Where to get decent statistics on if induction will work?

[pontipinemum]

Can anyone point me as to where I can get good info on how likely an induction is to work?

On my 1st I had an induction at 38 weeks - I had GD and was on a LOT of insulin. I don't disagree with their decision. But a doctor I've met on this pregnant said why did I go along with it, it was never going to work. He was right it didn't. 3 days of a failed induction and ended in EMCS anyway.

I'm now 26 weeks pregnant and I've GD again. Again with ever increasing amounts of insulin.

I don't have a birth plan/ wish, I had 4 miscarriages a baby in my arms is the end result I want. I am really open to another induction or just a straight forward elective section but I don't fancy another 3 days only for it to end in section anyway.

AFAIK they can't do a medical induction just break my waters. Will that work at 38 weeks? Especially since I have never given birth vaginally.

FOI request of your chosen hospital and demographics. I asked. For me - 37 week induction, bmi over 35, age over 35, first time mum it had a 40% chance of ending in emergency section. I went for an elective.

I think the Birth Rights website has a lot of stats for specific hospitals.

Did they tell you your bishop score? That has an impact on whether it was going to work or not. 8 or more points to a successful induction, a score 6 or below means it’s more likely to fail. He might have been referring to that but I can only speculate.

To be honest I think your chances of a straightforward vaginal delivery are quite low - early induction, untried pelvis, previous attempt didn’t work. I would stick with ELCS.

^ That is what I would focus on

But a doctor I've met on this pregnant said why did I go along with it, it was never going to work.

It is early to have an induction and chances of not needing further intervention were lower than a 40 week induction but never going to work is incorrect. I had a successful induction at 38 weeks with my first (and only), I only needed the pessary.

The problem is that is any statistics might miss some nuance. There are multiple reasons for an induction and multiple factors that might influence whether an induction is successful. I think rather than looking at general statistics for 38 weeks which don’t take into account any other factors contributing to the induction, it would be better to look at your own factors. I would have a more detailed chat with your medical team and get a full assessment of your situation. There is a score you can get about how likely an induction is to work and I would ask for that before proceeding with another induction. If you do proceed, have a point at which you call it and go for a c-section.

Honestly I've never heard anyone induced birth go smoothly! That was my only stipulation in my 2nd pregnancy, I do not want induction.

Your best bet is to ask the team looking after you (probably on the day/shortly before your proposed induction date) - they'll be able to give you a better idea based on your medical history (where things like age, obesity, how far you got in your last labour etc might be important) and examination findings (eg if the baby's up round your tonsils and cervix firmly shut vs if you're already 2cm and the heads low down) and put that into the context of national statistics for women having VBAC inductions. AFAIK there aren't any great risk prediction tools that you can just plumb numbers in and it tells you the chance of a successful unaided vbac, but the obstetrician should be able to use experience to give a better idea.

@YouAndMeAndThem my mam was induced with me - her 1st and only - but I think I was about 10 days over at that point. My aunt had an induction on her 2nd after an EMCS on 1st which was successful also but again she was about a week over.

They have said we will discuss it closer to the time. Thanks I will ask again for more info on the previous and to be honest with me as to what they think will/ won't work.

My aunt got to take home her notes, my hospital don't let you. I'm in Ireland. You see a different doctor each time you go to clinic but they are under the same consultant. I do see the same GD consultant though when I go in.

It's all very rushed with very little explanation. Last time my baby was transverse until week 37 and moved the night my meeting to book section so the doctor said we would go for an induction the following week. This one feels transverse as well but plenty of time to move

Sorry that should say not really open to another induction unless they are a lot more sure it'll work!

I'm 36, BMI prior to pregnancy was about 28, I'm being told to expect 38 weeks again