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#21
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Induction methods was [ Preterm Labor?]
NL wrote:
SNIP I know that won't work, and isn't even a good idea, but she's low and I have to pee all the time and I'm uncomfortable despite this summer being really cold. It was brutal here (New England, USA) this weekend, humid, hot, sticky, just horrible. I thought my ankles were gone forever. Then a huge thunderstorm hit on Saturday afternoon and another rain storm yesterday and phew relief, I nearly stripped and ran (waddled) out into the garden to praise the skies for such glorious relief - I didn't but I thought about it! My parents are going to be here on Friday (oh joy... I can not wait... *sigh*) and they'll take Sam with them on the first and return him on the 8th. So I'll have a week to just hang out in bed and sleep drink and eat. I hope. Lucky you! Then there's all the moving of furniture to do, my big desk with all my sewing stuff and lots of baby stuff will need to be moved into Samuels room and the changing table/dresser and a bookshelf will make its way into my room. My best friend will probably come up from Stuttgart during the week Sam is away and bring the crib she's giving me, so by the time Sam's back everything should be set up for the baby to arrive, too. So yeah, that's the plan, we'll see how it goes *lol* Looks like a plan to me. I finish work on Friday so will also have a week or so to chill a bit and get the house ready, there is no sign whatsoever that there a baby about to arrive in my house, no basinett, no crib, no nappies, nothing...I need to change that! Am looking at a possible induction for insulin dependent diabetes, am majorly ****ed off about that and trying my best to avoid it, I'd like to have a VBAC this time. I know this has probably been done to death on this group but has anyone had any success with "natural" induction methods? By natural I mean non chemical, no pitocin or cervadil or anything like that. I've had reflexology and am going for acupuncture tomorrow. There's a good list of the possible methods he http://www.maternitycorner.com/mcmag.../preg0007.html I'm open to try most things except castor oil or laxatives of any kind, that does not appeal! |
#22
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Induction methods was [ Preterm Labor?]
On Jul 30, 2:52 pm, Boliath wrote:
Am looking at a possible induction for insulin dependent diabetes, am majorly ****ed off about that and trying my best to avoid it, I'd like to have a VBAC this time. I know this has probably been done to death on this group but has anyone had any success with "natural" induction methods? For my successful VBAC, I was 39w5d when my midwife stripped my membranes. This started irregular contractions off and on for the next couple of days. At 41w my midwife stripped them again (I had gone from 1 cm to 4 cm in those 2 days) and about 5 hours after stripping I was in full blown labor. Baby was born 12 hours after that, no other augmentation. So I do think the stripping worked for us (we had also been having sex, I'd been drinking RRL tea and using Evening primrose oil applied to the cervix). Note, I had membrane stripping with my first pregnancy (suspected big baby) which may have led to premature rupture of my membranes and thus a failure to progress and eventual c-section. I don't know that for certain, but it is what I think happened. That said, as I neared 41 weeks with DD2 I thought is was worth the risk. Good luck! Mary W. |
#23
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Induction methods was [ Preterm Labor?]
Mary W. wrote:
On Jul 30, 2:52 pm, Boliath wrote: Am looking at a possible induction for insulin dependent diabetes, am majorly ****ed off about that and trying my best to avoid it, I'd like to have a VBAC this time. I know this has probably been done to death on this group but has anyone had any success with "natural" induction methods? For my successful VBAC, I was 39w5d when my midwife stripped my membranes. This started irregular contractions off and on for the next couple of days. At 41w my midwife stripped them again (I had gone from 1 cm to 4 cm in those 2 days) and about 5 hours after stripping I was in full blown labor. Baby was born 12 hours after that, no other augmentation. So I do think the stripping worked for us (we had also been having sex, I'd been drinking RRL tea and using Evening primrose oil applied to the cervix). Thank you Mary, I'm starting RRL tea and EPO this evening. Not so sure about sex, seems like a huge effort, I can barely walk at the moment with SPD. Note, I had membrane stripping with my first pregnancy (suspected big baby) which may have led to premature rupture of my membranes and thus a failure to progress and eventual c-section. I don't know that for certain, but it is what I think happened. I also think that premature rupture of my membranes caused my c-section, the intervention train pulled in to the station at that point and all was lost :c) That said, as I neared 41 weeks with DD2 I thought is was worth the risk. Good luck! Thank you! |
#24
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Preterm Labor?
Just found this after readign the thread change.
Per my LMD EDD, I'm almost 39 weeks, but think 38 may be more accurate due to when I think the deed as done. In keeping with my easy pregnancy, I feel like this lil' guy likes his current home just fine, thankyouverymuch. And I'm cool with that, as is DH. I do think I've been able to identify some BH contrax, although may times I think it's just the baby pressing the front of my uterus. He is starting to occassionally stretch out and in so doing, press on my bladder or cervix; whichever one, it is not comfortable at all! But that is pretty infrequently. It's been mentioned several times that I'm not that huge, which I'm fine with, too. Fundal height was 38 cm Thursday, so I'm not worried. So no waddle yet (I don't think), I just get a bit achey at night sometims if I don't put my top leg over on a pillow. I fininsh work tomorrow, which will give me much need time to do stuff. My shower was yesterday, and my crib came in today. My step-mom and -aunt are staying a couple of extra days to help clean this house (which my DH and I didn't pick up enough, but oh well). We switched/are switching our home office/computer room with umpteen computers/parts with our former guest room/future baby room. ILs arrive in a week for perhaps a month-long stay (not all with us, thank goodness!). My mom I think is a bit impatient with us for not having a name chosedn (and even if we did, we don't really want to tell). DH joked about telling his mother (in England) that we would name the baby Jacob Branston due to our love of cheese and crackers (Jacob's Cream Crackers and Branston Pickle), so that is how the grandparents have taken to referring to him. DH is dragging his heels on helping me choose a name. :/ Overall, I'm great physically, just lethargic and waiting for that burst of nesting energy! Betsey On Tue, 24 Jul 2007 10:36:51 -0400, Boliath wrote: NL wrote: Boliath schrieb: This has certainly put a fire under me, I have NOTHING ready for this babe, no clothes nothing, but all he needs is a boob and a clean nappy and he'll be fine! Well, we haven't heard from you in 10 days, what's going on? Oh sorry. FWIW: I've had some contractions that definitely felt like labor, panicked every time, drank water and juice like crazy and crawled into bed and sometimes made my birthing partner panic by calling him *g* I don't think I'll make it another month... I'm fine still hanging in there, feeling gargantuan, baby is low and feels like the head is engaged. The midwife checked me 2 weeks ago and said nope nothing happening, I'm hoping that has changed by now, it certaily feels like it. I'm having contractions, like you, strong and a little like the real thing but with no regularity and no pattern. I wish I could crawl into bed when they happen but I'm still working and have a 2 1/2 yr old at home so there's no rest for me. I finish work on the 3rd so plan to put my feet up for the duration after that. I'm bigger than I was with my son, I have stretch marks which I didn't have last time and it looks like my belly button might pop this time too. I'm going for acupuncture and reflexology next week to see if I can give theis babe a litle nudge. I know s/he won't come until s/he is ready but a little nudge can't hurt - can it? How are you? And the other August women? |
#25
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Preterm Labor?
I'm so ready to have this baby! I already told her that her deadline's the 8th of August (the day I hit 38 weeks) and if she doesn't come out herself I'll smoke her out, or I'll just kneel down and push her out and I won't care if my cervix is ready or not, it'll be ready when I tell it to be *lol*. I know that won't work, and isn't even a good idea, but she's low and I have to pee all the time and I'm uncomfortable despite this summer being really cold. actually, I heard one reported case of a women doing just that, I think she was 32 weeks, definitely preterm, not her first child, she showed up at the hospital, admitted she wasn't contracting and wasn't in labour, but insisting on pushing and eventually the baby was born, I'm not sure why they let her stat, I suppose they feared that she might ultimately do some harm, and I think the placenta followed very quickly afterwards (abnormal, possibly indicating an abruption shortly before the birth). I think there may have been concern that the women had mental health problems, but I don't think anyone acted to, say, have her sedated to avoid the forced delivery, but then I don't think anyone thought she would managed to force the delivery. Cheers Anne |
#26
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Induction methods was [ Preterm Labor?]
Am looking at a possible induction for insulin dependent diabetes, am majorly ****ed off about that and trying my best to avoid it, I'd like to have a VBAC this time. Be very cautious, all medical induction methods carry an increased risk of uterine rupture, it may still be within your risk tolerance zone, but there is a decreased chance of being sucessful in a vbac, have you read kmom on the subject? http://www.plus-size-pregnancy.org/gd/gd_index.html, there are definitely times when a women with GD does need to be induced, but there is little evidence to support it as a routine intervention. I know this has probably been done to death on this group but has anyone had any success with "natural" induction methods? By natural I mean non chemical, no pitocin or cervadil or anything like that. I've had reflexology and am going for acupuncture tomorrow. There's a good list of the possible methods he http://www.maternitycorner.com/mcmag.../preg0007.html There is always going to be anecdotal tales of it working, but they are often when the women is well past 40 weeks and would have a high chance of going into labour anyway. Personally, I think the chances of actually getting it to work at 38 or so weeks is pretty slim, but that should induction really be necessary, that there are things you can do to be as ready for it as possible, such as evening primrose oil capsules on the cervix, which do similar things to cervadil, but at a much slower pace. Do you know about Bishop's score? it's a measure of a number of things such as engagement, dilation, position and texture of the cervix and the score adds up to be a reasonable predictor of whether induction will work or not. I've had a 37 week induction, due to IUGR and PROM, which is notorious for being a long drawn out process, but my Bishop's score was high and the induction was much smoother than many are well past dates. The biggest problem that I think you'll have with an early induction is that most need repeated applications of cervical ripening things (cervidel and others), but that really increases the risk of uterine rupture, I know it's not something I'd be comfortable with, but if it's pitocin only, with a low Bishop's score, it's also not very likely to suceed, there does, in my mind come a point where it's better to plan a c-section than to have a moderate chance of having an emergency one, but your thresholds may be very different to mine. Cheers Anne |
#27
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Induction methods was [ Preterm Labor?]
Anne Rogers wrote:
Am looking at a possible induction for insulin dependent diabetes, am majorly ****ed off about that and trying my best to avoid it, I'd like to have a VBAC this time. Be very cautious, all medical induction methods carry an increased risk of uterine rupture, it may still be within your risk tolerance zone, but there is a decreased chance of being sucessful in a vbac, have you read kmom on the subject? http://www.plus-size-pregnancy.org/gd/gd_index.html, there are definitely times when a women with GD does need to be induced, but there is little evidence to support it as a routine intervention. Thanks Anne, I have read kmom, it's a priceless resource. I just had a biophysical profile this morning, they estimate the baby to be 9lbs at 37.5 weeks. I know there is a margin of error with this(10%?) and the bigger the baby the bigger the margin, but it has unnerved me somewhat and I'm thinking more about an early induction than I was. I know this has probably been done to death on this group but has anyone had any success with "natural" induction methods? By natural I mean non chemical, no pitocin or cervadil or anything like that. I've had reflexology and am going for acupuncture tomorrow. There's a good list of the possible methods he http://www.maternitycorner.com/mcmag.../preg0007.html There is always going to be anecdotal tales of it working, but they are often when the women is well past 40 weeks and would have a high chance of going into labour anyway. Personally, I think the chances of actually getting it to work at 38 or so weeks is pretty slim, but that should induction really be necessary, that there are things you can do to be as ready for it as possible, such as evening primrose oil capsules on the cervix, which do similar things to cervadil, but at a much slower pace. Thanks, I started EPO and am hoping it will help. Do you know about Bishop's score? it's a measure of a number of things such as engagement, dilation, position and texture of the cervix and the score adds up to be a reasonable predictor of whether induction will work or not. I've had a 37 week induction, due to IUGR and PROM, which is notorious for being a long drawn out process, but my Bishop's score was high and the induction was much smoother than many are well past dates. I'd heard of it but didn't know much about it. I just found this http://mother-care.ca/bishop.htm The biggest problem that I think you'll have with an early induction is that most need repeated applications of cervical ripening things (cervidel and others), but that really increases the risk of uterine rupture, My midwives will only use pitocin with a previous section, they don't like the gels in general it seems. They did encourage me to use EPO and are very supportive of me trying for a VBAC, it's me that is losing heart at this stage. I know it's not something I'd be comfortable with, but if it's pitocin only, with a low Bishop's score, it's also not very likely to suceed, there does, in my mind come a point where it's better to plan a c-section than to have a moderate chance of having an emergency one, but your thresholds may be very different to mine. That's kind of where my mind is going now. I feel a little defeated but a healthy baby is my goal, how I get there is secondary. Thank you for your thoughtful and considered response, I'm sure others will find it as informative as I did. Bo xx Cheers Anne |
#28
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Induction methods was [ Preterm Labor?]
Boliath wrote:
I just had a biophysical profile this morning, they estimate the baby to be 9lbs at 37.5 weeks. I know there is a margin of error with this(10%?) The margin is actually bigger than that. Quite a few studies considered late term u/s estimates of fetal weight *accurate* if the result was within 10 percent either way, but they were only "accurate" (by that definition) something on the order of 50-75 percent of the time. So, up to half the time, they don't even hit it within 10 percent. I know it's not something I'd be comfortable with, but if it's pitocin only, with a low Bishop's score, it's also not very likely to suceed, there does, in my mind come a point where it's better to plan a c-section than to have a moderate chance of having an emergency one, but your thresholds may be very different to mine. That's kind of where my mind is going now. I feel a little defeated but a healthy baby is my goal, how I get there is secondary. Another thing to keep in mind, though, is that *YOU* have some control over how and when you make your decisions. For instance, it's not plan a c-section in advance or labor until you're beyond exhausted and then finally cave in to the c-section and try to recover from it with no reserves left. You can decide that you want to go into labor naturally and labor only as long as you're feeling optimistic about the outcome, but decide to go to a c-section well before it's an emergency or you're completely wrung out. Best wishes, Ericka |
#29
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Induction methods was [ Preterm Labor?]
I just had a biophysical profile this morning, they estimate the baby to be 9lbs at 37.5 weeks. I know there is a margin of error with this(10%?) and the bigger the baby the bigger the margin, but it has unnerved me somewhat and I'm thinking more about an early induction than I was. There is no evidence to support that early induction improves outcomes with a potentially large baby, induced labours in general just seem to be more difficult, extended, more likely to need epidural, more likely to need assisted delivery and so on, if you could just flick a switch and have a normal labour, just a bit earlier in time, then likely it would improve outcomes, but you can't, you might have a slightly smaller baby, but to get the chance to delivery that, you have to take on a whole host of other things, that don't improve anything and may even hinder. Size is a factor in delivery, but not as much as many people will have you believe, size alone doesn't tell you what shape your baby will be and what dimensions are contributing to the weight, you could have a long baby with a small head, or a short baby with a big head. Position of the baby is exceedingly important, you don't want to go inducing a baby who's not in a good position to be born, of course they might turn in labour, but they might not and then you're in the operating theatre having you ability to birth undermined yet again. Estimated birth weights are almost always too big, you'd think that the formula would get changed, but as yet, that hasn't happened, people used to say the estimate was upto a pound out either way, but now it seems people are saying up to 2lb too high, so the baby could be a very normal 7lb right now. What do your midwives say regarding the weight, I'm sure I read somewhere that they are more accurate than machines, but the most accurate is a mother who has had a baby before, so what do you think? The other thing to note is how much babies put on in the last few weeks, the text book answer is 1/2 pound per week, but many people have observed that this doesn't always seem to be the case and baby might be putting on that much from 34 to 38 weeks, but then slows down, it probably varies from person to person. My midwives will only use pitocin with a previous section, they don't like the gels in general it seems. They did encourage me to use EPO and are very supportive of me trying for a VBAC, it's me that is losing heart at this stage. I'd noticed that there seems to be less use of the gels in the US, I don't understand the reasons why, it's irrelevant for you, but I know that in the UK, they are very big on using gels and this means an early induction for GD can be very time consuming, 3 days or so, with repeat application of gel, but then whilst the c-section rate in the UK is not great it's a lot lower than in the US and I think there is plenty of evidence that supports a higher success rate with use of gels, I wonder if it's the different health care systems that make it not favourable for many doctors in the US. I don't know your history and I don't have a crystal ball, so I've no way of knowing whether or not you can birth this baby vaginally, but I honestly think the best chance you have it to await natural labour. The only reason I'd accept for induction in this situation is that the baby is at a high risk of death - and then I'd be questioning if there was time to attempt induction. Anyone suggesting that induction will improve your chances, they are talking hogwash any intervention at all chips away at the chance of success, including things that can be seen as fairly benign, such as artificial rupture of membranes. Cheers Anne |
#30
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Preterm Labor?
Anne Rogers schrieb:
I'm so ready to have this baby! I already told her that her deadline's the 8th of August (the day I hit 38 weeks) and if she doesn't come out herself I'll smoke her out, or I'll just kneel down and push her out and I won't care if my cervix is ready or not, it'll be ready when I tell it to be *lol*. I know that won't work, and isn't even a good idea, but she's low and I have to pee all the time and I'm uncomfortable despite this summer being really cold. actually, I heard one reported case of a women doing just that, I think she was 32 weeks, definitely preterm, not her first child, she showed up at the hospital, admitted she wasn't contracting and wasn't in labour, but insisting on pushing and eventually the baby was born, I'm not sure why they let her stat, I suppose they feared that she might ultimately do some harm, and I think the placenta followed very quickly afterwards (abnormal, possibly indicating an abruption shortly before the birth). I think there may have been concern that the women had mental health problems, but I don't think anyone acted to, say, have her sedated to avoid the forced delivery, but then I don't think anyone thought she would managed to force the delivery. Oi. Well, that gives me hope ;-) Honestly, I was feeling a lot better the past few days, even with this weird cough, but last night was "no sleep night" I was either coughing or having to pee or both (yeah, see the pregnant lady run...) and when I finally fell asleep again Sam woke up an hour later, luckily he went to grandma, so I was able to go back to sleep, for about 30 minutes before some idiot rang my doorbell but was of course gone by the time I got there.. So now I'm semi awake and can't go back to sleep. Love it. Sorry, I just need to vent a little, I have heartburn and I can't bend down because I feel like I'll throw up when I do that, my kitchen is a huge mess, but emptying the dishwasher's no go because of the bending over and I'm feeling pretty disgusting even though I've just had a shower.. I just hope the next weeks go by quickly and uneventful. cu nicole |
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