Post by Stingyshark on Dec 6, 2013 14:53:22 GMT -5
I don't understand how they are automatically jumping to a c-section? Why won't they induce you?
140/76? That's high? That's insane. Mine was 138/68 and my OB didn't say boo about it. I forget, is the practice you go to a high risk practice?
Ugh, so sorry @bunnybean !! It makes me so sad to read about your weekly crap.. I wish everyone could have a somewhat uneventful, pleasant pregnancy. It seems so unfair to pile crap on top of what is already a difficult time for women. Geesh. Fingers crossed baby bunny makes an appearance this weekend!
I don't understand how they are automatically jumping to a c-section? Why won't they induce you?
140/76? That's high? That's insane. Mine was 138/68 and my OB didn't say boo about it. I forget, is the practice you go to a high risk practice?
Ugh, so sorry @bunnybean !! It makes me so sad to read about your weekly crap.. I wish everyone could have a somewhat uneventful, pleasant pregnancy. It seems so unfair to pile crap on top of what is already a difficult time for women. Geesh. Fingers crossed baby bunny makes an appearance this weekend!
It is a high risk practice, which I didn't know going in. My doctor says I'm not dilated enough to induce. I hope at least I dilate more by Monday so we could try that first. I am still deciding whether I will turn myself in for the c-section (she gave me the option not to). Everyone I've talked to says it sounds really weird to do that, and so early. I feel like my doctor is withholding information from me, the way she went on about the risk of stillbirth. All I see are some elevated blood pressures that go down. I don't understand.
Hm. My friend was induced at 38wks at 1cm bc of her BP....(this was on Nov 26, so really recently). Man, I want to give you a freakin' hug. I'll be thinking about you all weekend hoping something changes!
Not sure if you're feeling up to walking around much, but my sisters OB told her to walk walk walk to help her dilate some more before admitting her (this was also recently, october). I don't know if walking would hurt your BP, I guess that's a possibility, so maybe don't walk. Or try asking your OB office if it would be okay if you went on a few walks this weekend.
I know diddly shit about induction, but I don't see why induction when mom is dilated 1 cm wouldn't be an option (barring the presence of any other issues). kristie would know more about that though. I'm just thinking out loud more than anything else, because I know your OB practice has been sliiiighly overalarmist.
Post by Stingyshark on Dec 6, 2013 15:07:17 GMT -5
@bunnybean Yes, she delivered vaginally. Her BP started to become elevated around 35 or 36 weeks.. Like 170/100 type elevated. They sent her to the hospital for monitoring 2 or 3 times. The last time they ended up admitting her for induction bc her BP wasn't coming down.
They started her on cytotec (maybe?) to soften her cervix, and then pitocin the next morning.. She had him vaginally around 2.. I think it took around 24 hrs from cytotec administration to delivery.
@bunnybean Yes, she delivered vaginally. Her BP started to become elevated around 35 or 36 weeks.. Like 170/100 type elevated. They sent her to the hospital for monitoring 2 or 3 times. The last time they ended up admitting her for induction bc her BP wasn't coming down.
They started her on cytotec (maybe?) to soften her cervix, and then pitocin the next morning.. She had him vaginally around 2.. I think it took around 24 hrs from cytotec administration to delivery.
Okay. See, I'd really like to have that sort of experience if I must have it started for me! I've never had pressures that high! I want to try to do this vaginally so badly!
If it were me, and based on everything you've said over the last few months - I would call the office, cancel the c-section, and try to schedule and appointment to see her Monday am. Find out exactly what her reasoning for the c-section vs. induction are? I would not like someone pushing a c-section on me without an explanation other than "high Bp" --- and it would seem that if they were really THAT concerned w/ your BP, they would have done the c-section earlier than 40.5 wks..
I'm not OB expert, and I only know what I've read & what I've learned from my friend/sisters experiences...
I don't understand why they are jumping to c/s. Honestly, if someone is closed and thick at 40 weeks, the likelihood of a failed induction is pretty high, but you are a 1. There is no reason at all you shouldn't get a trial labor, and now honestly. Waiting until after 41 definitely increases your chance of a c-section as well because the placenta starts to degrade and baby doesn't tolerate labor well. Call those bitches back and tell them to schedule you now for an induction. Not a c/s. There is no medical indication (unless there is stuff we don't know) for an elective C/S without a trial labor.
And I understand they are high risk doctors, but that doesn't mean everyone gets cut. If you were a severe pre-e, maybe. But we have induced pre-e patients with a mag drip. Come on! Your pressures and labs don't even justify labetolol, nevermind mag.
Post by Jalapeñomel on Dec 6, 2013 15:24:24 GMT -5
Ok if I was you, I would call back and say you need more information. You aren't going to do a c/a until you completely understand that there is no other option.
Ask to schedule another appointment this week with the doctor to get more answers.
I would see if you can attempt an induction first. I went through basically the same thing you're going through with my first. I had elevated BP starting at 39.5 weeks so they immediately thought it was pre-e but I didn't have any other symptoms. At my final appt at 40w3d (and 1cm), I had +4 protein in my urine and high BP so they induced me that night. There was never any talks of a c/s, so I'm confused as to why your dr is bringing that up...
ETA they would've let me go longer if it weren't for the protein in my urine because, like you, baby looked great and the occasional high BP wasn't effecting him.
I agree w/everyone else re: induction. I know two people this year who were induced at 1 cm and had successful vaginal births (totally anecdotal, I know, but some OBs will induce at 1 cm). I hope you get some answers and come up with a solution that you're comfortable with. Good luck!
Post by sporklemotion on Dec 6, 2013 16:01:19 GMT -5
Ugh, bunnybean-- you definitely drew the short end of the stick here. I agree w/pretty much everyone else that induction seems like a better plan. I can see why they are pushing to get the baby out at this point rather than just monitor you (it doesn't seem like your BP is that high but I'm not a doctor and might trust their judgment on that one, as well as kristie's).
Here's hoping that the weekend changes things and you go into labor on your own-- a lot can happen between now and Monday.
I don't have any additional advice, you've gotten some great advice already from the other ladies. I just want to wish you the best of luck to go into labor on your own. I think jumping to a c/s is crazy.
Bunny I was induced at a fingertip dilated ten days overdue. I went I to labor from the cervadil pre treatment. I delivered vaginally about 28 hours after the cervadil was inserted.
I agree with everything already posted and just wanted to tell you that this shit you've had to deal with is rediculous and I'm with you 100%. You have a great attitude and just keep remembering that our bodies were made for this! Have fun having lots of walks, sex, and nipple stimulation Fingers crossed for labor this weekend!
Yes, best outcomes are for deliveries between 39-41 weeks so I do agree with your doctor on that point. I definitely get nervous when I have patients later then 41 weeks, their babies usually have me on edge all night. And I would say c/s rate is higher.
I hope you go into labor over the weekend but I would definitely request/demand a trial labor on Monday. A primary elective c/s should be rare and have a valid medical indication.
I hope they're able to come around on the induction for you, or at the very least give a better explanation for why they don't want to try.
But as a larger pregnant woman myself I am terrified of information about stillbirths and obesity, so I wouldn't totally discount your doctor's fears about waiting too long for baby to be born.
Would another anecdote help? I was perhaps half a centimeter dilated when I was sent for an induction at 40w due to high bp and +1 protein in my urine. I used a Foley bulb to dilate to 4cm, did some nipple stim, and then had my water broken, as I really wanted to avoid using drugs unless it was necessary. After 11 hours of active labor, my DD was born (vaginally).
I would absolutely not just accept a c-section without more information on why it was required.
I came on here to check on you. Sorry that you are still being mistreated by your drs.
As another personal story, I had my dd in September a few weeks early due to high blood pressure. My cervix was not ready and they admitted me and started the cervadil to deliver the next day. I labored and was given stadol for the pain for the night and the next day I was finally at 4 cms and was taken to l & d for Pitocin and delivery. I reached 10 cms super quickly and never needed the Pitocin. Not sure why they want to go straight to c/s. There are ways to ripen the cervix. GL and keep us updated
Post by Velar Fricative on Dec 6, 2013 20:30:22 GMT -5
DUDE. I got induced at 1cm at 41w3d, and I had been at 1cm for nearly 5 weeks at that point. Cervidil did jack shit except give me the worst cramps of my life, BUT I had a supportive doctor who didn't want to a resort to a c/s even though I predicted that would happen after hours and hours of nothing and made peace with it. Simultaneous pitocin + breaking my water worked and DD came out vaginally 8 hours after they did that, at 41w5d. She was very healthy and just got way too comfortable in there lol.
Now, BP is something to monitor so there is a possibility that a c/s is truly your best option for a healthy baby and mom, but i don't get why the doctor would jump to that without trying for a vaginal birth. Good luck, I hope Baby BB comes out on her own but if not, push for an induction unless the situation really does warrant a c/s.
Oh bunny. I also want to jump through the computer and hug you.
I'd stay away from caffeine and salt until the baby comes, since it can nudge your bp up. Go to your relaxing happy op lace and try to stay there when you're with the dr
When I wanted to avoid an induction 4 years ago, I walked like crazy, had sex, chugged raspberry zinger tea and sure enough my water broke. May be pure coincidence of course.
I did have to have a pitocin drip and after 3.5 hrs of pushing had a cs. But it was bc he had a ginormous head that wasn't budging and we both started to not tolerate labor. We were given a fair shot to try for a vaginal delivery. I hope you are too.
Any reason the OB wants to go straight to c/s instead of at least attempting a traditional induction first?
Ok, this is making me think she is nuts. They can try to induce you at 1 cm? She is making me think they can't do that.
Hi I'm late to this and haven't read all the responses but wanted to let you know I was induced at 0cm! They started the gel first overnight that was supposed to help dilate me and it got me to like 1cm then start pitocin. I was borderline pre-e (my Bp that day was 200/?! Something) anyway this sounds strange to me- I would def push for induction. My labor was very hard and sucked so bad but I would take it over major surgery any day!!
Post by sporklemotion on Dec 7, 2013 8:53:48 GMT -5
While I agree with gravytrain, I think that, if this is the case, bunnybean has a right to know what the real issue may be. Granted, I don't "know" her, but she has always seemed like an intelligent person who can make an informed decision. I tend to be very trusting of doctors(both of my parents were physicians), but I do feel that it's good to have the reasoning and options explained to you. It may be that bunny hasn't shared the info that makes a difference in this case, but from reading her posts, it seems more likely that they either aren't giving it to her, or giving it to her in a way that helps her understand their reasoning.
Post by rupertpenny on Dec 7, 2013 10:35:38 GMT -5
Another anecdote, but my induction was very similar to @velarfricatives but I also had high BP. Mine was similar to yours except my bottom number was 10ish points higher.
I will say that it took me almost 3 days and 3 doses of cervadil to really get things going, and while everything was fine and I had an uncomplicated delivery it doesn't sound like your doc would let you go that far.
I think in your position I would at least talk to the doc again to see if there was anything else she didn't mention before. I'd also ask how she would proceed if you did take longer to reaping to cervical ripeness. Depending on her answers I might just go for the c/s unless you have duggar like aspirations.
Boo. I hope you go into labor before monday. I'd say I hope your water breaks dramatically tomorrow, but according to my OB that increases your chance of a complicated L&D. That was true in my case. Major surgery sucks. I'm sorry you have to go through it. But if you do, you'll still get your baby on the other side. A year from now labor, however it happens, will be a distant memory.