Category Archives: induction

Heading Down the Road to C Section?

This article is written by an OB who has been practicing for 14 years.
I hope you enjoy.

Top Ten Signs Your Doctor Is Planning To Perform An Unnecessary Cesarean Section On You

I have been a practicing OB/GYN for fourteen years. I live in Frisco, Texas, one of the fastest growing cities in the United States, and I truly enjoy living and working here.  It is a great place for my family and, for the first time, my office is attached to the actual hospital I practice in.  This is the third and final place I will practice medicine.  I trained with some of the most respected academic OB/GYN’s in the country.  These physicians have contributed to books on Obstetrics, created practice guidelines for the American Congress of Obstetricians and Gynecologists (ACOG), and taught me to practice medicine based on scientific evidence.

I follow a few simple rules: do no harm, give your patients options, and provide information so they can make informed decisions.  So, last night I was sitting in my office looking at the fourth Cesarean Section (C/S) operative report of the day for yet another patient who wants to have a vaginal delivery following a previous C/S. I am frustrated and feel like I am fighting a losing battle.

When did Cesarean Sections (C/S) and elect Read the rest of this entry »


Postdates: Separating Fact from Fiction

So I am now 41 weeks pregnant, and the most common question I am getting is ‘so when are you being induced?’  On facebook, I answered that question ten times over a period of 3 days, so ended up making a new status message that consisted of this:
Thankyou for all your questions, thoughts and concerns regarding induction. I am comfortable, and bub is comfortable. I still have 1 more week before I am officially post-term. I will not be getting induced naturally or medically at any stage unless medically indicated. Now no more talk of induction! 😀
But I know that the people who were asking, were only asking and suggesting things because they care about me.  So I looked around and found this fantastic article that has some great research and simple facts that you can share with others.  This link was my status update this morning. This is how I introduced it:
Here’s some interesting research regarding ‘late babies’:
• A pregnancy is NOT “Postdates” until after 42 weeks.
• The risk of stillbirth is nearly a flat line between 38 weeks and 43.
• Amniotic fluid is dependent on maternal hydration, in the absence of congenital abnormalities.
• A baby’s weight virtually plateaus after 40 weeks.”
Good to know hey! 🙂 Read the rest of this entry »

Induction risks

interesting article on how similar a mum getting an induction with synto (pit) has similar risks to a VBAC – and no-one really talks about the dangers of induction, but recommend against VBACs!!

Not Just Another Induction Post

You might remember me posting on my Banned From Baby Showers Facebook page about a mom who had been declared “high risk” due to “maternal age.”  She is 35 years old.  Her OB had also told her that her amniotic fluids levels were low.  At about 37 or 38 weeks, she recommended induction. Read the rest of this entry »


The Slow Labour: Patience is a Virtue

This is a chapter from a book by Henci Goer called The Thinking Woman’s Guide to a Better Birth.  This chapter is on slow labours and inductions.

The Thinking Woman’s Guide to a Better Birth

Practical Information for a Safe, Satisfying Childbirth

Chapter 7: The Slow Labor: Patience is a Virtue

  1. Problems with Typical Management
    1. Active Management of Labor
    2. Procedures
  2. The Bottom Line
    1. Benefits and Risks of Techniques for Coping With Poor Progress
    2. Strategies to Avoid the Need for IV Oxytocin, Instrumental Delivery or Cesarean Section
  3. Gleanings from the Medical Literature
  4. Bibliography

Problems with Typical Management

Obstetricians treat women laboring slowly the way Peter Pan treated the Lost Boys. He expected everyone to adapt to his ideas of the way things should be. If they didn’t, Peter saw to it that they did. For example, the boys entered the Neverland underground home through hollow trees. If a boy didn’t fit his tree, James Barrie writes, Peter “did something” to the boy. So too with obstetric management. Obstetricians have inflexible ideas of how labor ought to go. If your labor doesn’t conform to that pattern, typical doctors “do something” to you to make you fit. There are, as you may gather, a number of drawbacks to this myopic approach.

The first is that the standard for labor progress doesn’t give you nearly enough time before you are declared over the line. Doctors base their standard on studies from the 1950s and 60s supposedly of normal labors, but many women had interventions that could shorten labor such as oxytocin (trade name: Pitocin or “Pit”) or forceps delivery. A recent study evaluating healthy women who had no interventions that would affect labor length got very different results. For example, the standard says that starting from 4 centimeters cervical dilation, the average first-time mother will take 6 hours to achieve full dilation of 10 centimeters. Doctors set the cutoff defining “abnormal” progress in dilation at 12 hours for first-time mothers and 6 hours for women with previous births because, according to the standard-setting studies, only 5% of women will take longer than this. However, the new study found that average duration in first-time mothers was 7 1/2 hours, not 6, and the threshold for abnormal, fell at 19 1/2 hours, not 12, in first-time mothers and over 13 1/2 hours, not 6, in women with prior births. The standard also stipulates smooth, linear progress. More than a relatively brief halt is thought to require action. However, averaging many labors together evens out the variations. Individual labors often don’t work this way. Read the rest of this entry »


Natural Birth is Actually Better!

Monday, April 18, 2011

Natural Birth is Actually BETTER

I received a comment recently on the blog about a natural birth post. I don’t want to single out this person individually so I won’t quote it directly but the basic point she made was this:

“Natural birth might be a great choice for you, but it isn’t for everybody. I was perfectly happy with my birth involving XYZ interventions, and so are lots of women. It is about choices.”

I have to disagree. This isn’t just about “choices.” Natural birth is not just a great choice for women like me. It is almost always the best choice for the mother and baby.

Yes- I just said that. Natural birth is usually the best choice for mother and baby. And, I can prove it. Read the rest of this entry »


Good reason for an Epidural – Surviving a long labour

Another article I wish I had read when I was pregnant with Gabe!  Prodromal Labour is horrible! I remember after being in labour for 60 hours (and having no sleep in that whole time), I told the midwife ‘I am just so tired; I don’t know how much longer I can do this for’.  Her answer: ‘Well you’ve got another cervical check in 2 hours, so we’ll see how you are going then, and then we can talk about an epidural or some pethedine’.  To be completely honest, my thoughts consisted of ‘an epidural? Really? Is that all?  I just want this to be over. A c/section would be fine. I don’t care’.  Luckily, he was born exactly 2 hours later, so the epidural and the c/s were out of the question. 

This article is great at describing how normal this type of labour is.  That there is nothing to fear, and that unfortunately, it is something that many women just have to put up with.  I found that incredibly comforting, when looking towards #2’s birth.

Written on May 16, 2010 at 8:12 pm by Birth Sense


On rare occasions, an epidural–usually something I like to avoid–can be a blessing, allowing mother complete pain relief and the opportunity to rest.

Sharla’s birth story:

I was pregnant with my first baby in 2005, and looking forward to having a completely natural, non-interventive labor and birth.  I wanted to bring my baby into this world without drugs in her system, and I wanted to experience all of my labor.  I prepared myself for all the aspects of labor I could read about, but I was not prepared to have to make a change in plans. Read the rest of this entry »


Baby positioning

This is from a larger article from The rest of the article is really quite interesting regarding obstetrics and how hospital professionals are being lied to when it comes to VBACs, thereby perpetuating the overuse of c/s & high failure rate of VBACs.

Heading In The Right Direction!


A Butcher’s Dozen by Nancy Wainer
© 2001 Midwifery Today, Inc. All Rights Reserved.
[Editor’s note: This article first appeared in Midwifery Today Issue 57, Spring 2001.]

One of the reasons that so many of the women with whom I work have successful VBACs, even with very large babies, is that we pay strict attention to the position of their babies. Information about tuning in to the baby’s position during pregnancy, in early labor, and then paying careful attention to it throughout the labor, makes a tremendous difference in birth and in VBAC outcomes. I suggest that you pay very close attention to Valerie El Halta’s article “Posterior Labor: A Pain in the Back” [Midwifery Today Issue 36 and Wisdom of the Midwives] and the booklet Understanding and Teaching Optimal Foetal Positioning by Jean Sutton and Pauline Scott [available through Midwifery Today].

OK, so we know the baby’ s head is down. But that information alone is not enough. Read the rest of this entry »


Due ‘date’? or due ‘month’?

I liked this article as it just helps build faith in your body.  I love the fact that it cites studies done into post-due-date research, to give women something concrete to give caregivers that may be pressuring them into unnecessary interventions. 

When was my last period? EDD & Postdates
October 13, 2010

While sitting in the Midwife’s office after receiving the official pregnancy test result here comes the? When was your last period? What, I don’t know. With my head bowed I reply” I’ll have to ask Arthur.” I have not marked the date of my period or counted 28 days since high school. I’m one that feels when it’s near. If my diet is not in check I get argumentative, crave sugar & salt and have a desire to go to the beach. If nourishment is stellar the shifts are more subtle and I still want to go to the beach.

Next comes the sonograms. We don’t want to know the sex, please. As I pretend not to see the penis on the monitor the technician takes all the necessary measurements. Your expected due date is April 22. Wow! that is 3 weeks earlier than our calculations. Once again here comes the question, When was your last period? Honestly I can not answer with confidence but we think it was_. “We” she replies with a smile. Read the rest of this entry »

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Posted by on March 16, 2011 in All, induction, overdue


Is Induction after the waters break necessary?

This is from a fabulous archived site that has collected a whole heap of midwifery wisdom.  I love this story of a woman whose waters broke at 22 weeks, and the medical response verses her response to this situation. She gave birth at 35 weeks 6 days.  That’s nearly 14 weeks with her waters breaking.
I have only run into this [forestalling preterm labour] one time. Most on the list know the story. A woman with a confirmed rupture at 22 weeks. Initially we referred her out.

The neonatologist wanted to “evacuate her uterus”. Our official back up was willing to let her go home and wait for “the inevitable”. She went home despite the horror stories of the neonatologist. We agreed to a “house arrest” for the duration of the pregnancy. I agreed to see her at her home once a week and she agreed to monitor her own vitals. She worked very hard on her diet and nutrition issues. She did extra [vitamin] C and a variety of herbs to strengthen and tone. There were no vag exams. She had a bout of rhythmic contractions at 28 weeks. She drank a dose of Jagermeister and took a valerian/skullcap/hops combo tincture and meditated

Eventually the contractions stopped. Read the rest of this entry »


OB fired during birth!

Mom fires OB during birth when threatened with a cesarean!

I LOVE this birth story, because it shows how moms can be so powerful during their births!   Mom was induced at 42 weeks, but insisted that the pitocin was turned up slowly and refused to have her water broken. 

First off I have to thank all the wonderful women in this group. (Hypnobabies Yahoo Group) Without you and your wonderful stories I don’t think I would have had the confidence to go to the hospital to be induced with pit, and have a beautiful birth.  I was so nervous and upset the few nights before. Your stories gave me the reassurance that I could do this, and I did. Here is our story.

I think overall I let myself be pushed into inducing. We were at the 42wks the Dr. had guessed. My family was all becoming quite impatient and there was a lot of pressure to have her out.  I agreed to be induced and get things started. Read the rest of this entry »

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