Planned Induced Labour

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Planned Induced Labour

Planned Induced Labour
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I was wondering if anyone could help me to give advice to one of my pregnancy yoga students? She has been told that she will be induced at 38 weeks due to giving birth to a stillborn baby at 34 week during her last pregnancy. She is currently 35 weeks pregnant and understandably quite anxious. I have been sharing some calming breathing techniques with her (such as Ujjayi, hissing breath & golden thread breath), but she has asked if there is anything else that will help during labour as she believes than an induced labour becomes quite painful very quickly. (Is this true?) I'm unsure of the method of induction that will be used. Any help would be gratefully received :-) Claire x
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Mon, Dec 12 2011 9:11 AM In reply to
francoisef

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Hi Claire, first my heart goes out to this woman who is faced with the distressing challenge of birthing her dead baby. But this can also be a healing completion of her pregnancy, a way of meeting her little one who is quite distinctively featured at this late stage (rather than an earlier fetus who does not yet look like a proper baby). This is a little person, someone who has shared important moment of her life and has now left this earth body, so the yoga can be important to help her acknowledge, celebrate, grieve and mourn all at once. I think that rather than labour techniques, (she will probably be induced with an oxytocin drip and offered every method of pain relief available, all fine) she needs awareness and ways of engage in a loving participation for this birth. I have seen guided meditations for still births, cannot remember where but surely they can be located on the internet? Your personal support and guidance will do more for her than any breathing techniques, I still receive Christmas cards from women whose first babies were still born and who had subsequent healthy pregnancies, it's also important to make space for future possibilities although at this time she cannot yet think about another pregnancy. With all best wishes to you in this difficult situation that we all come across at some point if we teach long enough, theycertainly help us develop greater compassion and love, Francoise.

Francoise
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Mon, Dec 12 2011 9:41 AM In reply to
chris

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Hi Claire and Francoise,

Am I confused?? I read Claire's message that this lady had had a still birth with her last pregnancy at 34 weeks and was now pregnant again at 35 weeks and worried about being induced for this second labour at 38 weeks.

Breathing and calming techniques will help a lot as always. The medical staff are being cautious inducing at 38weeks. Sometimes the placenta does not function so well after 38 weeks and having already had a stillbirth they are taking no chances.

It would be helpful to know if they were given any reason for their stillbirth. At 34 weeks it is very common for the cause to be infection in the mother such as strep b.

Reassure hern this labour will be totally different.

Bye for now

Chris xx (Retired midwife )

Chris Johnston
Phone: 01245 352373
Email: chris.johnston@blueyonder.co.uk
Web site: Birthlight classes in Chelmsford
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Mon, Dec 12 2011 10:31 AM In reply to
aliparker08

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Hi all, I would just like to add to this from personal experience. Sure, teach your student all the usual breathing and pain management techniques but I would also tell any student of mine who knew they were having an induced labour not to try to be brave about it in terms of pain relief. My daughter was induced and after the midwife broke my waters the pain went from 0 to 100 in about ten minutes. Because I had done so mch yoga I was determined to have a 'natural' birth and suffered through 5 hours of very painful contractions every 3 minutes without any pain relief. When I found out that I'd only managed to go from 2-3cm dilated in that time I asked for an epidural. I'm due to have my second baby in a few weeks and while I hope it won't happen, if I do have to be induced again this time I'll be taking a very different approach to pain management! Ali Xo
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Mon, Dec 12 2011 10:34 AM In reply to
ClaireTredgett

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Hello Francoise & Chris, Chris, you are correct - my student previously gave birth to a still born baby and is now pregnant with another child and about to be induced. Thank you so much for your reply though Francoise - it bough a lump to my throat to hear you speaking so compassionately and made me wish that someone like you had been around to help her though that difficult period in her life. I will continue to help her with the calming breaths etc., and reassure her about the labour, but if there is anything else I should be considering please let me know. Thanks again :-) Claire x
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Wed, May 1 2013 10:11 PM In reply to
matthews_lynne@hotmail.com

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What are your thoughts about trying to bring on labour as opposed to a planned induction through medical-means. . .One lady whom I am teaching (as part of my perinatal course) has been told that she will be induced at 38 weeks because she has type 2 diabtes and she also told me it is because the baby's stomach is big?. . .She is now 35 weeks. . .She wants to bring on labour herself. . .Poor soul; I want to help her as much as possible. . .* I didn't actually realise how painful an induction can be . . .is it always painful? (I was lucky in that I had a very easy birth with no aid from midwives whatsoever; down to the relaxation techniques I learnt from Birthlight I believe :) Does anyone have any testimonies from women who have had a planned induction and no pain?
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Wed, May 1 2013 10:43 PM In reply to
matthews_lynne@hotmail.com

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. . .Btw my lady had a previous birth which was self-starting; vaginal and she had no pain-relief. . .I did not ask her if she had diabetes during the previous pregnancy though. . .
Filed under: perinatal yoga, old threads, old forums, diabtes early induction, perinatal old forums
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Thu, May 2 2013 6:51 PM In reply to
francoisef

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Hello Claire, Chris, Ali and Lynn. First of all thanks to Chris for getting the facts right, it's good to know that you are still following the Forum posts, Chris, we need you! there are so many inductions at present - are they on the increase again after being curbed in the 1990s and the 2000s? what concerns me is that inductions are presented to women as a kind of threat -if they do not get into labour on B day- or as a necessary preventive intervention to secure the welfare of the baby. I think there is more scope for risk assessment and negotiation with the care team as the date looms ahead: 2 extra weeks in the womb mean a lot for the maturation of fetuses' lungs; ways of monitoring diabetes and weight week by week; explaining different modes of induction -for some women prostaglandins kick off labour, and there is a controversy about giving full blast oxytocin as Ali describes and smaller doses. As Birthlight teachers we are not in the position of giving advice or even information but we can suggest to women that they are entitled to second opinions since as Amali showed in a recent paper a large part of obstetric practice is not strictly speaking evidence-based and there is scope for seeking the best option for each woman and each baby even under NHS constraints...

With a full blown induction an epidural is a great relief. You are an exception Ali for coping with the much stronger and close together contractions in your first birth. It's also possible to ask not just for a mobile epidural but also to talk to the anaesthetist about top up options so that sensations for bearing down can be felt. Without any feeling the second stage is harder and results in more instrumental deliveries by forceps or ventouse, which imply hardship for the baby and an episiotomy. Lynn I think it's possible to use yoga to induce oneself but it's more to do with harnessing the power of the mind than with doing fancy postures, and also the baby needs to agree so mum and baby are doing this as a team. Recently one of the ladies in my London class had an inspiring story of postponing her induction in agreement with her care team and I will ask her if she can write it to be posted on this thread. Positive stories can help women feel more confident whichever decision they reach for themselves. thanks again and best wishes, Francoise.

Francoise
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Wed, May 8 2013 11:41 AM In reply to
Rosanna

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Dear all, I have been following this post and am grateful for all the feedback. Francoise, i wondered if the paper you mentioned Amali published is accessible to us and the public? It would be very helpful for parents to fight their corner if needs be, to be able to refer to such a paper, re a large part of obstretrics practices not being evidence based. In ccroydon, mums are bullied still into submission and feel as though they battle over the smallest things and so dont want to rock the boat for the bigger things- such as not being routinely induced 9and getting compliance trhough scare tactics). interestingly, one of my friends who is a home birth midwife at CUH is doing her PhD on increasing waiting time before induction is offered, if waters have broken and labour hasnt started. Great to share all this info with each other so ultimately parents to be can make their own informed choices. Thanks and love