Comments on: Preparing For Birth: Labor Induction Myths

By: Elizabeth

Elizabeth — Sat, 10 Oct 2009 11:40:38 +0000

What about diabetes? I was looking for it on the lists here and could not find it. Diabetes (both gestational and pre-existing) is very often cited by doctors as making induction “medically necessary”. (Gestational, for fear of big baby; and pre-existing for fear of placental demise in addition to big baby.)

I’m interested to know which list diabetes belongs on: “reasons” for induction, or reasons evidence shows for induction. I really can’t tell, but certainly hear it A LOT! Both my diabetic cousins had failed inductions / c-sections before 39 weeks. It is a story repeated often: Type 1 diabetics have a 50% c-section rate in the U.S.! I’m diabetic, too, so am wondering how valid that pervasive “medically necessary due to diabetes” reason is.

By: maria

maria — Sat, 19 Sep 2009 16:48:05 +0000

Yes, indeed!

Thanks

By: admin

admin — Sat, 19 Sep 2009 16:21:41 +0000

More than not is is a N.A.P. and needs nothing more than patience, positioning, and peace. It still needs to be looked at in a multi-faceted way IMHO. Is it emotionally based? Say laboring mother fears transition or doesn’t like the provider or staff who is treating her? She doesn’t feel safe in the environment. Something is stalling her labor beyond a normal physiologic adaptation. Does she have scar tissue on her cervix from a surgery or previous sexually transmitted infection so she isn’t externally dilating? There are so many other things to look at first prior to opting for pitocin use or AROM. Also there are other options to get labor going again — sexual contact, using a breast pump under monitoring to release oxytocin naturally, massage, shower or tub, use of aromatherapy, sleeping, etc.

By: maria

maria — Fri, 18 Sep 2009 02:02:54 +0000

Thanks!
No, I was just wondering about why something is called dystocia or stalled labor, when it seems to me these things are mainly another variation of labor unless something indicates otherwise. It is however not treated as such in most cases, and I am wondering about the reasoning behind induction in the case of dystocia because often times the respite is what is needed for baby to align. Interesting You tube video came my way today:
http://www.youtube.com/watch?v=6aEk–fIZAo

By: admin

admin — Fri, 18 Sep 2009 00:26:13 +0000

It is completely dependent on the specifics of that labor for mom and baby. If mom and baby are doing well – then leaving well enough alone is often no problem as women experience natural alignment plateaus. Sometimes fear, surroundings, baby position, or another issue altogether. Also knowing whether or not labor was truly lasting labor makes a difference. Do you have a specific detailed circumstance in question?

By: maria

maria — Thu, 17 Sep 2009 05:54:54 +0000

Thanks for clarifying.
I am wondering, what would be contra-indicated for leaving things be? Would the length of the rest depend on hospital policy if the vital signs were otherwise normal? A mom could even go home perhaps? How far into labor are we talking about as far as dilation? And does it even matter?
Thanks.

By: admin

admin — Thu, 17 Sep 2009 04:01:50 +0000

This would be when an established labor has truly gone from progressing to stalling after attempting to get it going again with any or some of the following (though the list could be much more vast): rest, hydration, nutrition, urination, position changes, visualization, naturally increasing oxytocin by natural means…. Usually it would mean beginning Pitocin via IV drip and perhaps artificially breaking the water.

Does this answer the question? If not, email me back.

By: maria

maria — Thu, 17 Sep 2009 03:34:48 +0000

Would you explain induction for labor dystocia? Thanks!

By: Birth In Joy

Birth In Joy — Fri, 11 Sep 2009 21:24:18 +0000

This is wonderful, Desirre.