Post by chocolatepie on Sept 13, 2019 21:16:49 GMT -5
What are my options? I know pitocin is effective and seemingly the drug of choice, so to speak, but I'd love to avoid it if possible (I hope to go without an epidural and have been told pitocin labor is extremely difficult). High risk says I'll be induced between 37-39 weeks (hopefully this week at my next growth scan a timetable will be set). As a first pregnancy, I'm guessing I won't be going into labor on my own in that time period so I'm getting myself prepared for an induction.
I've heard of the foley bulb but am not sure how effective it is. Anyone use/have knowledge about acupuncture helping? I went regularly during IVF and saw great success against all odds.
Are there are other medical alternatives to pitocin that I could talk to my OB about?
Post by swiftlyirun on Sept 14, 2019 4:45:36 GMT -5
I’m no help with your actual question, but just here for support. I had an induction with cervadil the night before (which was pulled after a few hours because i over responded) and then pitocin the next am. I had my baby without and epidural and didn’t find labor to be any more intense than my first baby with whom I went in to labor naturally. You can do this!!! I would say, if you go the induction route and want a med free birth, get a doula. She was such a great advocate when I went through transition and begged for an epi.
Post by sunflower17 on Sept 14, 2019 6:09:48 GMT -5
I don’t believe there’s any option for induction without pitocin. I was induced the first time at 38 weeks. I had cervadil, the foley, an epidural and pitocin. If we’re being completely honest—that Foley was the worst part. It was very painful for me and I needed IV pain meds. They say pitocin contractions are more intense than natural, but I had nothing to compare it to and it didn’t seem that horrible.
I did not want pitocin either but ended up with it. I didn't think labor with it was noticably worse, but then again it didn't do a whole lot for me in terms of progress. I ultimately delivered without an epi after things picked up considerably when my water broke. (It was my second birth, first was spontaneous labor also no epi and I think contractions were about the same amount of painful.)
Post by pinkplasticdoll on Sept 14, 2019 10:36:29 GMT -5
My doctor and I agreed to no pitocin when I was induced, my water broke and there was meconium in the water so he apologized and said that I really didn't have a choice because of the meconium. I'm hoping to avoid a induction this time around and I talked to him about avoiding it unless absolutely necessary. He really was apologetic about the pitocin Because he knew how much I wanted to avoid it. I came into the hospital about half a cm dilated and from the time my cervadil was placed until DD was born it was 23.5 hours.
I was induced with 2 doses of misoprostil followed by cervadil. That was enough to get things going so they never started pitocin. I was drug free the whole time. Like you I was very nervous about going med free while being induced but it worked out.
I had an induction in June for my 2nd baby. My OBs do inductions pretty much by formula: if you're <2 cm, you start the night before with cervidil. If you're 2cm+, they start it morning-of with AROM in hopes that it goes on its own from there. If not, then they start Pitocin. We never discussed foley bulb as an option.
I was right at 2cm on induction day (39+3) with a history of fast labors, so we did morning-of, skipping cervidil. They broke my water around 9am and nothing happened. I walked around, bounced on the ball (eventually had to stop because it was messing with the signal on the external monitoring), nada. I started Pitocin around 11am, and made the entire progression from 2cm to delivery by 3:41pm. No epidural or other pain meds.
Having done that, I don't blame you for wanting to avoid Pitocin if possible, if med-free is your goal. The Pitocin induction hurt more than my spontaneous labor with baby #1. The contractions weren't really worse, but they were much closer together so there was very little rest in between. They came so fast that from somewhere around 5, 6, 7cm onward, I had trouble changing positions within the down time between when one ended before the next one began. I was on a low dose of pit, but I still asked for it to be turned down as I was reaching full dilation. It was difficult to tolerate.
That being said, if you want to do med-free and if Pitocin is necessary: you CAN do it! It was worth it to me to be able to get up, labor in the bathroom when I needed to, come back to the bed, and move around. Then afterward, I was up and on my feet right away. After my tear was repaired and we'd done skin to skin, I was able to get up, go pee, put on my own clothes (nothing fancy, just a black roll-down waist skirt and nursing tank), and held DS in a rocking chair for a while before going to mom/baby (wheelchair was SOP, but I could've walked). I felt a lot more like myself than I expect I would have, if I'd had an epidural. I don't plan to have any more babies, but I'd do a pain med free induction again if I were.