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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Induction at 37. 4 weeks

18 replies

Dogmummy999 · 15/12/2021 12:17

Hi! I have had 12 episodes of reduced Fetal movements and I have gestational diabetes but I think because of so many reduced Fetal movements they want to induce me early on boxing day at 37 weeks 4 days. I'm really scared about this because my doctor told me it could take up to 5 days to induce me as I am a FTM and it's so early. I have bipolar disorder and being awake in pain for 5 days would just not be good for my mental health. Obviously I don't want to end up in a stillborn but I am also questioning whether reduced Fetal movements are that serious as he has always skipped a couple of days moving per week and then he resumes moving. I also heard that a c-section is more likely. Can I have your experiences and opinions? Thanks

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Fleur405 · 15/12/2021 12:38

I had an induction at 39 weeks and it was all totally fine. They didn’t let me go 5 weeks though. Got the balloon which didn’t really work, next morning the broke my waters, then gave me the syntocin drip and baby arrived a few hours later. It’s worthwhile talking to them about what different induction options are available - I don’t know that all trusts use the balloon for example.

It’s obviously totally up to you and if you don’t want to be induced you don’t have to agree to it. But if you’ve had all those episodes of reduced movement along with the GD I’m not surprised they want to get baby here a bit sooner than they otherwise might. If you to decide against or think you might do have another conversation with the consultant over whether no movements for long period of time can be normal for some babies but it doesn’t sound it. Good luck OP.

Notwithittoday · 15/12/2021 12:49

I had an induction for reduced movements last year. Baby was well but it was the right choice as she had a double knot in her cord that they hadn’t picked up on numerous scans and flow monitoring . However the induction itself was horrific. What you need to know is that when you’re before full term it’s unlikely pessaries or breaking your waters will be enough to get you into labour. Once they’ve broke your waters they will
Only give you a few hours to go into proper labour. When you don’t they’ll put you on a hormone drip. For me this was when all hell broke loose. The pain was horrific ( much worse than natural labour pains) and I progressed too fast for pain relief. You also can’t move around and get into better birthing positions because you’re tethered to the drip. So what I would say is if they want to put you on the drip don’t let them put it up without an epidural. This info is useful and I wish I’d read it before www.sarawickham.com/articles-2/ten-things-i-wish-every-woman-knew-about-induction-of-labour-the-article/

Mummy592 · 15/12/2021 20:25

Hey, I was induced at around the same time with my 4th little girl and for the same reason. What the doctor explained to me is that what sometimes happens is mother’s choose not to be induced because movement picks up then after a few more reduced movements episodes it ends in very sad news.
I think being induced at this stage is safe. I think by the sounds of it baby would be safer on the outside!

Regarding pain, try not to worry so much. There is a few ways they can help you manage your pain through the process. I know it’s a scary thought of it lasting 5 days but it could also be quicker.

Induction isn’t all bad, especially if it means putting the safety of your baby first xx

Sending you lots of love, I know it isn’t easy. Xx

ceebee21 · 15/12/2021 22:39

Hello, I was induced as a first time mum last year at 37+2, had the baby at 37+4. I had high blood pressure and gestational diabetes.

For me the induction was a really positive experience, the first pessary did not really work, so after 24 hours (no pain or contractions during this time), I had a gel put in....this worked straight away and I went from 1/2cm to pushing in under 3 hours. Baby was born less than 4 hours after contractions started.

Everyone is completely different and will respond differently to the induction process xx

Totallydefeated · 15/12/2021 22:45

It sounds like a good plan to be induced a little early, but I completely get your concerns and they need to take your bipolar into account in the plan.

Early inductions can take a while, so to avoid being awake for a stupid amount of hours, you can ask for an epidural to be in place right from the off. You can effectively demand one by saying you only consent to the induction if the epidural is in place.

Your other option is to ask for ELCS, which will be planned and controlled and will totally remove the possibility of having an EMCS after hours of labour or of your being awake for days. The recovery can be harder than for VB though (albeit not harder than all VBs).

IDontDrinkTea · 15/12/2021 22:53

Twelve episodes of reduced fetal movements is quite significantly above average though, I can see why they’d be keen to get baby out sooner rather than later

RobinPenguins · 15/12/2021 23:02

I was induced at 38 weeks due to GD and had a perfectly fine experience. I didn’t feel anywhere near giving birth, am convinced left to my own devices I’d have gone way overdue.

It took a while to get going, went in at 8 am one morning and was given the pessaries. It didn’t really feel like anything was happening from those but they managed to break my waters 24 hours later and DD was born 12 hours after that.

The drip was difficult so I had an epidural which was fantastic and I snoozed my way to fully dilated. 10 minutes pushing, following midwife’s instruction and she was out. No tearing, no instrumental delivery. It was calm and I felt in control. I would strongly recommend not going on the drip unless they start an epidural at the same time. Augmented contractions like that bear absolutely no resemblance to the descriptions I’ve heard of natural contractions.

elliejjtiny · 15/12/2021 23:08

I was induced with my youngest at 36+6. I couldn't get him out fast enough so I ended up with a c-section. Personally I wouldn't opt for an induction that early again and would go straight to a c-section.

weegiemum · 15/12/2021 23:19

I was induced with dd2 at 36+6. As I'd given birth twice previously it was all ok, my body remembered what it was supposed to be doing.

As far as I know they don't induce you constantly, I had the pessary at 36+4 and it didn't work so they gave me a rest day.

I'd be worried about reduced movements, though, and want to get baby out pretty soon. I hope they are kind to you about your mental health, I have persistent depression and was on medication throughout my pregnancies and the midwives couldn't have been nicer.

It all seems huge to you today, but before long you will meet your wee bundle and you can put this worry in the past. My dd2 was 18 last month, I have to say that the way she was born is of so little importance now but was huge at the time!

HarrietM87 · 15/12/2021 23:24

If I were you I’d just go straight for an elcs. I had 2 good induction experiences but one was 12 days overdue and the second was day before due date - my babies were ready. The people I know who have had hellish inductions were all early. It’s likely to take a long time and your baby may get stressed, leading to an emcs anyway.

carboverload · 16/12/2021 03:08

My induction was 36 weeks everything was fine, we went home the next day
I had a vaginal birth which couldn't have gone better

sparklytriceratops · 16/12/2021 03:17

I had an induction at 37 weeks and my body refuses to go into labour. After multiple pessaries and gels, by day 5 I was still less than 1cm dilated. By that time I was fed up but hadn't been in much pain. They then placed an epidural before forcibly breaking my waters and putting me on the drip and DC1 was born a few hours later.

Unfortunately it wasn't the best experience and a few things went wrong which caused me to choose a c section for the birth of DC2. HOWEVER if I were to do it again for DC1 and would still go through the same thing. Try not to listen to those saying go for ELCS- normal I I would agree 1000%, however there are increased risks to your baby at having a section before 39 weeks,

I guess another option would be having daily monitoring until having a section at 39 weeks- but this is incredibly risky.

I would listen to the dr, but go in expecting for the induction not to work and also demanding they put in the epidural before you have the drip.

Poppypop87 · 16/12/2021 03:59

I gave birth to my son yesterday following an induced labour for reduced movements. I was induced on Monday night 11pm ish and had baby last night at about 8pm so getting from being induced to giving birth did take a couple of days. However, a lot of this was due to having to wait between doses of the gel to see if it had caused the changes to my cervix and then waiting a whole day for a space on the labour ward and I was only in pain yesterday rather than the whole time so wasn't all bad. My waters were broken yesterday evening and he was born about 4 hours later so the actual labour was quite quick. I have nothing to compare to as I'm a FTM but after hearing induced labour can be more painful it wasn't actually too bad and I delivered him with just gas and air. Yes it took a couple of days staying in hospital but was actually an ok experience in the end and I wouldnt be concerned about being induced in the future if needed. I hope this helps Smile

Poppypop87 · 16/12/2021 04:00

Also forgot to add I was a bit further along than you at 38+6 but started the process with a very much closed cervix so my body wasn't technically ready for labour when I first went in

Puddlelane123 · 16/12/2021 05:09

Sorry to hear you are having such a stressful last few weeks of pregnancy OP. I sympathise as have had reduced movements with all three of my children and I know what a toll the constant hospital visits and worry can take.

Reduced movements, particularly of the extent to which you have experienced them, must be taken very seriously, especially in light of the additional risks presented by gestational diabetes. Recovery between episodes is not a reliable indicator that the baby is fine in there, or will remain fine. With my youngest baby I had 6 episodes of reduced movements, and while he was always fine on ctg when checked, I was induced at 37+4 and he entered the world ‘flat’ and not breathing. Thankfully the resuscitation efforts were successful and I am so incredibly grateful that I was induced because something, we will never know what, was clearly ailing him in utero.

In short, the advice of the obstetrics team to get your baby out fairly imminently is not something I would question. I’d even be asking why they are waiting until Boxing Day. Are you having growth scans and regular ctgs in the meantime?

Echoing what others have said, the need for an induced delivery does not mean you do not have choices. Nor does it mean that your own, very valid, mental health needs and wellbeing should not be taken into account as part of the whole picture. Elective c-section is an option you might want to discuss with your obstetrician, although they may be reluctant to recommend this given the increased
risk of respiratory issues for the baby, especially prior to 38 weeks. If induction is the route you go down, rest assured that it is not a ‘given’ that the experience will be negative. I have cherished memories of all 3 births of my children despite the fact that they were highly medicalised and very far from the romanticised visions I had of relaxed water births. There will be periods of continuous monitoring with an induction but that doesnt mean you cannot have dimmed lighting, lovely music, relaxing smells (I recommend lavender) alongside all the necessary medicalised elements. If a syntocinon drip is needed I would highly recommend an epidural, sited and confirmed to be working before it is started. Contractions on syntocinon are ‘next level’ and I say that not to scare you but to prepare you. There is no shame in getting an epidural and I wish I had got mine earlier on in the induction process than I did. I got a patient controlled epidural which enabled me to press the button just enough to take the edge off the contractions, but still be able to feel them and later be aware of all the sensations of pushing etc.

Best of luck, and as a veteran of 3 inductions prior to 38 weeks, if there is any advice I can give you just ask away. You can do this, and you are about to embark on the most incredible adventure. How special to be having those precious newborn cuddles at Christmas too.

Wiltshire90 · 16/12/2021 05:13

Seconding what others said about getting an epidural if they put you on a drip. I stupidly put up with the pain for over 5 hours and I felt like I was being tortured. I wish I'd done more reading and just had an epidural beforehand. The midwife even helpfully said to me afterwards "I don't know how anyone can have the drip without an epidural" Sad

LovelyJubblyBubbly · 16/12/2021 05:19

I had an induction and in the end after 4 days and my baby ending up in distress and preeclampsia I had an emergency C-section. Prior to that I had been dissuaded from having a planned C-section and felt under pressure to go for the induction. I too have mental health problems and I really wish I had gone for the planned C-section which ironically would have been on the day I ended up with the emergency C-section.
My advice would be prioritise your mental health, please don’t underestimate how you will feel and your hormones adding into the mix. I would recommend you seriously consider a planned C-section in your circumstances.
I wish you the best of luck and hope your little one arrives safe and well. What a lovely Christmas present! Flowers

Flutterby8 · 16/12/2021 06:37

I was induced at 38 weeks due to pre-eclampsia so a bit of a different experience in terms of medical issues.
I had no choice over induction, it was happening and that was that.
I was given the options of different methods so chose the pessary as this seemed less brutal but was advised it had to stay in place for 24 hours before id be checked.
I was told it could take 3 days before active labour could start.

Induction started anout 1.30am and i had my first contraction at 6.30am. By 7.30am i was 5cms dilated and in absoloute agony.
Midwives didnt believe i was having contractions so soon. They gave me paracetamol (which i vomited back up). I had to beg to be examined and to have the pessary removed at 7.30am.
When they realised i was dilated i was rushed to delivery and baby was born 1hour later.
It was intense and i had complaications afterwards which needed intervention of the crash team.
But, my entire labour was basically 2 hours long. It was the most painful, intense thing i have ever been though. It was terrifying due to the complications.
But i wouldnt change how it happened.
Baby was born healthy and i wasnt in labour for days on end.
Granted women with preeclampsia laboir way quicker than average but it was over quicker tban anyone expected and i was home 24 hours later.

You have options with induction. Just talk them through with yoir doctor or midwife and go from there.

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