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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to really, really not want an induction?

125 replies

PterodactylTeaParty · 07/03/2014 14:38

40+5, first baby. Yesterday the midwife booked me in for an induction at 40+13 if I go that long. I know there are good reasons to induce - risk of stillbirth goes up after 42 weeks (even if it's still tiny), I won't be sodding pregnant and sick any more - but I am feeling more and more strongly that induction is not what I want to do.

MW thinks everything looks good and there is progress, it's just not happening fast (baby still high but more engaged than last week, Bishop score of 2, sweep unsuccessful). There's a family history of 42-week pregnancies, on both mine and DH's side. I can feel my body starting to gear up for labour (spells of painful contractions that fizzle out). 40+13 is still over a week away. And then I start thinking, this time next week I'll be arriving at the antenatal ward, and the thought of it makes me want to burst into tears.

I do think IABU to some degree to be dreading induction this much, because I can't even quite put my finger on why. I'm convinced that if they induce me, I'll end up on syntocinon and continuous monitoring and then have a section anyway and the whole thing will go wrong and be awful. I know most inductions aren't horror stories, but I am convinced mine will be, and that it'll be my own fault for trying to push things before my body and my baby were ready, when maybe it's just the kind of baby that takes 42 weeks to make. Originally the midwife tried to schedule induction for 40+14, then the hospital had no slots that day so it became 40+13, and then they want you in the day before so that's 40+12, and now it feels like a ticking clock getting louder and louder and louder.

I know I can say no to induction, but then I'd be taking on extra risk and I wouldn't be super-happy with that either. I just can't stop thinking about it and dreading it. Everything about it feels wrong. I even wanted to put my hands over my ears when DH asked which building the ward was in! All this is totally unlike me and I have no idea where it's all come from. I don't ever cry, ffs, and yet I know I'm going to be turning up for that induction in tears.

So. AIBU to consider refusing/delaying induction because of this? And if I am, how the fuckity fuck do I get over it?

OP posts:
BankWadger · 07/03/2014 18:53

DD was booked for induction at 40 +13. She came on that day alright, but not by induction. She chose the night before to kick things into action and arrived in the night. I left the hospital not long after I was due to arrive for the induction Grin

organiccarrotcake · 07/03/2014 20:17

OP, you have a really strong instinctive feel going on there, and I would listen to it - it is telling you something.

We are routinely inducing at 42 weeks or less - and given that normal "term" is classed by the medics as 37-42 weeks (not the "due date" which is meaningless) for most women, inducing before 42 weeks (eg 40+12) is just bizarre. Only 90% of women birth healthy babies within that time anyway - one in ten birth before or after so it's not exactly unusual. Some women have naturally longer than average gestations (obviously, otherwise they wouldn't call it "average"), and women with longer menstrual cycles than 28 days very often have longer pregnancies.

Yes, there are tiny increases in stillbirth rates after around 42 weeks, but they go to around the same as at 37 weeks, and no one - no one - worries about stillbirth at 37 just because it's 37 weeks, in the same way that there is a lot of fear of 42 weeks.

There are also discussions at the moment about the fact that while the stillbirth rate is slightly reduced since induction at 42 weeks has become the norm, in fact overall the numbers of babies "saved" hasn't changed, as many of those brought out by induction who would have died in utero were not compatible with life, and would have died soonish after birth anyway, but the stats only show the in utero and shortly after birth live births. That's not all babies. Some will have been saved by induction. Other babies, and other mothers, will be injured by the induction process. It's very, very hard, therefore, to know what's best, and in the end you have to go with your gut - and the knowledge you have.

Childbirth - well, life - never has guarantees on it. No one else's birth will be yours, and you can only make the very best decisions you can at the time that you make them, and your instinct is a really, really important part of that. Listen to it. It knows its stuff. Nature is not perfect, and sometimes help is no only welcome, but essential. We can't always get it right, either way. We can only listen to our hearts, our instincts, and go from there. And if your heart says baby needs to come out, listen to that, too. xxx

If you are interested in finding out more, here are some links:

Balance of risks when considering induction: midwifethinking.com/2010/09/16/induction-of-labour-balancing-risks/

The definitive guide to induction, available on Kindle or PDF: aims.org.uk/pubs.htm#induction

Article in the Journal of Perinatal Medicine discussing saying no to induction: www.ncbi.nlm.nih.gov/pmc/articles/PMC1595289/

Obviously my answer is supporting your post where you are saying that you wish to avoid induction. I feel that it is a perfectly reasonable and sensible decision. Of course, there is a reason - a good one - why induction is recommended, and while the data isn't that brilliant, it seems that some babies will be saved by being induced. For those very few women and their families who tragically lose their babies because they decided not to have an induction, the statistics don't matter at all. And of course, for them, a live baby would have been worth everything they may have gone through for it, and my heart goes out to them, absolutely. But, according to the Royal College of Obstetricians and Gynaes, thousands of women need to be induced to save one baby. www.rcog.org.uk/files/rcog-corp/1.2.13%20SIP34%20IOL.pdf It's really not the case that 42 weeks should be feared as it is.

MatildasCat · 07/03/2014 20:53

I'm very interested to read this thread as currently 40+4 with DC2 and starting to get anxious. DC1 arrived at 39 weeks without issue. Really want a home birth and not to be induced.

ScarletStar · 07/03/2014 21:02

I was 40+13 too and had to be induced. I won't lie I hated it, but we discovered that the reason I wasn't going into labour naturally was because my ds had the cord round his neck and was also holding on to it! So there was no way that he could've come without the induction in my case, and I'm grateful I had that option really. I think I'm just trying to say to keep an open mind about it.

TwittyMcTwitterson · 07/03/2014 21:20

YANBU. If you don't want it, then that's your choice. It's solely up to you. My friend and I both had inductions, mine wasn't a great experience but I'm not sure that was anything to do with induction or not to be honest.

My friend had a perfect first labour. The induction was horrific when they broke her waters, something I wasn't bothered by in any way until there was thick meconium.

It could go either way and it's totally your decision. Smile

Mumoftwoyoungkids · 07/03/2014 21:36

I know a ridiculous number of people who have gone into labour naturally just before the induction. (Including one friend who claims they felt their first contraction as the doctor was putting on her gloves for the induction - although that may be an exageration!)

It's almost as if the babies realise and mutter "alright, alright, if I have to .i'm coming!"

So don't panic just yet!

starlight1234 · 07/03/2014 21:46

I was induced at 39 weeks..I had the pessary and was in labour 2 hours 19 minutes...Only needed gas and air

The horror story people like to relive it but no one knows how their bith will go induced or not

waterrat · 07/03/2014 21:47

I had a sweep at 41 weeks and they said I was 1cm dilated - I had acupuncture - also used clary sage oil on my skin which is believed to start labour -

Ds was born at 40+13 I went into labor the day before I would have been induced - I stayed calm in the last week as my next door neighbour also went to 13 days over

As others have said please don't waste energy worrying about it - you are most likely to go into labour before then and you will have a clearer idea after the sweep

If your body is nearly there the induction won't be so bad - a friend of mine managed to get through the induction without an epidural using hypno birthing techniques - never too late for practicing relaxation to use while in labour

haveyourselfashandy · 07/03/2014 21:54

1 pessary here too,ridiculously short labour.She just needed a little nudge!

Pixielady83 · 07/03/2014 21:58

YANBU. Also 40+5 here and after a brutal sweep today they have booked me in for induction on Sunday by breaking waters. Like you I'm scared of it spiralling into interventions and ending in section. Can't stop crying about it this evening Sad

As others have said though, plenty could happen for you yet before induction day, hope you go naturally.

DrCoconut · 07/03/2014 22:05

I refused induction and was offered monitoring instead. Obviously if DS had seemed distressed it would all have been different but he came on his own at 11 days overdue. At what would have been my induction I was put on the monitor and all was well. They induce at 10 days over as standard here.

CoffeeandLotsofCake · 07/03/2014 22:07

I was induced with my eldest and was absolutely dreading it. Not least because I have a massive needle phobia and had to be put straight on to a drip. I was a nervous wreck but couldnt refuse to be induced as my waters had broken over 24 hrs before so the risk of infection was high.

It really wasnt a bad experience. Contractions started about 20 mins after the drip was started and daughter was born 2.5 hrs later. Without being induced it is quite likely either one of us could have been quite ill or died.

I am greatful that modern medicine offers you the highest possible chances of a healthy mum and baby.

I understand that not every induction goes to plan and is straightforward, but then not every 'normal' borth does either.

EEatingSoupForLunch · 07/03/2014 22:07

I went past 42 weeks with both of mine, and refused induction. My body knew when it was ready and I was happy to wait. Had two calm hypnobirths without drugs, no episiotomy or tearing, home same day. I felt like you, I made sure I was aware of the risks but also of the NICE guidelines about choice, and insisted on monitoring. The second time I refused to go daily and made it every three days. Only you can decide and you need your DP to agree but don't be forced into anything by medical people either. Sending calming karma Thanks

EEatingSoupForLunch · 07/03/2014 22:09

PS if you are in the UK hospitals can't "insist" or tell you you're not "allowed" to go past what is actually a randomly chosen date. Your body, your baby, your decision.

deakymom · 07/03/2014 22:25

had a sweep with number 2 successful was induced with number 3 bit of a mess around really but no harm done the things to do are raspberry leaf tea/tablets (which are the reason i had my daughter early apparently) relaxation and sex the sex is because semen helps soften your cervix it is semen in the pessaries anyway its just not human Shock its quite vile really thinking about it

AndHarry · 07/03/2014 22:29

It's not quite a 'random' date but the PCT can't refuse to care for you even if you make choices with which they disagree.

I was induced at 37w with DC1 but went right to the wire with DC2, who arrived by herself at 40+12. I did absolutely everything I could think of to avoid induction (except castor oil - very messy births apparently!), including using EPO capsules as pessaries the second week of being overdue Hmm I like to think they made the difference.

legoplayingmumsunite · 07/03/2014 22:33

Two inductions here resulting in two normal births with just G&A for pain relief. I was bouncing on a birthing ball for most of those labours. I hadn't realised until I read it here that inductions were suppose to be 'bad'.

TBH if you'reall over the place emotionally that's a good thing. Baby might be here soon!

propertyNIGHTmareBEFOREXMAS · 07/03/2014 23:45

Yanbu. Just say 'no' and have monitoring instead.

Pipfish · 07/03/2014 23:49

YANBU! I was TERRIFIED of being induced (40+8 as I was at risk of pre-eclampsia) because everything I read about the process seemed to imply that it would be prolonged, agonising and result in a c-section. Plus I was closed up like a clam - they couldn't even perform a s&s! After 2 unsuccessful pessaries I was put on the drip I'd been dreading, and you know what? It wasn't that bad at all. I had an early epidural at 2cm shortly after the drip went in, sat there waiting for the contractions to strengthen for a couple of hours, had an hour of (largely painless) pushing, and with the help of (low-cavity) forceps, out came a healthy DD, and nothing else mattered after that. I hadn't wanted an induction but my gut feeling was that I'd rather mitigate the risks and take my ob's advice. Your gut may be telling you something different, but however you feel, go with your instincts and you should be fine. Fingers crossed that everything goes smoothly for you and that baby pops out on his/her own. Good luck! x

MomOfTwoGirls2 · 07/03/2014 23:50

Another with two inductions, both resulting in normal births. Don't worry or stress about it, you'll be fine.

anothernumberone · 07/03/2014 23:52

YANBU I've had 2 inductions and 1 non induction and I friggin hate inductions but I still would do it obviously. Needs must and all that.

redcaryellowcar · 08/03/2014 00:18

I agree with poster who said being all over the place emotionally may be a sign its not far off? My dc2 came in the early hours of the morning after a day when i cleaned our dyson, i like to think it was my final nesting and only when i had reached the heady heights of a clean dyson would i be ready for labour .
Please take this in lighthearted way it is meant, perhaps distract yourself wit some dyson style nesting tasks.
Fwiw i was induced with dc1,.no epidural and all went ok, dc2 arrived in more straightforward manner, but both out safely and are my very lovely childrn Whatever happens and however they arrive the getting them out is a short period of time especially on comparison to a lifetime of loving and caring for them.

kellibabylove · 08/03/2014 00:40

With dd2 I refused my induction at 41+3 for the same reason, I felt I was going to go into labour on my own. They made me go in anyway to be monitored, which turned out to be all dayHmm
Had to wait for the doctor all that time so he could give me a lecture on the risks of delaying. This was the Friday. I agreed to be induced on the Monday if nothing happened over the weekend.
I finally left the hospital after being given a sweep and told I was no where near when I got my first contraction. Dd was born 6 hours later Smile so glad I stood my ground.

Glasshammer · 08/03/2014 06:14

I think induction with a pessary is much different to induction with a drip. Induction with a pessary is ok, induction with a drip is less gentle

organiccarrotcake · 08/03/2014 10:59

ScarletStar Your baby having the cord round his neck and holding it would not have stopped you going into spontanteous labour - it would not have affected it at all :) It would not have inhibited you going into spontaneous labour, either.

Rarely (far, far more rarely than sections are done for this) babies are unable to be born vaginally due to the cord being tangled up, but this is REALLY, really rare. Often the cord is cut as the baby is being born, if it seems to be inhibiting the baby's route out, but even this is now considered to almost always (not always, but almost always) be unneccessary because babies "somersault" out to get around this, if given the chance.

As the baby decends, the uterus contracts around the baby, so while the placenta is still attached to the uterus the cord can still decend with the baby. Once the placenta is detached, of course, it just comes out with the baby and cord. That's why even when the cord is pretty tangled, it's really rare to not be able to birth vaginally, with a birth attendant who knows what to do.

But anyway, where the cord is will not inhibit you going into spontaneous labour at all x

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