Fanjo
I was induced with DD (now 15 months) and it was absolutely fine.
And that is coming from me who planned to have her at home in a pool!
I had to be induced on her due date as the amniotic fluid was very scanty.
The reality is that your experience will depend a huge amount on how it goes on the day, and this will be affected by a huge range of factors, eg
- how you as a labouring woman manage labour - some women don't find it too bad, others suffer more and find the whole thing scary which probably makes it more painful.
- what the midwives are like. An induction with a sainted midwife like the one I had will be a much better experience than a home birth with someone who you don't feel so good with. My midwife was great - maternal and so caring - she stayed four hours over the end of her night shift to see DD born, and was a very good advocate for me with the consultant, who was worried, after 3.5 hours of pushing already, about me taking an extra 30 mins to see if I could push DD out before getting robed up for trial of forceps and theatre.
I am sure there are plenty of people who have had bad or disappointing experiences with hospital interventions. I am sure needless intervention to fit in with the hospitals bed needs does happen. I am sure some midwives and doctors are less than good.
But I still think the best attitude to have in labour is one of trusting the docs and midwives, and being confident that they have the baby's and your best interests at heart. If a woman approaches labour and childbirth in a suspicious mindset, thinking they just want to get out their forceps/scalpel and get that baby out pronto, its not helpful to the woman or fair to the medics! Its one thing to debate the hospitalisation of childbirth as an intellectual topic on these boards, but you have the reality of having a baby coming at you soon, and it is far from an academic question.
The other thing is if they say, "your baby is OK at the moment but there are some signs that s/he is getting tired and that is usually a precursor to greater problems - to be on the safe side we think you should go for forceps/induction now"- what will you say? All you can do is go with their recommendation - you will do anything rather than expose your baby to even the minutest risk! So you have to trust them - you're not the expert, unfortunately, and even if you are very well-informed, after god knows how many hours of labour you won't be in a position to think clearly.
So I think one needs to accept that giving birth necessarily brings with it a certain vulnerability, as par for the course. I am all for empowerment, but I think the reality of childbirth is that you are vulnerable - its painful, for your first it is a totally unknown experience. Of course this is balanced out by a sense of doing something very powerful and amazing, and having loads of people running around after you while you are the focus, so it is not ALL about feeling vulnerable, but some feelings of vulnerability are unavoidable, it seems to me.
My DD was induced on her due date because she had lost most of her waters (not sure where they went - perhaps she was quaffing them!). This wasn't a huge problem at present, said the doctors, but it was one of five factors that potentially lead to problems further down the line if we waited another week or two for things to happen naturally. Also there was some evidence that labour with scantier hind waters can be more painful for the baby as there is less cushioning. So, what could we do? Of course we accepted the induction - there was no question of proceeding with a homebirth knowing that poor DD might be aching and sore in there!
If you end up with forceps, it will be in a similar situation where things have become less optimal for you and the baby - you will have been pushing for ages and getting exhausted (I mean clinically exhausted - so tired you fall asleep between contractions and your body shakes!) and the baby's ETC trace will start looking like it is distressed and tired. In that situation you just go with it - you are exhausted and you are concerned for your baby. In my case it was try the forceps first and then if that didn't work, a CS. I can remember really clearly - I didn't care at all. In fact I said, that's fine, lets just do whatever! I think if they had said they were very sorry but they needed to cut my leg off, I would have said, well, OK, fair enough!
You won't know how you will feel in labour till you get there. I mean both in terms of how manageable the pain is (so good idea to keep the epi in reserve just in case, but very sensible to start off from the premise that you'll try and manage without) but also in terms of how you feel in the environment. I planned to have DD at home but actually loved it in hospital, felt safe and cared for and was very glad about how it all worked out. Next DC will definitely be a hospital birth! And I had an induction, epidural, episiotomy and forceps - and it was really fine, honest! I don't think I had any more post-birth healing issues than the rest of my NCT classes who didn't have an epiosiotomy.
Best thing to do is yes, have your preferences at the moment, but keep a very open mind and go with the flow.
best of luck!