Mary asks…
Induction because of blood pressure?
I had a prenatal appt. on Tuesday (btw, I’m 35 weeks) everything was the same as usual, except when the nurse took my blood pressure she said it was too high 156/75 so she had me lay on my left side and took it again it was 152/70. Then she said it was still too high so she had me lay there for a little and took it again and it was 140/60.
The doctor came in, did the usual things but then said she wanted me on bed rest for the rest of my pregnancy and that she would want to induce me in 2-3 weeks and next week she wants me to do fetal monitoring for a half hour.
I didn’t ask any questions because I was in shock. I know that’s stupid, but now I have a bunch of questions!
1. Is my blood pressure really high? I mean it doesn’t seem too high.
2. What will they do for fetal monitoring?
3. If I’m on bed rest will my blood pressure go down and she won’t want to induce?
4. And is there any chance that if my blood pressure doesn’t go down she won’t induce and let me go into labor on my own? I ask because I wanted to do all natural.
And please, no rude comments. I know I was stupid for not asking, but I’m writing a list of things I’m going to ask about at my next appt on Tuesday.
Michelle answers:
First of all your blood pressure is a bit high, but no it’s not through the roof. They can induce because of blood pressure but I find it strange that they would be so eager to especially because they want to in a few weeks and like you said things can change.
I had a similar situation with my amniotic fluid, it was slowly decreasing and was being monitored on a weekly basis, until 35 weeks when it dropped into and extremely low range. They decided not to induce because the baby wasn’t showing any signs of distress and they wanted to try to keep her in there until 36 weeks. Well I’m glad they decided to hold off because at the next week appoitnment the fluids had gone back up, and now I am almost 38 weeks and the fluids are higher than they were when they started monitoring me at 31 weeks.
So from my experience a lot can change in a few weeks. Take the doctors orders and stay on bed rest for the next few weeks (my friend had to go on bed rest for high blood pressure) and see what happens at your next appointment. I would ask for a second opinion if they insist on inducing you and your blood pressure has stabilized.
And just for a reference my blood pressure has been 120/75 for the entire pregnancy, it jump up to 134/88 when I was sent to labor and delivery after the whole incident with the fluids and the weren’t doctors weren’t concerned at all, especially when it went back down at my next visit.
Lisa asks…
Labor Induction complications?
I am 38 weeks pregnant with my 7th pregnancy no problems other than the norm DR says if i do not deliver by due date 06/29/2009 she will induce i totally disagree because i have never had meds of any kind or had to induce labor for none either i went through natural child birth with all because i worry the side effects will hurt the baby i feel that inducing labor will push for what is not meant to happen yet i think baby’s come when they are ready i talked to her a little bit about it but she said well it is mostly so you do not deliver at home but i let it go i justwant to hear what could be the complications if i 100 % have to go with this
Michelle answers:
What a poor excuse to induce someone! So you don’t deliver at home? And what does she think is going to happen if you go into labor before your due date? You’re just going to have that baby at home because your doctor doesn’t have full control over your labor? Hah! Of course it’s a possibility that anyone can have a precipitous labor and “accidentally” birth at home, regardless of how many babies they’ve had before, but I certainly wouldn’t let someone put me and my baby under all the risks of induction just so she could control me in a natural process that I already know works just fine.
Here is a good fact sheet that includes risks of induction:
http://www.preciouspassage.com/CIMS%20Fact%20Sheet%20on%20Induction.htm
Also, your chances of a successful induction depend on your cervix and your baby. Basically, if you are not already starting the cervical changes necessary for birth, you have a much higher chance of having a failed induction and a cesarean. Http://www.amazingpregnancy.com/pregnancy-articles/173.html
Induction’s biggest risks are fetal distress, difficult labor, and additional interventions, with all the risks of those interventions. You’re more likely to need an epidural or other pain medication because your body does not get the endorphins of a natural labor. You will be continuously monitored (tethered to the machine) in or near the bed. You won’t be able to use the tub or shower and are more likely to have more pain anyhow. You can experience uterine hyperstimulation, which can cause fetal distress and an emergency cesarean. If the baby is not ready to be born yet, he/she could be born with signs of prematurity and need to be admitted to the NICU. You also have a higher chance of an instrumental delivery (forceps or vacuum). If your water is broken as part of your induction, you have higher chances of infection and/or cord prolapse (immediate emergency cesarean required) and a more painful labor, despite not taking much, if any, time off of your labor.
If you totally disagree with your doctor, you should tell her so. You make the decisions about your medical care. You never have to go with something the doctor wants you to do, and you shouldn’t feel pressured to, especially when there is no medical reason for it(controlling your labor so you don’t “accidentally birth at home” is not a medical reason). You call the shots. She has to get consent from you for any and all procedures and actions done to you. If you don’t consent, it doesn’t happen. That’s the way it’s supposed to work.
William asks…
Anyone see a doctor during their pregnancy that they hated?
I am currently going through the same practice of midwives I went though to have my first and while the experience with my first was amazing and very natural I am very disappointed as to how it is going this time around. With my first the midwife let me go to 42 almost 43 weeks and that is very dangerous and so this time around one of the main midwives I have been seeing stated that she was not going to let that happen to me this time around especially cause the baby is already very big. So to be on the safe side she scheduled me to be induced on the 18th especially because I am group b positive and she wants to make sure I get the medication in time. Well I am ok with that the other midwife in the practice doesn’t. The same one who let me go almost 43 weeks found out that I was being induced and practically flipped out on me saying how my body would not be able to last with it and how I would not be able to handle the contractions and how I should just wait again for the baby to come. The thing is she did that to a friend of mine who just recently had a baby and was also told it was big and my friend ended up delivering a 10lb 8 oz baby because this midwife did not want to induce and I do not want to go through that. Lucky for me the doctor who originally scheduled me for the induction is the one who is on call that day of the induction but I still have to see this other doctor on tuesday and I just feel horrible every time she talks to me. Is this normal? I had a natural child birth with no pain meds with my first and I did great and now I am being told I will not be able to do it without pain meds and its feeding doubt into me
Michelle answers:
I feel your pain. My first pregnancy and labour were horrible that plus the midwife I was seeing was a cow and the countless drs I had to see!! I was under a consultant as I was very high risk (pre e, spd, thrombosis and polyhydromonous) I never got to see my consultant more than twice the rest of the time I was under the care of her team. They wouldn’t communicate or they will tell me different things etc. The midwife was so rude to me all the time.
The nhs suck! Next pregnancy I am having none of their rubbish.
I never stood up for myself or complained through my first and the next one ill be damned if I get talked to and treated in a stupid way since my labour was traumatic after 9 mths of hell 🙁
Stick up for yourself. That mw can’t treat you like that x
Good luck x
Mandy asks…
Should I try for natural birth or have c-section?
Hello I have a little Boy who is three and I gave birth to him naturally BUT he was a big boy at 9 and a half pounds. I am 56″ and about 8 stone so it was hard to carry him and towards the end of the pregnancy I was in agony, I didn’t know it at the time but I had pubis symphasis dysfunction. The labour was awful I had an episotomy and his head almost didn’t come out, I had a ventouse suction cap. With all that said, I healed in two weeks, snapped back and breastfed quite happily. Now I am 31 weeks and on crutches, I did loose a baby last year at 27 weeks and had to give birth, again I had the PSD but earlier as with this pregnancy. I now am on crutches and cannot walk or sleep properly, it is agony everyday and they tell me the babies head is measuring big for my dates and for my pelvis so I have to have another scan at 36 weeks, they say this baby (a Boy) is looking to be big but I do not know what to do for the best? My PSD is severe and the pain is never ending, should I opt for a c-section, ask for early induction or just put up and shut up (ouch) and is it possible to breastfeed after c-section? Sorry if I am rambling on I fainted today and the stress of the situation is making me ill. Also I would like to add apart from the problems mentioned I am very fit and healthy with lots of fresh fruit and fibre, water and vitamins, the big babies are just hereditory (I was 10 pounds!) Any advice from Mums would be great and thanks so much 🙂
Thanks for all the advice, I don’t think I can carry to term I am in agony and I am vertually housebound. I have a very bad day today, I think I will opt for an early induction and try to give birth but it may out of my hands if baby is big. Thanks once again for the very good and open advice 🙂
Michelle answers:
I would be very carefull having a C-section can sometimes cause problems, I have had 2 emergecy C Sections, the first was fine with no complications, after the 2nd I had an infection in my wound which lasted 4 months, I had to be seen every day by a nurse, it was a nightmare
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