ask me i think back centuries ago and we were all giving birth the normal way. i.e No EDD's, no compulsory hospital births, no INDUCEMENT!!!!



I also dont beleive in what they say about the baby being "cooked"

THE BABY WILL COME WHEN THE BABY IS READY!!

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Mary - posted on 08/17/2009

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OHHHHH....not sure if I can properly restrain myself, but I will do my best...I am an L&D nurse in the states, so I sometimes find it difficult to read some of the drivel that uneducated, non-medical people write on this topic. I find it particularly offensive when women lump all OB's together as the great big nasty, out to control your body and your birth experience for the sole purpose of monetary gain or their own conveinience. Hop down off of your soapbox, and get over yourself already!!! If you find the medical community so offensive and "out to get you", well, your entitled to your opinion, and....NO ONE IS FORCING YOU TO SEE A DOCTOR. You can go to a midwife, a lay midwife, or hell, there's a growing movement out there known as free-birthing....you can have your baby at home without ANYONE telling you what to do. Your health and well being, and that of your unborn child is yours to gamble with.



Yes, women have been having babies for centuries without the intervention of the medical community...however, the morbidity and mortality rates for both mother and child were significantly higher. Those of you who are so mistrustful of OB's are welcome to return to those methods. It is your CHOICE to see a an MD while pregnant, and it is your CHOICE to follow their advice. Don't want an ultrasound to confirm dates in the 1st trimester? Don't want an anatomy scan at 20 weeks? FINE...don't get one!! But don't bitch about the advice that your OB gives you based on the results of these test and or their medical assessment...that is their job. You have complete control over whether or not your follow their advice. However, with that freedom does come the responsibilty of accepting the consequences of your actions and decisions.



I'm also guessing that most of the womenon here have never known the pain of losing a child, or had to care for someone delivering a dead baby. All OB's have, and trust me, it is a pain and heartache that stays with you forever. It also shapes the way many doc's practice...they find some risks not worth taking when it comes to lives of their patients. A good example of this is a vaginal breech delivery...yes, some women can do it, but anyone who has ever witnessed head entrapment, and wached a baby die before your eyes (and then have to be pushed back up and sectioned out), would NEVER allow that to happen again. Not worth the risk, at least, not to me.



Are inductions done unnecessarily? Sure, there are less-than stellar docs everywhere, same as there are good and bad mechanics. It is YOUR responsibility to find a competent provider whom you feel comfortable with, and who allows you to be an active participant in your care. If you don;t have that relationship with your provider, than the onus is on you to find another. No one "forces" a women to be induced...it is suggested, and she CHOOSES to follow through. If it is out of fear or ignorance, well, that's really her fault now, isn't it? Her OB doesn't bring her into the hospital at gunpoint and strap her down on the bed...she shows up at her scheduled time of her own voilition.



And for the love of God...the word is INDUCTION!

~Jennifer - posted on 08/19/2009

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Quoting Nikki:

It's sad to me that the majority of women in this day and age seem to have forgotten that God made our bodies to give birth. It is MODERN medicine that has forced the belief on women that 'we can't do it' or 'our bodies aren't strong enough' or our pelvis's are too small' - these things are simply not true. It is only in EXTREME circumstances that a woman's body cannot naturally birth a child. Anyone who has absolutely any doubt about your ability to birth your child vaginally and 'naturally' should research natural childbirth on-line. There are some amazing support groups and web-sites that are FACT and not opinion. You will soon learn that modern medicine has turned a natural process into a 'medical procedure'. OB's are SURGEONs - they are wonderful when there is a true emergency but they are not trained to believe giving birth is a natural process.
With all of this said, inducement is VERY SCARY - The drugs they give you to induce your labor can cause so many difficulties, including your baby's heart rate dropping to a scary level and causing a possible c-section. These drugs also cause severely painful contractions - MUCH more painful than a natural contraction that your body is producing. These 'fake' contractions squeeze your baby SO tightly - this is what sometimes causes your baby to be in distress. And this is also what causes most women who are induced to get an epidural. Please, please do your research on inducement before going that route.
My wish is for all women to TRUST their bodies, to KNOW they are fully capable of giving birth to their babies without any interventions.
Try a midwife - it will be the best decision you will ever make!!



ok....sorry........ but first of all the word is 'Induction'...so any research someone does on 'inducement' is going to give them a definition of  the word 'induce' or direct them to U.S. websites on copyright infringement.



 



That being said......  Not all women are 'made to birth' children.   My water broke when it should have - I went to the hospital, I was in labor from 3:30 am until 4 pm the next day - I pushed for 4 1/2 HOURS until my son was in so much distress that I had to have an emergency c-section.  He had a stroke.  He has Cerebral Palsy and a host of other issues DUE to the stroke, due to being in the birth canal for too long, due to a lack of oxygen. His APGAR score at birth was a 4.  He was meconium stained.   He would be DEAD had the doctors not intervened with the c-section.



Please don't tell people that "Women are made to birth children", because in some cases, like mine, it is absolutely not true.  Researching online does very little to help you when you are faced with the REALITY of death  in the middle of childbirth.

Mary - posted on 08/18/2009

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Not to beat a dead horse, but I did want to add a few thoughts....I am fortunate enough to work in a hospital where our cheif of OB (a perinatologist) has taken measures to prevent all of our docs from unnecesary and unfavorable inductions. (there were honestly only 3 docs who "needed" this). First, you cannot induce prior to 39 weeks without a MEDICALLY indicated reason, which required the approval of our perinatal center. And...there is something called a Bishop's score, which measures the favorability of the cervix...the patient must have a certain score in order to be induced if the induction is not medically indicated. This is to reduce the risk of a C/S that an induction of an unfavorable cervix is more likely to end up with. MOST of our practicioners will not induce a women having a first baby with an unfavorable cervix prior to 41 6/7 weeks, unless there is a really good reason to (maternal or fetal issues).

"Big Baby" is not a good enough reason...unless verified by our perinatolgist's ultrasound and measurements...and I have to say, their estimated fetal weights are uncannily accurate, even at the later gestational ages. This is a big issue with gestational diabetes...our patients (who are compliant) are closely followed and their sugars tightly controlled to manage this problem, and if they are measuring big, and amnio is done prior to inducing before 39 weeks to assess lung maturity. In short, we do EVERYTHING possible to prevent "social" inductions, and give ALL of our patients the best possible shot at a vaginal birth. I realize that not all facilities operate this way, but I resent the implication of many of the posters on this thread that ALL OB's are irresponsible, lazy, or controlling.



Funny thing is, here in the states we are seeing a growing trend of women demanding primary c-sections for no good reason, or who demand an induction simply b/c they are sick of being pregnant. These same women also expect a "sensationless" birth...they don't want to feel a thing!! So, for those of you who are miltant non-interventionalists...well, please know that you are not completely supported by your peers...a lot of them find the concept of an unmedicated birth barbaric. And...they are as entitled to their opinion as you are to yours. Personally, as a nurse, AND a mother, all that really matters to me is a healthy mom and baby...in the end, how that was achieved is really of secondary importance.

Sharon - posted on 08/17/2009

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So if you're overdue and the baby has had its bowel movement - the woman shouldn't be helped into labor? Ok sure.



Um as for the "normal way" are we talking about back in the day when most babies didn't make to their first birthday and a fewer still, didn't make it to their third birthdays?



The "normal way" before antibiotics and vaccines? Sure - polio was COOL!! What were we thinking!! Talk about the "natual way" to get your pimp walk on! YAY!!!



OH and hey, the "natural way!" where the mother was sacrificed to save the child because all women are whores and children are pure!!! YAY!!



Could you please get a grip on your hormones and think before you type?

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OB's are specially trained to care for the health of the mother and baby throughout the pregnancy and labor and delivery. They certainly are not out to take anyone's rights away, but to provide safe care. If you did not have the choice for a hospital birth (which is not compulsory), or access to professional care during labor and delivery, then there would be another complaint. Anyone can access care outside the OB/hospital setting and choose to deliver at home, but not many do. OB's and L&D nurses do their jobs because they appreciate the amazing transformations during pregnancy and birth, and want to see that through to a happy healthy mom and baby. Inductions are not to control the mother - no mother is strapped down, and IV shoved in her arm against her will, and placed on a monitor while inducing her!! Come on! And you are forgetting about the population that beg to be induced - this is not exclusively "forced" by the doctors. If you had the chance to be a fly on the wall to see the decisions that need to be made before deciding whether or not a mother needs induction, maybe you wouldn't be so convinced it's an evil plot for doctors to control every pregnancy!!! They truly care about their patients and only want the best outcomes for all involved. Being disappointed that an induction may be called for is not reason to say it's "stupid" or "ridiculous". See a mother sick with diabetes, high blood pressure that may cause seizures or death, a baby that has stopped growing and isn't healthy inside.....see a term baby still born, and you would see the reasons they err on the side of caution.

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Jessica - posted on 03/10/2011

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I was induced. But only because my body wasn't ready. I could tell that my son was ready for a whole week before he actually came. He was continuously pushing down...I do agree to a certain degree, though. Babies should have a chance before being rushed out. I went one day late before they induced me....They were also afraid that I might have Toxemia.

Jessica - posted on 03/10/2011

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I was induced. But only because my body wasn't ready. I could tell that my son was ready for a whole week before he actually came. He was continuously pushing down...I do agree to a certain degree, though. Babies should have a chance before being rushed out. I went one day late before they induced me....They were also afraid that I might have Toxemia.

Amy - posted on 08/20/2009

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Induction is not always just doctors "playing God" or moms trying to 'fit' labor into a busy schedule..There are certain circumstances when induction is very necessary. Try for example, women with toxemia, or women who's water has broken and labor has not started (there is a huge chance for infection if the baby is not delivered within 'X' amount of time, I have also heard of women who have gestational diabetes being induced to reduce risks to mom and baby due to the baby's large size (statistically babies born to women with gestational diabetes are larger than "normal") So yes, in certain predicaments it is necessary for induction.

I, however don't agree with doing it because mom wants to have baby by day 'X' so she can do things by day 'Y', or docs wanting to get it over with so they don't miss that golf tournament.

I was induced with my first due to one of the above mentioned circumstances.

Zoel-fah - posted on 08/20/2009

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hi ..i was induced when i was preganant with my son...and reason for this as i couldn't carry my baby full term as...there was a big chance of him dying in the last trimester......i had diabetis..in my last stretch of my pregnancy.......it was so out of control that they would have fetched my baby and i was only....about 6mths.....luckily....they got my sugar levels under control and i could carry my baby a little longer.....so yes i was induced..and i dnt regret it at all.......but i didn't get to have a normal birth...as baby was too big and got stuck....so i was rushed in for an emergancy...c-section.

Donna - posted on 08/19/2009

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It's because you are NOT pregnant that you do not understand the medical reason for inducement....for me, it was because I was almost a fulll month overdue...yes...I knew exactly when I had conceived...it was my fourth birth...and all the others had been late at least 2 weeks, but came naturally...trust me, I was more than ready to get the fourth birth over...and inducement was the best way...plus it is also used many times for other medically serious concerns...again...wait until you have been pregnant and had at least one delivery before you start hammering the Doctors and using the word control....most of the time it has nothing to do with giving birth the normal way...it actually sets everything in motion to allow that to happen.

Rebecca - posted on 08/19/2009

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well if i hadnt of been induced i dont think my son would be alive today. i was 2weeks over due, my cervix was not ripe ect, midwife broke my waters and we then found out that my son had pooped and was in disstress, i ended up with an emergancy c-section coz my son got even more distressed,

the doctors said that my baby wasnt going to come out on his own so something needed to be done about it

Judy - posted on 08/19/2009

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my baby was more than ready... I got induced at 43 weeks... she ended up being 11 lbs & 3 oz... 23 1/2 inches... I'm thankful that there is that option... the Doctor said she would probably have died in womb in a few more days as the placenta was old and calcified...
in my other pregnancies labour came on naturally...

Jacomina - posted on 08/19/2009

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Quoting Nikki:

It's sad to me that the majority of women in this day and age seem to have forgotten that God made our bodies to give birth. It is MODERN medicine that has forced the belief on women that 'we can't do it' or 'our bodies aren't strong enough' or our pelvis's are too small' - these things are simply not true. It is only in EXTREME circumstances that a woman's body cannot naturally birth a child. Anyone who has absolutely any doubt about your ability to birth your child vaginally and 'naturally' should research natural childbirth on-line. There are some amazing support groups and web-sites that are FACT and not opinion. You will soon learn that modern medicine has turned a natural process into a 'medical procedure'. OB's are SURGEONs - they are wonderful when there is a true emergency but they are not trained to believe giving birth is a natural process.
With all of this said, inducement is VERY SCARY - The drugs they give you to induce your labor can cause so many difficulties, including your baby's heart rate dropping to a scary level and causing a possible c-section. These drugs also cause severely painful contractions - MUCH more painful than a natural contraction that your body is producing. These 'fake' contractions squeeze your baby SO tightly - this is what sometimes causes your baby to be in distress. And this is also what causes most women who are induced to get an epidural. Please, please do your research on inducement before going that route.
My wish is for all women to TRUST their bodies, to KNOW they are fully capable of giving birth to their babies without any interventions.
Try a midwife - it will be the best decision you will ever make!!


Yes God made our bodies to give birth, where does it say it's a sin to have your baby other ways as well. Do keep in mind as well that God also gave humans brains and ability to learn and study, so we can develop in the world. In other words its God that give us the ability to become doc OB and ect and to be the best at it.



In regards on your statement "our pelvis are too small" we are all the same yes, but does it mean we are all the same size? No we're not, some will have a normal other bigger or smaller. Its not like your trained to see or say for that matter how big someone is.



If you did read what I said, I was in labour without any drugs or induce or anything else, I was left by the same doc you claime that's not trained to believe in giving birth is a natural process, I wonder why I was left for so long then.....maybe to see if I will be able to dilate enough to be albe to have a natural birth...because the doc that don't believe in natural birth told me its better to have a natural one...makes one think...doesn't it



o I did trust my body, my water broke on its own, at 7:00am that Friday morning, all thou I had contractions since 12am until 6pm with the only 1 minute apart and my son pushing up that it looked like I wasn't pregnant as he was pulling up and kicking on my breastbone to get out, but to my bad luck I just didn't dilate enough keep in mind as well that the Gynaecologist doesnt always deliver the baby in South Africa, its normaly your GP that does it. Even thou I was told I wont be able to have a natural birth I still trusted my body and let nature take its course and didn't take any interventions. What happened at the end, couldn't dilate take to long to dilate, baby wanted out because he was ready to come into this world since 7am and strong enough and pushing like mad to get out, but no where to go.



Midwifes isn't everywhere, and it wouldn't have made a diffrents in my case anyway, try to remember not everyone is the same even thou God greated us the same there is things that aren't.  Have you ever thought about a dwarf, do you really think they are the same size pelvix wise, some are and some aren't that's the same with none dwarfs.



Research on the internet....well didn't had it at that time, even if I did, why would I rather trust people that I don't know, nor they me and doens't know the details about my pregnancy keep in mind as well not everyone's pregnancy is the same not even my two was the same, so why will I turst other people over my GP who's been my doc since I was a baby, not all of then are knife crazy.....




Michelle - posted on 08/19/2009

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First, I would like to say that not all women are capable of delivering a baby vaginally, for whatever reason. Second, I have given birth vaginally twice so far and am expecting to do so again with my 3rd baby due in November. When I had my first baby, my water broke on its own, my contractions were 6-10 minutes apart and I was stuck at 2cm--at that point I had been stuck at 2cm for at least 2 weeks. So, the doctors decided to help me out by inducing my contractions through the use of pitocin. I was not given an epidural because the doctors I had didn't believe in it and I suffered miserably for hours. My contractions took off from 6-10 minutes, to 3-4, then 1-2--and this was without the Pit as they had already turned it off. I went from 2cm-9 in less than 40 minutes and ended up having my baby, after enduring 7 hours of intense labor, with 4 pushes and less than 45 minutes. With my second, I was induced because I was 5 days late, was stuck at 3cm for 2 weeks, and was believed to be having a large baby. This time, I had the epidural and everything went much better and faster. This baby was big--9 1/2 lbs 22" (to my 5 ft frame).

To quote a friend of mine who is a L&D nurse with over 30 years experience, "it doesn't matter how the baby gets here--vaginal, C-Section, drugs/no drugs, induction or on its own, the point is that the baby arrives safely and healthy." Every pregnancy is different. My sister had to be induced with her children as she was high risk both times. Her kids are perfect. My children are perfect. My friends who have been through various forms L&D also have healthy babies. It's a personal decision that you need to make through research and discussion with you doctors and your support system. If you are trying to schedule an induction based on a convenience, well that's likely not going to happen. The baby needs to be ready, or as ready as can be. There are always extenuating circumstances and for anyone to pass judgment based on their own opinion regarding induction, well, that's just an opinion. The safety of the baby and the mother is the most important thing to remember.

Mary - posted on 08/19/2009

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Quoting Nikki:
 
With all of this said, inducement is VERY SCARY - The drugs they give you to induce your labor can cause so many difficulties, including your baby's heart rate dropping to a scary level and causing a possible c-section. These drugs also cause severely painful contractions - MUCH more painful than a natural contraction that your body is producing. These 'fake' contractions squeeze your baby SO tightly - this is what sometimes causes your baby to be in distress. And this is also what causes most women who are induced to get an epidural. Please, please do your research on inducement before going that route.
My wish is for all women to TRUST their bodies, to KNOW they are fully capable of giving birth to their babies without any interventions.
Try a midwife - it will be the best decision you will ever make!!


Well, your incorrect use of the word "inducement"  (I'll restate...it's INDUCTION)  tells me that you are not a nurse, midwife, physician, or in any way truly knowledgable about this topic.  I am an L&D nurse with 15 + years of experience, so I feel comfortable and confident in pointing out the inacuracies of your statement, particularly the paragraph I have quoted.



  CHILDBIRTH is scary to most women, especially the first time around.  Fear of the unkown, fear of pain, fear of failure....these are all normal and rational emotions.  Going into labor spontaneously vs being induced doesn't really impact your degree of fear...some women are more anxious about it than others...really seems to depend on their personality and disposition.



Are contactions augmented with pitocin more painful?  Well, that's really a subjective question now, isn't it?  People's perception and tolerance for pain vary widely...as does their memory of it!  Pitocin does make contractions ADEQUATE more quickly...but the bottom line is,  all bodies require a certain, varying amount of force to expel a baby.  When laboring "naturally", it just might take you a little longer to get there, but trust me, you will need to get there eventually to deliver that baby.  And...there is nothing "fake" about these contractions.  Women who are induced are carefully monitored to watch not only the frequency, duration and strength of contractions, but the baby's repsonse to them as well.  As someone who has been a part of hundreds of births, decelerations in the fetal heart happen just as frequently in non-medicated patients.   The baby's repsonse to labor has to do with it's oxygen reserves prior to labor, the postion of the umbilical cord, and the overall "health" of the placenta.



There are inherent risks in childbirth, be it spontaneous labor, induced labor, or via c/section.  I am a strong advocate of unmedicated, vaginal births for all women for whom this is possible.  But, as Jenn eloquently & touchingly pointed out in sharing her own labor experience, this is not a viable option for all mothers and babies.  Whether or not a women is induced should be a choice she makes based on her condition, the baby's condition, and after an active discussion with her care provider.  It IS inappropriate for some, but for other mothers and babies, it can be a lifesaving measure which provides a more favorable outcome than waiting on mother nature.

Sara - posted on 08/19/2009

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Quoting Nikki:

It's sad to me that the majority of women in this day and age seem to have forgotten that God made our bodies to give birth. It is MODERN medicine that has forced the belief on women that 'we can't do it' or 'our bodies aren't strong enough' or our pelvis's are too small' - these things are simply not true. It is only in EXTREME circumstances that a woman's body cannot naturally birth a child. Anyone who has absolutely any doubt about your ability to birth your child vaginally and 'naturally' should research natural childbirth on-line. There are some amazing support groups and web-sites that are FACT and not opinion. You will soon learn that modern medicine has turned a natural process into a 'medical procedure'. OB's are SURGEONs - they are wonderful when there is a true emergency but they are not trained to believe giving birth is a natural process.
With all of this said, inducement is VERY SCARY - The drugs they give you to induce your labor can cause so many difficulties, including your baby's heart rate dropping to a scary level and causing a possible c-section. These drugs also cause severely painful contractions - MUCH more painful than a natural contraction that your body is producing. These 'fake' contractions squeeze your baby SO tightly - this is what sometimes causes your baby to be in distress. And this is also what causes most women who are induced to get an epidural. Please, please do your research on inducement before going that route.
My wish is for all women to TRUST their bodies, to KNOW they are fully capable of giving birth to their babies without any interventions.
Try a midwife - it will be the best decision you will ever make!!


My first thought in reading your response is:  what is your training?  Where did you get this information?  Most of this is your opinion, and that's fine. 



But I think that researching yourself "on-line" is not the best course of action.  Talk to your midwife, doctor, nurse...whoever!  Researching online is not the most reliable method, in my opinion.  I absolutely agree that women should educate themselves, but consider the source...there's all kinds of crazy crap on the internet! 



 



And some women NEED interventions when giving birth...let's not forget that one little fact.  

User - posted on 08/19/2009

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It's sad to me that the majority of women in this day and age seem to have forgotten that God made our bodies to give birth. It is MODERN medicine that has forced the belief on women that 'we can't do it' or 'our bodies aren't strong enough' or our pelvis's are too small' - these things are simply not true. It is only in EXTREME circumstances that a woman's body cannot naturally birth a child. Anyone who has absolutely any doubt about your ability to birth your child vaginally and 'naturally' should research natural childbirth on-line. There are some amazing support groups and web-sites that are FACT and not opinion. You will soon learn that modern medicine has turned a natural process into a 'medical procedure'. OB's are SURGEONs - they are wonderful when there is a true emergency but they are not trained to believe giving birth is a natural process.

With all of this said, inducement is VERY SCARY - The drugs they give you to induce your labor can cause so many difficulties, including your baby's heart rate dropping to a scary level and causing a possible c-section. These drugs also cause severely painful contractions - MUCH more painful than a natural contraction that your body is producing. These 'fake' contractions squeeze your baby SO tightly - this is what sometimes causes your baby to be in distress. And this is also what causes most women who are induced to get an epidural. Please, please do your research on inducement before going that route.

My wish is for all women to TRUST their bodies, to KNOW they are fully capable of giving birth to their babies without any interventions.

Try a midwife - it will be the best decision you will ever make!!

Jacomina - posted on 08/18/2009

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Well I think its a question of do you trust and believe what your doc and Obstetrician Gynaecologist. Yes labour and pregnancy are as old as the human existence, yes there where a lot of problems after birth, but there was just as much that didn't had any problems. To compare births from centuries ago and today, is silly.... medicine as well as technology moved on and developed for the good. In Africa under the black people who could hardly ever afford medical help the births are alone some will have the baby and move on like nothing happened, other will either one of them die, don't you think that if they had a choice they would prefer to have medical help and medicine.



I was in labour with both my kids for long hours, my Obstetrician Gynaecologist told me from 3months that I most likely wont be able to give birth naturally because my baby were to big for my cervix because I'm to small, but he also said that it can be tried for a natural birth, but shouldn't be in labour for more than 4 hours, if I didn't dilate quick enough I will need a c-section. My personal GP went of holidays like he planed to so he will be able to be back before my date, but Murphy's law, I went into labour few days before he was due back. The doc that would have been in his place informed me that his going away for the weekend (nice) (only to find out after the birth that he delivered the lady next to me baby) anyway when I was booked in to the hospital I was 2 fingers dilated at 8am, when the doc came to see me later at 12pm it was 4 fingers (keep in mind the doc didn't know about what the Obstetrician Gynaecologist said, he said will leave it for another few hours because its always best to have a natural birth, we did explain too him but he didn't had my file, so I was left till 6pm by that time I only 6 fingers, and tired and baby was tired trying to come into the world, then I had to have an emergency c-section because I was left to long and baby was in distress. If I had a choice of induction I would have taken it, I'm sure of it if it would have help me to dilate more and faster why not? I was in labour since the night before from 12am till next day at 6pm.



And don't tell me if the other doc listened it wouldn't have been so long and painful (I thought so as we at the time because your tired and baby is tired), but he only tried the best for me as he told me that day once a c-section always one specially if the next time your having a baby it will be bigger than the first one.



Guess what my next baby was bigger than first one, a week before my due date I went to my GP said to him I'm tired she's heavy if it will be possible to have her a few days earlier, he said yes it possible but we don't need to, your a strong person and will be just fine, a week later I was in hospital the day before my c-section and went into labour at 8pm and was done the next morning at 8:30am over twelve hours and once again didn't dilate and I have to say, because I knew what happen the first time I didn't even tell them I'm in labour, when the came to do my OPS they saw and asked me, I said yes I am, but no need to worry it won't be a natural birth because I'm to small, and this baby is even bigger than the first one.



First baby was 3.72 kg = 8pound 20 once labour time 18 hours

second baby was 4.3kg = 9 pound 48 once labour time 12 hours



In some cases its an emergency and its best to think of both the mom and the baby.

To generalize and say all the OB or GP is trigger happy is unfair and BS. I know of a lot of people that go the doc and insist on it even thou its not good for them or the baby or an emergency.



So yes child birth is one of the oldest things in the world, but some women just can't give natural birth no matter what, I would have loved if mine was, but just couldn't, try to remember not everyone is the same or build the same as well nor is everyone babies the same size or the pregnancy the same as well, we do differ from one another.

I'm sure if your doc talk to you about induction he has a good reason for it and he will share that with you as well, and explain it all as well the pros and the cons, his not only going to tell you induction so he can run off and play a golf game later, I have two doc friends and a Obstetrician Gynaecologist friend and al three agree life and health comes first, and the best options will be given and suggested as well

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Thank you Mary! I too am an L&D nurse here in Canada, and I agree with what you have said! Sounds like many of the anti-induction postings are more about not trusting doctors period than whether or not induction is ok. Get the facts, and make your own decisions people! You don't have to have a single other person than yourself "interfere" with your pregnancy and birth! Don't trust anyone! It's all a conspiracy man! Ha ha ha

Sara - posted on 08/18/2009

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Quoting Mary:

OHHHHH....not sure if I can properly restrain myself, but I will do my best...I am an L&D nurse in the states, so I sometimes find it difficult to read some of the drivel that uneducated, non-medical people write on this topic. I find it particularly offensive when women lump all OB's together as the great big nasty, out to control your body and your birth experience for the sole purpose of monetary gain or their own conveinience. Hop down off of your soapbox, and get over yourself already!!! If you find the medical community so offensive and "out to get you", well, your entitled to your opinion, and....NO ONE IS FORCING YOU TO SEE A DOCTOR. You can go to a midwife, a lay midwife, or hell, there's a growing movement out there known as free-birthing....you can have your baby at home without ANYONE telling you what to do. Your health and well being, and that of your unborn child is yours to gamble with.

Yes, women have been having babies for centuries without the intervention of the medical community...however, the morbidity and mortality rates for both mother and child were significantly higher. Those of you who are so mistrustful of OB's are welcome to return to those methods. It is your CHOICE to see a an MD while pregnant, and it is your CHOICE to follow their advice. Don't want an ultrasound to confirm dates in the 1st trimester? Don't want an anatomy scan at 20 weeks? FINE...don't get one!! But don't bitch about the advice that your OB gives you based on the results of these test and or their medical assessment...that is their job. You have complete control over whether or not your follow their advice. However, with that freedom does come the responsibilty of accepting the consequences of your actions and decisions.

I'm also guessing that most of the womenon here have never known the pain of losing a child, or had to care for someone delivering a dead baby. All OB's have, and trust me, it is a pain and heartache that stays with you forever. It also shapes the way many doc's practice...they find some risks not worth taking when it comes to lives of their patients. A good example of this is a vaginal breech delivery...yes, some women can do it, but anyone who has ever witnessed head entrapment, and wached a baby die before your eyes (and then have to be pushed back up and sectioned out), would NEVER allow that to happen again. Not worth the risk, at least, not to me.

Are inductions done unnecessarily? Sure, there are less-than stellar docs everywhere, same as there are good and bad mechanics. It is YOUR responsibility to find a competent provider whom you feel comfortable with, and who allows you to be an active participant in your care. If you don;t have that relationship with your provider, than the onus is on you to find another. No one "forces" a women to be induced...it is suggested, and she CHOOSES to follow through. If it is out of fear or ignorance, well, that's really her fault now, isn't it? Her OB doesn't bring her into the hospital at gunpoint and strap her down on the bed...she shows up at her scheduled time of her own voilition.

And for the love of God...the word is INDUCTION!



Mary, when I have my next baby, I'm flyin' you in to be my L&D nurse, you're FANTASTIC!!!!  I totally and completely agree with everything you have stated here!

[deleted account]

Again all women have the option of seeking whatever type of care they want in pregnancy - or none at all. Have all your children at home!

Sara - posted on 08/18/2009

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I think that being induced because your doctor is planning a vacation is wrong. But, there are good medical reasons for induction. I was induced due to gestational diabetes. It wasn't about the doctor trying to control me, it was about the doctor helping me and my baby to have the best possible outcome. My baby was born healthy, vaginally, and is doing great. All decisions were left up to me, and I felt very in control the whole time. It was the right decision for me and my baby. There are circumstances out there where it is appropriate...you can't really make a blanket statement that ALL inductions are wrong or irresponsible, IMO.

Hannah - posted on 08/18/2009

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I agree.
It’s very important to ALWAYS remember that when you are in a hospital, no-one HAS TO DO ANYTHING! All treatment is by consent and patient choice ONLY. Policy is not law and procedure being done against your will is grounds to sue. Doctors / midwives need YOUR permission to do anything to your body. If they arent convinced there is a good reason for a procedure then decline it.

We are in a induction epidemic, especially America resulting in too many csections because of the CASCADE OF INTERVENTION!

It is completley fine for a mother to go 14 days or more over her EDD as long as she has more regular checkups after the 14 days to just check and also obviously that there is no SERIOUS medical condition.

Society puts too much trust and faith into doctors. Doctors are not super people...they aren't god...they are just like you or me but have gone through a lot of study to get to be a doctor which doesn't mean they can't be biased about things and do things for their own personal benefit.

KNOWLEDGE IS POWER.....We women need to take charge or our own pregnancy and birthing experience and make sure we aren't seduced into being induced. We are strong capable women who can birth our babies even if they are big.

Have a look at this for anyone who is contemplating on being induced for not....http://bellybelly.com.au/articles/birth/...

Alison - posted on 08/18/2009

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I was definitely ready to fight hard before letting a doctor induce me. At the same time, we must remember how many moms and babies died in the process of childbirth in past centuries. Childbirth is a VERY dangerous thing as natural as it may be. Better to induce than to have a still born baby, but docs these days are definitely too trigger happy!

User - posted on 08/18/2009

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I understand where the person is coming from in the above statement but I think you have to be careful to not make others that really need inducement feel like there is something wrong with it. I personally had 3 children myself. My first was not induced but my second two had to be induced due to medication that I had to take to prevent premature labor. This medicine weakens the uterus so that it then needs help to fully contract to have the baby through natural childbirth. This to me is a much better route than having to have it c-section if you do not have to. I feel everyone's childbirth experience is different and they have to make those decisions accordingly and no one way is the right way.

Stephgies - posted on 08/18/2009

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I recently read an article in a parents magazine about inducement. The research claims that most babies are not fully developed until 40 weeks... those last few weeks that many doctors thought didn't matter really do matter. BUT if the baby or mom are at risk then I feel being induced is a good idea, however, if a mom just wants to be induced because she is uncomfortable and doesn't think she can wait out the last few weeks then I'd suggest putting your feet up and waiting it out. :)

Dorothy - posted on 08/18/2009

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Quoting Mary:
And for the love of God...the word is INDUCTION!


Although I disagree with a lot of what you said, THANK-YOU!

Stacey - posted on 08/17/2009

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I was induced with two of my three kids and I hope I go into labor on my own when we have our fourth. My fluid was low with my first, so the baby may have been in danger. It was awful! My body was not ready at all and it took 3 days, laying on my back. My second was perfect. I started mildly contracting on Monday and and had her on Wednesday. I had an epidural, mostly out of fear from the last delivery, but she was born just 4 hours after being admitted. My third was 6 days late. I didn't want the induction, but it was too hard to pass up the offer. That was the worst delivery yet. After two and a half hours of pushing my doctor used forceps to finally get him out. He was face up with his hand on his face. I have already talked to my doctor about the next one. I told him not to offer the induction unless there is something wrong. I also don't recommend getting your membranes stripped. I was in so much pain after that and it didn't work. My body just wasn't ready.

[deleted account]

I was induced with my daughter because I had been contracting for 3 weeks all ready and my uterus just need that extra kick to make the contractions hard enough to finish getting me to ten.I was stuck at 5cms.so i think if you need the extra kick go for it.

Kate - posted on 08/17/2009

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Quoting Sharon:

So if you're overdue and the baby has had its bowel movement - the woman shouldn't be helped into labor? Ok sure.


This actually is not that dangerous necessarily.  If a baby only has meconium once (common if they grab the umbilical cord or have some other momentary stress), it will not be a big deal.  This happened to my daughter and my midwives say it is common.  "Light meconium staining" is not typically a problem.  It is when there is HEAVY meconium staining (i.e. several bowel movements), a sign of continued stress, that there is an issue.  And yes, if this is a real problem the mother and baby should be helped immediately.  Light staining is not an issue even though most doctors treat it as such.



Um as for the "normal way" are we talking about back in the day when most babies didn't make to their first birthday and a fewer still, didn't make it to their third birthdays?


"Normal" labor and birth vs. "normal" society (with poor nutrition, sanitation, etc.) are not the same.  Women are and were meant to labor naturally and this is still the best way for MOST women.



The "normal way" before antibiotics and vaccines? Sure - polio was COOL!! What were we thinking!! Talk about the "natual way" to get your pimp walk on! YAY!!!


This is another debate entirely, but in addition to believing in and practicing natural birth, I also do not believe in vaccines and we do not get them.  Nor do we use antibiotics.  So yes, "normal" as in before those medical interventions, which we prefer to do without.



OH and hey, the "natural way!" where the mother was sacrificed to save the child because all women are whores and children are pure!!! YAY!!

Could you please get a grip on your hormones and think before you type?


No one's saying anything about women being "whores" at all.  We are talking about a medical procedure, and the wisdom of choosing it when not medically necessary.  That's all.  No need to start calling names.


btw, women can be pregnant as long as 52 WEEKS!  That is very rare but it happens for some!  Babies will be born long before they will die in almost every case!  Certainly if the mother is healthy going past "term" is not an issue at all.  If a baby dies there was something wrong with the mom or pregnancy.  But the length of pregnancy is not the problem!

Topaz - posted on 08/17/2009

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i dont believe in induction either,. BUT my dr offered it to me since i was carrying such a big baby. I ended up going into labor naturally and had her 100% natural. She came 3 days before her due date weighing in at 9lbs 4oz.... If she hadnt made up her mind by the due date i would have induced only because i wanted to experience an all natural birth (ie: no pain meds) so, even though i dont like inductions, i am not totally against them either...

point is: whichever way a baby come out, it needs to be the safest method for mommy and baby

Jennifer - posted on 08/17/2009

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I had my first two children so fast that it was actually dangerous to wait, so the doctors had to induce me early so they could control how quickly the baby came, for our safety. There were no complications so I also was induced with my last child, then she took four hours . . . go figure:-)

Sharon - posted on 08/17/2009

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The OP didn't diferentiate. She should have been more specific. I really dislike people who make a wide generalised statment without the proper caveats.

Dorothy - posted on 08/17/2009

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Quoting Sharon:


So if you're overdue and the baby has had its bowel movement - the woman shouldn't be helped into labor? Ok sure
Um as for the "normal way" are we talking about back in the day when most babies didn't make to their first birthday and a fewer still, didn't make it to their third birthdays?

The "normal way" before antibiotics and vaccines? Sure - polio was COOL!! What were we thinking!! Talk about the "natual way" to get your pimp walk on! YAY!!!

OH and hey, the "natural way!" where the mother was sacrificed to save the child because all women are whores and children are pure!!! YAY!!

Could you please get a grip on your hormones and think before you type?


It seems that you are the one who needs to get a one's hormones under control, and READ what people have written before responding. There has not been one response which has stated anything along the lines of waiting until the mother or child is on their deathbed before thinking about induction or c/s or whatever intervention really. Yes, we have made huge medical strides, which have saved a lot of babies and women who otherwise would have died in the labour process.I don't think you would catch anyone saying that this is a bad thing.



However, the fact still remains that women are often induced or pressured into unnecessary interventions. We're talking about UNNECESSARY interventions, not life-saving interventions. There is a very important distinction between the two.

Cassie - posted on 08/17/2009

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I think that it depends on the reason. I was induced about a week before my EDD(for my own reasons) and my labor(including the induction) only lasted 4 hours, therefore the dr said I probably would have ended up going into labor that week anyways. But some people need to be induced for medical reasons, something wrong with either the mother or child, the baby is growing to fast etc. I do however think that the ones that just want to be induced just b/c they no longer want to be pregnant should not be induced.

Dee - posted on 08/17/2009

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Well said Zowie!!!!
The patriarchal/capitalist society of the early twentieth century has taken the normal natural occurrence of pregnancy and childbirth and made it an illness in need of medical attention. I say NO INDUCEMENT because like you said- our bodies will NATURALLY respond to the onset of birth when the baby is good-n-READY!!!!

Dorothy - posted on 08/17/2009

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Quoting Lyndsay:

Well. To be perfectly honest, I think this is a little closed minded. What if a woman goes past her due date, with no signs of oncoming labour?



Often there are no signs of labour until labour begins. As long as the AFI, placenta and baby are fine, it doesn't matter how long s/he is in there.



 You can't just leave the baby in the womb forever -- eventually it will die.



I think this goes without saying. I really doubt the physiological feasibility of a baby remaining in the womb forever. babies are smart, they know HOW and WHEN to be born.



I believe the longest you can go is 42 weeks gestation, but I'm not entirely sure so don't quote me on that.



42 weeks is presently the "go to" number most obstetricians use. However, if a woman has a longey cycle (for example 32-5 days rather than the textbook 28 days) this will affect how long the baby ought to be in utero before reaching "full term". There is no way for anyone to know how long a woman's cycle was pre-pregnancy unless she was diligant about tracking them; however this often is the case -- i sure don't know how long my cycles are.



There isn't a "longest you can go", there is a longest your care provider would prefer you to go, but to say that all babies will be born by x weeks is impossible. Just as every woman's anatomy is different, the time every baby needs in utero is different. Remember, babies have to do a lot of work in the birth process, they need their time to get ready!



I'm sure most women would prefer inducement to a stillbirth any day.



 Once again, I think this goes without saying. However, often it induce or kill your baby aren't the only options.


 

Dorothy - posted on 08/17/2009

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Quoting Kristen:

OB's are specially trained to care for the health of the mother and baby throughout the pregnancy and labor and delivery. They certainly are not out to take anyone's rights away, but to provide safe care.



I don't think anyone would argue that there is some sort of secret conspiracy amongst OBs to rid women of their rights. However, I do think that often their positions are presented as a matter of fact coming from an authority figure (like you said, these are specially trained professionals), and unless a mother seeks out alternatives on her own, the OBs word is law. Of course there are exceptions, but this seems to be the trend. Like you said, these are specially trained individuals. Being specially trained doesn't mean that you cease to be human or have biases.



 Inductions are not to control the mother - no mother is strapped down, and IV shoved in her arm against her will, and placed on a monitor while inducing her!!



Having never been induced, i could be wrong on this, but when you are under the influence of any drug during labour (i.e., pitocin, an epidural) are you not constantly hooked up to a monitor with an IV to monitor how the baby is doing and whether or not the drug in question is havign an adverse reaction with the mother and/or the baby? Once again, the intention may not be to "control" the mother, but this will strictly limit her mobility, which will probably lead to further stalling the labour.



Come on! And you are forgetting about the population that beg to be induced - this is not exclusively "forced" by the doctors.



You're right, a lot of women do schedule inductions. Why? I can't speak for all of them, but it probably has to do with how normalized inductions and cesereans are. The fact of the matter is that c/s rates are astronomically high, there is no way that 25-50% of babies are in distress and in need of an emergency c/s.



I think women not having the support they need to carry to their child's term is not a justification for induction. Yes, being 40+ weeks pregnant is bloody uncomfortable! That doesn't mean an induction is necessitated.



Being disappointed that an induction may be called for is not reason to say it's "stupid" or "ridiculous". See a mother sick with diabetes, high blood pressure that may cause seizures or death, a baby that has stopped growing and isn't healthy inside.....see a term baby still born, and you would see the reasons they err on the side of caution.



I don't think you would catch anyone saying that if the baby or mother are in distress that they shouldn't be granted an induction or EMERGENCY c/s. However, this is far too often the first option, as it is the easiest option (and has less legal ramifications). I don't believe I said anywhere that women who choose to have inductions are "stupid". I did say that often women will just listen to what their OB says because they don't know otherwise, but never have I called anyone stupid.



And yes, the way birth is treated presently is ridiculous. It is not an emergency, but something natural. Something women have been doing successfully, well, forever. I think it is great that having options available in case of emergency is great. However, they should be emergency procedures, and not procedures which are undertaken at the first sign of a baby going past its EDD (they are after all, just estimates and don't take into consideration things like the length of a woman's menstrual cycle).





 

Lyndsay - posted on 08/17/2009

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I noticed that somebody commented on the infant mortality rate and intervention rate being highest in the world nowadays, and I just want to clarify what I said about stillbirths, etc. In general, there are more live births today then there was in those days. A lot of babies who are saved now would be lost back then.

Lyndsay - posted on 08/17/2009

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Well. To be perfectly honest, I think this is a little closed minded. What if a woman goes past her due date, with no signs of oncoming labour? You can't just leave the baby in the womb forever -- eventually it will die. I believe the longest you can go is 42 weeks gestation, but I'm not entirely sure so don't quote me on that. As for your argument about "back in the day"... sure, they had natural births, but the infant mortality rate was a hell of a lot higher back then. I'm sure most women would prefer inducement to a stillbirth any day.

Amanda - posted on 08/17/2009

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I think that having labor induced, or not, should be the mother's decision. My labor was induced when I had my daughter because I was 37 weeks along and she only weighed 4 lbs 15 ounces and had stopped growing and my doctor felt that she would grow better outside of the womb where she had more room to grow, and she did!! My labor wasn't bad at all, infact, i slept right through it and didn't end up with a labor horror story like so many women do! So I think if the mother wantd to be induced, for whatever reason, is her business and hers alone.

Dorothy - posted on 08/17/2009

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Quoting Hanna:

as far as professionals 'taking away our rights' -- inducing is optional, in most places, they do advise you, but ultimately, it's up to you to say yes or no.



Yes, it is optional, but is not always presented as such. Unfortunately, a lot of women don't educate themselves about what is "normal" and what is "abnormal" during pregnancy and place a great amount of faith in their obstetrician. Your obstetrician is a trained professional, why wouldn't you trust them, right?



I can only imagine being 41 weeks pregnant, incredibly uncomfortable and uniformed going into an OB's office and being told, "Hey, maybe if we strip your membranes things might get moving." Of course I'm going to do it, I want this baby out!



The OB isn't enforcing it, of course.  But, since he/she is in a position of authority, the woman will probably put a lot of weight into what s/he suggests.



Like you said, only a few days after induction was mentioned you went into labour. This was because you had at least SOME information about how normal it is for babies to go past that ESTIMATED due date.  Think about how many women don't have that education -- unfortuante? yes. dangerous? yes.




another thing i'm going to say is that the safest way to deliver the baby is the one that your doctor feels most comfortable with.



Your doctor is probably going to be most comfortable scheduling a cesearean (a major abdominal surgery). This reduces any potential for future law suits should something happen during the birth process. Also, they're a lot quicker and more predictable than a normal vaginal birth.



 My baby was born healthy and when i saw how big he was, boy was i glad that i didn't have to labor!



Your body was able to manage having a baby that "big" up until that point, do you really distrust it to be able to finish a completely natural process?  




so after this incident, i don't judge the mothers who feel that they need the meds or those that opt for a c-section -- yes it's a major surgery, but when it's planned, you definitely get to control the outcome much better than when it's an emergency C-section because baby's not breathing, heart rate has dropped, stuck, etc. and ANY VAGINAL DELIVERY CAN POTENTIALLY END UP IN A C-SECTION, as much as women have been doing it for years, there are still way way way too many uncertainties & factors that we cannot control.



I can't even respond to this as it way too upsetting.







 

Dorothy - posted on 08/17/2009

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tt is incredibly difficult, if not impossible, to accurately judge a baby's size by his/her gestational age or even by ultrasound.  The mother's dates could be wrong or perhaps she grows babies more quickly or slowly than most.  With ultrasound, the position of the baby, mother's shape, amount of fluid, size and location of the placenta, etc. affect the measurements.  It is extremely common for doctors to estimate a woman will have a 9 or 10 lb. baby, but she delivers a 7-lb. baby.  I would never accept a doctor's estimate of size as a reason to deliver early.







here, here! And "OMG BIG BABY" is not a reason to induce.







 

Jessica - posted on 08/17/2009

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I am not an advocate for induction but I can't say I am totally against it when the situation calls for it. I believe if the mothers health is at stake and the only way to solve the problem is to birth the baby it should be done. I think it is an overused technique to speed up labor. I was induced with my first two and ended up having an epidural because my labor sucked, my last two were born at home and it was amazing how well I was able to handle the contractions when I was in control.



Medical intervantions are there for a reason and I am thankful we have them when they are needed, but they seem to be becoming the norm and its not healthyf or mom or baby.

Tamara - posted on 08/17/2009

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Amen! Having been induced, its one of my biggest regrets since it led straight to a c-section because my LO was not yet ready to join the rest of the world. I'm anti-induction and c-section unless its absolutely medically needed to save the life of mother and/or child.

Tara - posted on 08/17/2009

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The problem with making a general statement that induction is bad and is a way to control a pregnant mother is that women who need to be induced for medical reasons (as I was) often either are made to feel guilty because they chose the induction, or fight their OB/midwife/doctor to a point where they wind up needing medical intervention anyway.
I was induced at 42 weeks because of high blood pressure and my daughter failing a non-stress ultrasound - I wound up delivering normally, but my daughter had the cord wrapped around her neck and it had a knot in it - had I not agreed to the induction (and any other medical intervention my OB felt might be necessary, up to and including a c-section if needed), my daughter could have died, and, because I was showing signs of pre-eclampsia, so could I.
I agree if there is no medical reason for an induction then it should be a mother's choice, but stating that all medical intervention is unnecessary and is a way to control the mother is, I believe, completely untrue.

[deleted account]

Thank you, Kate for stating so well so many of the things that I wanted to say. The thing I find the most appalling about induction is how many women are induced because their babies are too big. Like Kate said how you are positioned throughout labor and especially during delivery makes a huge difference to the size of the cervix. I think that if OBs were trained in how to deliver babies with the mother in different positions this could reduce the need for inductions and C-sections by quite a bit, but again many OBs are trained to do brith "the hospital way" which does not encourage a mother to listen to her body and do what feels comfortable to her.

Kate - posted on 08/17/2009

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Quoting Hanna:


I'm not trying to say anything about Hanna or her choices at all, but Hanna has said so many things here that are basically myths perpetuated by OBs.  I heard them all and believed them too when I had my first baby.  I feel like I need to address them so that women who believe strongly in natural birth are not hampered by these myths.

it may be that you need to deliver earlier because your baby is getting too big and if not induced, you'll have to have a c-section. and after 37 weeks, it's safe for the baby to be born and that way you can go through labor process as opposed to surgery.


It is incredibly difficult, if not impossible, to accurately judge a baby's size by his/her gestational age or even by ultrasound.  The mother's dates could be wrong or perhaps she grows babies more quickly or slowly than most.  With ultrasound, the position of the baby, mother's shape, amount of fluid, size and location of the placenta, etc. affect the measurements.  It is extremely common for doctors to estimate a woman will have a 9 or 10 lb. baby, but she delivers a 7-lb. baby.  I would never accept a doctor's estimate of size as a reason to deliver early.



alternatively, you're induced if your labor has started and is at initial stages and is not progressing correctly -- yes we all heard the stories about how years ago women did it naturally and blah blah, let me tell you something, i don't know one woman who wants to be in active or semi-active labor for over 12 hours, let alone 27 or 36.


"Correctly" varies widely from woman to woman.  Some women labor very quickly, others take a few days.  Virtually no one has a textbook labor.  With both my babies I labored for 14 hours in hard, active labor (contractions every 2 min. that lasted 40 sec.).  They were convinced that despite the frequency the contractions were not long enough to produce a baby.  This resulted, during my first birth, in pitocin, an epi, etc.  During my second we did nothing...and the baby was born anyway.  That's just how I labor.  It surprised even my midwife, who has delivered over 900 babies over the last 30 years.  I also had 30 hours of semi-active labor with my second baby, at home.  Was it easy?  No.  Would I do it again?  Tomorrow.  OBs forget all women are different and want to intervene much too quickly.


you are induced because you have reached your 40 weeks or are past 40 weeks but you aren't going into labor and condition of the placenta is deteriorating posing a risk for the baby (since it no longer provides adequate levels of food & oxygen) and again, the doctor is giving you the opportunity to labor as opposed to cut you open and get the baby out.


Again, dates can easily be wrong.  The placenta does not magically deteriorate because you have reached "40 weeks."  In over 900 births, my midwife has seen only ONE placenta that could be considered deteriorated.  It is NOT common.  Doctors worry about it a lot but the placenta is meant to last.  If/when it starts to deteriorate, your body would almost certainly go into labor spontaneously.


and years ago, survival rate of mothers and babies was a bit lower than today


We currently have the highest rate of interventions of any developed country -- and the highest infant mortality rate.  Our interventions are overused and frequently unnecessary or even harmful.


another thing i'm going to say is that the safest way to deliver the baby is the one that your doctor feels most comfortable with.


The safest way to deliver your baby is what YOU feel most comfortable with.  You should find a health provider who works with you and your wants.


then the doctor was like, well i can't induce you without serious risks to the baby during labor because given his size and the way you're shaped, he will most likely get stuck if you try to do it naturally.


Doctors say this a lot, but it's almost always false.  Your body secretes a hormone called relaxin that causes all the smooth muscle in your body to relax.  This spreads your hips apart to allow your baby to fit. Your position at birth heavily affects how the baby fits, too.  On your back (standard hospital position), your pelvic opening is 30% smaller than if you were on your side or hands and knees.  A position change will almost always allow a safe, natural delivery.  Maybe 1 in 1000 women truly CAN'T have their babies naturally, and that's usually due to malnutrition or drugs or something that has caused the pelvis to form incorrectly.


your OB wants to minimize those risks and you should follow his advice because at the end it's his experience and his knowledge that you have to count on


You should absolutely trust your healthcare provider, they are there to help you.  But many OBs are trying to make things easier for themselves.  It is wise to ask "why" before accepting any procedure.  OBs are also specialists in unusual or surgical births and many have never seen a natural child birth and it makes them wary.  They believe it is easier to manage the birth medically to minimize risk.  However, our infant mortality rate does not back up this line of reasoning.


. My baby was born healthy and when i saw how big he was, boy was i glad that i didn't have to labor!


Bigger babies are easier to birth because they are stronger and can "help" you more.


 there are still way way way too many uncertainties & factors that we cannot control.


This is true, but birth is not a problem or a medical event.  It is a natural process.  For women who are high risk or who have issues, it is good to have medical options.  For the rest (at least 75%), medical intervention is really NOT in your best interest.  It is interesting to note that midwives are trained to deal with birth "issues" without medicine, and their rates of interventions are so much lower (and they do transfer people to hospitals when necessary).  For example, when my son was born, he wasn't breathing well.  He was kept on my stomach and oxygen was administered for a few minutes.  He was slowly weaned off by 5 minutes after birth and was absolutely fine.  A couple weeks later, a friend had her baby and the same situation occurred.  Her baby was whisked off to the NICU and put on all kinds of machines, and it was nearly 24 hours before his mom was able to hold him or nurse him at all.  Both babies are now fine.  But was the NICU and machines necessary when it's clear it could be dealt with much more easily?  I don't think so.


 

Judy - posted on 08/17/2009

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Quoting Zowie:

To induce or not to induce?

Im not pregnant but i know alot of people who are. I am Very against Incducement and i just would like to hear other peopls thoughts about it.

My argument is, inducement is another way for doctors to control what the mother does. I think it is the most ridiculous invention. It is stupid to force someones body into a normally natural thing called labour. So many of my friends are forced to do it and the process has not worked. The birthing process is supposed to be natural and in control by the mother.
The way this world is going the so called "professionals" are taking away all our rights to how we want to birth. If you ask me i think back centuries ago and we were all giving birth the normal way. i.e No EDD's, no compulsory hospital births, no INDUCEMENT!!!!

I also dont beleive in what they say about the baby being "cooked"
THE BABY WILL COME WHEN THE BABY IS READY!!



I couldn't agree with you more!  I really feel the need to rush the baby out is a bad thing for both the baby and the mother.  The drugs that are used to induce are so hard on the baby and mom and is this really a necessary process?  I also agree with your statement that the baby will come when the baby is ready.  Amen to that!!  Unless the baby or mom are in danger, why can't they just let the baby develop fully and have less risks of health issues? Thumbs up to this one!

Beth - posted on 08/17/2009

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I would also like to add that in other countries where these options are not available and women must wait until nature takes it's course, many babies and mothers die unneccesarily. We are lucky to live in places where we have a choice but we need to handle those choices responsibly regardless and not treat giving birth as some way to prove our worth as women. The bottom line in any scenario is removing as much ristk as possible to have a healthy baby and mother. Just a tought.

Beth - posted on 08/17/2009

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Hi, just wondering... have you been pregnant or you are not pregnant at the moment? I think it's really important to look at facts and not be emotional about topics surrounding delivery. This causes a lot of undue stress and judgement onto pregnant women.



Firstly, doctors are not out to "control" they have a duty to protect the mother and child and present the safest options at the time of delivery. There are many reasons why a person's wishes and dreams for a "perfect delivery" may not be granted i.e., foetal position, engagement, length of gestation, mother's health issues including b.p. during the final weeks of pregancy and pelvic size.



With regard to induction, the proceedure normally isn't introduced until the mother's due date or beyond when it is safe to do so (i.e., the baby is engaged or low enough in the pelvis not to crush his/her cord). A woman would not be induced early unless there is a good reason and it is medically safe. There are complications to induction and those are weighed by the doctor and the mother at the time a decision needs to be made. No one is forcing anyone to do anything they don't want to do.



In my experience I desperately wanted a natural birth and thought it was going to be posible until I got to 40 weeks. I was not preparing for labour and my baby was not engaged. I had been healthy throughout the pregnancy so an induction was scheduled. I opted to cancel the induction and wait a week. At 41 weeks, the baby was still not engaged. My bp went up to a point where my doctor felt it unsafe and was uncomfortable with the fact that I was not preparing to labour. He scheduled a c-section for the following day. At 41 weeks, an induction was not posible but I had the say up until it was evident that we couldn't safely go that route either. I am grateful for medical intervention and options - the baby may have come at 42 weeks but we will never know that and I am happy that I didn't wait to find out what may have happened or been militant about something I had no control over.

Christa - posted on 08/17/2009

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You know what......to each their own. If you are under a physician/mid-wives care; you have to trust them and what they tell you. I was leaking fluid at 39 weeks for my first....had we not induced....my baby and I could have been in danger. Now....it was my longest delivery and the hardest at 16 hours. My next delivery was 12 hours and was due to an induction I was 41 weeks pregnant, miserable over my due date and was 8 lbs 10 oz. My last three were not induced, they were quicker....and easier the first two. So.....do your homework on labor and delivery but always expect the unexpected. And lastly, no matter how you delivery your baby.....you have the opportunity to have an amazing bond with your child. In all five deliveries I felt a wonderful bond with each child and to this day have that bond.

Sarah - posted on 08/17/2009

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I think it's all down to the individual case, i don't think people can generalise and say ALL inductions are bad.
I went 15 days overdue with my 2nd baby and went in to be induced (they broke my waters) the placenta stops doing it's job after a while.
My labour ended in an emergency c-section (she was breech) but i also know someone who was induced with both her children and went on to have a straight forward birth with both of them.

At the end of the day, it's your decision. If you don't want to have it done, then you don't have to, but if you do i don't think it's always a bad thing :)

Dorothy - posted on 08/17/2009

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A lot of people tend to forget that most women don't have a 28-day menstrual cycle (which is what the 40-week estimated pregnancy length is based on). Depending on whether your cycle is shorter or longer will then affect the amount length of your pregnancy significantly.



Also, estimated due dates are just that-- estimates. I wouldn't want my baby pushed into the world with drugs before it was ready on the basis of an estimate. If there was some other reason (such as a degrading placenta), maybe. But an estimate taken like 30+ weeks ago? No way.



Personally, even considering inducing before 42 weeks, without indication that the baby is in distress, is madness to me. If the placenta is healthy, and fluid levels are fine I really don't see any need to induce; other than trying to fit into the health care provider's schedule.



Your body knows what to do, I mean it has grown a baby! Your body and your baby know when it's ready to make its entrance into the world. Being born is a lot of work for the baby, it needs to be ready.



Induction just leads to too many other interventions. Trust your body, it is doing the most natural thing in the world. period.

Kate - posted on 08/17/2009

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Labor can happen naturally anywhere between 36 and 44 weeks' gestation and be completely normal. And that's assuming the woman has her dates right. Doctors like babies to be born before 41 weeks and ideally much earlier. Of course, 37 weeks, while "term," may be actually premature for some women -- again assuming the dates are even correct!

I think induction should be saved only for extreme circumstances -- if there is true evidence that mother/baby is in danger and induction is needed to save their lives.

I was not induced for either of my babies. In fact, my second was born at home so I had no drugs and had midwives attending. I refused nearly all prenatal tests. I feel this was better and aided in bonding. Now, my newborn is waking to eat so I need to go nurse him. :)

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