OB/GYN Explains Induction of Labor: Pros, Cons, and What You Need to Know
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- Опубликовано: 8 июн 2024
- The Doctors Bjorkman, a board-certified OB/GYN and Pediatrician couple who are also new parents share what you need to know about labor induction, when it's indicated, the potential risks/benefits, and review of the ARRIVE Trial. They also share the decision they made for Sarah's pregnancy and their own baby.
We also got a lot of questions about the ARRIVE trial and risks/benefits seen in elective inductions of otherwise healthy pregnancy at 39 weeks. Because of this, we went back and added some more information about this from a prior version of this episode -- 11:30
0:00 Intro
1:27 What is an induction?
3:12 Why have an induction?
5:34 How an induction works
10:40 Elective inductions
11:30 The ARRIVE Trial
18:51 Pros & Cons
22:40 Our own 'In Real Life" decision
Read the ARRIVE Trial yourself: www.nejm.org/doi/full/10.1056...
**Weekly pregnancy updates on Wednesdays! We will be covering everything from TTC, infertility, prenatal care, labor and delivery, best baby gear, your baby's week by week development, postpartum concerns, and other pregnancy tips and tricks!
Affiliate links to all products mentioned in video here: www.amazon.com/shop/thedoctor...
Also check out our video to learn "What You Need to Pack to Bring to the Hospital for Mom, Partner, and Baby!": • OB/GYN Shares What You...
Intro Music: A WAY FOR ME - Nicolai Heidlas by Chem Ocampo
Keywords: pregnancy update, the doctors bjorkman, third trimester pregnancy, pregnancy, obgyn, labor
Was supposed to be induced at 39 weeks. Go to 37 week appt and blood pressure was through the roof so I was sent to Labor and Delivery to be induced that night and was SO scared because I have a huge fear of medical procedures or whatever with the vagina. I prayed for a miracle and 5 mins after being told how I’d be induced which I wasn’t looking forward to, I started having contractions and going into labor naturally! When they checked me I was 4 cm and was able to just get a very small dose of Pitocin which is what I was hoping! Thank you God! Now I have a beautiful 1 month old baby girl!
Congratulations!! Did you have hypertension before 37 weeks or was that a surprise?
I was induced at 38 wks due to babe having growth restriction. First pregnancy and VERY unfavorable cervix. Checked in at 5:30pm, did 4 doses of vaginal Cytotec overnight- each dose placed every 4 hrs. I got to sleep with Benadryl through the night so I rested as the cyto started to do it’s thing. By 12pm I got to 3cm and my body kicked into gear naturally- no Pitocin required 🙌. Got epidural at 7cm pitocin at level 3 for 3 hrs and out came babe at 11:34pm. It was a beautiful experience! I was a nervous wreck beforehand so I Just wanted to share my positive induction L&D experience 🎉❤!
Same day or next day you gave birth?
hello, I'm in the same position so doing research, do you mind telling me the weight at your 38w bc I'm now 36w 4lbs and 11on and they want to induce me next week at 37w
@@yerliramos my guy was 5lb 14oz at birth! He was in the 1st percentile :)! He’s now 4 months and in the 17th for weight and head and 66th for height!
@@yerliramos PS- GOOD LUCK- praying for you and your babe. Nothin’ wrong with a little bitty baby 🥹❤️!!
@jaord530 thank youuu!!!! 😊
This video was so helpful. I almost cancelled my induction the night before because I was scared, but then I watched this video. I have a perfect 8 week old boy now and the induction was great! ❤️
I was induced 11 days overdue with the gel. I was 1 cm dilated, and only 25% effaced. I was told my cervix was very, very unfavorable, and not to expect anything to happen that night. After being sent home after an hour of observation, we didn't even make it the 20 mins to get home before I was moaning in excruciating pain and turned around to go back to the hospital. They had me in triage waiting for the doctor to come back from a c-section to check me again but stated it was probably the gel overstimulating my cervix and they were most likely going to flush it out. No one thought I was in active labor. I begged for pain management but said I couldn't get anything till I was checked by the doctor and in a room. Doctor was still doing the c-section so I had to wait. Well, after about 45 mins a nurse comes and takes me from triage without the doctor checking me and brings me to a delivery room. I had baby within 10 mins of being in that delivery room with the doctor showing up only 5 minutes prior to delivery. From the gel being administered to having baby, unmedicated, it was a total of 3 hrs.
Oh I’d have been very very angry if I was you. There is no reason a nurse couldn’t have checked you!!!
Wow awful. My nurse checked and delivered my baby since the OB on call was busy. She didn’t believe me at first either until I told her I felt like I needed to poop.
Oh my goodness:( I am so sorry. That sounds like everyone dropped the ball. I hope you are your child are healthy now.
That's nothing. I was in labor 2 days. Induction put my baby in distress. My body was trying to force him out before he was ready. Too fast. They had to stop it. The pain reliever was good for one thing, killing the cramps. That is it.
@@jenniferromero571 maybe try not to say “that’s nothing” about someone else’s experience ❤️
I was induced last week and went from 1cm to 8cm in an hour and began to involuntarily push the baby out. Ended up getting the epidural so I could relax my uterus as I was having back-to-back contractions and thought baby would become distressed. Let’s just say it was way more intense than I thought it’d be. After epidural, I began pushing about 1.5 hours later. My baby girl is super healthy so I’m happy she’s here!
Same. But she was out in 30 min.
@Lucious De Luca I wasn’t actually told that I was 8cm until later. I was repeatedly told by the nurses that I was still closed even though I was involuntarily pushing.
How were you induced? Cytotec or pitocin?
@@Daymickey cytotec for the labor! When I got the epidural my contractions slowed down so they gave me pitocin.
I had the same thing happen. I had had pitocin, and that worked fine for me. With my 3rd, I was given cervidil and my body didn't like it. I had back to back contractions that were a 10 for pain. I wanted an epidural and was told I had to be 4cm before they would give me one. I was in excruciating pain for hours I started shaking. They finally decided to take it out. I reached 4cm but in the 30 minutes it took for the epidural to arrive my body was already trying to push out baby on its own. The nurse told me to sit still and stop pushing while I got the epidural. She didn't think I was ready. She recheck me after the epidural was in, and I was a 10. Sometimes you get nurses that think they know more than you, and you are the one suffering. I am expecting my 5th baby and I have fast labors. All my babies from start of labor to delivery were 6 hours. It didn't matter if it was induction or natural.
Thanks for all the work you guys put in to have really detailed and nuanced discussions on the topics! Very helpful for all of us out here!
Great episode guys!! I have been worried about having to be induced, I’m at 39 weeks today. So I’m being patient as I can, but I heard it makes it much more painful... Thank you for asking the questions to each other! Love having momma Bjorkman answer ❤
I’m so grateful for this video! I’m being induced tomorrow! As a science teacher, I loved hearing about the ARRIVE trial which put my mind more at ease than before watching your video. Thank you for this, the timing couldn’t have been more perfect for me!
Good luck! You’ll be holding little baby so very soon!!! 🥰🥰
Me too I’m being induced tomorrow, wish me luck:)
@@TheDoctorsBjorkman thanks 😊
I was induced for my first pregnancy. It will be fine. You got this... Praying for you.
Just my advice: if you start the induction process, are on Pitocin, and get to the point your OB has to break your water, I would give up on any "natural birth" ideas you ever have and get that epidural ASAP! Pitocin contractions and natural contractions ARE NOT THE SAME THING! Also, do not let them put your IV in your dominant hand- very important. If the nurse can't find a vein in your non dominant hand- tell them cool, please go find someone else better than you. You don't know how long the process will be after induction, and do you want to spend 2 days wiping yourself with your IV hand? No it's gross and annoying!
Can u explain more? If i get induced by pitocin when is the best time to get an epidural if I'm only a few centimeters dilated?
@@alondratorres5659 girl get it right away- as soon as you feel at all "uncomfortable" with my second I was 3 cm dilated and he came so quickly after that it was too late for the epidural- luckily I wasn't on Pitocin so the contractions were nowhere near as awful.
I also heard that getting induced with pitocin contractions are a lot painful. I had to be induced at 39 weeks due to medical reason for my second baby did it with no epidural. With my first baby I had her natural also with no epidural or anything to help with pain and for me the pain of the contractions was the same. I was able to tolerate both.
Giving a different perspective. I got pitocin at about 4cm and delivered naturally. I did get some light pain meds. The contractions with pitocin are INSANE, but it can be done without the epidural.
You also have the option to stop the induction and try again another day (assuming it's safe to do so).
almost 8 months pregnant and a bit freaked out, thank you so much for this video, valuable info shared
you guys are a a blessing 👼🏻
Hugs from NYC 🙏❤️
Thank you for this! Nurse and FTM, being medically induced in a few days. Trying to use my nursing brain to be analytical to prep for this before all the emotions take over 😅 so this video has been so very helpful! 🤞🫶
Getting induced on Tuesday at 41+2. Very anxious about it, but so glad to see this video! Thank you!
How u doing? Hope all went well.
My Dr. told me my baby was very comfy in my tummy and if I didn’t go into labor I would be induced at 39/40 weeks with a set day. I checked into the hospital and was induced for 3 days different methods until my water broke. I did not want a c section. ❤ I had a natural birth with an epidural of course 😹 only half of my body was numb from the epidural so I felt the entire birth, make sure your turn on each side evenly your nurse will explain 😹🫶🏻🌹💋 all worth it. Hearing her cry and feeling her on my chest was the best feeling ever. My baby girl is a healthy beautiful 8 year old now ❤️ just remember “you are woman, you are strong, you are a Goddess and giving birth is magical.”
I thought I’d share my story as someone who had an unfavorable cervix but had to be induced at 38+2 due to gestational hypertension. I started at 1cm and after 6 doses of Cytotec in 24 hours, I had only progressed to a 1.5cm with a still very firm and high cervix. I was having regular contractions the entire 24 hours. OB gave me the option to go home if I wanted too and try again the following week but we would have to be monitoring my BP every couple of hours and running Pre-E labs every other day or I could stay and keep trying but if I continued to not progress, there was a possibly I would end up having a cesarean as it could put too much stress on the baby. I decided to stay but asked if we could try a different medication. They inserted Cervidil and I instantly felt a shift in my contractions. At the 6 hour mark, I had my bloody show and felt very optimistic. At the 12 hour mark, they did a cervical check and I was 5cm dilated. They broke my water and I decided to get an epidural to allow my body to relax and progress as I had been in labor for 36 hours at this point. Pitocin was started shortly after. Within 2 hours, I went from 5cm to 10cm. Did one practice push and had to labor down because my doctor was still on his way and nurses were scared I’d push him out before he arrived. Baby’s heart rate began to drop and before I knew it, baby was out in 3 pushes. Had a 1st degree tear that required only 2 stitches. Although it was not the labor I imagined at all, I am so glad it did not end in a cesarean and I was able to deliver vaginally.
Thanks for sharing youre story I'm so glad you and you're baby are okay and you had her through vaginally delivery 😊 quick question I have hypertension and being induced June 14th was the whole process painful with all the meds and the belt they put on you ?!
@@ashleyarista4822my contractions were not painful until they broke my water. the only painful part before that was when i would have to lay on my back for 1 hour after they inserted the Cytotec since my baby was sunny side up and his back was against mine. the monitor belt also kept rolling up and made the back pain worse. i got the epidural before they started pitocin so i can’t comment on that part! good luck on your delivery, if you have any more questions let me know!
@@nbourhood thanks so much for sharing your story I'm glad you had you're baby and that everything ended up okay ❤️ thank you I sure will thanks again for the useful information I'm scared for life lmao but I've seen many mommas make it through 🙏 lol
I was induced, started on Pitocin, did nothing. Then had the folley ball, complete nightmare, did nothing. My doc broke my water at about 7am in the morning, and had my daughter at 8:02pm. After they broke my water they cranked up the Pitocin and the contractions were coming every 25-30 seconds, and they were intense. I had no prior knowledge or warning by nurses/doc that Pitocin contractions and natural contractions ARE NOT THE SAME so I was still that idiot trying to labor "naturally" without pain med. I was so exhausted and terrified me/baby would go into distress and need a C section, so I told them I wanted the epidural. Luckily, I had a fantastic experience with the epidural and could still feel my contractions happening (just minus the pain) and I knew when to push with my body.
I had an induction at 40+1 because my belly was SO big on my petite frame that I was having to sleep upright (and even then would often wake up projetile vomiting) and I had trouble eating or drinking anything.
It was SO empowering to know that I would only have to survive one more awful night in order to finally see my baby. Even though the petocin was awful, I was smiling after every contraction because I knew he would be born that day and the suffering would end.
Thank you for this video - it helps me to not have guilt about it!
We're so glad this was helpful to you and even more happy about healthy mama and healthy baby boy!!
I was having incredibly painful regular contractions for 12 hours at 38 weeks but was stuck at 3cm so I asked to be induced and it was the best decision ever because that’s when i finally started to dilate!!
What did they give you? I’m getting induced next week.
The hospital we went to refused to induce me at 38 weeks with regular contractions because I was at 2.5 cm and I wasn’t 39 weeks. I’m so frustrated !! You are so lucky they let you get induced !
I'm getting an elective inducement at 39 weeks. On the 21st so excited
This is baby number two for me
And I feel so much better having it planned. I'm so happy I watched this video. It made me feel so much better about my decision! Thank you for making this video!
Prayers for a safe delivery 🙏🙏💕
I’m also 39 weeks ! I have an option to do it , my official due date is the 21st ! I hope he naturally comes by then or even now !
I’m going to be vlogging it to so ya
I'm getting induced at 39.5 weeks because I'm on lovenox (FTM). This video made me feel so much better. I've been watching all your videos, thank you so much for doing these!
Thank you for this video! My husband is starting a new job that will keep him traveling and I'm 32+1 typing this. I've been chewing on the idea of scheduling an induction for the sake of planning when my husband will be home. This helps me feel like it might be a better option than I had an impression of 😊
I had 4 inductions. First was at 39w elective with cytotec. Baby had horrible reactions, low heart rate/oxygen issues. Had an epidural and couldn’t feel my contractions or pushing. Baby was out in 30 mins and I never felt it. Total process 14hrs from start to finish. Babies 2-4 all were induced with pitocin only at 37w for hypertension. Very VERY painful active labor contractions but painless “developing” contractions. I would progress from 3-10cm within less than 2 hours. My last baby I progressed in just under 1 hour from when my water was broken. Highly recommend pitocin over cytotec as my child developed intellectual disabilities and my other children were perfectly healthy. Just get the epidural to help mitigate pain with active pitocin labor and it’ll be fine. One birth had no time for epidural and it was traumatizing.
Thank you for making a positive video on induction, it get's such a bad wrap. I was induced with my first 2 and have a scheduled induction for next week with my 3rd and hoping things go smoothly.
I’d love to see a video on cholestasis! I feel like not enough providers talk about this issue and it’s becoming more common. Thank you for what you do!! 😊
Yes I got diagnosed with cholestatsis definitely caught me off guard
I'm diagnosed with really low-level cholestasis, and it was really hard to find good information on the topic. I ended up learning that I apparently *don't* have a very high risk of stillbirth, compared to the general population. My OB had suggested inducing at 37 weeks, but agreed to wait to 39+0, in the absence of other risk factors. We'll see what happens. It's very hard to navigate this sort of thing, for oneself.
Thank you so much for this video - I have to be induced at 39 weeks due to GDM and this helped me feel not only better about it, but also like it is the right decision. This type of information is difficult to find so I appreciate it. 🥰
Thank you for this video. I am 37wks 4days with hypertension issues. My OB team have told me to prepare for a potential induction and your video has really made me feel so much more relaxed with the idea.
This was such an informative video! As a military couple living on opposite coasts our OBGYN mentioned a 39 week planned induction might be a good option. After your pro/con list and supporting study, I feel much more educated on the subject. Thank you so much!
I was scared to be induced. I had to be induced in 40weeks. I had a little water left. It was at the borderline - 5cm. I watched videos about being induced. yes, kind of scary. But truthfully for me it was easy. I came to the hospital 2.5cm dialated and when being induced after 2 hours I was 6cm dialated. The progress for fast for me. Contractions do get stronger, it went from feeling pain 2-3 to a 7-8 fast and there are no breaks between, I had like 30 seconds break. I wanted an epidural so I got it. I was more scared to get an epidural but it was easy. The labor was fast for me. Everything from going to the hospital and delivering my baby was 9hours. This was my first baby.
Thank you for sharing your story , I am being induced in a couple weeks and there are many negative stories , it’s great to hear some positive ones
My induction started last night, they just broke my water, hope baby boy comes soon now 🙏🏼
Congratulations! We couldn't be more excited that you get to meet your baby so very soon!
Thank you so much for these videos! I was really apprehensive about any sort of induction until I developed high blood pressure issues during pregnancy and did not have a choice but to get one for my sake and the baby, this gave me so much peace of mind on what to expect.
If 39 weeks is that “sweet spot”, why not make the due date 39 weeks instead of 40 if the risks to baby’s health could increase once going past 40+ weeks?
Before I was induced I had people trying to scare me, but it was medically necessary due to severe preeclampsia. Basically I was told by a midwife that if it was really medically necessary they would have induced me right then but my doctor was trying to give baby a little time as I was only 35 weeks and she was pretty small. I was very happy with my experience though and my doctor and nurses were amazing my entire experience.
Ftm here, I'm being induced tomorrow morning. I'll be 40w4d, very nervous but so incredibly excited to meet our baby boy.❤
FTM here too! I'm being induced on Thursday at 40w2d with baby girl!!
Perfect timing! Tomorrow I’m booked in to see my OB about booking my induction 💜 thank you
I'm getting induced tomorrow and this video has helped me understand the process better and I feel a lot more informed. Thank you very much!
Thank you! This was very very informative and helpful
Great video. I got lots of answers and more realistic expectation of week #39. Thanks
What an amazing and educationally insightful session. I watched this weeks prior to my spouses induction. I noticed that other than pitocin her OB Doc used cytotec a precursor to pitocin are there any preferences on what is safer or mostly used?
Thank you 🙏🏿 for giving us more incite.
This video was so so helpful and informative. Thank you!!
We’re so glad to hear this was helpful for you!! Thanks for letting us know. 😊😊
As an expectant twin mama, the word induction has been popular. I am at week 24. A lot of twin moms choose it. I’m still not sure. I just hope we make it to 36-38 weeks!
I'm a twin and my mom made it to 36 weeks before needing an emergency c section bc of blood clots and pre-eclampsia but either way she made it to 36 weeks. I hope you made it to your goal!
Awesome video, super insightful, thank you so much.
I'm 37 weeks pregnant with my first baby and I'm a Type 1 Diabetic. I have a medical induction scheduled in one week and really appreciate this video. ❤
I have 3 other kids but I’ve never been induced before. I’ll be 40 weeks on Sunday and I’m hoping I go into labor on my own, I have a date to be induced on Tuesday. I’m 3 cm dilated and 70% effaced so hopefully I can start the labor process on my own. 🙏🏽 I’m excited to meet my baby girl.
Being induced Thursday 😢
Super informative. Thank you!!
Perfect timing for this video! I’m 40+3 and scheduled for an induction at 41 weeks. Good to know what to expect!
SAME HERE!!!
@@guadalupevilla4153 Good luck mama! 💕
Now 41 weeks and will have induction labor today 🥺
Am currently 24w3d with my first baby. Since I have pump-dependent T1DM, I have already been told that the plan is to induce me at 38 weeks so this video is very helpful! Thanks
What a great video! You all confirmed everything my OB said and that’s great to hear. She didn’t want me to go past 40 weeks for medical reasons and then I elected to be induced at 39 weeks. That’ll be in 4 days ❤️ I am physically and mentally absolutely exhausted so I’m glad that it can be done safely
Same situation
@@amanpreetkaur2694 hope it goes well for you! I was induced, but my body picked up really quickly. The first three hours I dilated 3cm. Then (no repeat dose) I went from 3cm to 10 in about 2-3 hours. Then my water broke and my daughter arrived in 15 minutes :) So glad I did it!
@@noellebatista3896congratulations
@@noellebatista3896 Did you have tear during your delivery process?
@@lawalifeoluwa7813 I did. I had a very low-intervention birth, no medication, but had a small tear - nothing major, took only a few days before I could fully sit normally again.
Thank you so much!! I learned so much and feel better when it comes time to decide for my birth 😊
Thank you so much for this information. I have diet controlled GD, and my OB office said they don't let GD patients go full term, so I will be induced in the 39th week sometime. I am equal parts terrified of labor being harder/taking longer, and slightly relieved that I can have a "plan." Thanks for making me feel slightly better about outcomes of induction - I know going naturally might be "better" in some ways, but I'm also not opposed to the drugs :)
Good luck! I was induced 8 weeks ago and wanted to go without the pain medication but ended up getting intravenous pain medication while I waited for the epidural! I had cytotec and cervidil before the pitocin and my contractions were very unpredictable (some were short and others were longer, some were mild and others were very intense) What really got me was the time between contractions was not regular at all, so I had no way to mentally prepare myself for the next one and ultimately why I decided for the epidural!
This is just my case! I’ve been freaking out a little since we planned the induction for 39 weeks due to GD. it makes me feel better knowing that I’m not alone as scary as it can be I know it’s for the best.
Love your videos! You guys are fun to watch! I’m not a mama yet, but it’s nice to be informed for when the day comes😊
Great video! I am early in pregnancy yet, but my doctor has already recommended induction at 39 weeks for medical reasons. This explained the process well, so it is less scary!
Thanks for sharing those info and special thanks for sharing your experience honestly with it🌷
Really good video very informative. Now I know what to expect. Thank you doctors☺️
Thanks for this amazing video!
One thing I feel I have questions about that I have yet to see in my binge watch of your videos, in the few week since I found out I am pregnant, is cost. I know cost varies widely based on where you are, your insurance, and your provider; however, there must be data on the average cost of inductions vs waiting which probably runs somewhat related to the length of your hospital stay but I would like to see that at least made a quick side note when you guys are able to gather any cost related data on what options pregnant women have. Thanks!! Love your vids and your expertise!!
With my daughter Naomi I made it almost to her due date with low amniotic fluid and she came out super easy 8 hours later. With my son Ezekiel I was induced yet again the day before his due date and I was 2-3 cm dilated contractions 2-3 minutes apart I didn’t feel them though. The epidural they gave me worked too well with him and they had to use a vacuum to help pull him out because he was in distress and I was tired and couldn’t feel the contractions to push.
I had inductions with all of my kids. My first two because they were late and my third because of GD and Pre eclampsia. I had Pitocin with first two and cytotec with the last. The pitocin was intense whereas the other wasn’t so bad. I still got an epidural with all 3.
Is pitocin better for induction than cytotec? Or people get both
This is soooo wonderful. I’m being induced in 11 days, (I’ll be 38 weeks, baby has IUGR). So thankful for your insights & videos… thank you for sharing with us. It brings so much peace of mind! ❤️
Hope you and your baby make it safely 💗 stay safe mama
How's ur baby doing. I'm currently 37 weeks and baby was diagnosed with Iugr at 28 weeks. Even though she's now at 10th percentile my OB is still thinking of inducing at 38.0. I just wish they can put it to 39.0
@@sooh6299How's ur baby doing. I'm currently 37 weeks and baby was diagnosed with Iugr at 28 weeks. Even though she's now at 10th percentile my OB is still thinking of inducing at 38.0. I just wish they can
Baby is doing very well! Still tiny, but doing great. I don’t regret the induction!
I’m being induced in 11 days. This information helped me so much.
Me too!! Hope all goes well for you! :)
Think you so much for this video 🙏 Having induction tomorrow and this video definitely it helps to understand the steps that come with it 🤗
Great video! This really made me feel at ease and now know what to expect. Going to get induced next Tuesday.
Im scheduled to be induced on Wednesday. Currently 40+5 days. This video put me more at ease going into this induction.
I am 40w and 5d today! Wednesday I may also be induced if anything seems off in ultrasound. If not Ill be Friday!
Crazy! Good luck momma!
I really appreciate that you shared your personal experience with pitocin and the Foley balloon being more than just "a little uncomfortable" with my first I needed an induction and the whole process was honestly really traumatic. I'll be electing for an induction for my second as well (currently 39 weeks) and hopefully it's a better experience but labor is never a walk in the park I guess.
“Honestly really traumatic”. Lmao. Something being painful doesn’t equal “trauma”. You sound extremely dramatic. God forbid you ever experience any actual trauma or an actual illness in your life. Childbirth is never supposed to be fun, pleasant and painless. That’s how it works and you knew that going into it. Please go visit a pediatric cancer ward and tell them about your “medical trauma”.
I am getting induced in a couple weeks at my OB recommendation. My OB was very clear that the Foley catheter was sometimes very painful for some women, not for others. It put me off a bit ! But I appreciate the honesty to be able to prepare myself!
I had the same thing done to me and I do agree it was very traumatizing for me. I'm now pregnant with my second child and I'm praying that God will help my body labor on its own instead of having to be forced to do so .
I was 42 weeks gestation - doc induced me. Had 48 hrs of labor ending in fetal distress and failure to progress. Had C sec. Baby was 9lb 4 oz. This was in 1983. Im sure things would have been different today!
Thank you. I really appreciate the redo. And I look forward to the Q&A! I apologize if my prior comment was harsh or ungrateful. I know this isn’t your full time job and we’re lucky you post anything at all.
I think I just got passionate because I have grown to trust your input and opinions so much and this topic is SO important.
I’ve also been dissatisfied with the conversations I’ve had with my own OB providers so far because they tend to brush off my fears about induction (even though I am open to it and don’t want to go past 39 weeks!)
Anyway, thank you again. I appreciate you guys so much.
I don’t know your OB of course, and I’m not at al trained in midwifery , tho I was a RN for ten years. I think the reason sometimes medical people seem to dismiss some of the fears is because they have seen the other side / people who refused indiction or whatever it was that was recommended and had a terrible outcome. It’s not meant as an excuse , but staff are human and it’s often so frustrating when you see things from a medical point of view , and I guess in terms of statistics of how many people experience negative effects, and also the severity of those effects. Maybe because I have made the mistake in the past after seeing a patient go against medical advice and have a very poor outcome, I was quite short and abrupt with the next patient who also refused. I wanted to scream at them don’t be so stupid do you know what can happen ?? Yes you have some fears but put it in perspective with the risks !! Of course I didn’t say that, and I’m not saying it’s an excuse. But that dr has seen many patients some end very sadly, and sometimes it’s hard to be patient and try give information and advice and have resistance.
I have to say I am lucky my Ob S and midwives were very open to talking about my fears etc , but they did all strongly recommend indiction and explain the multiple reasons in my case , and the risks. I wasn’t against it either, and maybe being a RN gives me a kind of view of trusting the staff more so than I would if I had never been on the other side. Before the ob even finished I told her I’m on board whatever she feels needed for a healthy baby / but she said it’s important I have a day and understand the reasons and risks and what may or may not happen. Ideally the dr will listen and address fears etc, but I guess I see why sometimes they can’t , they are human too.
I admit I had heard a lot about c section and induction being pushed on people , yet when I asked about c section the Ob and mid wives both said there’s no reason to advise one based on current circumstance. That something may happen along the way and it may be needed , but it’s not needed to start there. And that they would let me know if it came to a point it was recommended. I found that to be comforting too.
I have to say I’m not thrilled about indiction , it’s not ideal nor would I choose it if there weren’t reasons my medical team felt if needed. And yes I have some fears and concerns too. But end of the day i understand the medical reasons why they are recommending it , and when compared to the risk of not getting induced I’m totally behind the medical opinion.
I found a lot of pressure from people telling me it’s a mistake to get induced or even give birth in hospital , and that my body knows what to do etc. and that’s great for people that works out for I am very happy they have that experience. But personally my medical team have recommended not just hospital birth but to travel to the next town over where there is NICU just in case as there are a few little risk factors. And they strongly recommended induction again for more than one reason, so it was really frustrating to me getting so much criticism from those who had been able to do a natural or home birth. I feel like the medical staff too get frustrated too trying to recommend and explain risks etc and yet patients can be so reluctant to listen / either because they have a fixed idea of how birth will go or should go , or they have been pressured as I was to ignore medical advice and just naturally let it all happen.
I can't thank you enough for this video!!
I'm expecting my 3rd. My first two were terrifying births and I'm incredibly scared of this one. My midwife got irritated with my list of questions at my last appointment because I "did this before." I tried to tell her that was 10 years ago and I was on my own with Hyperemesis and in hiding from the biological father while navigating court for protection orders, so regular prenatal care couldn't happen. She said "don't gain another pound and get some counseling." I'm 28 weeks and gained 16 pounds. I've been in intensive PTSD treatment for years. My therapist and I made the list of questions together. I've fought so hard to keep my kids safe and to be healthy. I lost 95 pounds prior to getting pregnant to get to a healthy weight range. None of it mattered; I was just a paranoid, chubby weirdo to her.
I left my last appointment embarrassed, ashamed and dreading having my baby near that lady.
I wish I could just hide in a hole and have her in there or have her at home where I feel safe.
It sounds like your midwife is not empathetic to your situation at all. Ditch her asap.
That's truly horrible. I hope you can find a new midwife that listens and supports you!
Get a new midwife! I have a friend who changed doctors 3 days before giving birth because of something like this, and it was absolutely worth it.
This is horrible 😢 You don't deserve this treatment and shouldn't accept it either.
I’m so sorry to hear this!! I hope you were able to use a different provider who would be a lot more supportive of you!!
No one deserves being treated like that from someone who suppose to represent support
I love this discussion! I've had two babies, and both required inductions to come out for vastly different reasons. First baby was induced at 37 weeks for IUGR, second at 41 weeks, because she simply didn't want to come out :)
How did the 37 weeks induction went?
@@lvt2 we had no problems :)
How long were u in labour for at 37 weeks
I had a induction at 39 weeks. My doctor thought I had pre-clamp Sia.( I didn’t have high blood pressure untill the induction process, but did have protein in my urine.) I ended up having a emergency c-section my baby got stuck and my blood pressure was through the roof.
Nursing student here, found this really helpful.
Induction scheduled for 39+1 and I am SO excited. It is helping me feel so much safer, confident, and secure through the process, and giving me the ability to finally have some peace of mind! So grateful for the option and the support for a variety of choices and priorities for one's birth experience these days!
Me to I’m scheduled next week and imma be 40 weeks and 1 day excited nervous curious hope u have a safe delivery.
I’m 33w+6d and getting induced in 22 days! I have kidney stones, gallstones, and hypertension. I’m so nervous but this made me feel a lot more relaxed!
How are you now? I'm 32 weeks and looking at induction at 36-37 because of hypertension, gallstones, and UC flare.
What are the reasons for low fluid near the end of pregnancy, and can it be prevented? I wanted to wait for natural labor, but low fluid prompted an induction for me just one day after my dd.
For all first time moms here, watch “The business of being born”
Yes!!!! Too many doctors performing unnecessary inductions and c-sections in this country.
1000% YES! Love that documentary. The Arrive Trial is crap and inductions INCREASE the risk of csections significantly
That documentary is one of the main reasons I am going for a home birth with a midwife this time around with my third child
I'm about to have my third baby, my water broke naturally with both my pregnancies and my body is on track to do the same this time. But my doctor wants me to have an induction with no reason. I have no health issues and neither does my baby, and I had a very positive pregnancy experience.
Ok then just don't show up 🤣
Can we get a video on post partum depression please? 🥰 I’m due with my third and last child next month and I had terrible ppd with my other 2 and I would love to just have a baby without fighting that so hard or maybe suggestions to help that before or during
How are you doing Paige? Sending love and hugs ❤️
Iam being induced tomorrow praying for more grace
Thank you so much for this video it was very helpful and informative 👍🏼❤️
First time mom & I’m getting induced at 38 weeks because my baby boy has hyper left plastic heart syndrome I’m 35 weeks right now and this helped me so much get more information thank you!:)
I was induced at 40w3d with cervidil. I had asked my OB to induce if I went past my 41w, and he told me to get to the hospital the next day 🤦🏾♀️. Wasnt even done with fixing everything in my house. But, I made it thru with 2 days.
I'm getting elective induction in a week as my husband needs to leave for his military assignment. I'm getting a little bit nervous but my OB thinks that the baby might actually come out even before induction date. Crossing my fingers!
Love your videos! 😍 Would you be able to touch on the topic of VBAC? My first was a C-section and I’m pregnant with my second and looking for more information on a VBAC!
This is in our list of topics coming up. Hopefully we can get it done in time to help you out!
@@TheDoctorsBjorkman thank you so much! Your videos helped me SO much when my first was born!
Would love to hear your opinions on 'traditional' methods of prepping the body / cervix for labour, ie eating dates or drinking raspberry leaf tea etc in the lead up to being full term/40 weeks? Any evidence to back them up? 🙃
Same!
I am being induced because I have severe DVT with stents that don’t like to stay open, because of a wrong stent placement in the past. Long story boring, I am a high risk pregnancy and will be on a heparin drip while in the hospital. Right now I am on Eliquis and will be for about 6/7 months of my pregnancy, then will switch to the infamous “lovenox” - my delivery will be monitored minute by minute, second by second,
I wish I had this video before my induction. Getting a foley balloon was nerve wracking, especially without pain killers and not knowing what it was. This channel is great. If you could do a video all about preeclampsia, that would be great. I had severe preeclampsia and HELLP Syndrome in my first pregnancy and would love to learn more about it / the risks of it happening again in a second pregnancy.
I had the foley balloon, it did absolutely nothing but cause excruciating pain when they put it in, and it was so gross to try and use the bathroom, and it was just an uncomfortable 12 hours in general before the OB had to take it out because again- it did absolutely nothing. I might have to be induced again, and I'll consent to Pitocin and if that doesn't work (again) I will just have the OB break my water like last time- the ONLY thing that actually triggered my body to start the process.
My OBGYN told me there is no significant increase in having it again but I was on baby aspirin my subsequent pregnancies and that seemed to help with the BP. I developed preeclampsia with 3/4 pregnancies and just hypertension with the 4th
I just scheduled my induction date for this weekend, and I am still trying to process that he will be in my arms by this time next week 😅
Thank you so much for these videos! This channel has helped me so much during my pregnancy and I have been recommending these videos to my pregnant friends. Yall are amazing ❤😊 God bless you both!
@gigisamaha2 How was your induction and labor?
@viriacosta6321 unfortunately it was pretty rough. I went in Sunday at 3pm to induce and my contractions were 5 mins apart they started me on Cytotek to open up, but it took a very long time. Monday my water broke and I was finally good to start pushing at 10cm and after pushing really hard for a very long time of making little progress we found out he was transverse (turned crooked and coming down at an angle and pretty big. They tried to turn him (and during that time my epidural ran out and the anesthesiologist was in back to back c sections for about an hour). So I was not having the best time. Finally we decided to do a c-section. so I have very sore abs from the pushing extreme ab workout, and a sore incision area from the c section too. But everything was worth all the struggle because I have the most amazing son that I can't get enough of and I would do it all over again to see that sweet face. 🥰 He was 7 pounds 10 ounces 3:57pm on Monday.
Thank you so much for this helpful information! I’m getting induced at 37 weeks due to preeclampsia.
Me too , just got home from a 5 day hospital stay. How far along are you ? I’m 29 w today
I’m 40 weeks and 6 days and I was told to come back to hospital tomorrow. I just pray they will induce me cause I can’t take the waiting anymore, it’s starting to get me really worried and anxious.
Thanks docs! I don't think that the ARRIVE trial link in your description is linking to the right article - could you update this? Thank you!
I'm 40 weeks today! Doctor said they'll induce me on 40w 6d if nothing happens between now and then. I'm crossing my fingers for spontaneous labor, but this video is helping a lot with the worries about induction. Thank you!
I would be frightened to go over due again because that almost caused me to have a still birth. So soon as 40 weeks hit I will be delivering this baby whether it’s natural or induced.
Due date is 4th of July!
Why were moms in the “wait and see” group induced at 40+5? Can you talk more about recommendations for going past the due date?
Never EVER having another induction, experience was traumatizing. (Iugr Diagnosed, baby wasn't growing) Almost had a c-section because the baby's heart dropped a flat line a couple of times. Found out I finally dilated to 10, and the birthing process was very rushed in under an hour. Had a second-degree tear with a failed epidural. But my baby boy came out healthy, born on August 25th, 2023, at 6:18pm. weighing 5 pounds and 10 ozs 47 cm.
First time mom. Still 40 weeks pregnant. Will be induced and wanted a totally natural birth experience but thanks for this information
Hi. How did your induction go.
Please clarify this of this study: How many of those women who followed the wait & see approach were ultimately induced at 40+5? Doesn’t that make a difference to the statistics?
I'm 39.4 weeks been having so much pains for full two days decided to go to hospital my gynaecologist say it not active labor 🥺 but I'm in so much pain I don't want him to send me home he says will talk tomorrow morning... Please pray for me... South African 🇿🇦
Hope u r feeling better!
Hey Portia hope you are okay, hopefully not in pain or have had a healthy birth.
Good Day Portia hope you are doing okay. I see you posted 11 days ago. I am also 39 weeks pregnant and seeing my dr in the next two days.
Have been going through some braxton hicks contractions. And sounds like I Will be induced.
Also SA🤗🤩
Cape Town this side.
You are in my prayers woman.
How are you now?
I'm being induced Christmas eve, 38 weeks, I have epilepsy and chronic hypertension so my doctors want to induce me for my safety. I've been having strong Braxton Hicks and I'm already 2 cm dilated and apparently I have a strong pelvis lol.
I’m a first time mama 🤰🏻🥰
I was advised by my midwife to be medically induced
Due to my baby’s growth
I was 38 weeks and 4 days when I was told that I measured at 40 weeks
I’m currently 39 weeks and 2 days
Wish me luck😩😩
Given that myself, my sister, my husband, and HIS sister all went past 41.5 weeks, I'm fairly certain I'll have to be induced at 41 weeks, aka Eviction Day
Thank you for this informative video.
I am 31 weeks pregnant first baby , considered high risk because am 43 years old. Was planning for a natural birth (without medication) however when I was discussing my birthing plan with my OBGYN she mentioned that I am free to opt or not for epidural but she must give me oxytocin injection during delivery as a safety measure for me and baby once my water break to reduce risks of uterus infection. Does induction helps also reducing risks of labor and infections ? As this was not really addressed in your video .
Thanks
Having an elective induction tomorrow at 39w4d. Going in at 2cm dilated 80 effaced -2 station. Bishop score of 7. ❤
Hello, can you tell your birth story? I'm getting induced today at 39wk and last time I checked 2 days ago, I was 2cm dilated.
Having an induction on Monday and I’m super nervous. I’m having it done because of high blood pressure and because we live 45 minutes from hospital. Well, we have a hospital in our area, but it doesn’t do labor and delivery