Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Childbirth

Share experiences and get support around labour, birth and recovery.

What's the procedure if I refuse induction?

55 replies

DairyNips · 12/03/2012 22:01

I am 27wks pg with dc3. I went two weeks 'over' with ds1 and ds2 and was induced both times.

I really would like to avoid induction this time as it'll be my last birth and I would like, just once to go in to labour naturally without being prodded and poked and injected etc etc

The hospital I will give birth at is 60 miles away. There is a midwife led unit here but it's only for 'low risk' cases.

I'm wondering what will happen if I get to 42 weeks again and they start wanting to induce me. As I understand it, if I refuse they will then monitor me daily. I'm a little worried they will do the monitoring at the hosp 60 miles away although would hope they'd just do it here..

Any advice would be welcome, thanks Smile

OP posts:
Are your children’s vaccines up to date?
FirstUpBestDressed · 12/03/2012 22:06

i prefer the word decline instead of refuse.
no midwife or doctor can do anything to you without your consent.
as long as the baby seems well on the monitor you can await labour.
obviously you can change your mind if you get fed up waiting.
good luck!

4madboys · 12/03/2012 22:09

yes you will need 'expectant management' i ahd this with ds3, went 18days over, according to my dates, 21 according to the hospital! i still ended up being induced as i got fed up, but they just broke my waters and i had a 3hr labour :)

i think they need to moniter you for 20mins or so, not every day but maybe every other day, each hopsital will ahve its own policy, they seem to vary. and you can ask for or may be offered a scan to check the placenta and fluid levels etc.

is there anywhere nearer to you that does monitering?

VivaLeBeaver · 12/03/2012 22:09

If the midwifery led unit has CTG monitors then they might do most of the monitoring there. Otherwise you'd have to go to the main hospital. Not all MLUs have monitors.

DairyNips · 12/03/2012 22:18

I was monitored in my last pregnancy at the unit here. I'm just a little concerned as if they suspect any risk at all they send you off down to the hosp.

They were unsure of the trace when they monitored me last time and sent me to the hosp to be possibly induced only for me to be told all was fine and sent back againHmm Sometimes I think they over react a little, even though they are all very nice. I'm just worried I'll be up and down the road to the hosp like a yo to everytime they monitor me and I can't afford the petrol never mind the inconvenience!

OP posts:
nappymaestro · 12/03/2012 22:19

This reply has been deleted

Message withdrawn at poster's request.

nappymaestro · 12/03/2012 22:20

This reply has been deleted

Message withdrawn at poster's request.

DairyNips · 12/03/2012 22:29

I see. I'm not thinking dates are wrong, the EDD only changed by one day at my 12 week scan. I do feel that I naturally just take a little longer to grow my babies. Ds1 was only 6lb 5oz and ds2 was 6lb 14 1/2oz and that's both at 42 weeks. When ds1 came out 'late' the midwife commented that his ears were really soft and floppy and this was strange as its usually seen on prem babies.

I just feel I'm meant to have longish pregnancies and really want the experience of natural labour. I am petrified of increasing the risk of stillbirth though.. I also would like to avoid induction as any intervention has a knock on effect for breastfeeding.

OP posts:
DairyNips · 12/03/2012 23:00

BumpSmile

OP posts:
DairyNips · 13/03/2012 09:02

Morning bumpSmile

OP posts:
DairyNips · 13/03/2012 10:10

Anyone?

OP posts:
AmethystMoon · 13/03/2012 10:11

Hello dairynips ( I remembered your new name) Smile great question...I will lurk if you don't mind as I'm not keen on induction and had been wondering what might happen if I said no thank you, not yet!

lambethlil · 13/03/2012 10:17

I was induced 3 times.

It wasn't pleasant, but I can't say I ever felt I'd missed out on a natural birth as a result. Living so far from the hospital certainly complicates things in you case (not suggesting you shouldn't live where you do, btw!)

I don't know what to suggest- it looks like you have long pregnancies; the weights, the floppy ears, but it's a high risk game.

DairyNips · 13/03/2012 11:00

Hey AmethystGrin lurk away!

Lamb Yeah, I could be induced again if I chose to go that way but unjust don't see why I should be induced just for reaching 42 weeks iyswim. There wasn't a particular medical reason the last two times, it was based on dates alone.

My first induction wasn't too bad as they inserted the pessary at night then one in the morning and I went in to labour so it was almost like a natural labour really.

The second induction was started by a less sympathetic midwife and I just felt like a number, someone they had to get in to labour and out of the waySad They skipped the pessary stage which I really wanted and did a 'really good' (ie uncomfortable) sweep. I then had my waters broken the next morning, it was very uncomfortable as the membranes were tight over ds's head but the midwife was determined to get it done so I had to grit my teeth whilst she rummaged about and it felt like her knuckles were bruising the outside of my fanjoSad

After that I walked around for a few hours and had irregular contractions. On returning to the ward I was told I had been gone too long (she asked me to come back 'in a couple of hours' so I returned 2hrs 20 mins later) She said she had been wondering where I had got to and made me feel like a naughty childAngry She asked how I was getting on and I said I had been contracting although they'd tailed off a little. She then announced 'well you're not contracting so we'll get you on the drip'.

I had been sitting/ leaning forward as much as poss as I had spent weeks doing foetal optimum positioning and had managed to turn ds in to the correct position from back to back. She made me lay on the bed on my back to check baby's position and announced he was now back to back (he wasn't, she was wrong but it made me anxious as my first labour was back to back and painful).

She hooked me up to the drip and attached it in such a way that I was all tangled up and couldn't lift one of my arms up properly. I sat on my birthing ball and a nicer midwife came in on the change of shift. She sorted the tubes out so I wasn't tangled anymore.

They kept turning the drip up but nothing happened for a while as it needed flushing through and the first midwife hadn't noticed but had kept turning it up regardless. When they flushed it through my labour progressed quickly and I found it hard to deal with the pain increasing so suddenly. It was about 2 hours from the flushing through of the drip till had delivered ds. I ended up over contracting and they had to turn the drip down. It was uncomfortable and very intense. At one point I had asked for an epidural but it was discovered I was already 7cm then about 5 mins later was 10cm and wanted to push.

I just feel like I was interfered with and not given enough time to go in to labour naturally once my waters were broken. I felt like everything was 'against the clock' and I could just relax and wait a bit.

Anyway, sorry for rambling on but it's this I want to avoid. I realise the risks might increase slightly if I go over 42 weeks but there are several risks associated with being induced too, more chance on instrumental delivery, c section, etc. The drip can flood your system with fluids making your nipples a bit flatter so harder for baby to latch on. Because I was over contracting at the end my ds's heart rate went down and I had to lie on my left and push him out as quickly as possible, thankfully I managed to.

OP posts:
lambethlil · 13/03/2012 11:03

The trouble is you'll be so far away if you do start labour...

DairyNips · 13/03/2012 11:08

So is everyone who lives here! My sil had her baby a week ago an traveled to the hosp when her contractions were 4 moms apart. She got there and have birth within an hour and 15 mins. It's just what we're expected to do here unless we're low enough (ie no risk!) to give birth at the mat unit. I'm not going to get induced just because the Nhs haven't got a proper hosp closer to here, I'll just have to set off in plenty time.

OP posts:
DairyNips · 13/03/2012 11:08

Excuse all the auto correct mistakes, on my phone.

OP posts:
DairyNips · 13/03/2012 11:27

I think really I need all the info on the risks and guidelines so I will be making an informed choice and will be doing this in the safest way for myself and my baby.

I read the Nhs article on induction and it basically told me nothing.

OP posts:
Bue · 13/03/2012 11:43

I second the advice to read the NICE guideline. Here Induction of labour is a really tricky one because they really don't know what the appropriate time is to offer induction and they don't always know which pregnancies are at greater risk of problems when they go postdates. It is important to remember that the increased overall risk is tiny, however.

DairyNips · 13/03/2012 11:53

Thanks Bue I will read the link. Do you mean the increased overall risk of going last 42 weeks is tiny or the increased overall risk of being induced?

OP posts:
nappymaestro · 13/03/2012 11:55

This reply has been deleted

Message withdrawn at poster's request.

DairyNips · 13/03/2012 12:01

Ok will do thanksSmile

OP posts:
Bue · 13/03/2012 13:51

Yes sorry nappy explained it better, the small risk is in not inducing

glasscompletelybroken · 14/03/2012 17:08

I think far too much emphasis is placed on due dates. In the old days people just said they were expecting a baby "in the Spring", or "around the end of March". Now it's a particular day and I think it's only 5% of baboes born on that due day.

I had 1 early baby and 3 late - one was 23 days late and she was and is fine. I know things have come a long way and a lot of the progress is good but this is one area where I think it's a bit mad.

DairyNips · 14/03/2012 17:14

I do agree glass, I feel a bit like we are scared in to inducing by the health professionals without knowing exactly ho much extra risk we are facing.

I have read the nice guidelines but am still confused as to exactly what the risk of stillbirth would be of I go over 42 weeks. Obviously the idea of putting my baby at risk is terrifying, I need exact figures to be able to make an informed decisionConfused

OP posts:
nannyl · 14/03/2012 19:19

I was planning a home-birth and also planned to decline induction (which wasnt an issue as she was born 3 days after her due date)

anyway i knew my dates were wrong, so was not going to be induced until 43 weeks by MY dates. (I knew when i ovulated)

The midwives were aware of this, and so long as i was happy for monitoring, they were happy for a planned home birth after 42 weeks.

I would hope i would have been allowed in the mid-wife unit too, had i have chosen to give birth there, though i do realised they can more easily not let you in a unit, but its less easy for them to avoid sending a midwife to a home-birth, where you can pretty much do whatever you like

Swipe left for the next trending thread