fruitkakechevy: (Default)
[personal profile] fruitkakechevy
...and to ask her some important questions.


- where does the "induce at 41 weeks" policy come from?

- is this for all pregnant women, or only VBAC?

- why would it be necessary?

- What happens if I refuse?

I waffle between wanting to give her the benefit of the doubt (I was too busy panicking to actually hear if she did a reasonable take on informed decision making) and wanting to switch providers (though it's likely I'd have the same issue with anyone registered, and I find the unregistered ones a little scary). With exactly no time left, I'm defaulting to the former, which I think works towards the outcome I'd prefer anyway.

Date: 2010-06-15 06:22 pm (UTC)
From: [identity profile] connieandbaby.livejournal.com
..erm yeah. why at 41 weeks since they can do to 42 weeks...hmmm. xxx

Date: 2010-06-16 12:48 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
VBAC. A prior c-section makes everyone nervous :P

Date: 2010-06-15 06:48 pm (UTC)
From: [identity profile] rock-grrl.livejournal.com
I never emailed you back. Sorry about that. I was pressured (by BC policy, not my midwives) to take a mixture of castor oil, nut butter, juice and lemon verbena to get things moving along or I would have been risked out of my homebirth because I would have been past 42 weeks.

I regret taking it. I know for other women that it works without issues but I think it made my labour a lot harder than it would have been normally ... which is what caused fetal distress and caused the hospital transfer. Of course, I don't know if a natural hospital birth would have been possible because deflecting scare tactics is a lot harder while in a hospital setting but I still regret taking the mixture. I also don't know for sure that the fetal distress was caused or just made worse by my hard labour - Iain's head was in an odd position so that may have also had something to do with it.

I'm sorry you are stressing about this right now. It's so shitty that women get placed on time limits for labour based on so random "facts" about labour and birth. I suspect the 41 week limit is for HBACs, not necessarily VBACs ... hopefully. If it is just for HBACs, you can still have a natural hospital birth. If it's for VBACs, you can refuse induction for as long as you want/feel comfortable with. To make sure baby is still fine, you can have NSTs and just wait. I told my midwives I wouldn't have any NSTs until 42 weeks to reduce the hospital scare tactics for as long as possible.

You know your body best mama! Listen to your heart and your head and do what feels best for you.

Date: 2010-06-16 01:45 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
Yup, sounds like the same cocktail. She recommends a tea of verbena and warming spices (cinnamon, cloves, ginger) first, to help the cervix along.

According to my midwife, the cocktail can't start anything that isn't ready to start anyway, and won't make the labour any different, but if you think it caused your labour to progress differently, maybe it did. Given what I've been told about the cocktail, it sounds more likely that it was Iain's head, but no one can ever know for sure.

I'm a little more comfortable with going along with my midwife, especially given that she's promised to find me as much wiggle room as possible, bring me in on a day when there's a more flexible OB available, and go a little bit past 41 weeks if NSTs are fine. She's also confirmed that this deadline isn't just an arbitrary thing - sure, it's the one that the OBs use at the local hospital, but it's also to do with her own comfort level with a VBAC. She's willing to push things a little, but she's seen too much to be comfortable going farther than that. I can respect that more than hard limits - after all, that's why I have a midwife instead of going unassisted. Thanks! I was hoping for your point of view :)

Date: 2010-06-17 02:55 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
Ok - I did more looking into castor oil, and it looks like my prior info was wrong :P It can make labour crappy. My mw told me that the castor oil in the cocktail was just to make sure I'm not constipated and wasn't the main ingredient of the cocktail, but a little cursory research shows that, even in such a small dose (2 tbsp), it can cause intestinal mayhem. Lovely.

Date: 2010-06-17 03:47 am (UTC)
From: [identity profile] rock-grrl.livejournal.com
Could you try the mixture without the castor oil in it?

And remember darling - you do NOT have to consent to an induction at any time if you are comfortable with it! I know you know that but it's good to hear when you are so close to the end regardless.

*sends labour-y thoughts your way*

Date: 2010-06-17 04:29 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
That's what I'm thinking of doing - completely without, or maybe a smaller dose.

She talked about dead babies. *facepalm* Quickly backtracked, but there it was. I did not think I'd be going there with this midwife.

Thanks for labour-y thoughts.. 95% of babies (with dates confirmed by early u/s) are born by 41 weeks. Hope I'm part of the herd this time.

Tomorrow, I'm taking the day off. No birth, no labour, no fretting, no research. Friday too, if I can manage it.

Date: 2010-06-15 09:50 pm (UTC)
From: [identity profile] morag-gunn.livejournal.com
Inducing at 41 weeks is a VBAC-specific obstetric policy. It is otherwise an OB policy in this province to induce at 40 weeks plus ten days (I know of few midwives who observe this policy).

I know women who have taken castor oil and not noticed much difference and other women who have taken it to their detriment. I suspect the cocktail that Linda's going to offer you today is quite different and does not involve Castor Oil. But it will be interesting to find out!

Date: 2010-06-17 03:04 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
I wish it didn't involve castor oil, but it does. She told me it wasn't the main ingredient, and was "just to make sure I wasn't constipated", but a little cursory research shows that even 2 tbsp can cause intestinal mayhem. I need to trust her, right now, and not keep digging up things that contradict what she's saying.

I read a lot of VBAC-induction cautionary tales today - also not the best use of my time, but I couldn't seem to stop. I've got maybe 9-10 days - lots can happen in that time. Tonight, I'm reading about happy, safe homebirths that come between 40 and 41 weeks gestation :) In my due-date community, there have been a rash of people giving birth at 40+3 and 40+5.. all very reasonable and calm, and there's no reason for me to keep my head stuck in the worst case scenario.

Date: 2010-06-16 05:09 am (UTC)
From: [identity profile] rogue-priestess.livejournal.com
you could just go and get foot rubs, and ask them to tweak your heels. that induces labour naturally. right?

Date: 2010-06-16 05:12 am (UTC)
From: [identity profile] rogue-priestess.livejournal.com
or stimulate your cervix.

or exercise more than you should right now.

if you push your body a bit right now, it will likely go into labour as a safety mechanism (it's not a safe environment for baby, so it will initiate labour to evacuate the baby).

I don't know if any of this is helpful or even safe, but just putting it out there incase it makes you think of something else useful.

Date: 2010-06-16 05:59 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
Sex and nipple stimulation are the sorts of things I can do at home that are generally recommended. While I think bungee jumping might help things along, I'm not sure I'm ready to go that route :) Getting really angry and yelling a lot has been suggested.. maybe I'll try for some road rage over the weekend!

Date: 2010-06-16 05:55 am (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
Not as far as I know..? Foot rubs sound nice, though!

Date: 2010-06-17 04:26 pm (UTC)
From: [identity profile] serioushat.livejournal.com
If you still have not had baby by Saturday, perhaps you could come to summer solstice. Afterward, I can read to you aloud from the ACOG guidelines on VBAC and homebirth. This should induce maximal rage, and voila, labour! No? ;)

Date: 2010-06-17 07:59 pm (UTC)
From: [identity profile] fruitkakechevy.livejournal.com
I'm totally going to be there if I haven't had a baby yet! I need my people :)

I've read it, and it's definitely rage inducing, but also fear since I might be on their turf next week. The most rage-inducing one was, I think, their policy on post dates, where they cite one study at length (proclaiming 41 weeks to be where people ought to be induced), and then cite another that lists all the problems with the first study and proclaims 42 weeks to be fine, and THEN they say that women should be 'offered' induction at 41 and 42 weeks. I have the distinct sense that it's a rare women that will get the second option.

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