Shazzyd - can you tell me if you went into labour on your own last time or were you induced?
If you did go into labour on your own, were you over your dates?
Long menstrual cycles do have an impact on your due date so that may be why you are over your date predicted on a normal 28 day cycle.
Do you have a community midwife who is different from the one you met at the hospital? If so, would you feel happier speaking to her?
I would suggest you print off the information I have posted on the links below. This shows that you are making an informed decision about what you want to happen regards labour. You cannot be made to do anything that you do not agree to. They physically cannot induce you or section you against your will.
You need to have a discussion with ther professionals looking after you to make a plan that suits you. Take your DH with you.
As a midwife I have to say we do get concerned when pregnancies go beyond 42 weeks. As you have said that your cycle is long, you may well go over that. Have you asked the consultant his thoughts on that? Make sure you tell him everything that you have thought about. Be firm but polite and ask them to listen to you. Care is meant to be 'woman-centred', so you could drop that phrase in
The placenta tends to start to work less efficiently in a pregnancy that goes 'overdue', however, that can be monitored. If the fluid levels are fine and the baby is moving well then that is all good. However, you could have a scan that shows reduced fluid (very common) and the placenta may look as though it is deteriorating. You have to think what you want to do in that situation. You may be offered induction on that basis so you need to know what your response will be.
If you are keen for a vaginal delivery, then I would suggest you agree to induction if there is an indication for it. That will reassure the professionals that you are not refusing induction at all costs. However, it is making sure that there is a valid reason other than just you being past your dates.
In my own hospital we do use prostin gel for previous C/S women if it is needed. If the cervix is not favourable for labour (soft, in a good position and slightly open) then breaking you waters will not be enough to get you labouring and you would need a syntocinon drip.
In some cases, prostin can be enough to start the labour process and if contractions are good enough, the waters may not need to be broken.
Pupuce is quite right to point out that prostin is not really recommended in previous C/S, but experience has shown over the years that it can be used successfully. You would need to be continuously monitored if prostin is used with a previous C/S. However, you can still stand, sit in a chair, use a gym ball etc. You do not need to be stuck in a bed.
You could also let the professionals looking after you know that you want to be as mobile as possible.
Remember that the reason sex works as induction method is that there is prostin naturally there in sperm ( as well as other factors involved )
The order of things in induction is prostin gel (which may be enough), followed by waters being broken if contractions haven't started. If after gel and/or ARM there are not enough contractions, a syntocinon drip may be started.
Syntocinon is used very cautiously and as a last resort with previous C/S. Progress is monitored more closely and if the cervix is not dilating well then a repeat C/S would be advised sooner rather than later as there is an increased risk of uterine rupture.
Hopefully you will go into labour on your own over the weekend and you will no longer need to worry about getting induced.
If not, then phone the hospital to say that you will not be coming for induction on Monday, but to discuss all the options available to you.
I will stop there just now to see if there is anything I haven't mentioned that you need to know. I need to go out just now but will be back.