Monday, December 10, 2012

All About the Induction!

I was just telling Ben yesterday how happy I am that we actually have an "end" date - which I know is very unusual for most pregnant women.  And, I still feel that way - it's nice to say "only 2 and a half weeks at the most!!".  If it wasn't for my scheduled induction on the evening of the 27th, I could be saying..."wow, it could be any day now, or it could be like 4-5 more weeks".  I'm a planner, so I like that I'm saying the first thing :)....not to mention, we KNOW we'll have the tax deduction for a baby this year :) :)

BUT - after talking with my doctor today about how long of a process inductions can be, boy oh boy do I hope that miss Annie decides to make her appearance before my induction date on the 27th!!!

After hearing in baby classes that inductions don't always work (news to us!!) and sometimes people are sent home after an unsuccessful induction, I wanted to get some clarification from Dr. F on whether or not I could fall into that boat.  Good news - no, I won't - mainly because I actually have a medical reason to be having the baby early (the "trial" inductions where people get sent home happen if someone is doing an induction only because they just want to deliver the baby).  Therefore, there is no way we will go home without a baby after I've gone in on the 27th.  But, I wanted to get more information about what would she do then in the case that the induction doesn't seem to be working.

Basically - it boils down to this: I (we) are really crossing our fingers that I have some sort of progression before my induction - i.e. some sort of dilation or effacement at my appointment next week (when they first check for this) or my last appointment on Christmas Eve.  If I am not progressing naturally, there is a much higher chance that the induction could be a very long process.

If I am not showing progression by the induction date, I would go in for cervidil the night of the 27th and then start pitocin at 8am on the 28th.  If pitocin does nothing to start contractions and labor just isn't progressing at all that first day, then they would stop pitocin and give me more cervidil overnight on the 28th.  Then - they would start pitocin the next morning for round #2.  If the pitocin STILL doesn't start labor, then that evening (the 29th), I would most likely have a c-section.  If pitocin does start labor on that second day, then they will let labor progress as it wants to - meaning (and this is the kicker)...that if my labor at this point wants to take another 24 hours, I could go into DAY 3!!!!  Haha....wow, that's crazy.  I knew inductions could take longer, but I never imagined possibly that long!

I am happy that Dr. F wouldn't jump into a c-section at the end of the day one - I would love to avoid a c-section if possible.  I am also thankful to know ahead of time that this could happen.  Of course, that's the worst case scenario and hopefully it will not be that long.  And, let's REALLY hope that I am progressing at least a little bit by my 38-week appointment next week or on Christmas Eve!  Cross your fingers with me please :) :)

So I guess we'll just have to wait and see what happens :)....(and we all know Annie has her own "plan" anyway....)

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