WHEN YOU AGREE TO INDUCTION
This is based on my education and what I have learned first hand during birth work and life in general. This is not medical advise or a substitute for medical advise.
You may use all, some, or none of these suggestions. YOU do know from a primal place what is best for your body-baby unit. Look within.
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Create your mantra of self trust. You consented to a labor induction for a reason. Whatever that reason is remind yourself that you consented, so from that place of decision you maintain authority over your body and your baby. For some people an actual mantra such as “I allow these chemicals in my body because they will help myself and my baby” or “This labor is caused by means outside of me, yet my body is responding to this and opening for my baby to come to me” or “This is the right way for this baby to come earthside and I open freely for him/her to move down and out of my capable and strong body. I release all doubt.”
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Open communication with your medical manager(s) about the details of your induction. EXAMPLE 1 Some induction agents such as cytotec cannot be turned off and can cause long-non-stopping contractions which are very dangerous and create a medical emergency. You may choose to discuss alternatives to cytotec such as cervadil or a foley cathater. EXAMPLE 2 AROM carries both potential help and potential harm. You may choose to discuss how AROM will effect the chance of a vaginal birth, specific to your situation (as opposed to general statistics). The above are examples. When your medical manager listens to you, you will be given options in a fair and honest way.
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Skip or minimize cervical exams. The pitocin will be turned up steadily until you show hospital protocol for a labor pattern according to the monitor, about 3 minutes from start to start and lasting about one minute. So how fast you are dilating rarely effects the Pitocin dose anyway. Frequent cervical exams, as with spontaneous labor, are not-predictive of when you will fully dilate. So, to maximize staying primal, to minimize emotional dystocia and to minimize infection you may choose to say “no” to these exams. When you have an epidural, you may choose to say “no” as well and consent to directed pushing (if you do consent) when you can reach into your body and feel your baby’s head. When you are epidural-free you may say “no” entirely and allow your body to take over.(Some providers will want you to have an exam to avoid “premature” pushing. Again, you may choose to say “no” based on if you can’t help it anyway, what is the point?) If you allow cervical exams, you may want to know the timeclock from dilation to birth and you may choose to say “no” based on that time clock. Or, you may be more open to radical position changes to move baby down when you visualize the time clock and may then consent to exams.
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Request alternative options when deadlines presented. EXAMPLE 1 You have consented to cervical exams and your cervix is swollen so you are given 1 hour to fully dilate or go to csection. You could request the Pit be turned down and that you be given help to reduce the swelling and perhaps have the epidural turned off to facilitate spontaneous movement. EXAMPLE 2 Baby has non-reassuring heart tones and you are given one hour to birth vaginally prior to csection. You could request the Pitocin be turned off and your body given a re-set. .EXAMPLE 3 You initially said “yes” to Pitocin and “no” to AROM and now you are told labor not progressing fast enough so you you need a csection. You could then agree to the AROM, knowing that at that point it could help facilitate a vaginal birth. These are examples. When you have open communication with your medical managers, these discussion will flow freely.
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Spontaneous movement. With physiologic labor your body moves spontaneously in the way that is healthiest for your mom-baby unit. When you are induced, you may go in the direction of spontaneous movement. You keep moving and moving. You get out of bed: walk, lean, birth ball, hands-knees. Let your body lead you as baby makes the delicate moves to come down to you! Look within. Talk to your baby. Let your body move and release your baby as you make any sounds or swearing needed and as you release bodily fluids free from apology, then baby comes down to you. When you get an epidural, you may choose to keep this up: frequent position changes including hand-knees will help descent.
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TRUST YOURSELF. LOVE YOURSELF. CELEBRATE THIS BIRTH. THE POWER IS WITHIN YOU, LET IT RELEASE!