Induction and Scared! 3Rd Pregnancy and Never Been Induced

Updated on April 27, 2010
H.J. asks from Saint Paul, MN
11 answers

So I am 37 weeks today and my midwife has decided to set a date next week for induction. This is my third child and I had my first two with no help. She stripped my membranes today to "stir things up" so I might go before then, but I worry about induction. I know that it is being done because of my high blood pressure and heart issues I am having this time around, but I fear c-section. She is starting with Cytotek which I believe is the pill and then will go from there. She doesn't think it will be an issues since I had no problems with my first two in labor even with my son having shoulder dystocia I still got him out. She says it is a more favorable way of inducing.

Has anyone been induced this way, did it go o.k. should I be asking this question as it is going to happen anyway...LOL Her plans are cytotek, break the water, and then if need be pitocin.

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A.P.

answers from Eugene on

My midwife also use that to induce me with my son because of blood pressure issues as well (although I was past my due date). It took two rounds of the pills (introduced vaginally) and then I went on to have a fast and complication and otherwise intervention free delivery. Personally I though it was a great way to be induced because it meant not having to be hooked up to anything and I was still able to labor in the positions and places that felt the most comfortable...I would definitely chose this option again!

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J.C.

answers from Anchorage on

I was induced with both of my boys with Pitocin. I was 42 weeks with both. It brings on very fast labor, and my contractions were very close together right from the start, so everything tends to happen rather quickly. The only draw back to that is 1: with contractions so close together (like 30 seconds apart) I had no time to recover in between and could not control my pain well on my own. 2: Your body may have less time to prepare so there is an increased chance of needing stitches.

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K.B.

answers from Houston on

I don't know about Cytotek specifically but I was induced with Pitocin for all 3 of my deliveries and they were all successfully delivered vaginally with no problems. A c-section is always possible but given your previous successful vaginal deliveries I think the odds are in your favor to do it again. It sounds like she's scheduling the induction for all the right reasons and whether you end up having a c-section or not, in the end you'll have your new addition and it will all end up fine!

Good luck!
K.

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J.M.

answers from Boston on

I was induced with pitocin for both of my deliveries (once because my water broke but I wasn't dialated at all, and the other time because I was full term and having some questionable nonstress tests), so I don't have anything to compare it too, but both of my deliveries were totally fine. With the first, the epidural didn't "take" so it was essentially a natural delivery, and it hurt like hell, but I don't know if that was because of the pitocin or because it was labor. My second, it just took a long time to progress - they gave me the pitocin around 10-11am, and it took me until about 4.30pm for me to be 4cm dialated. But after that it was a "whosh" with me saying "oh! the baby dropped, I'm ready to push!" at about 6pm, and three (literally) pushes later m son was born. Good luck with your new little one!

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I.G.

answers from Seattle on

Sorry, didn't see the high blood pressure at first... still, the rest of my answer remains the same:

Honestly, anyone wanting to use cytotec for induction I would RUN from as fast and as far as I can. It is never to late to switch providers.
Cytotec is not approved for the induction of labor, and though off-label use is not illegal, the makes of cytotec warn extensively about not using it for induction. It has been implicated in cases of terrible complications such as uterine ruptures. Please ask you provider to hand you the full information sheet that comes with the drug, or look it up online! I personally would rather have a c section than to ever use cytotec to induce labor.

I am terrified to hear that this is a midwife suggesting this!
I have to be honest with you, if you have read any of my other posts, you know I am all pro natural birth and midwifery care... but if you are experiencing pregnancy complications that make it necessary to induce at 38 weeks, personally I would switch to an OB. They are much more experienced with managed labor (aka induction).

There are other ways to manage PIH, especially if you have not been diagnosed with pre-eclampsia yet... I would get a second opinion to say the least.

A.S.

answers from Dallas on

I was induced with one of mine, but with pictocin. The contractions come of stronger and earlier, but aside from that, it really didn't bother me because I had an epidural. I found it to be ejoyable to a degree.

Good luck! I'm not familiar with the cytotek though.

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L.F.

answers from Chicago on

Sounds like your midwife is doing the best that she can for you. That's great that she is not planning to give you pitocin until after breaking your water. It sounds like the lowest level of intervention for an induction.

I went into labor on my own with my daughter, and I had a relatively easy delivery. With my son, I was induced. I was given pitocin for several hours before the doctor even broke my water. I kept asking the nurses to stop the pitocin because I didn't want horrible contractions once my water broke. They kept assuring me that I needed the pitocin. After my water broke, my contractions were awful. My labor was pretty fast though. From the time they broke my water to the time he was out, I was probably in active labor for only 10-15 minutes. Lucky for me this wasn't my first birth experience. Otherwise I would have been scared out of my mind. (I didn't use pain meds for either of my deliveries.)

Good luck to you! It sounds like your midwife is looking out for your best interests. I hope you go into labor soon. Enjoy that new wee one!

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V.B.

answers from Houston on

I was induced with both of my babies (not happy about this, but it had to be done). I was given pitocin and then they broke my water. I labored for several hours, but eventually delivered them with no problems. My OB was actually very skeptical that I could deliver my daughter without a C-section since she was still minus 2 station when they induced (she really hadn't dropped much at all, but was already a week overdue), but she did just fine. My son's heart rate was briefly an issue, but I did some shifting around and it came back up. There really isn't anything to be scared of, in my mind. The only thing might be if you aren't planning on having pain management (a.k.a epidural or other drugs) during delivery, which if you have a midwife sounds like it could be the case. The contractions on pitocin are supposed to be MUCH more intense than if you labor naturally. I can't speak to this since I have only had contractions on pitocin, but I delivered in a hospital with an epidural. Just want you to be prepared that the pit could cause you some heftier labor pain.

Good luck with your delivery! I'm sure it will be wonderful. :-)

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N.F.

answers from Seattle on

I freaked out when I found out I was going to be induced too, and it was my first. I too was induce for high blod pressure. First thing I did was ask my fellow mama's. I got great responses so you should check out my profile and click on my questions asked. Everything turned out better than I thought, so try not to think about it too much.

Good Luck and Congrats on baby #3!

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S.D.

answers from Topeka on

Induction ias no fun I have never experienced it myself but it was always mentioned my last weeks of pregnancy.I refused to do so in your case highblood pressure & heart issues you may go in within the 24-48 hrs adn she is talking for next week right?Wait it out if all else fails opt to do a later date in the week if that can be done for you and monitor your blood pressue you may need to go in daily to see your midwife for this unsure.Good Luck

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D.W.

answers from Indianapolis on

Why is she inducing you early?

There have been previous discussions on here about being induced early and whether or not it's medically appropriate - probably not your question.

I was induced with one child (my 2nd) and not the other. I awoke the day before my due date with my 2nd child believing my water had broken - the OB's office didn't think so and finally sent me to the hospital after calling the 3rd time. Sure enough, my water had broken, and they had to induce me to start labor before the risk of infection was unacceptable.

Pitocin is known to bring on labor a little more aggressively than natural contractions. I was fortunate that the anesthesiologist was finishing another patient before my contractions got really bad (I'd labored to 6 cm with my son before epidural was administered). My dilation with my daughter was swift, and I only pushed 3 times before she was born.

So, my experience was not bad, but I'd always prefer to go into labor naturally (I declined having my membranes stripped) because nature usually knows when the baby is ready to come out better than we do.

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