Question:
does this really work?
mummy to gorgeous Annemarie
2009-04-12 20:03:50 UTC
hey i am 37 weeks tomorrow and i am being induced in a week i dont really want to have the pitocin unless i have to. did you try the nipple stimulation and did it work.
i dont have a partner so i cant have sex. walking i can do and i will try the spicy food but i dont want to try castor oil or anything.

did nipple stimulation work and how long till labour happened. thanks
ive had my show im dilated and i have been experiencing contractions every now and then
Ten answers:
2/20/2009
2009-04-12 20:27:14 UTC
Nipple stimulation did not work for me. At 38 weeks and 6 days I wasn't dilated or effaced at all but having contractions 2-3 minutes a part, I ended up having a C Section. I know by this time you are really uncomfortable and its just going to get worse but you WILL miss being pregnant, so just let it happen naturally. I was single and pregnant as well, go us:P
thewildasins
2009-04-13 04:11:16 UTC
nipple stimulation takes alot of work its not simple but i say wait for awhile. if you have to be induced with the pitocin i suggest you get an epidural because most of the time they don't let you walk around when you have that and it hurts. not that the pain is worse its just because its not natural they make you contract more so it feels as if you'll never get a break. i was induced at 37 weeks (i had twins) i was induced for almost 50 hrs ( now my uterus wasnt anywhere near ready either it was closed tight) but i did the first 12 hrs without anything and they had me contracting every 6 mins so it was bad but after they broke my water it was only about 20 mins til the first one came so i went from 3- baby in 20 mins. ask the doc if the baby is far enough down if instead of starting you on the pit. if he'll break ur water first
Ginger Y
2009-04-13 04:02:56 UTC
Before I give my opinion, Can I just say that there may be a medical reason to be induced before 40 weeks? Geez. Her doctor would not induce her early unless there was something else going on (i.e. preeclampsia, gestational diabetes, Measuring extremely large, etc) so can you ladies stop calling her irresponsible and implying she is impatient.



As for answering...I tried the nipple stimulation by hand and by using a pump because I had been in prodromal labor for days. I did not go into full blown labor though. I was induced after having consistent prodromal labor for 2 weeks. However, nipple stimulation supposedly brings on labor by triggering the release of your natural oxytocin. Pitocin is just an artificial version of oxytocin. The contractions with pitocin were not too terribly bad, well for contractions...LOL.

While I did end up with a c-section, it was not due to being induced or the use of pitocin. My little guy's head got stuck on my tail bone and after 2.5 hours of pushing, we opted for the c-section!

Do what you need to do to get that little one here safely! Good luck with everything!
PhotoDoula126
2009-04-13 03:10:45 UTC
Nipple stimulation is not a recommended way to start labor.



It brings on very intense contractions which can really stress the baby out.

It is advised to not do so unless specifically told you by your midwife, and if you are monitered

(IE, in a hospital)



My midwife told me I could try, and you know what it did?

It put me in false labor.

Three nights in a row.

Meaningless contractions.

I'd be ready to get in the car and go to the hospital, and after a few hours, they'd never intensify and they'd cease.



Honestly, baby will come when they're ready.

Take the time now and get some SLEEP!

you'll never sleep again!



Best of luck!
mommy to one
2009-04-13 03:12:54 UTC
Not sure but I do know a few friends that have been induced and they all ended up with c-sections. I would just wait it out the rest of the time, enjoy your sleep, your little one will be here long enough! you waited 37 weeks, you can wait 3 more, lol! congrats!
honey
2009-04-13 03:25:47 UTC
Just curious...why are you being induced at 38 weeks? How much are you dialated, are you efaced? If it isnt because of a medical condition, or the baby is in jeapordy just wait and let your baby decide when he/she wants to come into the world.

I had to have pitocin, my water broke and i didnt go into labor. Believe me the contractions come on really strong, not to scare you it was painful...i stupidly opted for no drugs. If you can wait than wait. Keeping my fingers crossed for you to go into labor naturally. It is best if your baby stays in your tummy for a few more weeks if it wants to.
That's not my name
2009-04-13 03:19:25 UTC
38 weeks is very early to be induced. I assume there is a serious problem that is causing your doctor to order the induction.



The old wives' ideas of inducing labor will most likely not work that early. The baby really shouldn't be forced out before 39 weeks, and he or she really will come when he/she is ready.
anonymous
2009-04-13 05:04:33 UTC
Nothing, not even pitocin, will work until your baby is ready to be born.



http://www.kellymom.com/nursingtwo/articles/bfpregnancy_safety.html#uterus

The well-protected uterus



The specter of breastfeeding-induced preterm labor appears to spring in large part from an incomplete understanding of the interactions between nipple stimulation, oxytocin, and pregnancy.



The first little-known fact is that during pregnancy less oxytocin is released in response to nipple stimulation than when a woman is not pregnant.5



But the key to understanding breastfeeding during pregnancy is the uterus itself. Contrary to popular belief, the uterus is not at the beck and call of oxytocin during the 38 weeks of the “preterm” period. Even a high dose of synthetic oxytocin (Pitocin) is unlikely to trigger labor until a woman is at term.6



Instead, the uterus must actively prepare in order for labor to commence. You could say that there are two separate states of being for the uterus: the quiescent baby-holder and the active baby-birther. These states make all the difference to how the uterus responds to oxytocin, and so, one can surmise, to breastfeeding. While the baby is growing, the uterus is geared to have a muffled response to oxytocin; at term, the body’s preparations for labor transform the uterus in ways that make it respond intensely to oxytocin.



Many discussions of breastfeeding during pregnancy mention “oxytocin receptor sites,” the uterine cells that detect the presence of oxytocin and cause a contraction. These cells are sparse up until 38 weeks, increasing gradually after that time, and increasing 300-fold after labor has begun.6,7 The relative scarcity of oxytocin receptor sites is one of the main lines of defense for keeping the uterus quiescent throughout the entire preterm period—but it is not the only one.



A closer look at the molecular biology of the pregnant uterus reveals yet more lines of defense. In order for oxytocin receptor sites to respond strongly to oxytocin they need the help of special agents called “gap junction proteins”. The absence of these proteins renders the uterus “down-regulated,” relatively insensitive to oxytocin even when the oxytocin receptor site density is high. And natural oxytocin-blockers, most notably progesterone, stand between oxytocin and its receptor site throughout pregnancy. 8,9,10



With the oxytocin receptor sites (1) sparse, (2) down-regulated, and (3) blocked by progesterone and other anti-oxytocin agents, oxytocin alone cannot trigger labor. The uterus is in baby-holding mode, well protected from untimely labor.4



http://www.midwiferytoday.com/articles/timely.asp

Induction Risks



But induction of labor causes so many problems that it should be a rarity, performed only when the benefits can be proven to outweigh the risks. Induction multiplies the risk of cesarean section, forceps-assisted delivery, shoulder dystocia, hemorrhage, fetal distress and meconium aspiration. It is a major contributor to birth-related expenses and complications in the US. Yet it is so common that we almost think of it as normal. More than a third of American women were induced in 1999, and another third had labors augmented with Pitocin. (The FDA says that this is the lowest estimate and that the true incidence of induction is "widely under-reported.")



Even with early pregnancy tests and ultrasounds, induction of labor remains one of the largest causes of prematurity. Ultrasonic estimation of gestational age is still an inexact science; the range of error increases as pregnancy advances. Artifact and technician inexperience can multiply the inaccuracy. Many practitioners seem unaware of this error range or, alternatively, are unwilling to second guess a due date "confirmed" by ultrasound, even when the woman's history and clinical assessment indicate a later due date. Hence, the woman may be induced, even though the baby is clearly several weeks early. Some people discount the danger of early induction as long as the baby is within the last month of gestation. But even minor degrees of prematurity can cause harm. Babies born before full maturity can suffer from breathing difficulties or transient tachypnea, requiring separation in the hospital. They may be more prone to meconium aspiration. They are at risk for hypoglycemia and may have trouble maintaining body temperature. They are at increased risk for nursing difficulties and feeding disorders. They suffer from colic and digestive disturbances. These "minor problems" can affect the early bonding experience and make family adjustments more difficult. The incidence of child abuse is higher with "difficult" babies.



http://www.amazingpregnancy.com/pregnancy-articles/173.html

he Bishops Score generally follows this scale:



Score Dilatation Effacement Station Position Consistency



0 closed 0 – 30% -3 posterior firm

1 1-2 cm 40 -50% -2 mid-position moderately firm

2 3-4 cm 60 -70% -1,0 anterior soft

3 5+ cm 80+% +1,+2



A point is added to the score for each of the following:

Preeclampsia

Each prior vaginal delivery



A point is subtracted from the score for:

Postdates pregnancy

Nulliparity

Premature or prolonged rupture of membranes

Interpretation



cesarean rates: first time mothers women with past vaginal deliveries



scores of 0 – 3: 45% 7.7%

scores of 4 - 6: 10% 3.9%

scores of 7 - 10: 1.4% .9%

Induction is generally attempted when a mother has a favorable Bishop's score. A mother may be given misoprostol, cytotec or prostaglandin gel to help ripen the cervix and improve the score. A score of five or less is said to be "unfavorable." If induction is indicated, the mother would be a candidate for a cervical ripening agent. These are usually introduced one or two nights before the planned induction. A score of eight or nine would indicate that the cervix was very ripe and induction would have a high probability of being successful.



-------------

Induction: Getting Labor Started

http://www.transitiontoparenthood.com/ttp/parented/pregnancy/induction.htm



Let the Baby Decide: The Case against Inducing Labor

http://www.mothering.com/articles/pregnancy_birth/birth_preparation/inducing.html



========

Ginger Y,



I can't even tell you how many moms I know that were induced because the doctor was going on vacation or had too many patients due at the same time, and that's just the ones that admitted it. Not to mention all the pseudo-science reason like "too big" baby, mom overweight, previous "large baby", or my personal favourite "mom wants a vbac so we are going to induce so baby doesn't get too big/whatever" -inductions are contraindicated in VBACs.



Doctors will let mom induce to avoid holidays (like Christmas) because their spouse has to go away on work, and for many silly reasons as well.
nightmusic
2009-04-13 03:14:00 UTC
Let the baby decide when to be born. It's stressful enough being born when it's time. Why make it worse?
anonymous
2009-04-13 03:07:37 UTC
Why would you ever be induced before you're due? That's totally irresponsible.


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