Induction Or Elective C Section 41weeks Not Dilated Engaged

32 Replies
Annie123 - June 8

Hello, I am 39.5 weeks pregnant right now & have not dilated at all, nor is the baby engaged (she's about -2 right now). I'll wait to see if the baby comes naturally until 41 weeks, then I'll either have an induction (and risk having an emergency c-section) or have an elective c-section. So, I ask this question with the thought that the baby still will not be engaged and I will not be dilated at 41 weeks... What I do NOT want is to go through a long traumatic labor experience due to induction, only to wind up with an emergency c-section. A planned c-section sounds much better-- psychologically & physically than an emergency c-section. And I have read that induction often fails if baby is not engaged and/or you are not dilated. If I have an emergency c-section, I have also read that there is a higher chance that I will wind up having general anesthesia, which has in the past (for an unrelated surgery) caused me to lose my voice for 6 months &I have never regained full use of my vocal cords. I would really appreciate stories or suggestions from those of you who have gone through this- particularly those who have had each- so that I can make the most informed decision possible. Thank you so much!!

 

aaaaaaaaaa - June 8

I had an elective c-section on April 30th, and it was an AWESOME experience. I know a lot of people on this board are anti-csection if you can avoid it, but Iwould do it again in a heartbeat. No surprises as would happen with labor, and everything was so calm and stress-free. With that said, it would suck to end up with a c-section AFTER labor - healing from mine wasnt too bad at all but I would think a long hard labor and THEN having to heal from a surgery wouldnt be too fun. Just my 2cents...

 

jen327 - June 8

I had a c-section with my DS (elective because he was almost 10 lbs). I am having anotehr one with this one, and would do it in a heartbeat. I also notice that everyone is anit c-section, but my experience was so easy and calm. With my first they gave me the choice to "Try" and have him naturally and have a c-section if he got stuck or just have the c-section. I decided the idea of all that pain only to end up with a c-section would make me feel like such a failure and I would have pain of both experiences. So I opted to just go for the section. I had a spinal and had 0 complications. I realize complications happen with c-sections more so then natural birth, but for me since it was a big risk anyway, I decided to go ahead with it. I am overjoyed to be doing it again and don't feel i missed out on anything. Good luck

 

kimberly - June 8

My last baby was not engaged either, but I was already dilating and I did have a induction that worked. I actually had a fairly short labor, only about 8 hours. I am not sure if not being dilated would change that scenario or not. I do know that I have had two v____al births and over 35 surgeries in my life and I would much rather the v____al recovery than have to have to recovery from another surgery.( I am a right leg amputee) I also know that emergency sections are a__sociated with a higher incident of needing general anesthesia than planned sections, but I think if you got the epidural during labor for pain , you would already have it in place if a emergency happened and wouldn't need the general. I think women get the general b/c they don't have time to put the spinal or epiduarl in if it is an emergency, so just get it before your labor progresses a lot.

 

lqtoo - June 8

I'm not anti-csection, I am just wondering why this has to be decided at the 41st week instead of waiting the full 42 weeks? Maybe you will go into labour naturally if you wait?

 

Annie123 - June 8

Thank you all for your input! It really helps. Aaaaaaa & jen327—your experiences definitely help to put my mind at ease, as so much info. I read on forums can be quite negative & judgemental about "elective" planned c-sections. It's great to hear your direct experiences. I would love to know--Were you able to pick up your babies soon after the section? When could you start exercising again? When did you feel back to normal, more or less? Kimberly- from what I read, dilation AND engagement are quite important in determining a successful induction, so that's a big reason why induction does not seem to be the ideal route; as aaaaaaaaa said, it would be difficult to go through a long induction and labor process and THEN have to recover from an emergency C-section. Iqtoo— the hospital says that it's their policy to either perform an induction or c-section at about 41 weeks, not 42. I would probably have the induction or c-section somewhere in between, but I want to decide ahead of time, for peace of mind and to schedule the date with the hospital.

 

lqtoo - June 8

Lucky you...my hospital waits the full 42 weeks, unless there is some kind of emergency. Good luck in whatever you decide.

 

aaaaaaaaaa - June 8

I was picking up my baby (from my bed) a few hours after the c-section. I felt basically normal after about 2 weeks. I havent got the official "okay" from my doc yet to work out and all that (I expect thatll happen at my 6week checkup on Tuesday) but I feel good and havent been purposely taking it easy or anything like that.

 

jen327 - June 8

Annie123, I was able to hold my baby as soon as I was not numb. I was told by many people to take advantage of the pain meds, so I did. I was b___st feeding shortly after I first saw him after recover. Some hospitals will let you nurse in recovery as long as someone is there to hold the baby. As far as picking him up alone, it did take a week or so, but I had family who changed him and stuff. I just relaxed on teh couch and held him for liek a week straight. As for exercising, I believe it was 6 weeks. My sister in law had her son v____ally and she tore from end to end and was not able exercise for 8 weeks. She was also in terrible pain. She was not dialated at all and they induced, she had a hard time of labor but was able to get him out after 2 hours of pushing. At one point they said if his heart rate dropped again they were doing a c-section. I really think the decsion is person. C-section is surgery of the abdomon and it is serious. BUt the later you are the bigger your baby. I actually did consider a VBAC this time but what I realized was that I would end up in labor and probably a lot of pain of labor and stuff and I was worried I would shut down and say I wanted a c-section because I was already prepared for it. So I felt it was better I just go in for that. But I recommend the book preparing for a c-section, you can get it at any book store. It is an honest book about what happens, recovery etc. The probably with sites like this are people either had a good expereience or think it is the worst thing in the world. I can tell you that almost everyone I have talked to who had an emergency c-section did not have a good experience and like kimberly said if it is an emergency they do more often then not do general. But a c-section is a hard subject because there are lots of people who feel it is a cop out and an un-needed risk. I personally feel that is their right to decide that for themselves and for me, the ease of a c-section over the risk of the major problems I might have had was way better. Oh, not sure if I mentioned my son was 9lbs 11 oz and he was 2 weeks late. They did an u/s at 41 weeks to determine if he was breech or not and said he might be a 10 lber. So that is why I was given the choice to have him v____ally or c-section.

 

moescrilla - June 8

i had to do both - i had a long hard labor - and winded up having to have an emergancy c-section because he was not dropping down and his cord was compressed, so he was losing oxygen. I would rather have the baby naturally, but since I've already had one c-section, I fear the same thing as you - having to do both again, so my dr. wanted me to have another c-section anyway, so thats what I'm doing. I was never dilated either, and he still hadnt dropped even after I went into labor. I went into labor before I started dilating. My advice is just to do the c-section, just in case you would have to go through both. That way, you're not exhausted. Now, when I had my emergancy c-sec, I had an epidural (since I had one before they knew I was going to have to have a c/s) Good luck!

 

DeeD - June 8

I personally would not do a c-section for any elective reason. I wouldn't say I am anti-c-section because it does have it's place. I have watched too many people try to recover and it is very hard. It leaves a scar, limits how many kids you have in the future and puts every future pregnancy at risk of uterine rupture. It also, permenantly limits your choice of having one or not it the future. If this c-section doesn't work out for you...there is no going back. Most doctors and almost all hospitals (at least in phoneix) will require you to have a section with every subsequent pregnancy. I have been induced 5 times (for medical reasons). Induction is a piece of cake. You will be surprised how fast your body will respond and dialate with the right hormones. In answer to the other questions...you aren't suposed to lift the baby for 6 weeks ( though you most certainly can hold it). People do...but it can cause herninas. Exercise is 6 weeks out before you can start (those are the guidelines for all deliveries though)...but exercize is very painful for many (not all) for months afterwards. The scar for many is very sore for months afterwards. Abs are very hard to get back into shape...but it can be done for some. This is just my experiences with my sisters, friends and SIL. I hope you can find peace with what ever you chose. Good Luck!

 

Annie123 - June 8

Hi DeeD- I'm wondering—now, you mentioned that induction and dilating is a piece of cake with the right medications—does that mean you were completely closed, with no dilation, at the beginning of each of your inductions? Also, were your babies engaged at 0 at the time of induction, or were they floating? It sounds like your sisters & friends had bad c-section experiences-- were they emergency or elective c-sections? Thanks for the details!!

 

jen327 - June 8

Annie123, just as a follow up, my scar is below my hair line and is about 3 inch long. But you can't see it at all. It did itch I won't lie about that. As for picking up or holding my baby, I am taking a c-section cla__s and the women who teaches it and I had a long talk and she said of course you can hold your baby and it won't cause any issues with the scar. I am not sure what causes hernia's but holding your baby is not it. DeeD while I am sure an induction was a piece of cake for you, I have a friend who just had a baby May 21 and was induced and she had a HORRIBLE time. I really think that c-sections and induction are experiences that are very different based on the person. Some peoples tolerance for pain is much different then others. I know that my tolerance for pain is VERY VERY low and my personal experience with a c-section was it was sore, but I was taking tylonel Extra Strength on my 4th day. If I were to choose from the beginning of having a normal size baby and having it v____ally maybe I would have, but I also don't know if I would want induction, I have read and my OB told me it is generally much more painful. Anyway, I wanted to mention the scar and incision thing and also mention the holding baby thing. Oh, and i was exercising after 8 weeks. 6 weeks I was walking briskly through the neighborhood.

 

jen327 - June 8

Annie123 one more thing, I asked my OB if having multiple sections was an issue and she said after 5 they consider it higher risk, but that 4-5 is ok, they reuse the same incision and cut on the uterus at the same place. As for it making pregnancies high risk, she told me they are no more high risk then having a fibroid. But to be fair they are higher risk in the sense that having a VBAC delivery is often not recommended in most hospitals, but she said many will let you try, but people often bail out and go for the section. (also, not trying to be argumentative at all :) I just wanted to make sure I share what I was told on those points :) I also bought another book today, the guide to c-sections. I will let you know if I find out anymore information, I am scared too about having another section! I am not taking it lightly or blase, I am nervous and doing my research to make sure I am prepared for what is coming. Just did not want you to think I was tkaing it light heartedly, I am really nervous about it, who isn't?

 

DeeD - June 8

Because I am induced at 38 weeks...no, I am not dialated, nor am I engaged. My last baby was actually transverse...floating sideways. I opted for the version...because i did not want a c-section. It was scheduled for in case the version did not work. The baby did turn so they put a belt on me to hold her in place for an hour to make sure she was not in distress. Then they used the drugs on me to soften my cervix. I went into labor and started to dialate immediately. After an hour, I was at a 3, so they broke my water. I was able to avoid the c-section all together. My friend os and OB. She was talking with someone at dinner a few months ago about elective c-sections...none of it was good. So that is just my experience. Five of my six kids have been induced. All were very good experiences for me. Quick labors...shortest being only 4 hours from start to finish. My sisters first c-section came 12 hours into labor. Baby was fine, but she had stopped at a 6. Lots of people stop and then go from 6-10 in mjust minutes. But it was late and he just decided it was best. She was tired and so fine. She regrests that decision still today. Her last 2 have been sections as well. Different doctors. It is very hard for her. She is miserable. While she has a good doctor now...she still has pain in the scar area. She also has numbness as well. my SIL, was throwing up after her last c-section and broke her st_tches...this is more common than one would think. But the problem is you can't re-st_tch. So she had to pack gauze into tho open wound two or three times a day till it healed. He c-section was a planned one from day one. She just wasn't aware how it would limit her having kids. She had wanted 10 kids. But that is not a possibility for her now. She also decided she wanted to try to have her baby v____ally because recovery was so hard for her also...but was not aware that she would not have that option again. So, I would personally suggest you atleast try induction...if it doesn't work you will end up with a section...but atleast you will know that you had no other option and you won't have to wonder if you could have done it with out. Again, JMO. Hope this helps! I will be happy to answer any other questions I missed if you think of them.

 

DeeD - June 8

Hope you can read that...there are so many typos. I was typing with dd on my lap!

 

sahmof3 - June 8

Given the choice I'd rather go through an elective c-section than an emergency one... but you could be induced and everything goes fine and it would so much better than a c-section. Arrggghhhh... unfortunately the only way to know is to give it a try. For me induction was horrible!!!! I was 0 cm. and had 0 effacement at the start of the induction. I was 41 weeks, 6 days and my water had broken in a small trickle and I was having weenie ctxns lol, but nothing else was happening, so I was induced. It went from 0 pain- through the roof pain in not much time at all. I had Stadol and after that began to wear off I felt the need to push... not need really... my body just WAS pushing and there was nothing I could do and it hurt so bad I couldn't even ask for the epidural! DH called the nurse and I was sure I was 10cm. and ready to go, but I was only 1/2 cm. :-( After more time pa__sed (20 hours into my labor) I finally got the epi and it was great! A few hours later my water broke in a series of gushes and there was meconium. They began prepping me for a c-section, but then his heartrate dropped and wouldn't come back up and I was taken immediately and he was out in about 2 minutes. I later found out that I have scarring of the cervix from D&C for a m/c and can't dilate past 1/2 cm. So, in my case, if I could go back in time I'd ditch the induction for sure. My next two were scheduled c-sections and were about 100x easier to recover from!! My daughter (2nd child) was a scheduled c-section with a spinal and my son (3rd) was under general anesthesia because I had extremely low platelets. But, you could also be like DeeD and have a great induction and the c-section would be all for naught. I'm real helpful, huh? lol Anyway, just thought I'd add my story to the mix of experiences...

 

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