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Consultant Wanting to Induce - I'm not so sure

  • 08-12-2010 12:01am
    #1
    Registered Users, Registered Users 2 Posts: 211 ✭✭


    Currently my partner is just 39 weeks passed. We are attending a consultant privately. Last week during our consultation our consultant advised that the baby was quite small and he was going to induce my partner one day after her due date. We were both shocked with the news as this was the first real indication that there were any complications. The baby is currently 6lbs which I thought was quite a good weight. Both Mummy and I are quite slight of build so we are not expecting a big baby.

    The questions I have -

    Is 6lbs small for a new born?

    Is it normal to induce labor as a result of a small baby?

    We are not happy with being induced, are we putting our child at risk by not taking the consultants advice?

    I can help but wonder is it because of the time of year that the consultant would like the baby to arrive on time and not interfere with his Christmas holidays

    Anyone have any similar experience


«1

Comments

  • Registered Users, Registered Users 2 Posts: 6,339 ✭✭✭How Strange


    I can't comment on whether that weight is considered small or not (apparently I'm having a monster!) but I have heard that private consultants are more in favour of medical interventions as they like to be able to schedule the births.

    Why not ring one of the maternity hospitals and ask a midwife just so you get a 2nd opinion. I've rung mine before over little things and they don't ask for your hospital no.


  • Registered Users, Registered Users 2 Posts: 13,016 ✭✭✭✭vibe666


    6lb would be small for a turkey, but not for a baby. :)

    spot on average would be 7.5lb, but anywhere between 6lb and 9lb is considered a normal healthy weight for a newborn (check online or any baby book) and you still have a week to go yet, so it doesn't seem abnormal to me. it sounds like your consultant is trying to schedule your birth for his own convenience and personally I'd call him on it.

    if he's happy to swear to you that his decision is solely based on the health & welfare of mother and baby and nothing to do with the free time in his calendar then consider letting him talk you into it, but remind him you will be following it up and if it turns out to be bad advice you'll be taking it further.

    this is your partner and baby and (i know i don't need to even say it) your sole responsibility is to look after them as best you can no matter what. by all means give him an opportunity to convince you that he's on the up and up, but make sure he knows what matters to you. :)


  • Registered Users, Registered Users 2 Posts: 655 ✭✭✭marvsins


    6lbs is fine. We had baby in April and she was 5lb 4oz and was wife was induced 2 week early as the baby was not growing/feeding as they would have liked. When the baby is out they can monitor feeding etc. if thats the reason.


  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    I would clarify with the consultant as to why he is planning to induce so soon. The estimates they make on baby weight before birth can be totally off the mark. I was told I was having a 10lb monster. He was only 8,5. I've seen it the other way too, people being told their baby is small and a 9lb + baby in the end.

    Talk to the consultant or midwife to get clarification.


  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    I'd ask the consultant out straight what the reason for being induced is.

    It's either a medical reason or for convenience... if it's for convenience for the consultant I'd be more inclined to refuse it.


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  • Registered Users, Registered Users 2 Posts: 183 ✭✭Joeyjoejoe83


    As you said, your wife is slight of build, maybe a larger child would put too much strain on her body. I do feel you should listen to the professionals advice, he's not going to do anything to endanger both lives.


  • Registered Users, Registered Users 2 Posts: 1,585 ✭✭✭lynski


    Induction may not endanger the lives of mother or baby, but it WILL make for a much tougher labor, that is an accepted fact. It will also start you on the cascade of interventions - https://www.birthinternational.com/products/charts/ace-cascade-of-intervention and dump most of your birth plan.

    If there is a problem with the baby or with the mother then yes, but 6lbs is not a too small baby by any scale, also, there estimates are usually way off - told dd was bigger then ds (8lbs 6oz) and she was actually over a lb smaller.

    more info on inductionhttp://www.drspock.com/article/0,1510,5344,00.html


  • Registered Users, Registered Users 2 Posts: 868 ✭✭✭Boardnashea


    Will your consultant put their reasons for this action in writing?


  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    As you said, your wife is slight of build, maybe a larger child would put too much strain on her body. I do feel you should listen to the professionals advice, he's not going to do anything to endanger both lives.

    Oh absolutely the advice should be heeded, however I do think that the reasons behind the advice need to be clear. It is running close to christmas and many hospitals have the practise of starting inductions before the week of Christmas due to reduced staff numbers. No a consultant wouldn't do anything to purposely endanger lives, however early induction can be distressing and tiring and is usually not preferable to spontaneous labour. Under normal circumstances they rarely will even suggest induction before 10 days overdue. So as Adrieanne said above, the OP needs to find out if it is just for the convenience of getting the baby out before Christmas.


  • Registered Users, Registered Users 2 Posts: 2,226 ✭✭✭angelfire9


    I have to say and I know it will totally go against the grain here but I have an antenatal appointment this afternoon and am thinking about asking to be induced next week
    Hubby will have no problem getting time off next week plus the weekend after (17/18/19th) is his scheduled weekend off which is handy
    The following week he is working straight through til Stephen's day and from the 26th to 2nd Jan he won't be able to take leave at all

    So there is the convenience aspect
    BUT
    There is also the size
    I'm 6ft hubby is over 6ft and built like a tank so we are looking at a big babs anyway
    Midwives & consultant at last check up (2 weeks ago) both said from measurements & scans etc that we are looking at a 9lb babs :eek:

    Am I being selfish?
    Part of me thinks I am
    But being married to a cop I know that getting time off next week is going to be easier than any of the 3 weeks after and I don't want to get into the situation that I had with No. 1 where he was in court on the day I went into labour and was only present for the last 30 mins of agony :(

    Thoughts??


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  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    You're not being selfish. I would say though that induction can take days and days where you can't leave hospital and there are a massive number of internal exams associated with it. Plus you're more likely to end up with an intervention.

    I wasn't induced but was given a suntocin drip to speed things up and I found it terrifying. I felt like I had to push and I was only 6cm and I ended in an emergency C.


  • Registered Users, Registered Users 2 Posts: 1,585 ✭✭✭lynski


    HTH angelfire: I was induced on first one and went natural on sec. first labor - 10 days over, gel applied, in pain from midnight, full labor from 6am to 7pm, Gas, pethadine, epi, failure to progress ended in emergency section and bad infection and 9 nights total in hospital.
    Second one - pains from early in day saturday, but manageable, hospital by 10pm, in full labor from 3am used gas and hypnosis, gave birth at 6:30 am no interventions, some tearing but no stitches. left hospital 11:30 am monday.
    Scheduling is one thing, but your chances of a cs increase significantly following induction, so how would the extra stay in hospital, plus 6 wks recovery time affect you?

    Notes: http://www.reference-global.com/doi/abs/10.1515/JPM.2004.005


  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    You're not being selfish but listen to your consultant. I was induced on my first child after my waters broke and I didn't go into labour by myself and I don't think I was ready for it at all.

    They broke the rest of my waters and gave me an hour to go into labour then put me on the syntocin drip at 12pm. At 6pm I was still only 2cms dilated and baby was distressed and I was tired from all the poking and prodding that was being done to me. I ended up with an emergency c section under general anesthetic.

    There may be other ways, if you're favourable, ask for a membrane sweep, there's no guarantee that you'll go into labour from it but it's worth a shot. IMO none of the old wives tale stuff works either!


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Labour and birth are a natural process which, the majority of the time, a woman will achieve naturally when the time is right.

    Induction is not a natural process. Most of the time it will lad to further interventions which can be both traumatic for the mother and the baby.

    You are more likly to need an assisted delivery - suction or forceps - which is both invasive and raumatic for the mother, but also painful for the bby and can leave the baby bruised and in pain for the first few days of their life. This can impact on feeding and bonding and is very unpleasant for a mother and father to see.

    You are also more at risk of C-section. Once induction begins you are comitted and there is no turning back. If things don't progress well or if complications arise (as they often do when you try and control nature) you will end up needing an emergency section. This is traumatic, frightening and leads to a much longer recovery after the birth.

    6lb is not too small. And it is very rare that a woman would grow a baby so big that she couldn't deliver it. A perfect example would be little chinese women. They are so petite yet because of their high carb diet, they usually have huge babies!

    Having worked in Maternity services, let me assure you that consultants will try and induce women for convenience before christmas. Its not always the consultants decision, mothers often want their babies before chrismas too.

    If you really are against induction, ask for a more detailed sizing scan with one of the midwife ultresonographers. Don't be bullied into something which could ruin your birth experience and cause unnecessary problems


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    Ive never been induced, so dont really know on that one, i have know women that were induced for one reason or another and it worked for them, there are other i know that should have been induced and weren't and it did not fare well for them (one died in the womb at 9 days over due (the placenta wasnt doing a great job), the other very nearly had to have a hysterectomy baby was ok though).


    I know a woman whose baby was small he was only 5lb when he was born (he was induced because they thought he would do better outside than inside) he turns 4 next month ( 2 weeks after my guy turns 4) my guy was 8lb 15oz and 1 week early and to look at them you wouldn't know that there was such a big difference in birth weight.

    (i have big babies that who i am) some people will have low birth weight babies regardless, others have big ones. I was 7lb 5 born and i was 3 weeks early I'm 5 foot 5 my hubby was 7lb born at full term he is 5 foot 11. My dad was 10lb 5oz born and was 5 foot 6, my dad aunt was 15lb and that was 90 odd years ago she was only small in stature as well my dad at 5.6 was the tallest in his whole family.

    At the end of the day its yours and your wife's choice, you can either go with the advice of the consultant (who should have years of experience but can make mistakes) or go with your own gut instincts, you will hear pros and cons to induction and sometimes induction does not work at all. At least with a planned induction in this weather you know whats happening and can plan for it but what about going in to labour at 2 am in the morning and roads thick with ice. Its a dangerous journey even for an ambulance.

    Whatever you choose, best of luck.


  • Banned (with Prison Access) Posts: 506 ✭✭✭common sense brigade


    Get a second opinion. If in doubt ask your consultant straight out why he wants to induce is it to time his holidays. this is your wife and baby we are talking about. you have every right to question whats happening. my sister in law is midwife and both her babies were 6 pounds and not a thing wrong with them they are perfect. she is of a slight build so it makes sense. you wife is slight too so its normal.


  • Registered Users, Registered Users 2 Posts: 13,016 ✭✭✭✭vibe666


    ...my dad aunt was 15lb and that was 90 odd years ago she was only small in stature as well my dad at 5.6 was the tallest in his whole family.
    :eek:


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Ive never been induced, so dont really know on that one, i have know women that were induced for one reason or another and it worked for them, there are other i know that should have been induced and weren't and it did not fare well for them (one died in the womb at 9 days over due (the placenta wasnt doing a great job), the other very nearly had to have a hysterectomy baby was ok though).


    There definately is a time and a place for induction, but I would sy only when medically indicated. I really wouldn't consider a matter of convenience a good enough excuse to play around with nature.

    Inuction can go well, but I can only speak from experience of what I have seen and dealt with, and I can honestly say that induction can lead to more problems than necessary, especially on a first baby.

    Get a second opinion and be sure of your decision. Even if your baby is 6lb now, he or she could gain another 0.5-1lb between now and your due date. Consider your options carefully and be sure of what is involved and the associated risks before you make a decision either way. It can be daunting telling 'The Professional' that you do not agree with him/her, but even they can be wrong and at the end of the day, you are just another pregnant woman to him/her, they see this every day. To you it is going to be the most important and magical day of your life, your biggest and most life changing event so far. Make sure its about you and not about convenience


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    There definately is a time and a place for induction, but I would sy only when medically indicated. I really wouldn't consider a matter of convenience a good enough excuse to play around with nature.

    The medical profession plays around with nature all the time (all over the world 1,000 000 times or more a day), many people would not be alive today if the medics had not played around with nature, anything from inducement to insulin to bp mediation, thyroid medication and so on and on and on.

    I did say it was their choice and they have to make the decision. They have to way up the pros and cons not you or I as its not our baby.


    Im saying one pro is that if the weather makes them housebound then it might be worth considering, well that or a trip in an air ambulance.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    I'm not disputing that, I'm just trying to give educated, experienced and informed reasons as to why induction may not be the best option if there is no real necessity to go down that route. I would never dream of trying to make a decision for someone, but I would like someone to make a decision armed with enough knowledge to make the right decision.

    The 'playing around with nature' that you mention, bp meds, insulin, thyroid meds etc... are only given when there is a medical implication to do so.


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  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    The 'playing around with nature' that you mention, bp meds, insulin, thyroid meds etc... are only given when there is a medical implication to do so.


    Very true, the same could not be said for the pill or the coil or the injection or serialisation. (i would say most women out there have no medical grounds to prevent pregnancy) We pick and choose every day when we want to 'play with nature'.

    Induction for some does not work and they need a c-section and some opt for a c-section because they are too posh too push. Im sure the docs will give them all the info regarding complications of induction, just as they would with a c-section.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Although there isn't a medical implication for contraceptive methods, there is also very little risk associated with them. I'm sure that when someone takes the decision to use a type of contaception, they make sure they know what it is they are signing up for. Induction, without medical necessity, may result in turning what should be a very natural and memorable process into a horrific experience.

    If someone decides to have a social induction or even an elective c-section knowing and understanding all of the risks, then that is their choice and I would be the first to respect that. A consultant will be very good at informing of the risks and giving a few statistics here and there without really ensuring that the woman and her partner fully comprehend what is being said. At the end of a pregnancy, women can feel very vulnerable and unsure of themselves and in the presence of a consultant may not feel able to speak up for what they want. They can also be forgetful and may not ask relevant and important questions to help inform them in their decision making, especially in a rushed antenatal appointment. And as I said, a consultant will throw around some tempting statistics, and use medical jargon that may not be fully understood. And we all think 'that'll never happen to me' even when we do hear some of the bad things that can go wrong.

    I'm not trying to scare anyone or anything, I'm just speaking from experience. I'm sure if i was sat in my uniform in an antenatal clinic telling you all of this it might be better recieved.


  • Closed Accounts Posts: 945 ✭✭✭Squiggler


    A consultant will be very good at informing of the risks and giving a few statistics here and there without really ensuring that the woman and her partner fully comprehend what is being said. At the end of a pregnancy, women can feel very vulnerable and unsure of themselves and in the presence of a consultant may not feel able to speak up for what they want. They can also be forgetful and may not ask relevant and important questions to help inform them in their decision making, especially in a rushed antenatal appointment. And as I said, a consultant will throw around some tempting statistics, and use medical jargon that may not be fully understood. And we all think 'that'll never happen to me' even when we do hear some of the bad things that can go wrong.

    That matches the experience of my sister, my mother and of several friends of mine. And they found that when they questioned the validity of the information being provided or countered with some of their own research they were subjected to varying degrees of abuse by these professionals (verbal in the case of my sister, physical in my mother's case - but that's a whole other story).

    I agree with those who have suggested that the OP request that the Consultant put in writing his reasons for recommending intervention at such an early stage.

    Regarding the baby's weight, as others have said, the estimates can be way off and it doesn't seem sufficient reason for an induction procedure.

    OP, get as much information as you can, from your consultant and on your own bat, and then make the decision you and your partner are happy with.


  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    Can I give a bit of a warning about Membrane Sweeps as well. They can work, but don't ask for one if your cervix hasn't dropped at all.

    I swear that's why I was in agony for 3 days. I pushed for a sweep at 1 day overdue (very impatient), he wanted to wait for another week.

    I spoke to another consultant after the birth and she told me that from her experience giving sweeps before the cervix dropped on first babies nearly always ended in intervention. I definitely won't be having one if I have another baby.

    Just wanted to share that.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Das Kitty wrote: »
    Can I give a bit of a warning about Membrane Sweeps as well. They can work, but don't ask for one if your cervix hasn't dropped at all.

    I swear that's why I was in agony for 3 days. I pushed for a sweep at 1 day overdue (very impatient), he wanted to wait for another week.

    I spoke to another consultant after the birth and she told me that from her experience giving sweeps before the cervix dropped on first babies nearly always ended in intervention. I definitely won't be having one if I have another baby.

    Just wanted to share that.

    Sweeps are not 'advised' anymore although many old school midwives and doctors will still perform them.


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    I'm not trying to scare anyone or anything, I'm just speaking from experience. I'm sure if i was sat in my uniform in an antenatal clinic telling you all of this it might be better recieved.


    As i said before it works for some and does not with others,
    You could be sat in a uniform in a nurses outfit but it might not be better received, Ive spent all last week sitting in crumlin hospital telling consultants and nurses that they were wrong and refused to alter my child's medication, they backed down on the 3rd day and added an extra dose of the medication she was on. It started to work and we were let home on the 7th day.


    As i said before they can always go with there gut instinct.


    Your experience must have been horrible for you to be so against it, what would have happened if you were not induced would you have been very overdue or would you have gone into labour naturally or would you have needed a c-section, would the placenta still have been doing its job? whose to know. Was you baby healthy afterwards or did the baby have complications, did you yourself have long lasting complications from the induction (not c-section)?

    Totally agree with das kitty on the membrane sweep.


  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    Sweeps are not 'advised' anymore although many old school midwives and doctors will still perform them.

    Good to know. Everyone on a pregnancy board I was on at the time was having them done, and repeatedly.

    It's a really unpleasant procedure. I remember feeling so sick after and 3 hours later I was in agony.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady



    Your experience must have been horrible for you to be so against it, what would have happened if you were not induced would you have been very overdue or would you have gone into labour naturally or would you have needed a c-section, would the placenta still have been doing its job? whose to know. Was you baby healthy afterwards or did the baby have complications, did you yourself have long lasting complications from the induction (not c-section)?

    I waited it out all over the Christmas period and went into labour naturally and made it from Wicklow to Dublin in the bad snow in January. Was it ideal? No. Was it better than being induced? 100% yes!

    I'm not against induction, not at all. I think if there is a valid necessity for induction then it is 100% the right thing to do. Whether an iduction is advised or whether a woman wants to be induced for social reasons, they should always know the risks and complications that may arise, and also the cascade of interventions that are pretty much inevitable when starting the induction process.

    My experience of induction comes from working with women who are having an induction for whatever reason. Sometimes they do go well, and most of the time there is a real necessity for an induction. If there was a risk of compromising the mother or the baby I'd be 100% encouraging an induction. It would be within my scope of practice to make sure that they knew the risks involved though - whther that be the risks involved with having an induction, or the risks involved should an induction be refused.

    I am against induction when there isn't a necessity. Why should a social calendar (yours or your consultants) come before the health of you or your baby? How do you think a mother would feel if a serious complication arose just because they wanted to have an induction for a reason that was not a medical one?


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    I am against induction when there isn't a necessity. Why should a social calendar (yours or your consultants) come before the health of you or your baby? How do you think a mother would feel if a serious complication arose just because they wanted to have an induction for a reason that was not a medical one?


    Im not saying the person should have a induction because its xmas or because its icy, im saying that under the circumstances it would be a pro rather than a con. It she the only patient to the consultant I DOUBT IT VERY MUCH, the consultant will have loads of babies to deliver, do you think that the consultant is going to induce everyone of his/her patients so s/he can have an xmas holiday?


    Just to add my husbands neighbour was told he had cancer and had weeks to live, his partner was pregnant they induced her at 37 weeks the husband died 4 days after the baby was born, the only reason she was induced was so the husband could see the baby before he died, no medical reason.


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  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Thats a very sad story and under those circumstances incuction was definately the best thing to do.

    May I ask what your reasons are for fighting me at every corner here?

    All I'm trying to get across is that induction isn't always the best option, and sometimes it is. I've given many reasons as to why if it isn't necessary, it should really be avoided. If I were to care for a woman having an induction for whatever reasn, I would be 100% supportive of her decision. Its her baby and her choice and my priority would be with the health and safety of the woman and her baby.

    However, if a woman has an induction and isn't fully aware of everything that can go wrong and the interventions that may be necessary, it can make for a very frightening and unpleasant labour experience. Induction removes an element of control and empowerment, and a feeling of a loss of control is one emotion you don't want to be dealing with in labour. Labour also is not a time and a place to be asking 'why is this happeneing to me?' and 'what is that intervention for?', hence giving as much info as possible prior to making that decision and being aware of the risks.

    No a consultant isn't going to induce every woman on his private books, and a hospital isn't going to induce every woman because the roads are icy either!


  • Registered Users, Registered Users 2 Posts: 9,625 ✭✭✭wmpdd3


    Das Kitty wrote: »
    Good to know. Everyone on a pregnancy board I was on at the time was having them done, and repeatedly.

    It's a really unpleasant procedure. I remember feeling so sick after and 3 hours later I was in agony.

    In Ardkeen in Waterford sweeps seem to be automatic after you due date, according to the out patient que.


  • Registered Users, Registered Users 2 Posts: 3,937 ✭✭✭implausible


    Das Kitty wrote: »
    I spoke to another consultant after the birth and she told me that from her experience giving sweeps before the cervix dropped on first babies nearly always ended in intervention.
    Das Kitty wrote: »
    Good to know. Everyone on a pregnancy board I was on at the time was having them done, and repeatedly.
    Sweeps are not 'advised' anymore although many old school midwives and doctors will still perform them.

    Oh my God:eek: This is the first time I've heard this and I lived on those boards coming up to my wee man's birth. He never dropped, I demanded a sweep and ended up with an emergency c-section. I don't blame the sweep, but I won't be asking for one again!


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    Thats a very sad story and under those circumstances incuction was definately the best thing to do.

    May I ask what your reasons are for fighting me at every corner here?

    All I'm trying to get across is that induction isn't always the best option, and sometimes it is.



    No a consultant isn't going to induce every woman on his private books, and a hospital isn't going to induce every woman because the roads are icy either!


    Im not fighting you at ever corner and i totally agree with 'All I'm trying to get across is that induction isn't always the best option, and sometimes it is' as i have said that a few times, not that you acknowledged that i've said that in more than 1 post on this thread.

    And as for 'No a consultant isn't going to induce every woman on his private books, and a hospital isn't going to induce every woman because the roads are icy either!' DID I SAY THAT? NO!!!!!

    I said it would be a pro not a con considered they were offered an induction by the consultant. I did no way say that every woman should be offered an induction because of ice, in there situation they were offered an induction and i said it would be a pro under the current weather conditions.


  • Moderators, Arts Moderators Posts: 17,231 Mod ✭✭✭✭Das Kitty


    Can we calm it down a little folks?


  • Registered Users, Registered Users 2 Posts: 211 ✭✭laurpat



    Thanks for all the replies. What we have decided is that we are going to wait before we go ahead with the induction . Monday I am contacting the Consultant and confirming with him. I must say the Vhi Nurse line was so helpful when we contacted them and give me all the options and reasons why we may need to go early. So now it's just wishing and praying that labor happens soon.


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  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    Best wishes, hope all goes ok.


  • Registered Users, Registered Users 2 Posts: 161 ✭✭beachbabe


    I was induced at 39 weeks for medical reasons, I was on heparin to prevent a DVT, as I had one a few years ago, and heparin can lead to complications with bleeding if an epidural or c-section is required. The consultant reccomended induction as controllong the timing of heparin doses, and getting me back on it asap after the birth was important.
    I knew from early on I would be induced, and therefore knew the day baby would be born, which was odd!
    I did not need the gel as I had started to dilate, just went in that morning for syntocin.
    Apart from the syntocin, and having my waters broken, I needed no other intervention. The labour was intense, and fast, but no epidural, and the little man needed no help entering the world.
    Just thought I would post this to show an induced labour does not always mess around with your birth plan, or lead to a cascade of interventions.


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    beachbabe wrote: »
    I was induced at 39 weeks for medical reasons, I was on heparin to prevent a DVT, as I had one a few years ago, and heparin can lead to complications with bleeding if an epidural or c-section is required. The consultant reccomended induction as controllong the timing of heparin doses, and getting me back on it asap after the birth was important.
    I knew from early on I would be induced, and therefore knew the day baby would be born, which was odd!
    I did not need the gel as I had started to dilate, just went in that morning for syntocin.
    Apart from the syntocin, and having my waters broken, I needed no other intervention. The labour was intense, and fast, but no epidural, and the little man needed no help entering the world.
    Just thought I would post this to show an induced labour does not always mess around with your birth plan, or lead to a cascade of interventions.

    Beachbabe, its great that you had a positive induction experience. I think that because you had started dilating and your body had started the process naturally that this would have made things a little easier.

    There would've been a cascade of interventions, the artificial rupture of your membranes, the oxytocin and then, I'm sure you would've been on constant fetal monitoring? This would've restricted you during your labour and eliminated the possibility of walking or using the shower during your labour. This is fine as I'm sure you were prepared for this from early on in your pregnancy when induction would've first been discussed. However, to someone who has the possibility of induction sprung on them at 39 weeks (as Laurpat has) may find this distressing, especially if they have a very 'hands off/natural birth plan.

    Anyway, its great that you can share your story for those who are going to need an induction. As I've said before, inductions can go well and you are a great example of this.

    @ Laurpat: Its great that you are seeking lots of advice before agreeing to be induced. Make sure that whatever you decide is for the right reasons for you and your husband, and be sure that you are aware of the process before you begin it should you be induced.

    @ grindelwald: I'm sorry if I've misunderstood you throughout this thread. It just seems that you have disagreed with some of the things I have spoken about (playing around with nature unnecessarily, being induced without medical necessity, what Consultants do and don't do to suit their social calendar) Its my profession and I like to think that as I am speaking from experience and from my professional education, that I do know what I am talking about.

    I hope that some of what I have said has been useful - and judging by the amount of 'thanks' I have for some of my posts it has.

    Good luck to all you girls in the decisions that you make! I look forward to hearing about your bundles of joy over in the newborn and toddlers forum very very soon :D


  • Registered Users, Registered Users 2 Posts: 2,090 ✭✭✭BengaLover


    My advice for what its worth.
    Dont be bullied, if your baby is healthy and happy where it is, leave it be.
    6lbs is not particularly small - but there is no way really they can be completely accurate with a weight whilst baby is still in fetus.
    As for the whole 'overdue' debate, I dont know how long they 'leave' ladies now, but back in the day (i had my first in 1995) it was up and over 10 days, but with good monitoring.


  • Registered Users, Registered Users 2 Posts: 211 ✭✭laurpat


    No need for induction after all, water broke this morning and we're in the labor ward now... will be posting an update soon I hope...

    Come on Mum and Junior , yee can do it...


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  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    Wohoo :D Let us know!!


  • Registered Users, Registered Users 2 Posts: 2,090 ✭✭✭BengaLover


    aw, keep us posted..First for boards.ie eh?


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    laurpat wrote: »
    No need for induction after all, water broke this morning and we're in the labor ward now... will be posting an update soon I hope...

    Come on Mum and Junior , yee can do it...

    Best of luck :D

    And turn your phone off in the labour ward :p


  • Registered Users, Registered Users 2 Posts: 4,128 ✭✭✭cynder


    best of luck,
    can we now place bets on a 11/12/2010 or a 12/12/2010 baby?


  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    best of luck,
    can we now place bets on a 11/12/2010 or a 12/12/2010 baby?

    12/12/2010 :D


  • Registered Users, Registered Users 2 Posts: 211 ✭✭laurpat


    What a few days... 36 hrs of labor and our beautiful baby boy has come into the world at a weight of 6 lbs 4 oz. He arrived on the 22/12

    I'll fill you all in with the details in a later post right now I need sleep - All went well overall...


  • Registered Users, Registered Users 2 Posts: 6,339 ✭✭✭How Strange


    ^^^ fantastic news! Congrats!


  • Registered Users, Registered Users 2 Posts: 1,196 ✭✭✭crazy cat lady


    Congratulations :D


  • Registered Users, Registered Users 2 Posts: 1,617 ✭✭✭Cat Melodeon


    Just saw this thread - congrats laurpat!

    I'd just like to add my story for anyone reading the thread at a later date. I had my boy in Aug 2009. I was the complete opposite of those who see induction as a convenience - I wanted to avoid one at all costs, wanted as natural and intervention-free a birth as possible. At 2 weeks before my due date, induction was first mentioned (coincidentally my consultant was heading off for 2 weeks of golf around that time). I dug my heels in as there was nothing medically wrong with me or the baby. I was then told my baby was 'very big' and I might not be able to deliver him if I went much further over. I asked for a second opinion, was sent to the consultant's registrar (I think that's the right term?) who had a quick feel of my tummy, said the baby was no where near being ready and sent me on my way. I'd had some issues with high blood pressure from about the 7th month so was coming in regularly for monitoring anyway.

    By 3 days over, that registrar was also away so I had to deal with a different doctor again. He was also a bit antsy about me being let go 'over' (everyone seems to have forgotten that 42 weeks is as normal a gestation for a first-time mother as 39 weeks) and was trying to tell me that the placenta would have stopped working by this stage (???). He was slightly aggressive in his insistence that I stay in - only for the midwives supporting me it could have turned nasty. He also insisted on me having a sweep. Luckily a junior doctor came in to perform it and decided my cervix was still too high and left me alone.

    From +4 days to +8 days nothing changed, all fine.

    +9 days and a different consultant again. He expressed concern that the fluid levels had dropped and that there was a risk that there was meconium in the fluid. At this, I readily agreed to being admitted (finally a medical reason!) and was induced using the gels the next morning.

    My labour was fine - 4 hours start to finish. I was not internally examined at all, I was aided by the midwives and there was no doctor in the room until after the baby was born. I was offered gas and air, but nothing else as per my wishes. I was put on a monitor and that did restrict my movement and stop me from using the tens machine, but luckily it didn't interfere with anything else. I gave birth naturally, had quite a bit of tearing but it was mostly superficial and was caused by me not listening to the midwives when they told me to stop pushing. That's the only thing I would change about the experience.

    There was meconium in the fluid, the last consultant was right, but there was nothing wrong with the baby or the placenta (they were not 'overcooked') and although he was quite big (9lb 6) he still got himself out with just me helping him.

    So my advice to anyone who is being induced is:

    - make sure the doctor is recommending induction for clear medical reasons.

    - doctors are mostly great, but they are not infallible. Always get a second opinion before embarking on something as significant as induction.

    - don't neglect to ask your midwives for advice. They may know the doctor's track record and set your mind at ease regarding his motives (I can be a cynic but I'm sure many doctors are 100% following the mother's/baby's interests).

    - being induced does not mean a natural birth is out of the question. Stay in control and let your midwives know your wishes.


  • Registered Users, Registered Users 2 Posts: 6,339 ✭✭✭How Strange


    Thanks for your post Cat Melodeon. Like you I want a natural birth with as few interventions as possible. Well done for knowing what you wanted and standing your ground.

    I can only imagine as a first time mum it is difficult to question a doctor when all you want is your babys safety.


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