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Childbirth

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

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Original poster

Cholestasis & Induction

12 replies

Elbie2019 · 03/12/2019 11:17

I am 35 weeks + 4 days and got diagnosed with cholestasis last week. I’m trying my best not to read too much online with it as it scares me but I’m keeping a careful eye on the baby’s movements and following the advice of the midwives.

They have booked me in for an induction in 10 days when I will be 37 weeks. This is terrifying me! I think it’s a whole new level of reality when you know the date and time you’re to go in! I wondered if anyone has any experiences of being induced at 37 weeks? I’m worried as they’ve told me it may not work as my body just may not be ready for labour. I’m scared at the prospect of going through the pain of induction with the drip for it to end in a c-section. I think my mind is just going wild with every thought at the moment!

OP posts:

babynunber3 · 03/12/2019 13:47

Hi I'm currently pregnant with third had this with both my first and second induced at 37 weeks with first and 36 weeks with second unfortunately failed both times and I was on drip and in painful labour 3 days eoth both ending in emcs, this time I am obviously opting for a planned c sectio! I've heard many who had successfully inductions thou, I just think that babies this early aren't ready to come!
What's your BA ?

Dyra · 03/12/2019 14:16

I was induced at 37 weeks. Gels didn't do much, and as baby hadn't dropped into my pelvis yet, popping waters was a bit difficult.

Labour was painful due to the drip, but I didn't need any interventions, and only suffered a small second degree tear.

Original poster

Elbie2019 · 03/12/2019 16:38

@babynunber3 My bile acids were 21 last week but getting retested tomorrow. I think you have the right idea going for a planned C-section. Part of me wonders why they don’t just do that when they’ve already told me it may well be unsuccessful. I know that it is major surgery but from seeing family members and friends, they have recovered so much faster from a planned section than an emergency one.

@babynunber3 @dyra Did either of you have epidurals to ease the pain of the induction drip? X

OP posts:

babynunber3 · 03/12/2019 18:37

I did have the epidural for first however when topped up for c section it failed and I ended up been put to sleep for my first which was very traumatic as my partner and my family had all held my daughter before me! I found this very hard to deal with! Had spinal for next c section! That's really good 21 I'm supervised they are inducing you as now they don't usually induce for oc unless above 100 will leave you till 39 weeks cx

EvilEdna1 · 03/12/2019 18:40

Have you thought about induction Vs planned caesarean. It's your right to have s cesarean if you would rather.

doleritedinosaur · 03/12/2019 18:48

I had a 37 week induction due to liver deterioration & my recorded labour is 45 minutes long.

I was 1cm dilated before pessary went in, was 4cm at 9am & sent to delivery then 1:15 waters broke & 2pm baby out.

Ask how favourable your cervix is, that really helps. Have you looked at hypnobirthing at all?
The induction is more intense, (I’ve had 2 natural births since) so if you want pain relief don’t be afraid to demand it.

Gizlotsmum · 03/12/2019 18:52

Second child I was induced due to this at 37 weeks. Gel didn't seem to work but it must have done as my waters broke the next morning and my labour was

Dyra · 03/12/2019 19:07

I came very, very close to asking for one.

I managed on gas and air, paracetamol and codeine up to 3cm (about 6 hours after drip start). However, I opted to try morphine first instead of going for an epidural.

The morphine worked (a little too) well. I pretty much slept for the next 5 hours afterwards. I only awoke at the peak of contractions, which were managed with gas and air. That took me up to 10cm, and I did the pushing part without anything.

You do what feels right for you.

Cardboard33 · 04/12/2019 16:28

I had OC when I was pregnant, my BA wasn't as high as yours and they said they'd probably let me go to 38 weeks but they didn't know for sure until I was beyond 37 weeks. That date didn't come as he came naturally at 36+6, luckily. Like you I was terrified of being induced and it then ending up with a c section so was trying to decide whether to just go for the planned c section rather than induction. I'm not even sure now what I would have done, just thankful that he came early and it was a very quick labour (in the scheme of first babies) as an overnight job and only st the hospital for two hours before he arrived. Id also second hypnobirthing, we did the positive birth company digital pack and it was really good for just giving more info about what happens during induction, c section etc, what you can do to help things along and just generally made me feel more empowered for labour as I knew more about my options. I assume you're under consultant care and are giving bloods regularly st this stage... can you discuss your worries with them? Mine were really helpful and happy to listen to me.

Hugsandpastries · 05/12/2019 04:30

I was induced due to OC, though at 39 weeks so not as early as you. I was on the drip and tried to see if I could go without the epidural but in hindsight should have gone straight for it as the contractions came on strong and fast. It didn’t end in a c-section. I’m pregnant again and got given a leaflet on induction this week which I think said induction doesn’t raise the risk of needing a c-section - have you been given any info like that?

Obligatorync · 05/12/2019 05:20

Hello. I had cholestasis which is also known as ICP with both pregnancies, first from 36 weeks and second from 16 weeks.
There's a great Facebook group called ICP Support which is well worth joining.
I had two inductions. With the first I went into labour, ended up with a c sec but it was nothing to do with the induction.
With my second, I couldn't have the full battery of induction drugs due to the previous section, so it didn't take and I had a second section.
It was all fine.

Hugsandpastries · 05/12/2019 07:45

From the ‘Induction of labour’ leaflet I’ve been given by my local NHS trust - “Induction of labour does not increase the chances of you requiring a Caesarean section compared with waiting for labour to start naturally. However some clinical reasons for induction of labour may increase the risk of Caesarean section, for example being induced because your baby is small for gestational age”.

Induction does increase the risk of some other interventions but no need to assume you’ll end up needing a c-section. Hope all goes well for you x

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