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Childbirth

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

Offered induction due to speedy labours...advice please

14 replies

redqueen45 · 16/02/2010 13:50

Am pg with 5th DC, & consultant recommending I be induced at 39 weeks due to my ever-quickening rapid labours. There's no medical risk re baby behind this, other than fact I live 35mins from hospital, & in last labour contractions were only 25mins... Only made it due to middle of night deserted roads meant high-speed drive - but REALLY don't want repeat of that.

But I DID have pre-labour warning signs, but they were so odd I didn't recognise them - weird painless pulling sensations/contractions, & later awful random stabbing pains all over bump (which I decided were trapped wind ). If I'd set off for hospital then all would have been fine. But what if don't have sufficient warning signs, or hospital turn me away because they won't recognise early onset?

Am torn. Love idea of guaranteed gas-&-air labour & no worrying about panic dash, not to mention knowing other children safely at g'parents. But never had any interventions, & very unhappy with idea of this interference for (no good) reason. Plus have total need to deliver on all fours (SPD) & am deeply stressed that may end up flat on back & monitored.

Suspect DH wants me to go for induction.

Also discovered that I'm afraid of the prospect of an sweeps/drips/epidural; how bizarre that after 4 traumatic labours I shun offer of pain relief... guess it's back to that intervention thing again.

Sorry this is so long. Oh, & home birth not an option - midwifes much further away than hospital!

Any Advice, please.

OP posts:
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fishie · 16/02/2010 13:55

what about calling an ambulance? i can't imagine it would make much difference in nhs costs compared to induction / interventions.

i have only had an induction and it was not nice. i am sure yours would be much better given your history though.

have you asked hospital what their policies are, maybe you wouldn't have to be flat on back?

Loopymumsy · 16/02/2010 15:16

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Tangle · 16/02/2010 16:21

I recently had to be induced at 36 weeks with DD2. I had two doses of prostin gel but was otherwise free to do what I liked. I was apprehensive of how strong it would make contractions, but it wasn't too bad and I coped OK with TENS and breathing.

When did you go into labour with your previous births? Is 39 weeks about when you'd expect to go naturally or do you cook more slowly? I'd have a good chat to them about what their plan would be for induction and monitoring (and even if they'd plan to stick you straight on a drip, which seems unlikely, you don't have to agree to it...) and then have a think about the point at which the concern of going into labour at home is bigger than the concern of having an induction.

How far away are the HB MWs? If you go into labour before induction it might be better to plan to stay at home than not make it to the hospital - I'd rather be at home with no MWs on the way than in a layby with no MWs.

flybynight · 16/02/2010 17:24

I'm a speedy labours girl as well, currently on no 4. I was induced with no 3 - just prostin gel, 20 mins from first contractions, no pain relief. It was fine. I knew it wasn't happening in a car park, which certainly helped me relax . My cervix was utterly unfavourable when they applied the gel, but it was still fast once it got going.

I'm having an HB this time as the hospital is 35 mins away. The mws said phone them the first second I have an inkling something is up. If they can't get there quickly, they will send an ambulance to deliver me at home, with a mw getting there in time to deliver the placenta (the tricky bit, apparently, due to PPH). I'm still terrified that I'll say "all systems go!" too early and I'll have a bored ambulance crew on my drive!

redqueen45 · 16/02/2010 17:44

Thanks for all info. I wonder how I could subtly find out likely time to wait for ambulance? Plus then think unless I was within minutes of pushing they'd prob try to load me in & drive off for hosp - never been in back of one, how would you manage in one whilst in throes of heavy labour - would you be on stretcher bed (back to probs with spd - can't stand any seated/lying pressure on pelvis during contractions), in heap on floor or hanging from roof straps like some surreal tube journey?

Oh Loopsymumsy, I really don't want ARM. Obviously if life-or-death situation with baby, but otherwise nooooo. With last baby waters broke naturally 10mins before he was born, but when he arrived he was all tangled up in the cord - neck, shoulder, & 1 arm (yes, they said it was unfeasibly long thin cord!) - I was later told by Ob Dr friend that it was better for my baby that waters not been broken early, as apparently waters going can cause pressure on the cord,& obv babies with cords round necks are most vunerable to it.

I know ARM is now routine, & indeed my waters broke early on in labours 1 & 2, but then I didn't know of any poss risk & so didn't worry, & yes, babies were fine. But it's one of those cases that the more you know, the more you worry, & after whole cord thing & blue baby last time I'd be nervous of agreeing to ARM now.

Tangle - am very encouraged by your early successful induction with gel only - I think that's the only thing I'd be happy to accept. My last two babies came bang on the EDD, so I'm worried that a week early will mean cervix isn't ripe (think that's the phrase) & therefore gel won't work, forcing me into downward spiral of ARM then drips & epidurals...but obviously not case with you. I read on another thread somewhere that if gel doesn't work & you refuse further efforts the gel can still have irritated the cervix, causing crampy contractions (yet not effective) for days - not something anyone fancies!

Hospital consultant didn't exactly fill me with confidence - he barely looked in my direction - so will be trying to get a lot more answers next time when I'll doubtless see a different one...

I like your point about when concern re labour at home greater than concern re induction... but it's the whole hindsight thing isn't it. I've been lucky nothing has ever gone badly wrong, so odds on this baby will be born ok too, but can I live with myself afterwards if I refuse induction, stay at home, run out of time & something awful happens to the baby? No. On other hand, why should I be treated as high risk & somehow a danger to my baby (IYKWIM) purely because my body has become super-efficient at a totally natural process?

Aaargh. Wonder if time for DH to take some sort of crash course in delivering babies...? It's the cord-round-neck thing that really worries me, or thought of baby getting jammed.

Home birth - absolutely can't be done. Am not living in UK anymore, where I had home birth for my first, but in Southern Ireland where it's not available on the approx-equivalent NHS. Nearest private midwife over an hour away - even if we had the dosh to pay, which we don't.

Would definately stay at home with ambulance on way if time goes against me... will be excellent contraception message for teenage son when he hears me screaming away in the living room.

I've gone on again... sorry

OP posts:
redqueen45 · 16/02/2010 18:08

Only just read your post Flybynight (ahem - was taking so long to write my long-winded reply!) - huge thanks, as your description of No3 is very reassuring, the unfavourable cervix bit especially.

I found last time it took ages before placenta arrived naturally - as I'd arrived at hospital 'at some speed' they weren't prepared with that hormone injection that helps expel the placenta, so I didn't get it. I only realised this afterwards, when I wondered why it had taken 2 hours after birth to get to post-delivery ward, & what had I been doing? Waiting for placenta for a good chunk of that time. Point is that if this is typical I'd (or you, if for some reason midwife couldn't get to you) probably have time to drive to hospital after babys birth for placenta delivery if it came to it.

Maybe I should stop reading the awful stories on the induction posts. I'll certainly be going back to see consultant muttering "prostin gel, prostin gel" under breath.

Am def feeling less wound up, many thanks

OP posts:
feedingatoddler · 16/02/2010 18:18

If it helps, my friend was induced and monitored constantly and the midwives kept telling her they needed her on her back on the bed for the monitor to work properly, but she had her mum there who was brilliant and held the monitor in place for her so that she could kneel up/be on all fours, and ended up delivering without any pain relief apart from gas and air and no interventions (other than the induction and monitoring) - could you get DH to agree to hold the monitor for you? That should give you more freedom of movment.

Loopymumsy · 16/02/2010 18:27

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coffeeaddict · 17/02/2010 21:46

I had an induction for similar reasons with DC3. Had had speedy labour with DC2 and didn't want to be stuck in traffic in labour! It was all v smooth. My waters were broken but that didn't work so I went on the drip and epidural but still sat on birthing ball and delivered with no intervention. Was mellow and calm. I liked the fact it took a bit longer, I actually prefer a bit of a transition from 'no baby' to baby!

NB if it's any reassurance, with my first DC my waters broke very early in labour, and with loads of blood. He was born with cord around neck hours later but hadn't suffered any disadvantages as a result of waters going early.

verycherry · 18/02/2010 17:41

All four of mine have been v quick, DS1+2 90mins and 55 mins. Requested induction with DS3 for all the same reasons as previous posters but consultant laughed at me.. arsehole.

Booked for homebirth but had complications so changed hosp and had induction (ARM then syntocin) managed to move around a bit with monitor on, got on all fours/knees but ended up delivering sitting upright on bed. Was most painful labour but not that far off the first two and was 45 mins. Definitely felt more in control and happy with situation. Also could have g&a which helped!

Booked HB for DS4, same advice as you flybynight had no contractions in first stage, woke up with a show, started shivering thought god am in transition, called MW 30 mins away, MW said call ambu, DS delivered after 6 pushes by his daddy just as paramedic arrives - so I'd be getting your OH watching birth clips on youtube to prepare him for his new role as midwife! Was best birth of the four, would do it all again tomorrow!

The very best of luck to you both.

Rolf · 19/02/2010 10:14

I have fast labours, too. 1st child was a post-dates induction in hospital. 2nd child just managed to get to hospital in time, in a blue-light ambulance. 3rd child was a 38 weeks induction in hospital (for medical reasons), 4th child unplanned homebirth where the midwives got to me 10 minutes before delivery, and only because they lived a few minutes away. So I can understand your worries.

FWIW, the induction with my 3rd child was fine. Because my body had done it all before, even though I don't generally "cook" my babies for 38 weeks (40 wks+), I responded quickly to the prostin pessaries. If I was going to have an induction again I'd get a doula to help me avoid the prodding and poking that hospitals go in for and give me a bit more control.

If I was having any more babies I'd worry about a fast trip to hospital. If we'd tried that with DC4, DH would have ended up delivering a breech baby on the dock road. I think in your position I'd opt for induction at 39 weeks. I can imagine getting more and more anxious towards the end of the pregnancy.

Ambulances carry gas and air but I imagine they'd insist on you lying down, which I appreciate isn't helpful when you have SPD.

If you want to avoid induction, I'd plan on dialling 999 when you know you're in labour. My MW told me to get to hospital in an ambulance, rather than the car, as she knew that there was a good chance we wouldn't make it.

Good luck

M44 · 19/02/2010 10:17

hate to disturb you but....after ARM induction.....12 minutes from 4cm to delivered!

ninamag · 19/02/2010 11:07

My first three dds were born really fast. DD4 was induced post dates and was my longest more painful labour at 3 hours. I think although 2 weeks late she wasn't ready. Lying flat on my back didn't help either!

Elsewhere · 19/02/2010 20:05

Have had really fast labours & never had an induction mentioned. Wouldn't have had one in any case.

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