PREGNANCY-BIRTH Messages for March, 2002: fearful of induction

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fearful of induction

From: Susan (anonymous@obgyn.net)
Thu, 14 Mar 2002 14:05:16 -0600 (CST)

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Reply: R. Daniel Braun, MD: "Re: fearful of induction"

I will be 39 weeks gestational age when my OB wants to induce (this Saturday). My OB and perinatologist decided to induce because, in recent ultrasound measurements, the AC was smaller in size relative to the HC and BPD; a small for gestational age baby was diagnosed. I have also have a previous stillbirth at 28 weeks gestational age (April 2000). I was induced at that time as follows: cytotec at 25 mg every 4 hours, which did very little; subsequent insertion of a catheter filled with water in my uterus (foley tube?) was successful in thining my cervix; and, a subsequent 50 mg dose of cytotec dilated me to 1 cm. Then, the doctor broke my water and all heck broke loose. I dilated from 1 cm to 10 cm in about 1.5 hours, with extremely painful contractions and little break between contractions, and a very quick delivery (3 pushes and out came baby in the breech position).

Because of this previous experience, I am very apprehensive about the possible effects of induction on my baby. I am currently a fingertip dilated, -1 station, and 50-60% effaced. My doctor wants to induce using pitocin and/or breaking my water.

My questions are:

1. Is there a greater risk of uterine rupture during this induction because of my previous induction with cytotec? I have never had a c-section, although I did have a previous D&C following a missed miscarraige (Feb 2001).

2. Would you recommend breaking my water initially, or simply starting out with the pitocin? I'm afraid that if the doctor breaks my water, I will have a repeat of my previous experience and the baby would experience excessive stress. Should I allow the doctor break my water?

Thank you for your help.

--
Susan

Next message: R. Daniel Braun, MD: "Re: HCG/Progesterone"
Previous message: R. Daniel Braun, MD: "Re: does a higher dose of clomid (100 vs.50mg)make your cycle longer? (clomid takers or dr.s)"
Next in thread: R. Daniel Braun, MD: "Re: fearful of induction"
Reply: R. Daniel Braun, MD: "Re: fearful of induction"

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