Seeking advice from people who have successfully refused induction

(47 Posts)
bogwoppitinatree Wed 12-Jun-13 20:11:48

I am 40+6 and next week the ball will start rolling with the induction stuff. I've had one sweep and got another booked in on Friday so fingers crossed I'll get started on my own before anything happens.
However, I am very keen to avoid induction unless there is a decent medical reason - I don't think being at 42 weeks alone justifies this.
My midwife was really supportive with this but was still firm about getting me booked in for an induction (next Weds at 41+6 - I'm sure so I can be processed before the weekend smile)
I do have an appointment with a consultant on Monday to discuss monitoring and alternatives - I just think the insistence of the midwife to book the induction has made me doubt how easy it could be to refuse.
I really, really want a homebirth or at least one as natural as possible and don't want to be induced for the sake of it.
I have heard lots of people say that they would refuse induction and opt for monitoring but was wondering if people have actually got to that stage? If so, how much were you harangued by medical professionals and how far over did you go before going into labour?
Like I said, I know I have time yet but just want to be as prepared as possible for this so would like to hear stories - again if there is any medical reason to do so, I would go for induction but so far I have had an amazingly easy and healthy pregnancy and would like to continue naturally as much as possible.
Sorry for waffling - thanks loads.

WouldBeHarrietVane Wed 12-Jun-13 20:17:59

Bog, I would report your post to MNHQ and ask them to move it to childbirth as that is where you will probably get the best replies to this.

I went to 40+15 and the hospital were happy(ish) but only on the basis that I believed the hospital dates put me 5 days further on than I actually was. I did get some hassle, but I explained I was about 98% sure. By my dates I was only 40+7 when I went into labour naturally.

I had two sweeps to try to move things along and went into labour a few hours after the second. From around 40+14 iirc I had to go into hospital for monitoring with traces and had a us to check on amniotic fluid levels and that the umbilical cord was still working properly. I would insist on the monitoring.

I would recommend that you read the NICE guidance On management of overdue labour. It sets out the full risks and protocol hospitals adhere to and why.

WouldBeHarrietVane Wed 12-Jun-13 20:18:53

Ps I was allowed to labour in the pool even at 40+15 smile

bogwoppitinatree Wed 12-Jun-13 21:02:34

Thanks loads for this Wouldbe - I also wondered a little about my dates as I basically got pregnant immediately after a miscarriage at 9 weeks. I was dubious about my dates as it seemed too soon and was all a little confusing! I will certainly read the NICE guidelines and really happy to hear that you managed to have the birth you wanted at 40+15. Fingers crossed - just need to conserve energy so I can be strong!
How long did your monitoring appointments take? Were they daily?
Thanks again.

WouldBeHarrietVane Wed 12-Jun-13 21:12:24

Glad the info helps!

Daily and about an hour to 2 hours iirc because there were lots of different bits of the hospital to go to.

WouldBeHarrietVane Wed 12-Jun-13 21:12:51

Oh and bog I'm really sorry to hear about your mc. I was also pg after mc.

OliviaMMumsnet (MNHQ) Wed 12-Jun-13 21:17:34

We have moved this for you = VERY best of luck with the impending arrival

WouldBeHarrietVane Wed 12-Jun-13 21:19:49

No doubt you'll get lots of good replies now, op smile

Liveinthepresent Wed 12-Jun-13 22:03:06

Bog you do need to be prepared to be assertive I was put under lots of pressure in my last pregnancy -due to my waters breaking and no contractions.

But it is absolutely your decision to make - you might like to read my current thread on this as I have been given lots of good advice - although mine is for different reasons.

Good luck!

bogwoppitinatree Thu 13-Jun-13 06:57:16

Thanks so much Living. I spent until the early hours this morning reading guidance and your thread + links. Went to bed just after one and my plug went in the night. Seems I may well be in labour now - mild contractions every ten minutes or so. Well excited so going to bake a cake before settling down on my ball with some DVDs smile
Thanks again for advice and hope it goes well for you - can you insist on a Sweep before DD - seems it has got things moving for me after all

WouldBeHarrietVane Thu 13-Jun-13 07:02:03

Bog, how exciting - remember to rest in the early stages when you can and good luck smile

When you have a chance please do come back and post on here about your birth.

bogwoppitinatree Thu 13-Jun-13 07:08:33

Thanks Wouldbe, will certainly keep people updated. Trying not to think about all the things we haven't done yet and thing of nice gentle pottering I can do with my day.

Liveinthepresent Thu 13-Jun-13 08:21:26

How exciting good luck bog

StuckOnARollercoaster Thu 13-Jun-13 12:08:32

Good luck bog - hope you are in full labour soon.

Hope you don't mind me jumping on with a related question but its along the same lines rather than starting another induction thread.

Have just had a meltdown and full on tears at my midwife appointment (am 40+5) regarding what happens next week. I seem to have an (irrational?) fear of induction, because of the chance it leads to more pain than a regular birth, hence epidural, hence episiotomy and forceps or EMCS, etc. Its really stressing me out and I think I would prefer a calm planned ELCS for 40+12 rather than an induction on that day. The midwife couldn't make that call so I now have an appointment at 2.15 with the consultant, but she has warned me that its unlikely they will support that idea and should expect pressure to have me booked in for an induction.

Any thoughts/comments on what i'd like to do and/or advice to prepare for this consultant meeting?.

AmberSocks Thu 13-Jun-13 12:17:27

you can refuse an induction,ost are happy to go to 14 days as long as you are low risk.Also you can go later than that,just ask for monitoring,if its sure you want to then demand it,its not up to them its up to you!

bogwoppitinatree Thu 13-Jun-13 18:34:42

Hey Stuck - things seem to have annoyingly slowed down this end but hopefully will ramp up again soon.
I have an appointment with a consultant on Monday if things haven't happened by then. My midwife said she had made an effort to get me in with the consultant related to home births as I am keen to guarantee this if possible. Could you ask if there is a consultant who might be sympathetic to your fears rather than just assigning any old one - not quite sure how these thigns work, but would be good to get a balanced picture.
As people have mentioned on other threads, a good approach seems to be always asking the alternative, i.e. what are the risks of being induced vs not being induced to get balanced answers. Good luck, sorry I'm a bit waffly now!

quertas Thu 13-Jun-13 19:47:08

Hi stuck and bog,

I refused induction with dc1 until 42 weeks and just went for regular monitoring. At 42 weeks i got a bit freaked and accepted induction. Here we have a midwife whose brief is 'normality' and she's brilliant - her influence has made things a lot more humane here. You can ask for a meeting with the supervisor of midwives and work out a pathway but be clear on what you will / won't be able to accept. Inductions have to be followed through once started and you are on a clock. Some inductions are just the same as 'normal' labour though and not plenty of women have found an induced labour easier than a non induced one - sometimes just tips you over and speeds things up a bit. Don't feel pressured, just keep an open mind, be clear about your limits and absolutes and remember at the end of the day it's your decision - good luck smile

StuckOnARollercoaster Fri 14-Jun-13 04:48:44

Thanks for the advice everyone - really helped as I was in a right state!

The chat with the consultant went really well in the end and we had a long chat about exactly what happens in inductions and the potential interventions when they don't progress. In the end I was happy to book in for an induction next Thursday on the proviso that if I'm not happy I can change my mind and cancel at any time.

But extra news, while I was there they managed to get their most experienced registrar to do a successful sweep (my cervix is very posterior and baby is so low that all previous attempts failed) and I'm awake on MN at this time because irregular contractions started about 2 hours ago!

Bog - really sorry things have slowed down but I've got my fingers crossed that they pick back up for you... Good luck x

bogwoppitinatree Fri 14-Jun-13 05:03:45

Woohoo that's great news Stuck and guess the reason I'm up at this time as well... I've been in the bath since about 2 am and contractions seem to be about 5 mins apart. Back on land now and got some relaxation CDs on and a chammomle tea in the hope I can snooze a bit. Good luck, hope everything goes well.

StuckOnARollercoaster Fri 14-Jun-13 05:13:58

That's fab news grin - will be thinking of you!

mine seem to be averaging at every 10 mins, am off to make a cuppa and make sure there's enough hot water in the tank for a bath later!

milktraylady Fri 14-Jun-13 05:45:05

Hi everyone, can I add a different point of view?

Why do you think hospitals offer induction?
It's not to piss you off.
It's because of the 'outcome' after 42 weeks.

Have to be blunt here- so many babies die.

Even with daily monitoring, mother is totally healthy etc the stats are awful.

This is a case of your needs coming second. Sorry.

Milktray "so many babies die" is not true and doesn't take into account the fact that of the babies who do die, some would have died anyway. Going overdue by a very long time can be a symptom rather than a cause IYSWIM.

Because hospitals insist on induction before or at 42 weeks there is no longer a large number of long overdue births to study making it hard to get reliable stats.

IMO I tend to trust my body/instincts rather than a date which is not tailored to me.

Bog, hope it all speeds up soon. I tried for a home birth with DS and went 18 days overdue. I had a lot of pressure from hospital to induce and had daily scans etc... He was fine but didn't end up with the home birth as he took 40 hours to come, was positioned in a very strange way, I didn't allow VEs either so they didn't know what was going on and thought it best to go to hospital after 30 hours. This I agreed with, like you, I am not opposed to medical intervention when necessary.

Good luck, sounds like you'll have baby in your arms soon enough!

blondecat Fri 14-Jun-13 06:54:49

Are you sure of your dates?

If you are not you may have some leeway - perhaps they say you are 41 but in fact you suspect you may be 40 + 3
If you know when you conceived as some of us desperate souls do and you get towards 42 weeks trust them. There is a reason why stillbirths dropped over 30% since the induction by 42 became routine

It may not end up as the birth experience you planned but surely what matters is the end result. In fact more often then not we can't control what our births will be like. Out of 8 of us in my nct group, none turned out 'ideal' but we had 8 happy babies to show for it.

It's unpredictable - a trial run for 18 plus years living with a child who has a mind and ideas of their own.

Good luck

nannyl Fri 14-Jun-13 08:35:14

I have a friend (fellow homebirther) who refused induction.

she went to 43 weeks then SHE made the decision that she would allow her waters to be ruptured artifically, which HAD to be done in hospital.

she went with erh doula and only agreed to it on the grounds she was allowed to transfer from labour ward to MLU downstiars... it was agreed but after her doula had to fight hard to get this to happen wink

she gave birth to an over 11lb baby in the MLY and went home within 6 hours.

at the end of the day if you refuse to sign a consent form, they cant make you be induced

LaVolcan Fri 14-Jun-13 08:55:18

There is a reason why stillbirths dropped over 30% since the induction by 42 became routine

Have they? I thought this was one thing which hadn't changed much in the last 20 or so years.

Ilovestackingcups Fri 14-Jun-13 09:56:09

Calm down with the scare stats guys! Yes, some babies need to be induced. Similarly (and hopefully more frequently) many don't. That is why most monitoring of mother and baby happens in the final weeks of low risk pregnancy. The further over you go, the more monitoring you may be offered. This is a safety net, and if anything appears to be going wrong, the MWs can discuss it with you, and help you to make an informed decision based on the facts relating specifically to you and your baby.

If there is anyone out there still reading this who hasn't gone into labour wink, most MWs/consultants have to say that you will be 'booked in' for an induction. This is NHS speak for 'offered' an induction. As with everything else: your body, your baby, your decision.

There is evidence that in general the placenta will cease to function as effectively from 42 weeks. However, this does not mean all placentas will suddenly malfunction at this date. Remember also that this date is picked out for you at your 12 week scan, so can be clouded by so many, many other factors. And as MoreSnowPlease has said above, medical research and studies into overdue births are becoming harder and harder to come by, as most women now feel coralled/relieved into accepting an induction by/on 42 weeks.

FWIW, I was all set to march into my consultant meeting at 9am on 40+14 and refuse an induction point blank. DC1 arrived 4pm on 40+13 grin. She came when she was ready.

quertas Fri 14-Jun-13 10:23:30

Interesting statement Milktray lady. Please provide said 'stats' plus cite your sources. ( I've been doing way too much making lately, can you tell?!)

milktraylady Fri 14-Jun-13 11:51:32

Hi, this is an interesting discussion.
My LO is 8 weeks old, so my memory of how I felt pre birth is pretty clear- is was SO obsessed with not having an induction.
(Turned out she came 1 day before my due date)
I was telling my sister how much I didn't want to be forced into an induction.

Well this sister happens to be a GP. Qualified 10ish years ago & does all her keeping up to date cpd (is an excellent doctor).
She said the stats 'drop off a cliff' for positive outcomes after the 42wks.
And I would be crazy not to go ahead with the induction. And this is my sister wanting me & her niece to be ok- not a random doctor.

I can ask her for refs/studies I will link to (prob wont be v quick, but I will post them eventually)

Her view was- you want a healthy baby at the end of the day. Going over your due date +12 increases your risks of complications.
So why risk that unnecessarily?

Really made me think differently about induction. Not ideal, but necessary- rather than outright refusal.

I just wanted to put that point of view across, in case it helped anyone.
As I remember how stressed out I was about the whole induction thing.

milktraylady Fri 14-Jun-13 11:53:35

Read the thread again & realise you are both in labour (duh!)

Excellent & good luck!

Ilovestackingcups Fri 14-Jun-13 12:05:57

At all points in this NHS article, induction is 'offered' to women, even once they have passed 42 weeks gestation. And whilst it does say the risks of stillbirth are higher after 42 weeks, it also says that "most babies remain healthy...there is no way to reliably predict which babies are at increased risk of stillbirth"

quertas Fri 14-Jun-13 12:53:30

Thanks Milktray, it'll be interesting reading. This ( sorry cant do linky thing on iPad) is also a good read I think, as is I think it's interesting that the statistics cited there show an increased risk at 38 weeks which then drops off at 42 weeks,suggesting that 42 weeks is not a magic number. Its a question of balancing risks, not of being risk free as far as I'm concerned and the increased risk of complications from the induction has also to go into the equation. Inductions are more likely to end in interventions which can have long term, life changing/ life ending consequences and so it's not I think so simple as whether you have to put your needs second as you said in your first post. It's a tough call to have to make either way hmm

5madthings Fri 14-Jun-13 13:06:41

Marking place to come back later... Some riddiculous scaremongering on here!

Op i hope you are too busy to reply as you are in labour or cuddling new baby!

LaVolcan Fri 14-Jun-13 13:19:10

If it were so black and white then different hospitals wouldn't have different time scales. It seems to be a postcode lottery whether you will be told you have got to have, sorry, be offered an induction at 40+10, or 40+12 or 40+14. The risks of induction should be set against the risks of not inducing, and to my mind "stillbirth rates really fall off a cliff" or, "if you don't care whether your baby dies" are scaremongering and not helping to inform the discussion.

lljkk Fri 14-Jun-13 13:22:09

How exciting, do update when you can smile.

I avoided booking consultant or MW appointments near my dates just because I didn't want to be pressured about induction. Local policy was to induce at 40+10 & DS came naturally at 40+11 anyway. MWs said the placenta didn't look remotely over-cooked, either.

quertas Fri 14-Jun-13 13:51:00

Lavolcan, Snap! smileBrilliant links

LaVolcan Fri 14-Jun-13 14:01:06

The second one is a little dated to my mind, because most dating of pregnancy is now done via scan dates rather than LMP. The rest still seems valid. Both links make the point that one baby can be 'post dates' before 40 weeks and another absolutely fine at 42.

As adults we don't expect to all grow to be exactly the same height or be the same weight so why do we expect placentas to do this?

milktraylady Fri 14-Jun-13 18:13:54

I agree, I find it odd that hospitals have different dates for induction. It's not exact in any way. And each person judges with their consultant, like the OP has done, what their plan is.

I absolutely didn't aim to scare anyone. Anyone looking at the whole induction issue is obviously aware of the issues. And this thread didn't have anyone saying hang on, there is a reason to not go too far overdue.

Not going to get into a slanging match with anyone, leaving the thread now hmm

Good luck to the posters in labour smile

LaVolcan Fri 14-Jun-13 18:39:54

Maybe milktraylady has left the thread now, but making a statement about still birth stats "dropping off a cliff" would scare me, whether that was the intention or not, and even though there doesn't seem to be any evidence to back this statement up!

LaVolcan Fri 14-Jun-13 18:42:50

Have to be blunt here- so many babies die. Also one of milktraylady's statements. So if you don't want to scare, IMO you have had a bl**dy good try.

bogwoppitinatree Sat 15-Jun-13 11:32:21

Hey sorry for not responding much - trying to keep my head in the gentle and positive. Been in early labour a couple of days now. Things really speeding up at night with contractions like clock work 5 minutes apart and seem to slow down during the day. A lot stronger today though and not less than 8 mins apart so hopefully tonight will be the night... Or, as the midwife mentioned yesterday I may be begging to take my induction appointment on Wednesday!!!

nannyl Sat 15-Jun-13 13:46:40

good luck bogwoppit smile

bogwoppitinatree Mon 17-Jun-13 13:13:13

Hey guys, sorry for taking this thread off topic again. My little man arrived on Sunday morning. Managed to stay at home until full dilation - the midwife arrived (hadn't really taken seriously me telling her I thought I was further along then she did). She checked my blood pressure and it was high so we got ten minutes in the pool with gas and air before being ambulanced in for some BP tablets. Little Wilbur arrived half an hour later at 7lb10 and is beautiful and perfect in every way!
I ended up having two sweeps and I get the feeling, without them, I would, at this moment, be battling with the consultant to avoid induction. Good luck everyone xxx

Ahhh congratulations!

WouldBeHarrietVane Mon 17-Jun-13 14:13:11

Wow bog grin what an amazing birth story!

Liveinthepresent Mon 17-Jun-13 17:06:21

Congratulations !

StuckOnARollercoaster Sat 22-Jun-13 16:17:13

Have come back to give an update - am now the very proud mum of an 8lb 2oz 6 day old cutie called Daisy Ellen. Full labour story is here in the antenatal thread

Sorry can't do links on my mobile.

Essentially it was a very long and hard labour (60 hours from 1st contraction to her arrival.) Looking back we believe she wasn't ready and the sweep that kicked things off did more damage than good.

But it's all under the bridge now - Daisy is a little underweight but we seem to have improved our latch so midwife is happy not to add formula for now. I was on a hormonal high when I came home but am exhausted now and have no plans to leave the bedroom.

milktraylady Sun 21-Jul-13 06:05:06

Hi just to follow up on the discussion of statistics and outcomes here is a major study:

OP I do hope everything went well!

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