Being Pregnant
To Be Induced, or Not To Be Induced
Yes, ladies, that is the question. I decided a couple days ago to be induced on my due date –about five days away– if nothing has happened by then.
I never actually vocalized or acknowledged it, but subconsciously, I thought this baby would be here by now. After all, second babies tend to come earlier, and I’ve been having somewhat strong contractions for what feels like months.
There are multiple (good) reasons for my decision to be induced, and most have to do with convenience, though I don’t like to admit it. First, I’m not thrilled about my baby getting bigger –making delivery and recovery rougher. But the real issue is timing: my husband has to go in for oral surgery a week after our due date, Christmas is five days after that, and we’ll have to move a week later.
So while I’ve always said any time is a good time to have a baby, I have to admit that perhaps some times are better than others. Which brings me back to my decision to be induced … a decision I am now having second thoughts about.
Have you been induced? How did it differ from your deliveries that came on naturally? Did you end up delivering vaginally or having a c-section?
Today, I read on the Mayo Clinic’s site that “Although there are exceptions, elective induction generally isn’t appropriate for lifestyle or work reasons. Keep in mind that unnecessary intervention poses unnecessary risks — such as the need for a c-section.” (You can read more here.)
Oh, the dreaded c-section. Actually, I don’t think I’m as afraid of it as I used to be. For me, the recovery from a vaginal delivery was anything but a walk in the park. In fact, it was the worst part of labor and delivery and I couldn’t walk for a few weeks. How much worse can the c-section recovery be than what I already went through?
That said, I’ve already been through it. And why be cut open in one spot when I’ve already been torn open in another? It seems like a shame, in addition to unnecessary. And now I’m in a predicament I don’t know how to handle. Wait for the baby and have it coincide surgery? Or, keep the induction date and worry about progressing too slowly and having a c-section?
(Baby, please come soon. I’ll take you on a long walk tonight if it helps.)
If you have experience with being induced, please share or advise!
*Photo by Stephen Cummings on Flickr
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12 Comments
Bre commented on Dec 08 11 at 4:32 pmI had a c-section at 41 weeks. And I’m glad I did. That’s right, I said it. I felt enormous guilt that I “cheated” the birth experience, but I know it was the right decision. It turns out I had a TON of fluid and the cord popped out as soon as I was opened up (according to my husband who watched the whole thing). I would have probably had complications if I had been induced due to these things. Ultimately my decision was made with consultation with my doctor, who I believe had my best intentions in mind. He explained that even when you get induced a c-section is a possibility, but the difference is that in an emergency c-section your husband/SO can not be in the room and you are 100% knocked out (causing longer recovery, normally). I was up and walking (very, very slowly) in 4 hours and able to eat real food after 6 hours. My baby was healthy and so was I. We got to leave the hospital a day early too! Good luck with your decision and use your head as much as your heart. Don’t feel guilty about your decision, either way.
Leah commented on Dec 08 11 at 4:59 pmI was induced with my first and I’ll be induced again with this baby (due in the spring), for medical reasons. (I’m on some medication that requires that I be monitored constantly throughout labor, so they want to be able to control it.) I was induced a week before my due date, and being that it was my first, they told me that it could take a couple of days before the baby was born. A couple hours after being admitted, they inserted Cervadil to help soften my cervix, gave me an Ambien and sent me to bed, saying we’d see how things were in the morning and start the pitocin then. Well, within an hour, I was in full-on labor, contractions a minute and a half apart. It was crazy insane to go from no contractions to barely-able-to-get-a-breath contractions. Oh, and because I have a weird reaction to pain meds, they couldn’t give me any, so pretty much my whole labor is a blur of trying to get on top of the contractions. My son was born 6 hours after I was admitted.
And I know that this isn’t the norm for women who are induced, and I don’t know if I would’ve had a quick labor even things had happened naturally, so I don’t really have any comparison. Like you, though, I was really nervous about going through the whole process and then needing a c-section anyway, though I was glad that I didn’t need one.
Candace commented on Dec 08 11 at 8:09 pmCan the oral surgery be rescheduled? I would, and did, do everything in my power to go into labor naturally. I also had to have my last birth time controlled due to a medication I had to be on but I decided to pursue every other safe labor induction technique I could find before agreeing to pitocin. For me, there were just too many cons to go straight to pitocin. That being said, all it took to get my labor going was to have my membranes aggressively stripped twice in one day the day before my induction date! I was SO relieved! Good luck with your decision!
Shelby commented on Dec 08 11 at 9:09 pmHi Ali! I have experience with both. I was induced for my first after going 4 days past my due date. I hated it and will never do it again if it can be helped. I hate Pitocin. My first delivery tore me apart and I could barely walk for weeks afterward too, but I was told by doctors that the pitocin is what makes tearing even worse.
The second baby I was all for stripping my membranes. If you are ready it will work, if you aren’t it won’t. Your doc can do this multiple times also (but be warned, it does hurt). Such an easy delivery, labor, and oh-so-quick. Plus, the healing on #2 is nothing like #1. You will walk without pain and think it’s a miracle!
However, in your situation, I would probably consider being induced again too. It’s not like you’re choosing to do it at 38 weeks because you’re uncomfortable. That is a different story all together. If I lived far away from my mother and she had her ticket bought and was coming to town to help post-baby, that would be incentive enough for me. You have about 3 good reasons to feel the need to get the baby here. But maybe you’ll be lucky and she will come on her own before then. If not, does your doctor do the balloon induction without drugs? I hear that is a much more natural way to have it done.
Good luck with the decision. Whatever you do, make the guilt go away. And happy baby day when she comes!
Carol commented on Dec 08 11 at 10:00 pmMy babies are more-than-41-week-ers. With my first, labor started naturally at 11 days past my EDD; with my second, we induced at 9 days past the EDD for a few medical reasons. We had tried membrane sweep with both and neither time did it get anything going. For my induction, while my OB wanted to go straight to membrane rupture, I was pretty firm on wanting to try Cervidil first, and said that according to my reading it gave us a better chance of the induction actually working (and hopefully avoiding Pitocin); she agreed, and even added that in second-time (or subsequent) moms, it usually does get labor started all on its own.
So my advice for you, if you choose to induce, is to get Cervidil; if that doesn’t get you in labor, then you can try membrane rupture, THEN, if that also fails, consider Pitocin (this would be a last resort for me).
Melissa commented on Dec 08 11 at 11:50 pmI was induced 3 days after my due date. It was my choice and my doctor agreed I showed enough progress to go ahead with it. I was nervous about it but it was the best experience. I was at a 2 when I went in so they broke my water and started pitocon. I had an epidural 2.5 hrs into it and was ready to push 12 hrs in. All in all I had a pain free normal 14hr labor with no complications and no tearing. I did feel like I missed out on going into labor naturally, but that was over after a friend dealt with horrible contractions for 24 hrs at home b4 they would admit her and give her an epidural. I loved my experience. I think if you have a favorable cervix and are showing signs of progressing you are more likely to have a better experience. Good luck!
Nic commented on Dec 09 11 at 10:19 amThis is incredibly selfish and can have damaging effects on your baby. Why on earth would you want to do that? Because it’s more convenient for you? It’s not about you-its about your baby and s/he will come when they are ready. Birth should be as natural as possible with no “help” unless 100% medically necessary. I gave birth to both my children at home with a midwife and my husband present and didnt put any drugs into my unborn child. Did I mention one of my kids showed up almost a week late? The baby cant stay in there forever and will come out naturally in do time.
mommacommaphd.wordpress.com commented on Dec 09 11 at 10:50 amCheck out this post from a mom who has had a c-section and vaginal delivery talk about the differences in recovery. From her experience the recovery from a vaginal delivery was MUCH shorter, although the first 2 weeks were harder.
I’m hoping for a vaginal the second go-around. It took me the full 8 weeks to recover from the C-section. It was long and hard. Now with a toddler, it would impossible without around the clock help.
I was induced at 41weeks 6 days- there was really no choice in the matter given how far overdue I was. I wound up with a C-section after 36 hours of labor and enough pitocin to float a boat.
I wish you luck and wisdom in your decision. That said, having been induced and having had a C-section, I plan to do everything I can do avoid having either again in the future. Surgery is surgery- the worst can, and does, unfortunately happen.
Lauren Whaley commented on Dec 09 11 at 3:27 pmI’m a journalist reporting a story on elective inductions in California. I’m really interested in all the reasons to be induced or not. If anyone here would be willing to tell me about your decisions and experiences, please email me at whaley@usc.edu. The story will likely run on a California NPR affiliate station. I’m reporting at TheCenterForHealthReporting.org, a grant-funded journalism organization based at the University of Southern California. THANK YOU!!
Voice of Reason commented on Dec 10 11 at 1:21 amI don’t think I realized that you could be induced for non-medical reasons. Maybe it’s because you’re in the U.S.?
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I do understand that you have a number of convenience issues, but I would do as a commenter (above) suggested and try to postpone your husband’s oral surgery. This just doesn’t sound like a great idea to me, for your own sake as well as for your baby’s. An Estimated Due Date is only that – an estimate – and it certainly isn’t a Best Before Date. Babies nearly always come at the right time for their own development, but women seem to have lost faith in their own bodies, despite all evidence that we should be feeling precisely the opposite way. If you do feel strongly about it, eat some pineapple, Indian food, drink raspberry leaf tea, go for reflexology and have a series of three cervical sweeps over three days.
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There’s a few assumptions you’ve made which I’ve never heard before. First, recovery isn’t necessarily harder if your baby grows a little more over the week or two past your EDD. My babies were both late (8 and 7 days respectively), not induced, and my recoveries were nothing like what you described. In fact, my understanding is that the evidence demonstrates that natural births most often have the shortest recovery times because, during labour, your body is responding not to synthetic drugs, but to the body’s natural childrbirth hormones. Obviously, I don’t know anything about your first labour, so I may be completely off base here, but I suspect the recovery time may have been related to the type of birth you had and not the size of your child. Second, if your first baby was late, your second baby is likely to be late because that’s your body’s pattern. I’ve never seen any evidence that “second babies come earlier”. Second babies tend to come *faster*, not earlier.
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I think if you were really committed to an induction you wouldn’t have posted this and asked for feedback, so here’s mine: try to postpone your husband’s oral surgery, opt for a natural birth and walk/move around as much as you can while labouring so make the most of gravity and help the labour to progress naturally. We are built to give birth vertically and our pelvises cannot fully open if we are lying down on our backs – that’s partly why so many inductions (and other vertical births) end in interventions and surgical births. This is the best way to speed up your recovery time. It’s not a guarantee, but it’s statistically true.
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I don’t know what to say about your house move – it’s certainly not ideal, but you’re not likely to be involved in the actual move when you’re postpartum with a newborn so I’m not sure it should be factored into the decision anyway.
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I hope you take this in the spirit in which it’s given, which is only to wish you a positive birth experience, a healthy baby and a peaceful recovery.
Anne commented on Dec 15 11 at 3:55 pmI was two weeks late with my first and was induced. Progressed slowly so they ramped up the drugs, and then the contractions were too intense and I wound up with a C-section. The second time around, I went into labor on my due date and had an as-good-as-something-that-painful-can-be vaginal delivery.
My recovery from the C-section was harder and took longer, and I didn’t like that I couldn’t lift anything or handle the stairs very much. Also I thought the moments after my second baby was born vaginally were much sweeter and more calm than when my first was born in the operating room, when I couldn’t hold her right away because my arms were strapped down.
So that’s my experience. I did everything I could to avoid induction the second time around. Of course, it’s all colored by the fact that the induction/C-section was my first experience with childbirth. Perhaps if I’d delivery vaginally first and then wound up being induced I’d have more positive feelings about the experience.
Good luck with your decision, whatever happens will be the right thing for you!
sai commented on Dec 18 11 at 12:28 pmThis is my first baby and, I was induced 2 weeks early. I went to the clinic for the weekly check up and my blood pressure had skyrocket I was in Hypertension stage. So they rushed me to the hospital and told me the baby had to come out, I was so scared that something was gonna happen to him. But 25 1/2 hrs later (my doctor was 30 mins late and I will forever hold a grudge >.<) a healthy baby boy was born… mammy was stuck in the hospital for 4 more days because of the blood pressure.
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