moodyblue1188 · Posted 9/21/08My ultimate goal is to have a vaginal/natural birth without any medical intervention. I am 39 wks/6days
I haven't had any noticeable contractions but I'm already 3 centi. 100% effaced and at +1 station. My midwife wants to induced me because I have group B strep. She is worried that I won't have any major/noticeable contractions till I get into the active part of labor... therefore not giving me a full 4 hours to recieve antibiotics for the group b step.
My questions
Will having my water broken automatically speed up labor?
Is there a chance that I will go past the 24 hour limit even if my water is broken?
Once given pitocin will they continually increase the dose until The baby is born?
Does pitocin always cause the baby to go into distress due to long and hard contractions?
Do epidurals slow down the progress of labor?
I want to be fully informed before I make any decisions and I figure you ladies are experienced and have been there and done that. I'd appreciate any information!
Thanks ladies! Sorry for the novel...
sheshebee · Updated 19 hours ago
I am wondering many of the same things. I am 41 weeks tomorrow and have an induction scheduled. They planned to start with breaking my apparently bulging water bag, I wa 3-4cm last week with lots of bh contractions, back aches, etc. Nothing much the past 2 days though. I am worried about it creating a 24 hr. time constraint - I'll need to ask more questions. I read a bunch about pitocin vs AROM to induce and it seems like a mixed bag so no help there. I am going to ask to postpone induction a day or two (DH is pretty ill) and hope to begin labor on my own (DD#1 was 1 week late). I also really want to avoid an epi this time - I got it at 8cm last time and it stopped/stalled my progression, needed pitocin, sat for hours, got a fever so both baby and I had to have antibiotics after birth (argh!!). If I have to be induced I think I will ask about the 24 deadline after water is broken and if that is the case I will ask to begin with pit at low levels and have it turned off once things begin, get unhooked and walk walk walk! Keep us posted.
Sheila
BabyJTS · Updated 18 hours ago
I'm a FTM so I can tell you what I've heard and read... BUT I am as progressed as you are and due tomorrow.... First off, any minute you could go into labor on your own. Second, you are HIGHLY favorable for an induction- your labor most likely will be relatively fast (because you are as progressed as you are).
They recommend that you don't have an epidural until you have dialated to 5 cm to decrease the chances that the epi will slow down your labor.
Because you are soo "favorable" you are not at risk for negative side affects- the concern for induction is mostly for moms who have NOT progressed and have a tight cervix.... Shoot- most likely they will break your water and you won't even need pitocin!
Keep me updated as I get my induction date tomorrow if this little guy doesn't pop out soon!
Shanay26 · Updated 18 hours ago
My water broke at 9pm the night before I delivered my DS. I also wanted a completely natural vaginal birth but because my contractions never became regular on their own I had to start pitocin at 1 pm. After that the nurse only increased the amount I received one time. She did however continually try to convince me to get the epidural. She said that the epidural would speed up the birth process, not slow it down. Because I waited as long as possible to have the pitocin the nurse was worried about me reaching the 24 hour mark. DS was born 23 hours and 15 minutes after my water broke. He'll be 2 weeks old tomorrow, and he's perfectly healthy. No complications due to my extra long labor. My point is that don't let the nurse or doctor convince you to do anythuing you don't want to do. I didn't and I'm so much happier with my entire experience.
name seeker · Updated 15 hours ago
With my first pregnancy my water broke about 8:30 pm on a Monday night and I had him at 8:06 a.m the next morning. I think labor is different for each person, but for me I feel things went relatively smooth and fast. I also was positive w/ gbs last time and as soon as I was admitted they gave me the iv antibiotic. In the early morning hours they started me on pitocin b/c I wasn't progressing as fast as they would have liked (I started out approx 1 cm dialated - so you are ahead of where I was!!). At 7:00 am they checked me and I was only at 5 cm and then he was born at 8:06 - and I only had to push two times for him to come out. I never had the epidural so I am not sure about that, but he was very alert and did great after the delivery. He was a little jaundice, but I don't exactly what causes that. Good luck with everything for you and my suggestion would be to just see how things go and do what feels right - you'll know when the time comes.
noelyk · Updated 9 hours ago
I just had my son 9 days ago, and had to go through a 23 hour labor. I've prepared myself to have a natural childbirth free of medical interventions. I'm not completely sure how different it could be for a group B strep situation. However, to share my own experience, I had to make changes to my plan due to slow progress of my labor. Contractions were there, but the dilation did not keep up. I was admitted at 3 cm dilation, and I still believe I could've stayed at home longer rather than staying at the hospital for early labor. As much as I was aware, when the nurse convinced me that it will happen soon, I decided to stay.
I now look back and see that's where it almost went worng, cuz the next thing they wanted to do was give me Pitocin to quicken the contractions, and also said my water bag was persistent and if I continued on this pace I couldn't avoid a C-section. Unfortunately, the C-section word got me all worried and I had my membrane ruptured and waited on the Pitocin.
With the dilation still delayed and the contractions still only 3-5 mins apart, I was warned of the timelimit, and it seemed I had no other choice than to take the Pitocin. After discussion, we okayed to the minimal dose of Pitocin. And that's when the contractions pace went up and the pressures were much higher. The nurse of course, strongly recommended the epidural many times, however, that was the last thing I was going to give in.
After a 23 hour long labor, our baby was born, and I was told that the pushing happened so fast, after all the time we spent in labor. It probably had a lot to do with the absence of epi, since I could feel exactly where to release and push when the baby started to crown.
Well, to answer your questions as much to my experience. Although keep in mind, I am merely a FTM with a single birth experience and exposure to many books and reading materials..
Will having my water broken automatically speed up labor?
-> I do believe it did have some effect, however, in my case, there was no need to speed up the labor, so if I were to do it again, I would never let them break my water.
Is there a chance that I will go past the 24 hour limit even if my water is broken?
-> Totally possible. That was going to be my case, which is why they used the words "Let's move things along" "You seem stuck". Once your water is broke they put you on a time frame and if your progress isn't cooperative, the more likely you would wind up getting more interventions.
Once given pitocin will they continually increase the dose until The baby is born?
-> Not sure bout this, but in my case, yes, my nurse tried to increase the dose without my consent, and I had to stop her from touching the IV line. You have total control over this part, I believe. But as I said, once you're monitored with the EFM (External Fetal Monitor) and there's a timeframe since your water breaks, either with or without increase, they want your baby OUT.
Does pitocin always cause the baby to go into distress due to long and hard contractions?
-> Being FTM myself, that's what I read in the books as well, and by experience the pain level in the monitor does shoot way above normal contraction levels. You feel the contraction much more, which makes it harder for you to engage in your relaxation or breathing techniques. (I was thankful to survive each contraction after the other with 2 mins interval breaks in between) I could see that our baby's fetal heartbeat tended to dip down at each peak of the contraction once the Pitocin really kicked in. And trust me, that became a reason for another intervention. Oxygen mask! To help the baby from getting sufficient oxygen supply and soothe the distress they say. I've heard that if this period is prolonged, you might end up having to deliver by C-section without the option to wait and push.
Do epidurals slow down the progress of labor?
-> I did not take the epidural, so I don't know this part by experience, but I was told by the nurse and alos by many books, that yes, it would counteract with the Pitocin in the matter of progress, which is sort of a catch 22 in concept. You need the Pitocin to quicken the process, then the epidural to soothe the excruciating pain that comes from the Pitocin, then the epi slows the progress, so you need to increase the Pitocin level.. and it goes on.
I want to be fully informed before I make any decisions and I figure you ladies are experienced and have been there and done that. I'd appreciate any information!
-> I totally agree with you, and believe me, I've tried everything to get myself prepared as much as I could before the real labor started. However, I'd say, there was still surprises for me. Just remember, like Shanay26 mentions above, no matter how the doctors or nurses view your labor and try to convince you, it's your decision, and make sure they fully inform you with every reason and make your own decision. I personally wouldn't have my membranes ruptured ever again. However, it seems like you have a special situation, which would require different needs. Be wise, and keep asking for explanations when unexpected options arise. For me, the challenge was to keep myself calm and relaxed even with the disappointment of having to opt for some of the interventions that I did not intend to have during my birth. I still believe we did the best we could, and it resulted in a precious, memorable birth for all of us.
Our little boy is now 9 days old and is adjusting pretty well so far. He was wide awake with alertness on birth and I was able to bond and breastfeed him on my chest right after delivery. It was the most precious moment I could ever recall and so worth the decision not to take epi no matter what.
Wish you the best of luck and blessings on your special event awaiting you ahead. Hope you get to give the most fulfilling and blessing birth that you've been preparing for.
moodyblue1188 · Updated 1 hour ago
Thank you Sheshebee, BabyJTS, Shanay26, name seeker, and Noelyk! I Appreciate your responses and wisdom! It's nice having other women I can relate to and ask for advice! I will definetly keep all of what you guys have said close to heart. Thanks again
I wish the best of luck to you ladies in your journeys of motherhood.
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