Any successes with amniotomy to induce?

iVillage Member
Registered: 12-16-2004
Any successes with amniotomy to induce?
6
Thu, 08-26-2010 - 4:58pm

I'm currently 8 days overdue with my 2nd VBAC baby (first was a c-section for "large baby," second was successful VBAC at 3/4lb heavier than the first!) and I'm considering induction through an amniotomy. I've been at 5cm since Tuesday (was at 4 a week earlier) and had a bout of false labor last Friday with strong contractions 5 minutes apart that spread to 10 minutes apart overnight and until Sunday night when they stopped completely. I feel like my body is ready, but needs a little push. I was only 7 days late when I went into spontaneous labor with my 2nd, but at the hospital was put on low dose pitocin when labor stalled.

My concerns are 1. I have large babies and this one may be larger than the last (9lbs, 8oz) and 2. I had a placental abruption when dilation was complete and things got a little hairy last time so I'd like to avoid that at all costs. I just don't know if the cause of the abruption was from being post-date or from the pitocin--or it could even have been from the fertility drugs that I used which wouldn't factor in at all this time... I just don't know.

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iVillage Member
Registered: 12-20-2007
Thu, 08-26-2010 - 10:23pm
I don't know about the amniotomy. No clue at all. But I'm wondering if baby is wrongly positioned or if you have cervical scarring: http://beautifulbirths.blogspot.com/2010/02/cervical-scar-tissue.html

Loral


Loral


iVillage Member
Registered: 03-26-2003
Fri, 08-27-2010 - 4:45pm

I personally would probably try to avoid induction of any kind. If they rupture your membranes and active labor doesn't start within so long, they will want you to have a c-sec, or low dose pitocin. Maybe it could be the baby's position and you could try sitting on a birthing ball for a little while doing hip rotations, squats, or DTD to help things out.


I only intend on allowing an amniotomy if there is no other choice, ie it is either rupture membranes or have c-sec.

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iVillage Member
Registered: 04-18-2009
Sat, 08-28-2010 - 9:17am
Since you're so far dilated and overdue, I bet you'll go into labor on your own very soon.

Rose 


iVillage Member
Registered: 04-20-2008
Sat, 08-28-2010 - 6:23pm
I have to jump in and say "thank you", the blog was very informative.
iVillage Member
Registered: 03-12-2004
Mon, 08-30-2010 - 8:11pm

Can you work with your birth provider to evaluate the position of the baby?

I think it's hard to predict the likelihood of success with amniotomy, but I have read that once the waters are broken, the position of the baby is less likely to change, so you want to be sure and do what you can to get her in a good position prior the procedure. Also, malposition might be impeding the start of labor. Also, (and you'd want to check this out) but I've read that if the baby is high when they break your water, there's a risk of cord prolapse. Just be sure if you go that route you get all the info on risks and benefits of the procedure.

Another induction option is the use of a foley catheter. Is that something you've discussed? It's a mechanical way of opening the cervix, and less likely to cause strong contractions than chemical means.
Best wishes!
Elaine

iVillage Member
Registered: 09-18-2007
Sat, 09-25-2010 - 7:30pm

the research i have done (and i wrote a paper on how to reduce the c-sec rate this past summer for a college english class) indicates that induction of any kind increases the risk of uterine rupture in women attempting trial of labor after cesarean.

and personally, i think allowing my midwife to strip my membranes prior to my dd's c/s birth was what started the chain of events that led to my c/s. i know you're anxious, but if you really want a VBAC, i would avoid it at all costs.

love~
elizabeth

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