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Childbirth

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

SPD SUFFERERS- HAVE ANY OF YOU ASKED TO BE INDUCED EARLY BECAUSE OF PAIN?

19 replies

froggy16 · 21/05/2009 09:40

Hi, I am 37+3 weeks today, and suffering with SPD and sacroiliac joint pain, on crutches as I can hardly walk without them. I am in so much pain and so fed up, I was wondering whether I would be able to ask to be induced. I have a ds and dd already, ds was born at 37+1, and dd at 38+1, so I thought this one might make an appearance early. I have been having contractions every night for about a week now, and stitchy pains this morning, but apart from that nothing.
I really just want her out now, I am in tears over the pain. Any advice?

OP posts:
LilRedWG · 21/05/2009 09:42

I had an elective CS at 38 weeks, partly due to SPD. Give your midwife/consultant a call and explain the situation to them.

I feel so much for you, it is so horrible isn't it.

Good luck.

shootfromthehip · 21/05/2009 09:42

I'm so sorry for you, I had this with both of mine and they wouldn't induce me even though I couldn't walk either. It's horrible but you'll get very little sympathy from the hospital if they are anything like mine

Good luck with the new baby when it gets here x

LilRedWG · 21/05/2009 09:43

Actually, the CS was mainly due to SPD, but it took the risk of shoulder distocia to convince me it was the right way to go.

Sheeta · 21/05/2009 09:48

You poor thing.. I feel your pain. Did you have SPD with your previous pregnancies?

Hopefully you're already on your way. Have you got it written into your birth plan that you don't want any positions during the birth that could aggravate the SPD (I demanded to be on my knees, I would have died from the pain if they'd made me lie on my back).

froggy16 · 21/05/2009 09:51

I didn't suffer at all with my other 2, it came on at about 12 weeks with this one. I saw a physio a couple of weeks ago, she said the best position would be on all fours, or leaning over a ball or bed. She too said don't let them make me lie on my back.

OP posts:
Lotster · 21/05/2009 09:59

You poor thing. I went 9 days over with my son and not only did the hosp not induce me but they also stopped my physio just before my due date! Having just had a necessary cs with my daughter, after the first birth ended in forceps and a difficult recovery, I would say that in your situation I would want a cs. It's not an op to be taken lightly of course, but my recovery from the first birth was much more difficult, not only from birth trauma but also from SPD that took over a year to improve. I insisted they used calipers, not stirrups as they hold your legs closer, but wish to god at that point i'd accepted the cs they'd offered me. Should you be set on natural birth, the labour should take over the spd pain, I wouldn't be induced personally as it sounds like it increases pain.. I'd also refuse forceps! The very best of luck.

froggy16 · 21/05/2009 10:07

Thanks everyone for your support, I am going to the doctors this morning so I will see if I can have a chat with the midwife while I'm there. I've read that being induced is alot of pain, but aren't induced deliveries usually pretty quick?
I'll just see what midwife advises, I guess it won't hurt to ask.

OP posts:
Sheeta · 21/05/2009 10:12

from what I remember from ym NCT classes, induced deliveries can often be more painful, and can more often end up in intervention such as forceps or ventouse, which will mean being on your back.

Hope you go into labour soon and the SPD pain vanishes!!

Beccabump · 21/05/2009 11:01

I had very bad SPD with DD and was induced a few days before my due date (they wouldn't do it any sooner). In my opinion it was the worst decision I have ever made. My body was not ready to give birth so I was less than favorable to start with, then because I was in hospital and they have guidelines to follow re how long each stage should take I ended up on my back (worst position for SPD) with constant monitoring, ARM, drip and all. I was totally exhausted by it all.

I am now pg with DC2 and am absolutely resisting induction despite having the SPD again. I am in a lot of pain but managing with rest, controlled movements, crutches, stuff from occ health to help me pick things up from the floor etc.

As for induced deliveries being quick - I took 36 hours as I just wasn't ready.

I don't want to sound mean (in any way - I feel for you so much!) but I just needed to tell you how it can be with induction and SPD.

HTH xxx

IwishIwasmoreorganised · 21/05/2009 11:08

I asked about it when I was on crutches due to spd and si joint pain with ds2.

They flatly refused as it wasn't in the babies best interests! The ms did concede that she would start giving me sweeps from my due dat onwards rather than from 40+5 as she prefers to do

In the end my ds2 arrved on his due date which was a relief as I was induced at 42+5 with ds1!

IwishIwasmoreorganised · 21/05/2009 11:08

I asked about it when I was on crutches due to spd and si joint pain with ds2.

They flatly refused as it wasn't in the babies best interests! The mw did concede that she would start giving me sweeps from my due dat onwards rather than from 40+5 as she prefers to do

In the end my ds2 arrved on his due date which was a relief as I was induced at 42+5 with ds1!

froggy16 · 21/05/2009 12:31

Just got back from docs, didn't manage to get to speak to midwife as she was busy, but the doctor said I would be better letting nature take it's course, and just to get lots of rest. She said it sounds like my body is getting ready, what with the contractions and the fact baby is 4/5ths engaged, so hopefully won't be to much longer now.

OP posts:
namechangerforareason · 21/05/2009 12:48

Hi,

Hope fullly tour labour will start soon, your past the 37 weeks so cold be anytime, just try to be positive!

I too had crutches for severe SPD from 25 weeks, I didnt ask for induction as I wanted labour to be as natural as possible as I had been TTC for 8 years, wanted to try to enjoy it. Went at 39+6.
Was told by my physio when she measured my pain free gap that my NHS trust didnt induce labour for SPD very often, against their policy and on an individual basis only. I had only asked out of curiosity, not because I wanted induced, just as to how many women were so badly affected as my GP didnt really know anything about it.

In the end had a fab labour and 6 months on only get very slight pain now and again.

Good luck, hiope you get the result you are looking for and your pain goes quickly after the birth.

namechangerforareason · 21/05/2009 12:50

Just to mention my midwives in labour suite were fab! I had noted everything on birth plan but they were very clued up on SPD and cant praise them high enough. Ask physio for optimal birthing positions and make sure your birthing partner knows your pain free gap incase you cant think straight in labour.

I delivered standing up and was great.

littlelamb · 21/05/2009 12:55

I had spd with both, but very badly with ds. Even though I was desperate to avoid an induction I was also desperate to be able to move again
I would say that based on my experience the last thing you want is to be induced. It will increase your chance of an epidural whoch will mean you are flat on your back which is the worst thing you can do- after my epidural with dd I was forced into stirrups even though I told them about my SPD and it was agony. With ds I stood up the whole time and it was brilliant. I would ask for a sweep as close to your due date as possible but nothing more tbh

Verity79 · 21/05/2009 16:36

I had really bad SPD/sacro-illial pain with DD1 (crutches, belts x2, housebound then in wheelchair for hospital visits).

My lovely cons. booked me in for an induction at 38w 0days when I was 36 weeks because 'I induce all my epileptic ladies at 38 weeks'. On my notes though it says induction due to SPD.

I went in at 7am Friday and DD was born 12.05am Tuesday. Yes it took that long! It was hell, every pessary was torture with registrars asking for 'just a bit wider' while I screamed on the bed. I ended up dilating just enough to use an amnio hook on Monday am (so 4th morning in L&D ward) but AROM only got me to 3cm so I was epi'd and stuck on drip at around 3pm. Epis didn't work and I had a 'window' of pain that felt like my womb had petrol poured on it then set alight. DD was born, with me in stranded beetle and legs in stirrups, by ventouse.

She had jaundice from day 1 and was back in hospital on the Friday as she was too ill even to suck from a bottle. DH had to pry her jaws open while I squeezed the teat to get the milk out.
She ended up bottle fed for 2 months before she was back to being BF.

I only found out when I asked to look at my notes that I had a Bishop's score of 0 when the induction was started NICE guidelines say 8 and above for non-medically indicated inductions.

I realise how difficult this is for you especially when you have other children but if baby isn't ready it will be even harder with recovering from birth, dealing with SPD after effects and dealing with a baby who just should have baked a bit longer.

If you really want an induction ask for your Bishop's score. This will give you an idea of how ready you are to give birth. The scale runs from 0-13 the higher the no. the more like you are to give birth. As you have already had 2 (?) children you should be inducable more readily than a 1st time mum but it really is up to your current baby when it wants to be born. You may even get a pleasant surprise and find out you are in early labour already!

LilRedWG · 21/05/2009 18:52

One thing I meant to add earlier was to measure how far you can open your knees without causing pain, then get a tie or ribbon or something like that and tie it around your knees at that point.

Then pack it in your hospital bag and instruct your DH and midwife that NO-ONE is to open your legs wider than that. If necessary, put it around your knees so that they can't.

If you have an epidural/spinal/pethedine etc' then you will not be able to judge at what point it hurts your pelvis and if forced wider you risk causing permanent damage.

HTH.

christie00 · 22/05/2009 15:52

I've had an induction and SPD (different pregnancies)- for me, though SPD is horrendous, it's a breeze compared to the cascade of interventions that constitute an induction. Hang on in there - I went to 41+4 but would still prefer that to induction (can you tell I'm a bit anti-induction? )

QueenFee · 25/05/2009 21:58

I was induced at 39 weeks for SPD. My labour was identical to my 1st which I went into labour naturally. The biggest problem I had was needing to walk in labour to get the baby down as he was also back to back. (I am convinced this is because I was in a wheelchair due to SPD so bad position)

Good Luck. Argue your way through as in my experience they always try to fob you off at first x

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