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Induction - my perspective (was Re: C-Section convenience? (was Re: Age of Placenta)From: Noelle (anonymous@obgyn.net)Fri, 17 Oct 1997 11:42:12 -0500 (CDT)
At Fri, 17 Oct 1997, emily wrote: > It's such a hard call: >induction can cause problems (I ended up with a surgical delivery, too), >but it can prevent them (I had a healthy baby). I totally agree that the ultimate goal is a healhty baby and a healhty mom. Believe me!!
>What I do find I'd just like to add my personal perspective to this. I'm 37 wks 4 days pregnant with my 2nd baby and we've decided to set an induction date for sometime in the 39th week. We will only induce if my cervix is ripe - I am currently using various methods to encourage that process along. (Cross your fingers!) Hopefully we won't even need to use Pitocin, although it is a possibility of course. I do not take the prospect of induction lightly. True, a reason we are considering inducing if necessary is because I am tired of being pregnant, but the bigger picture is much more complex. My first son was stillborn. At our 31 week appointment, he had died. No cause was ever found -- it's a total mystery as to what happened. He and I were both perfectly healthy. Now with #2, the emotional stress of wondering when the other shoe is going to drop has really begun to take its toll, with physical implications as well. I can't sleep until I'm totally exhausted and my mind races almost constantly about if/when this baby is going to be out here alive and well. I know most women in their 9th month have anxieties and sleep poorly, but imagine that only tenfold. We are working with certified nurse midwives who by no means encourage induction or other interventions. However, they do understand that *for us* we have to weigh the benefits of induction with our overwhelming stress level, which is only growing as time goes on. This baby is ready. He could be born TODAY and all would be just fine (please please please :)). I feel at this point that the longer we wait (the longer *he* waits), the more chances there are for another "random fluke" to happen and for him to die too. I'm sure it's hard to understand if you've never lost a baby, but believe me, it's real. I no longer view my body as the safest possible place for my baby now. Now that we know he is ready, we just want him out here so we can *see* him and hopefully prevent anything bad from happening. We know there are no guarantees even then, but at least we could have some sense of control with him out. Another issue which my midwife verbalized well yesterday was that scheduling an induction can also give us a tiny bit of "control" over an otherwise out-of-control situation by allowing us to *know* there is an end date in sight, to not be surprised and frightened by spontaneous labor in an "uncontrollable' situation, and to be able to choose which midwife we feel most close to to be there for us. I was very thankful for her to say these things since they were in my mind but I couldn't put my finger on them. The second issue is not quite as crucial for me and my husband, but I do know that many people with subsequent births experience flashbacks and panic when the second labor starts. (I'm sure we'll get a little of that in any case, induction or not.) I just thought I'd add my own experience and perspective to the issue, sicne I don't think many people consider it in the overall induction/intervention discussion.
-- Noelle Mom to Ethan (stillborn 12/2/96) and Max (due 11/4/97)
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