Prior shoulder dystocia--induction?

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I am now trying to figure out an approach to labor which will minimize the risk of injury to my baby and myself. With my first pregnancy, I gained nearly 80 lbs. This time I have gained 16 lbs so far. I thought that difference, combined with a more favorable presentation, might be enough. However, I have since learned that there is no correlation between posterior presentation and SD, and a more modest weight gain may not insure a smaller baby. Prophylactic c-section has been offered as an alternative, but I'd really like to avoid that option. Dr. and I agreed to try VD but proceed to CS rather than VE at any sign of trouble. My dr. has recently suggested that we try inducing a week or two early to try to get a smaller baby. I am concerned that induction may increase my risk for c-section, as well as my need for pain medication. Would my chances of a safe VD be helped or hindered by induction?

I would appreciate any thoughts on these options, as well as suggestions I may not have considered.

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Thanks,

Liz

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