Your Questions About Natural Pregnancy Induction

Joseph asks…

My baby is measuring large and doctor is thinking about inducing and/or c-section?

To start off, I have PCOS and didn’t know when I had conceived, so early in pregnancy, at what I thought was 13 weeks (according to my LMP) I had an ultrasound to date the pregnancy. They had initially given me a due date of 12/1/08 but after the ultrasound decided that I was actually two weeks behind that and changed my due date to 12/12/08. This has been the date we’ve gone with throughout the pregnancy. but at my 20 week ultrasound, baby was measuring two weeks ahead (in accordance with 1st due date) and then at a week 34 ultrasound that my doctor requested due to my larger fundus size, baby was also measuring two weeks earlier.

So today I went in again for another ultrasound (doctors are kind of freaking out over how big baby is) and baby measured yet again, around two weeks ahead, so at around 41 weeks, but according to my 2nd due date I should be 38 weeks and 6 days. I am just so confused, and my doctor is now thinking that I have a huge baby and is talking about possibly skipping the whole induction thing and just doing a c-section to avoid any complications, but she wants to do it at 41 weeks according to their 2nd due date, which would put me 12/18/08.

My concern is, if baby is already big right now, why would they wait another 2 weeks to do a c-section, and not even try to induce me maybe this week or earlier to avoid having baby get any bigger??? The ultrasound today showed that he was doing great, he was breathing in the amniotic fluid and had great movement, they said his lungs looked fully developed and everything was peachy. Plus, why would the doctor not even consider inducing me to try for a natural birth instead of just jumping for a c-section. I feel weird contradicting what they say because in the end, what I care about is the health of my baby and nothing else, so if a c-section is the way to go I’m not going to argue, I just want to make sure it really is totally necessary and the only way to go.

Has anybody else had this happen to them? And if so, what’s your birth story?
Oh, and I forgot to mention that I’ve been dilated just 1 cm for the past month, and am 70% thinned, but have no steady contractions, just scattered BH contractions.

Michelle answers:

My baby was on the big side too. Well big for me. She was estimated to be at approximately 9lbs 6oz (give or take a pound). When I was 37 weeks, I had to do a weekly ultrasound and non-stress test to monitor the baby and the fluids on the inside. When I was 38 1/2 weeks, the doctor said that I needed to be induced due to her size (even though everything looked good about her). She also said that unless my baby was in the right position down to a T, I would need a c-section…but they could try natural labor first through being induced. I was induced and with every pelvic exam, the baby changed positions…and since I was having contractions 1 minute apart with only being dilated 2 cm and 30% and not changing…I got a c-section.

Remember that they are going on the babies size and your pelvic size. My sister-in-law gave birth to a 10lb baby! But I could never do that.

The whole experience was really good. I was in labor for only about 4 hours before doing the c-section. Since my doctor told me this early on…I was able to prepare myself mentally for a c-section, which I advise!

Hope this helps! =)

EDIT: Oh and she was born at 8lb 6oz and very healthy! =) my little chubby cheeks!

Mandy asks…

Doctor pushing induced labor when I don’t want it, and I agreed after all the pressure but I want to say no!?

My doctor pressured me into scheduling induced labor. He is going out of town and wants to deliver my baby before then, and I was asking to wait until he returns (so what if baby comes when he is gone? do his oncall doctors really make him feel bad about delivering his patients?!). There is no medical reason, because I am not at all late, and might even induce before my daughter has a chance to come on her own. I’m on medicaid and don’t really feel like I have the power to change my doctor at 40 weeks! He got my boyfriend very upset by acting as though baby would be too late next week….but she will only be one week late! It’s just ironic that he’s going out of town wednesday through sunday and suggests I delivery tuesday before he leaves. I agreed after all the pressure–20 minutes of salespitching–and because my boyfriend seemed concerned there would be a fatality next week. BS! How do I say no to my doctor? I’ve been crying for three days non stop because I feel jipped and lied to and that my right to try natural labor has been taken a away from me! I want a different doctor but it’s too late! I don’t know how to make my doctor realize he’s a jerk and taking advantage of my late stage of pregnancy! I’m on medicaid so it’s even harder for me to figure out what to do! I want a different doctor! I want a natural labor, there is no reason to think she won’t come wednesday, thurs, or friday, but he’s going to be out of town! I am appalled that he cares little about pushing the labor induction when it’s not medically necessary. I tried saying no several times but he kept pressuring us, and gave us all these reasons why if we wait until next week the conditions get worse. But he failed to mention that she might just come on her own when he’s out of town. The reason he didn’t tell us that part is because he cares only about himself, his partners in practice, and I don’t even know how to stop this guy from putting his selfish needs in front of my very first experience having a baby. I said, “Well if i haven’t even started dialating, I will have a c-section!” and he did not object at all. he grinned because I said I’d have the baby next Tuesday! Hello doctor! Could you tell my doctor that the risks behind a cesarean are much worse than having a baby one week “late”? (At 41 weeks, that’s not even late!) We’ve been healthy at every appointment, her heart rate, my blood pressure is low, everything is perfect. He’s taking advantage of our health and trying to manipulate us into doing something I don’t want to do! But my boyfriend cannot fathom a doctor trying to get us to do something on his schedule. And the doctor tried to sound so sinister when he said “What’s best for mommy might not be best for baby”. As if a natural delivery that might occur when he is out of town is worse for baby than an induced labor! I AM SO MAD, SO ANGRY, I WANT TO DO SOMETHING TO THE DOCTOR TO MAKE HIM STRAIGHTEN UP, BE ETHICAL, AND ALLOW US THE RIGHT WE DESERVE INSTEAD OF TREATING US LIKE WE DON’T DESERVE ANYTHING BECAUSE WE’RE NOT DOCTORS, WE’RE ON MEDICAID, we’re just another set of patients without our individual desires and expectations. Trust me, there’s nothing wrong with me waiting, except that my doctor will be unhappy and I’m scared to say no because he looks so pissed off that i feel like my body, my baby’s health, my dreams of having my first delivery, are all unimportant because we’re just another statistic, and based on those statistics he thinks we’ll be fine…so what if we’re fine!? What does fine mean? Walking, talking afterwards? What about my baby getting to experience her very first swim, and what about me giving a birth when she’s ready and not when doctor wants? I can’t believe I ended up with an unethical doctor, and here I am, scared to death to disappoint him when this moment is the most important of my life, and to him it’s just another baby coming at a time that he wishes he could change–oh wait, thanks science, he can! so he does it, not giving a sh about us! P.S. when we toured the hospital a nurse said to me, “Oh you’ve got Dr. S? If you feel uncomfortable at the end of your pregnancy he’ll let you go a week early!” And I remember saying nothing but of course thinking, “i will never induce early”. That nurse had three kids! For me, being my first, I don’t want to induce and get it over with! I want to experience the whole 9 yards! What do I do! How do I deal with pissing off a doctor who holds my baby’s life in his hands? I hate him! But I can’t change doctors this late, can I? WHAT DO I DO! Tuesday we go to the hospital to do something I feel is terribly wrong to do! HELP ME!

Michelle answers:

You need to tell your doctor that he needs to respect your wish to have a natural labor. Your baby should have a right to come into this world when he or she is ready, not when your a***ole of a doctor decides it’s convenient.

After a certain point, I’m sure you know that they pretty much have to induce you, but from what I’ve heard that necessity is rare.

As for your concern that he holds your baby’s life in his hands, if he tries ANYTHING, if he so much as touches the baby in a manner that would suggest that he would hurt it, you sue his a** up and down the street.

This is your decision, not his, and I stand by you in your decision.

Best of luck to you!

Jenny asks…

Sickness before labor…?

I’m 37/38 weeks pregnant. I am getting my induction next Wednesday (the 27th-due to severe diabetes). I have been EXTREMELY sick since last night. I’m having horrible, horrible heart burn, extreme nausea and stabbing pains in my stomach (especially when the baby kicks). I’m to the point of sheer exhaustion (I was 30 minutes late for work today because of it). My contractions aren’t picking up any, but are hurting more and more whenever they come. Do you think my body knows that I’ll be going into labor soon and is starting to jumpstart natural labor itself? I can’t think of any other reason why my stomach is so upset and I feel so crappy. I love this pregnancy, up until this past week. I’m just completely exhausted. (Thank god this is my last day at work!)
I just have absolutely no appetite and I feel like my body isn’t digesting anything either. It’s like it gets stuck in my stomach and won’t go down. Which is what is making me sick. But, the doctor says I have to eat because of the diabetes. BULL!!

Michelle answers:

It sounds like your exausted i would give up work and go on maternity leave now and get some rest then maybe you will find yourself hungry you need to eat and relax or you will end up with a c-section from being to tired to labour if you dont cope well then your baby wont either

Betty asks…

has anyone had a d&e at 19 weeks?

hi, on jan 8th i went to a routine prenatal visit. I was supposed to be 22 weeks exactly. My OB was excited to tell me that my “20 week” scan looked great,(i had the scan done at 18 weeks) that my baby looked awesome and there was nothing of concern etc. When she tried to listen to the baby’s heartbeat, nothing, Then she tried an ultrasound and still nothing and my baby was lifeless. Anyway, she said that my baby was only measuring 18-19 weeks when i should’ve been measuring at 22 weeks etc. She gave me two options: d&e or induction. I had to think about it and agonized back n forth for about two days. My husband and I decided to do a d&e. I had the procedure done on the 12th. My body didn’t go into natural labor, i had no signs of anything wrong..my OB said my baby had passed away 2-3 weeks prior to my appt. (this was based on the measurements done) Anyway, i’m wondering has anyone else been in my situation and had a d&e? Did you go on to have normal healthy pregnancy‘s? Did you get answers as to why this happened to your baby?
I did everything in my power to have a healthy pregnancy.

p.s we are waiting for test results to come back, to check for chromosomal issues or any problems with my placenta.. this is so devastating. My OB said that sometimes there are no answers for why these things happen.
D&E: dilitation and evacuation.

Michelle answers:

I have never personally had a d&e but i have miscarried at 14wks and also had a stillborn at 36 weeks. After my misscarriage i have had a few babies and i am due to give birth to my 2nd baby since i had my stillborn( there was no known cause for his death). There is no reason for you not to go on and have happy healthy babies after your experience. I hope this helps ease you pain a little bit

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