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Childbirth

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

Second birth - scared of induction after home birth

32 replies

User65412 · 04/11/2022 09:01

Hi, looking for any advice or anyone with similar experience.
I'm 38 weeks pregnant with my second child. I felt very in control with my first pregnancy. I had a straightforward pregnancy and denied all offers of sweeps or inductions until she came naturally at 41+4. I had planned a homebirth with an open mind to going in, but managed fine at home. Waters went at 9pm, 3 in 10 contractions started straight away and she was here by 6am. Obviously painful and challenging but very positive.
This time, I've had a very different pregnancy. Low iron, severe pgp, low papp - a and gestational diabetes diagnosed last week (a complete shock as I have no risk factors).
So I've been having growth scans throughout because of low papp-a and growth has been steadily dropping. Yesterday baby dropped below 10th centile and they have said they suspect IUGR (although they can't be sure and could just be a small baby). Fluid, blood flow and movements absolutely fine. With this and the added complication of diabetes, consultant was very keen for me to be induced today but I insisted I wanted to wait. I've agreed to induction next week with daily monitoring until then.
I feel so lost and confused this time. I'm now worried that my baby is at risk and I should be induced sooner rather than later. Or I'm concerned that they've scared me into an induction when I should wait for my baby to be ready. I feel like I can't make an informed decision. I'm very data orientated and stastsics-led (love maths!) and assess risk in a black and white way, but I can't find enough evidence or studies to make the risks clear. I had planned a homebirth this time but kept being told it depends on the next scan. 2 weeks ago baby was on the 10th (before the gd diagnosis) so consultant and midwife were happy with homebirth. Since the drop in growth and the gd diagnosis, neither consultant nor midwife will support a homebirth. I am fine with this and not hugely opposed to going to hospital (especially if I can go into labour naturally), but the EMCS and instrumental delivery rate at my local hospital terrify me. (45% section, 15% instrumental).
Out of all of my friends who have had babies there, they've all had traumatising experiences usually ending in forceps or section (and many of them induced). Of course I know that sometimes these interventions are necessary, but when I had my homebirth my midwives said that if I'd been in hospital, they'd have used forceps by now due to' failure to progress' because of the 2 hour rule and need for beds. So I have concerns around the motivation for intervention at my trust.
On top of all this, I'm absolutely terrified of being induced with the hormone drip as everything I've heard and read says it's absolute hell. So if that happens, should I have an epidural first? After a natural labour last time, I feel like I should at least try again but I've read loads of threads on here now advising epidural before drip.
Sorry for the ramble. I feel so disappointed in my body this time and so out of control. People keep saying to me 'as long as baby gets here safe it doesn't matter' and I totally get that, but I also think my feelings deserve some validation and I can't help how I feel.
I'd love to hear from anyone who had a hospital birth after a homebirth, or if anyone has any more info on the risks of small babies combined with gd!

OP posts:
VivX · 10/11/2022 16:16

I had an induction for IUGR (and it was a VBAC) and prior to being induced, I was having regular monitoring at the hospital.

The induction was the slowest thing ever (or it seemed like it, at the time - from induction to birth was about 40hrs). Contractions just didn't really get going and I couldn't have a drip (due to VBAC), only pessaries, which is why it was so slow. But once I was induced, I had to stay in hospital, obviously.

Eventually (after about 36-37hrs, and still not very dilated at all) they did a sweep and were just able to break my waters. Well (fortunately) that just jump-started the entire thing. I went from almost nothing to ready to push in under 3hrs.

I wasn't actively monitored until they broke my waters.

It wasn't a terrible experience from a medical point of view but I was extremely bored of being in hospital for that amount of time.

After the birth, we went home just as soon as I was able.

Good luck with the birth!

Dyra · 11/11/2022 00:14

Hoping there was room this afternoon, and things are underway already.

If you have the drip, you'll have continuous monitoring. Hopefully your trust will have some wireless ones. I've had two inductions, but while I didn't want to move with my first, I did with my second. Wireless monitoring definitely came in handy when I was trundling around the room with my IV stand.

I've recently had a birth afterthoughts meeting about my second. Nothing traumatising or scary happened. I was just one of the unlucky minority of STM who needed intervention despite a straightforward(ish) first vaginal birth. I wanted to better understand the timings and reasoning behind the decisions; as it was arse o'clock in the morning at the time after a full day of labour, so it's all a bit of a blur. As part of it, I was shown CTGs of when I was on the ward (as a baseline), contracting with no baby distress, and contracting with baby in distress. There was a marked difference of baby's heartbeat in the distressed CTG from what it had been that even I could see. It was quite fascinating.

Best of luck with labour.

User65412 · 11/11/2022 18:13

Well, he's here! I had the pessary at 5pm last night and contractions ramped up at about 5am this morning. By 11am, I was 3cm and transferred to delivery. I had my waters broken at 12.30 when I was 5cm and at this point started begging for an epidural because I presumed the next 5cm would take hours! The anaesthetist came at 1.05pm, around the time I started saying I couldn't do any more (hello transition!)
I was on continuous monitoring (which I agreed to) and they weren't happy with heart rate so tried to put the clip on baby's head. I was in agony and they kept asking me if I felt pushy but as I was lay on my side I didn't know! They got the clip on as I rolled onto all fours and it came straight off. 3 pushes later and he was here at 1.22! It was so fast at the end. Looking back, everyone in the room knew I wasn't getting an epidural in time but I felt very listened to and supported.
He was 6oz 2, in perfect health and feeding well. I am ultimately glad we were here due to the risks and felt very well looked after.
We're back on maternity now, probably for the night as I lost quite a bit of blood.
Thank you all for your support and kind words.
He has no name yet, something to decide tonight while I'm gazing at his beautiful face 😍

OP posts:
Enko · 11/11/2022 18:19

Congratulations

Sleepsleeprepeat · 11/11/2022 18:47

Congratulations! Really appreciate you taking the time to share your brilliant news!x

CristinaNov182 · 11/11/2022 21:37

Wow, congratulations! I’m sure it was very painful but it sounds on the light and short side of it, if you can say that about labour!
a good experience, in any case
glad you’re both doing well

Dyra · 11/11/2022 21:47

Congratulations on your little boy. 💙

Labour sound like it was fast and furious once your waters were gone. Hopefully won't be too long until you're back home.

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