Preparing for induction
Without pain relief
, May 08 2012 02:23 PM
14 replies to this topic
Posted 08 May 2012 - 02:23 PM
I'm currently 39+3, and have just have just been booked in for an induction in Monday (when I'll be 40+2) due to hypertension.
I've been medicated for hypertension for years, and it's been great all through pregnancy but over the past few weeks it's been slowly but surely going up, despite my medication bring increased.
I've got grand plans for a natural, drug free birth, and whilst I'd really rather not be induced, I'd rather be induced then have pre-eclampsia set in.
I've read that induced births tend to be more painful and harsh on the body and your more likely to need an epidural (which, whilst I'm ok with some pain relief if absolutely necessary it's the epidural I really want to do everything I can to avoid), and episiotomy/ or tear.
I was hoping to hear others experiences in handling induced births and pain management? Or if there is anything I can do to minimize the chance of it being too hard and fast?
Also, have you been able to avoid needing the drip to induce?
Im only 1cm dialated and 50% effaced, so they're going to put the gel in on Sunday arvo, then break my waters on Monday, then the drip - I've asked if I can hold off on the drip to see if my body will naturally start labour naturally - OB said they normally wait an hour after ARM - but I don't know what would be an adequate wait - again would like to hear any experiences with this?
Edited by Felix101, 08 May 2012 - 02:25 PM.
Posted 08 May 2012 - 02:30 PM
I strongly recommend a TENS. I had an induced birth (and had an epidural eventually, but by then I was very happy to have it!) The TENS let me get quite a good long way in before even starting the gas, though. It didn't take the pain away, but did attenuate it and helped me manage.
As for an episiotomy, I would think you'd just need to wait and see how you go - although having had a good episiotomy which healed perfectly, I'd say that it's not worth being so set on avoiding it that you tear, which can be horrific to heal.
Posted 08 May 2012 - 02:31 PM
I was induced at 40 + 4 and I certainly did not need the drip. I had the gel in and then they told DH to go home and sleep as nothing would happen until morning. I was in labour within a couple of hours... and it was pretty full-on too.. I had to call him at 1am because the midwife didn't think DD could wait until the morning.
I did however, have a very painful and difficult labour. I did not want an epidural, but I got to the point where I thought the pain would rip me in half, so I got it. I also needed a bit of assistance from the vacuum, and I had a PPH.. I'm not sure if any of that was related to being induced, or if I am just unlucky.
Posted 08 May 2012 - 02:39 PM
I was able to avoid the drip for 6 hours, but I knew time was ticking so I consented. I wouldn't say that an induced labour was any more painful than my spontaneous one was, but there was a point where they had to turn the drip down as I wasn't getting a break, but just having one long continuous contraction. I didn't do it drug free, I made it through with gas.
Posted 08 May 2012 - 02:45 PM
I was induced at 40 weeks due to GD and never had a drip and my waters broke naturally during labour.
I had gel inserted at 9am and my labour started almost straight away. By 10am (as soon as I was allowed to stand up) I was in the shower to help with the pain and at around 11am i started having some gas to help. I really struggled with bad back pain all through labour - so bad that I couldn't concentrate during a contraction and would just cry
at about 12:30 the midwife suggested an epidural and I took it! bliss!
My labour progressed quite quickly and by about 3pm I was fully dilated, but it turned out that my girl was wedged in sideways and wouldn't come out! I ended up have a cesaerian but I don't believe that this was because I was induced, only because of the position my baby was in.
Posted 08 May 2012 - 02:55 PM
I was induced at 40+1 for pre-eclampsia. I was already 3cm dilated (had been for a week) and did not require any gel or tape. I had ARM and was then told to walk around the hospital corridors and remain upright for an hour, to put pressure on the cervix to try to trigger labour naturally. I didn't work for me so I then had the syntocinon drip started. That then took about 6 or 7 hours to cause any decent contractions that were painful or that I even noticed. I started on the gas which worked for a few hours, and then once I was ready to either pass out or die from the pain of contractions I had an epidural. Best thing ever. I then slept for a few hours.
In the end my daughter was born using forceps because my blood pressure spiked dangerously, and she was in the right position to come out with forceps instead of needing a C-section. I tore badly. I had a 4th degree tear that was repaired in theatre and lost almost enough blood for a transfusion. I requested no episiotomy unless medically necessary. The OB and Consultant chose not to do an epsiotomy. I did tear badly but everything has healed really well and quite quickly. I would say that I am 99% back to normal, with full bowel and bladder control, and no pain. When I have another child I will probably be having a C-section.
My advice would be to really take advantage of that hour you have after ARM to put pressure on your cervix, and try to trigger labour. Walking and perhaps bouncing on a fitball might help. I think that to a large degree it will just depend on your body and how it reacts to the syntocinon for whether you will need pain relief. Your blood pressure will also determine how your hospital wants to manage your delivery. In the end I wasn't allowed to push at all because I was told that I could have a stroke because my blood pressure was so high.
I would suggest going in with a positive and relaxed attitude, but be willing to follow medical advice to ensure the safe delivery of your baby and your own health.
Posted 08 May 2012 - 03:41 PM
I was induced at 38+4 due to increased BP. I have chronic hypertension and was medicated also.
Basically had no gel, ARM and drip started pretty much right away. Contractions kicked in quite strongly about 1 1/2 hours later and she was born 3 1/2 hours after that. No drugs, second degree tear.
Compared to my first labour, it was much better. But my first labour was very long and I was very tired. My husband is hopeful I will get induced this time around too. I don't think I'd mind if I did.
Forgot to mention I was 2-3Cm dilated at the time.
Posted 08 May 2012 - 04:04 PM
Another one who was induced but avoided the drip. I was 38+4 and my contractions started within an hour of having the first round of gel.
After 12 hours I was only 1-2cm so had ARM, and got to 6cm before I ended up with a ceasar due to getting a uterus infection from one of the internals. I don't blame the induction for this as you could have it happen during a spontaneous labour too.
Turns out that DD was posterior and wedged into the pelvis at such an angle that she would not have come out anyway regardless if labour was induced so I would have ended up with a c-section regardless.
So, my hospital definitely didn't insist on the drip BUT one of the midwives did comment that it was a long time since she had seen a first time mum be induced so early and not need the drip.
Once I was allowed up and about I did laps up and down the 6 floors worth of stairs and spent a lot of time upright on the fit ball, and think this is why I was able to keep dilating without the drip.
Good luck. Your induction doesn't mean all your dreams go out the window. I had two friends induced within a month of me, and both of them managed a natural birth one was drug free and the other got the epidural very late in the game. So it can be done if you really want that.
Labour is so tricky though, try to just have an open mind as you don't know how you'll feel once the contractions start until you are in there.
Posted 08 May 2012 - 11:38 PM
I was induced at 41+1 for post dates. I didn't need gels, just had ARM at 1.5cm and then drip started on a low dose straight away. I could feel the contractions almost straight away, though they said this was probably because of the ARM then the drip. Contractions became very painful quickly though and before I knew it they were every 5min. I was able to walk around and used the fit ball, but pain became unbearable for me and I requested an epidural that was put in 3 hrs after drip started. No wonder I was in pain though, as vaginal exam after the epidural was put in showed I was 6cm. Epidural was amazing, it was a walking epidural so I was able to continue sitting on the fit ball and walk to the toilet. It needed toping up every hour though for some reason. Anyways, about two hours after the epidural was put in, I got the extreme bowel pressure and was examined again and found to be fully dilated. I had a prolonged second stage though and it was decided to use the vacuum.My epidural drug was changed so that I could no longer feel my legs, and thank goodness because the vacuum was causing decelerations of bub's heart rate and then it ended up coming off, so forceps were quickly used. I needed an episiotomy with the forceps and I also had 2nd degree tears. Its been 3 weeks since all this now and I am pretty much healed. In total my induced birth was 6 hours and while things didn't go as smoothly as I had hoped I still had an awesome birth experience and had full trust in my medical and nursing team. My gorgeous baby was born, and I would do it all again in a heart beat.
Posted 08 May 2012 - 11:44 PM
I have to say OP that only allowing you 1hr after an ARM is pretty stingy, most people I know got atleast 5 or 6 hours as a minimum. I would be pushing for them to allow you more time to go in to labour before the drip. I walk the hospital hallways for about 3hrs until they finally seemed to be getting into a rythm
Posted 09 May 2012 - 12:15 AM
Induced twice; fortunately no-one told me beforehand that induced labours are more painfu! First one very slow and painful; had epidural. Second time, still painful but faster and just had time for pethedine. Second time around my waters were broken first up instead of after about 10 hours of nothing.... not sure whether it was because it was a second birth that things proceeded differently... If your waters aren't broken early on in the piece I'd ask why not and could they be, as that is what seemed to move things along for me.
Posted 09 May 2012 - 08:00 AM
I would try and get some acupuncture over the weekend to try and induce naturally. Other than that maybe some reflexology. Good luck
Posted 09 May 2012 - 09:29 AM
I used a tens machine for most of the labour & then used gas for the pushing stage. My induced labour was no more painful than my natural labour & only slightly shorter (30 mins active labour compared to 45 mins)
Posted 09 May 2012 - 09:37 AM
I have had 2 inductions.
With DS they started with the gel at 9.30am, it didn't work so at 5pm they did ARM, I walked around for an hour waiting for things to happen, it didn't so then it was the cinto drip all night long during which i sometimes used the gas. He was posterior so by around 5am the back pain was too much to bear any longer so I had an epi, managed to sleep for 3 hrs during which they increased the cinto, when I woke I was 9.5cms, 1/2 hr later 10 cms & he was born at 9.30am so 24 hrs since induction started.
With DD2 they started with the gel at 6pm and it worked great all night long, she was born at 9am the next morning with no further intervention required.
Posted 09 May 2012 - 10:54 AM
Thank you all so so much for sharing your experiences.
I had an internal yesterday and was told to expect a quick labour (I think he said I had a really short anterior cervix - his actual exp
ression mid exam was a very surprised 'wow!' - I was expecting to be really dilated or something, but then he explained that my bits were made to spit out bubs - apparently.. not quite those words obviously!:)) so hopefully it will be out in no time and I won't have a chance to worry about an epi.. wishful thinking huh....
Its great to hear that others have held off the drip for so long! I thought the one hr sounded like not much
when I spoke to the OB he did say that the 1hr was just the standard but that they would be happy to wait if I looked like I would get going without the drip (but I'm a public patient so I'll have to bargain with who ever is on at the time).
And thanks for the acupuncture suggestion - it was the first call I made after leaving the docs... Yes, even before my husband. Booked for tomorrow morning.
Fingers crossed bubs gets in before the hospital does..
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