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Childbirth

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

Refusing induction - Crazy?

109 replies

madcatsazz · 11/05/2010 08:54

Has anybody else refused induction? I'm 41 weeks today and assuming checks and monitoring show baby is healthy, I am planning to refuse induction. I have appt with obstetrician on thursday and I wondering what points he's going to throw at me. I know there is an 'increased risk' but I have read the stats and they are still seriously low and know that scans and heartrate checks should show any signs of distress in the baby. I also know there's an increased risk of meconium in the waters - does anybody know of further research on this? Any advice or opinions welcome (go easy on me though, I'm a heavily pregnant hormanal woman!)

OP posts:
first1 · 21/05/2010 20:07

madcatsazz - have the hospital given you " a deadline" before they insist they intervene? Not that they should be able to insist in my opinion, it's your call! Just interested to hear about different hospital policies. I'm at Kingston hospital and their induction policy is 11-14 days post term. In hindsight I think I'd rather be left until +14 but because I'm asthmatic I've been booked in for the earliest date of +11. Then again I've heard of other hospitals who say +10 is the max. It should be a national rule me thinks!

florencerusty · 21/05/2010 22:04

Ok as Mum to a little boy who would have survived had I been induced and who would now have been 3 I have many many friends in similar situations.

I cannot count on all my fingers and toes hw many of them lost their precious babies after 40 weeks and whose loss was determined as being due to a breakdown of the placenta, a deterioration of a lifeline with a shelflife sadly. I am in no way claiming this is common but it is truly to big a risk to take. Some of these mums of angels were monitored and all was fine until - .......

I myself was in hospital, strapped to a monitor in my little boys last moments and no-one had any idea there was a problem - all seemed fine

madcatsazz · 22/05/2010 00:53

florence - I'm sorry, that's a horrible and tragic story. I'm amazed you have so many friends that have been through this. I haven't encountered anyone under the age of 50 that has gone past 42 weeks and am blessed not to know anyone that lost a baby due to post mature problems. I do know that what happened to you is a crazy low statistic and around 99.6% of babies going post mature will be born fine (compared to 99.8% of babies born before 40 weeks) - this however is no comfort for you and for that, I am truly sorry. I do know a lady that lost her baby at 39 weeks and that too was so tragic. I think to enter into a debate about the risks and benefits of induction versus expectant management with you would be highly insensitive on my part and probably detrimental to us both but I do thank you for your input - like I said, it's good to hear both sides.

First1, in answer to your question, they cannot 'insist' anything, they can only advise. It has always been my intention to delay as opposed to outright refuse intervention with the hope a few more days is all my baby needs to cook. I can't explain the feeling but it really feels like she wasn't/isn't ready to come. I had reflexology yesterday and the baby has been well engaged for the last 4 weeks. Interestingly, every time the reflexologist massaged the uterus points, the baby went crazy, moving right up to the top of my bump. Today at my examination at the hospital, they tell me she is no longer engaged although she is still in the 'right position'. What does that mean? Is she really desperate not to come out yet? Or did the reflexology encourage her to move out of the cervix so she could re-engage in a better position? Or am I going slightly mental with the wait and reading far too much into everything

Anyway, off to the hospital for monitoring again in the morning and to discuss everything with my consultant and a decision will be made, hopefully for the best of all of us.

OP posts:
first1 · 22/05/2010 09:39

Interesting how reflexology moved your LO madcatsazz. Hope consultant goes ok today and baby has indeed re-engaged I'm having my first ever reflexology appt this afternoon. I'm the opposite, baby isnt engaged so lets see if she bumps down!

lukewarmcupoftea · 22/05/2010 10:45

Madcatz - with 2nd babies they can pop in and out, but doesn't mean anything wrt when labour might start (as I'm sure you've read). Hopefully the repositioning is a good sign though. Fingers still crossed for you!

sobloodystupid · 22/05/2010 11:17

madcatsazz, hope your little one is ready to come out soon. I was induced at 41 weeks, 'twas agony awful! I'm due next month and like you, I plan to hold out as long as I safely can. Can I ask where you found most helpful in terms of info in terms of post mature babies and placental stuff (want to be armed if/when the time comes) Best of luck

StarlightMcKenzie · 22/05/2010 11:36

This reply has been deleted

Message withdrawn

juuule · 22/05/2010 12:47

Sobloodystupid, I was induced with 1st baby at 42w and it was a dreadful experience. However, I was induced with a subsequent baby, again at 42w and it was no different to my spontaneous labour/birth experiences. I had been terrified of being induced the second time due to the first time but was assured by m/w that it would be fine due to having previous births. Can't say I believed them at the time but what they said proved to be true. I had a lovely labour and straightforward delivery. I think I'm just saying don't assume that a subsequent induction will be as bad as a previous one.

Florence, so sorry to hear what happened to you and your baby. It was knowing someone in rl that similar happened to that made me feel that imo it wasn't worth the risk to the baby to go beyond 42w no matter how small that risk was. My baby would be far better in my arms as far as I was concerned.
My reasoning was that if babies can be born at 37w with good outcomes then even if mine needed a bit longer to 'cook' (as all mine seemed to) then by 42w they were 'done' enough. I waited until 42w as the hcp didn't seemed concerned up until that point and I did want to avoid any cascade of interventions. Past 42w my fear for my baby's wellbeing overcame my fear of induction. And in the case of my 2nd induction those fears were completely unfounded.

Just thought I'd put my view forward.
Good luck madcatsazz and hope things soon get moving for you and you are soon holding your baby

sobloodystupid · 22/05/2010 19:11

Thanks juuule, my little ds was induced last year and he was my second child, he came so quickly there was no time for pain relief (natural or otherwise) hence the dread of induction! Thanks for your message tho

madcatsazz · 23/05/2010 02:12

hi all. Will post details in full when at a pc as using phone at the moment. I'm currently sat in hospital, desperate to leave with my tiny newborn! 7lbs 12oz of beautiful baby girl. Labour was so quick moving from 3cm to born in 2 and half hours. I accepted ARM this afternoon as form of induction and will be back to tell all at later date. Thanks to everyone for support and thoughts.

OP posts:
lukewarmcupoftea · 23/05/2010 08:35

Ah, that's brought a tear to my eye! Many congratulations, so glad it went well. Good luck for the next few weeks!

Disenchanted3 · 23/05/2010 08:37

Brilliant, I have been lurking

So glad it went well!

A baby girl, awww!!

iamfabregasted · 23/05/2010 08:47

Awhhh really glad it went well. Congratulations.

CantSleepWontSleep · 23/05/2010 09:03

Oh I'm so glad that I found this thread now when it has a happy conclusion rather than weeks ago when it started!

Congratulations!

StarlightMcKenzie · 23/05/2010 09:29

This reply has been deleted

Message withdrawn

juuule · 23/05/2010 11:01

Congratulations

sobloodystupid · 23/05/2010 19:45

Great news. Congratulations!

mitfordsisters · 23/05/2010 23:00

Wonderful news madcatsazz!!!

newmomma · 24/05/2010 10:32

FAB news mad!!!

Looks like we both gave birth on the 23rd?!?
I had a mega quick labour too - 2hours14mins.

Looking forward to hearing all about it soon - and pleased its finally over for you! (well, both of us!)

4madboys · 24/05/2010 10:51

oh yay so glad you have your little one

congratulations madcat

cant wait to hear the full story, welcome to the world little on xx

florencerusty · 24/05/2010 11:10

Congratulations
very happy for a good outcome

weasle · 24/05/2010 11:45

congrats madcat, i was just checking in to see if you had had your lo yet.

well done, now the fun begins
xx

madcatsazz · 24/05/2010 15:47

Hi all - ok, so first chance to come on here and give the full story (bet LO wakes up before I finish!!) - Long post, sorry!!!

So, as I left it, I was on monitoring and had a scan on the friday where they reported low amniotic fluid although the heartrate trace and fetal movements were showing really good results. Overnight friday, LO (Holly) was moving LOADS and I started to convince myself there was something wrong. In the morning, I thought I may be leaking waters and putting a pad on showed the leak was slightly green so then I assumed the worst which was that there was meconium in the waters. Went to the hospital for prearranged monitoring on Saturday at about 11. They said it wasn't waters and the trace again showed Holly was absolutely fine and that I was in fact having some tightenings. Relief!! However, it got me to thinking maybe now was the time to go for it and that waiting any more was just going to stress me out. So, I agreed to go for an induction and fully intended to negotiate every step so we were all happy. They did an exam and found out I was already 2cm dilated and could go straight to ARM so no hormones. Fab. Had ARM around 3 and was sent off for a walk for a couple of hours. Came back around 4.30 and they said I hadn't progressed at all, still at 2cm. However, I had me a fantastic midwife (who confessed she snuck off to france for one of her pregnancys and went to 43 weeks!) and we agreed to delay Syntocin for another hour or so because I felt labour was coming. She left us to it and came back in around 6 where I was fully in labour (although somewhat in denial and convinced I had a bad case of.....um, I don't know!). She asked if I wanted CFM, I said no, she said fine. Then she asked if I still wanted a waterbirth (?! - I thought I was never going to get that!) and I said yes please. She went off to organise that, came back 10 minutes later to see me ending each contraction with a teeny push (blush). Cue the question "are you doing sneaky pushes?"
me: "Um, yes I think so"
midwife: "should we maybe get your trousers off and have a little look?"
me: "ok"
Trousers off, "oh, I think we might be having a baby"
"F@*k! ok then, thank god!"
Needless to say mucho panting, pushing, screaming and crying later, I gave birth at 7.43 to a little girl. Very intense, very quick, very surprising and very wonderful. So, my advice in hindsight to all or any looking at going overdue - hold on until you feel ready and make it clear to everyone what you really want. I cannot fault the staff at the hospital. They were respectful, helpful, worked with me and got me the labour I wanted. They kept the monitoring to a minimum and kept me informed all the way about what was happening, what concerns they had etc. It really was an amazing experience. Finally, I had a big pph (lost a litre of blood) so they were concerned I may need a drip after all but even that was stemmed with the injection and managed third stage (delayed for Holly to have cord still attached) and everything went well. I'm am so exhausted and feel like I was hit by a train but we're all well and Holly is fighting fit and feeding well.

Congrats to newmomma - have you posted your birthstory? I would love to have a read. Thank you to everyone for commenting, your support really kept me going these last couple of weeks. Sorry for long post!!

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Orangesarenottheonlyfruit · 24/05/2010 18:08

What an inspiring story!
Am now term plus 12 and am hoping that my VBAC will be as positive with as lovely a midwife.

Congratulations Madcat.

kookykid · 24/05/2010 19:54

Just back and so glad to read that Holly (lovely lovely name!) finally made her appearance in such a positive way.... Congratulations!!! Enjoy your babymoon!