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Induction and VBACFrom: R. (anonymous@obgyn.net)Fri, 31 Aug 2001 14:36:04 -0400
I feel as if I am caught between a rock and a wall... I am due 9-15-01 and my last OB visit was this past Tuesday. I have spoken to my OB in the past about a TOL, no induction and being allowed to go into spontaneous labor with what I thought was a combined agreement between us about what I wanted during labor and delivery. This past Tuesday, he tells me that he wants to induce next week using pitocen and cervical gel, breaking my water and having a controlled delivery. I asked why, his said that he wanted the contractions to be more productive and not let me go to term, so that the baby would not be very big. From everything I have read, this scares me. My first child was about 4 weeks early, jaundiced, and delivered 29 hours later by c-section. I was induced by rupturing the membranes, having had a few irregular contractions and dilated to 2cm and not effaced. Too top it off she was transverse. She was 6lb. 13 oz., and born in Nov 1992. My second daughter was a day late (I am positive on date of conception) and delivered VBAC, weighing 7lb. 13oz. in Feb 1996. My water broke at 1am and I went into spontaneous labor at 8am and she was delivered 4.5 hours later, after 2.5 hours of pushing. I feel it would have been shorter, but I was so very afraid of the pain that I went through with my first daughter, that I asked for pain medication when I was dilated to 8.5cm. After taking the stadol (sp?)I wound up falling asleep between contractions while I was pushing (I am embarrassed to say). Knowing now that the pain I had with my daughter was not normal and not part of a normal vaginal delivery I am okay in not using medication for pain management. Neither one of my daughters were large, so I questioned his reasons in thinking this baby would be big. I am measuring right on schedule and requested an u/s to determine the size of the baby. My OB said an U/S is not very reliable in determing the size of the infant and didn't want to do one. I am at this point not wanting to trust my OB or his intentions. When I called his office to ask about a couple of my concerns for the induction, so that my husband and I can have an informed discussion this weekend, I was also told by the receptionist that he would be out of town the 10th through the 16th. When I was transferred to the nurse she said induction was no problem and knows women who would not do it any other way. I told her I was concerned with the Dr.s intentions with the induction and asked her if it were true that he was planning to be out of town on my due date. Her response was that it was his personal life and not any of my business. After having discussed my concerns with induction, and a desire for spontaneous labor with this pregnancy early in the pregnancy to be confronted with this issue at this late date...I don't know what to do. I am unsure as to whether or not I would be able to see another physcian between now and delivery. Your suggestions would be greatly appreciated. Thank You, Mona
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