Thursday, October 15, 2009

Induction of Labour

I am officially 10 days 'overdue'. This is the standard time that most hospitals will induce labour. I have opted to wait until 42 weeks ( and even then I am considering allowing more time for a spontaneous onset of labour).

Having to face these issues has been quite eye opening. I was 'overdue' with both Caelan (1 week) and Elisha (4 days) but never had to face the prospect of an induction. So with two previous spontaneous labours, one wonders why my body won't do the same this time around? I have been doing quite a lot of reading about inductions, what is involved, why it is encouraged and why others think for the most part it is often unnecessary.

As I stated in my last post there is a disagreement between myself and the hospital about my 'due' date. I went for another check up today and tried unsuccessfully again to have my dates reviewed. It seems nowadays hospital systems opt for the computer generated date over and above all other information available. The computer is wired to spit out the most reliable date. Evidence does suggest that the ultrasound provides the most accurate date especially if the woman's menstrual cycle was not regular and unreliable. I had two cycles prior to falling pregnant, both of which were 38 days. The date given to me by the computer would have given me a cycle of 25days!! Just a small discrepancy! Yet no matter how much I call to review my cycles, my past history with both boys as well as my history of cycles in between previous pregnancies - the computer can't be told. And thus, I assume in this era of litigation and reducing risk at all cost, the hospital must uphold what technology says over and above common sense and a woman's understanding of her own physiology.

I don't have a problem with induction if there is a medical reason for it. But at this stage no one can give me a medical reason why this bub should be induced. I have had no health issues during the pregnancy, the baby's feotal monitoring is giving good results and he/she has stacks of fluid showing that the placenta is still working well. The only reason they can give is 'research shows an increased exponential risk of still birth if pregnancy continues past 42weeks.'

What they don't tell you is this:

  • Full term gestation varies from 37wks-42wks (not 40wks). So technically I am not yet overdue!
  • Yes, the risk doubles: from 1:1000 to 2:1000 or 0.01% to 0.02% - so the risk in the first place is very small!
  • Also, most of these stillbirths have been babies with congenial diseases or other health issues and a very small number have been healthy babies.
  • If my waters are artifically broken, there is an increased risk of infection to the baby.The induction techniques may not be effective straight off, leaving a more fatigued mother at the start of the labour process.
  • Labour contractions can be more painful and thus increasing the need in some women to opt for pain relief such as an epidural which can then lead to further complications.
  • At the end of the day, you are forcing your body into a process that it is not yet ready for - so why not wait for the natural onset?

As I said before, if there is a medical reason, then I would choose the appropriate medical intervention. However, it is infuriating that even in places like birth centres which are meant to support a more natural approach to birthing will still not support a woman in their choice to wait. Of course, they can't make me have the induction, but have made it very clear that that decision 'is on my own head.'

In saying all of this, I don't yet know what I will do. I am pretty sick of waiting and just want this baby to come. I also don't know if I have the energy and willpower to 'fight' the system. They make you feel so guilty and bad and I can't stop thinking about the whole thing. Instead of being content in my last days of carrying this baby, I am constantly worried about being 'overdue', the potential disastrous consequences of the decision I might make, whether I am just being too stubborn and should just get over it and how I might form my arguements to make my case at the hospital. I was awake for hours last night thinking this stuff through, instead of getting the rest I should be getting.

So we really need wisdom. My hope is this baby comes before Sunday (when I'd need to get the gel) so I don't really have to make this decision. We need the wisdom of the All Wise.

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