Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“If You Want To Refuse An Induction & Suffer Longer, It’s Up To You.”
“If you want to refuse an induction and suffer longer, it’s up to you.” – OB to mother at a prenatal.
Okay let me review this one. Remaining pregnant is suffering, but pitocin is a breeze. Yeah right, you FAIL. I’m good at going past 41 weeks just keep the salty chips out of my house and I will do just fine! Being induced sucks. First off that means you get to spend the entire labor at the hospital hooked up – gag me with a spoon. And then there is the fact that Pitocin makes labor worse. So take that and shove it. For the record I’ve never been purposely induced, but I did have my water break and went to the hospital immediately which worked out pretty much the same way. Not something I would volunteer for or do that way again.
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If by ‘suffer longer’ you mean reduce my risk of all kinds of other interventions and their possible complications AND reduce my baby’s risk of needing a NICU stay due to being forced out before he’s ready, that’s exactly what I want.
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While you may say suffer, I would prefer to say uncomfortable. Being 36 weeks pregnant now, I am uncomfortable. I have hit that stage where I am just uncomfortable, but I am not suffering by any means.
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Nica Reply:
November 1st, 2011 at 7:36 am (Quote)
Yeah, I’d go with uncomfortable, definitely NOT suffering. I was pg with my son at the end of a very hot August. I went into labor on my own and delivered him vaginally 13 hours later. I’m fine with being uncomfortable if that’s the end result — no induction, pitocin or c-section for me…
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Trisha Reply:
November 1st, 2011 at 7:53 am (Quote)
I agree. This isn’t suffering (I’m about 35 weeks), just annoying/uncomfortable. This comment sounds JUST like something my Mom would say to me. She’s pushing for me to have a C-Section to avoid another 4th degree laceration!!
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JoAnna Reply:
November 1st, 2011 at 8:20 am (Quote)
Agreed. 33 weeks here and while the constant back pain is annoying, it’s by no means “suffering.”
My response to this doc would be, “I prefer to put my baby’s health and well-being above my own level of comfort.”
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Toni Reply:
November 1st, 2011 at 9:00 am (Quote)
Suffering is definately in the eye of the beholder. I’ve gone 42 weeks. Twice. And I “suffered” more in the first 12 weeks than I did at weeks 38-42
(Nausea sux a$$) Yes, some women do have problems late in pregnancy that cause severe discomfort, or even suffering, but I would think that the exception, not the rule. And the bottom line is that it is up to the woman to decide whether she is suffering or not, and whether an induced labor (which causes way more suffering than a spontaneous one) is worth it. It’s not as though recovery is some sort of picnic anyway. I relish those last few weeks…. I know that as soon as the baby arrives life will be turned upside down for a while, lol. Enjoy the peace and quiet while you can
This one could be worse, even if he’s being a jerk about it, he is “giving” her the option of refusing!
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Michelle Reply:
November 1st, 2011 at 9:35 am (Quote)
In my case, I really am “suffering” with a case of sever SPD that, late in my pregnancy, has gotten so bad that I’m in agony if I’m not lying down, and still in a lot of pain when lying down. Even with the SPD, I will “suffer” the pain rather than get induced. We expect mothers to sacrifice for their children, but are surprised when they do it starting with labor? Huh?
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Sarah Reply:
November 1st, 2011 at 2:14 pm (Quote)
Exactly what I was going to say. I’m 36 weeks, have SPD, even normal day-to-day walking around hurts. I am very uncomfortable. But I am not suffering.
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jenni Reply:
November 1st, 2011 at 4:34 pm (Quote)
With my first, i was only a little uncomfortable. just a little. second was a different story…. and i still waited until he was done at 39.5 weeks without even considering induction.
Suffering was when i had a rib out of place at 22 weeks with my first. suffering was when they told me not to push while i was in the tub… and for some silly reason i listened. heck, i wouldnt even consider the rest of labor suffering.
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We got one like this from the ‘good’ ped in town that ‘allows’ you to slow down vaccinations to a couple a month instead of doing the big five or six drug cocktails every two months. “If you want to stick him more often and let him suffer more that’s fine with me.” Yep… that’s why we are doing this. Hurt him as much as possible.
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Ooh, let’s break it down!
“If you want to refuse an induction and suffer longer, it’s up to you.”
Technique one: shifting the burden to the mother by implying an induction is the natural state of affairs, which she has to actively “refuse.” Creates the illusion of an uphill climb.
Technique One-A: the “if you want to” implies that it’s the mother’s whim rather than a necessity. It makes the mother seem frivolous.
Technique two: “suffer longer” implies that the mother is already suffering, especially if the doctor started the appointment by asking her about physical discomforts, and then puts the mother into the position of either saying her previous statements were lies/exaggeration or conceding that she’s suffering.
Also implies the suffering is pointless.
Technique three: “it’s up to you” again puts the burden back on the mother but this time implies denial of sympathy or support from the doctor. This is designed to leave the mother feeling alone and defenseless.
The combination of this all is designed to get the mother to give in to the doctor in order to prove she’s not a creature of whimsy and she wasn’t just complaining about nothing.
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Do some doctors really consider themselves heroes when they spare a woman from ordinary discomforts?
And then when we say, “No, that’s fine, I’ll {remain pregnant}{deal with the contractions}{tear rather than have an episiotomy}” do we somehow call into question their very reason to be? I don’t see any other reason for doctors to hit below the belt on the induction issue as often as we hear about on this site.
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Toni Reply:
November 1st, 2011 at 9:26 am (Quote)
Thank you for pointing all this out! I recently switched practices (to one with CNMs)because at my 8 w appt, when i asked how my doc handles pregnancy beyond the due date (relevent to me since I’ve gone 42 weeks twice now, first was induced, second spontaneous, so I know I’m pretty likely to go past 40 weeks) she told me (geez, I should submit it here, lol):
“I prefer to induce at 40 weeks. If everything is going well and you are still comfortable I can give you until 41.”
First, YIKES – if she induces at 40 weeks routinely that puts her induction rate in the neighborhood of 50% (+), most of those with absolutely no medical reason.
Second – 41 weeks should be a decision point, not a deadline. I’m totally cool with doing tests of fetal wellbeing at that point and, if everything is looking good, I should be able to continue the pregnancy up to 42 weeks (after that I do prefer to induce as I’m not comfortable with the increased risk; this of course assumes a fairly accurate EDD, which I’ve had all three times).
Third – and the part that I knew made me cringe and your post helped me figure out why, lol, what is this “if you’re still comfortable” crap? I mean, this was said to an 8 weeker, who was suffering from 24/7 nausea…. what? I’m not suffering right now? Second, the implication seemed to be that SHE would “decide” whether or not I was “still comfortable”. What kind of crap is that? So I guess I’m seeing the psychology behind framing things that way. Pretty underhanded. I am more and more glad that I’m switching…. Hope the new practice is better (see them in acouple days).
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Dreamy Reply:
November 1st, 2011 at 11:35 am (Quote)
Jane, what is the name of that book you have named here 1000 times? LOL… Or books, plural? At least one about how people play these semantic/negotiating games to manipulate others… I really need to pick it up.
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pit is absolute hell!! if you dont absolutely have to have it for real health reasons dont get it! i had pit with my second and i hope never again. one minute contractions coming every minute or two that were 1000 times worse than my natural labor.
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Sheva Reply:
November 1st, 2011 at 12:45 pm (Quote)
I totally agree. 2 inductions here – not sure either one was necessary.
Contractions lasting over two minutes, peaking twice, and less than a minute in between. And the pain never went back to zero so I was in constant pain. And they kept raising it every 20 minutes, and offered an epidural at least that often, too.
Nightmare. I’d rather be pregnant for 2 years than go through that again.
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By 36 weeks with my 4th I WAS miserable, and suffering with excruciating back and hip pain. I hadn’t been able to lay down to sleep in 6 weeks.
There was no comfortable position whether sitting, sleeping or standing.
BUT, you know what? I persevered on and went into labor (almost 32 hours) on my own, and had my baby at home.
It’s MY pregnancy, MY baby and I’ll do whatever it is I have to do, and endure whatever I have to endure to get her here on HER time frame, not mine.
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For some women, it is suffering. For most, it’s discomfort.
But all that aside, even if I’m actually suffering, IF the state I’m in is at all tolerable for some period of time, I’d rather suffer something that will not cause any permanent damage and which has an endpoint than suffer something that could have serious long-term consequences for both me AND my child. Not to mention which usually (usually) causes greater suffering during its administration than the suffering I am already experiencing.
It’s like at the end of my last marathon. I knew I was going to finish, and I was not-surprisingly in a fair bit of pain, but I also recognized it as lactic acid pain/fatigue and not an injury. I wouldn’t say I was “suffering,” as I had chosen the situation, had worked through worse, knew I wasn’t permanently harming myself and was in no imminent danger. Because the weather was bad (among other extenuating circumstances), I knew I wasn’t going to finish with the time I wanted. I had gotten sick or hurt (but still finished) my other two marathons, so I decided I was happy enough to finish without feeling like total h3ll (I guess it’s relative, LOL) and I made a conscious choice to slow down. I knew if I slowed down, I’d still set a personal record, I’d actually somewhat enjoy the rest of the race, and I wouldn’t likely be risking injury.
If someone had come to me then, at mile 19, and told me I could finish much faster if I went out as hard as I could possibly go– you know, to get my “suffering” over with (and sure, I was in some pain, and extremely tired)… I would have told them to bite me. Why would I trade another 100 minutes of pain and discomfort (yet with some enjoyment, and being 99% certain I’d finish without injury) for 85 minutes of sheer torture and a MUCH greater chance of getting ill or injured? For what? 15 minutes off my time? I was hardly going to qualify for the Olympic trials anyway.
I remember saying to my mom, when I was much younger, that at least her pitocin-induced labor with my brother (9 hours) was shorter than her natural labor with me (12 hours). She looked at me like I was an idiot, LOL.
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High-handed condescension aside, this neatly encapulates an unexamined assumption underlying much of U.S. obstetrical practice: Pregnancy and labor are bad (if not bad now, then perpetually about to go bad) and anything the doctor does to force pregnancy and labor into acceptable guidelines is good, because at its heart the doctor’s attendance at a labor is an act of rescue. Therefore, the side effects of pitocin use in a shared mother-fetus system that has not ripened sufficiently for labor to begin are not worth mentioning. The doctor delivers the baby, who is not permanently impaired and therefore healthy–never mind the probable stay in the NICU or the additional interventions that will most likely be needed to get the baby out at all because labor wasn’t supposed to start yet. And the pain of artificially induced labor is nothing compare to the suffering of not being delivered of the bad thing, the pregnancy. Anyway there are drugs for that.
Here’s a labor and pre-labor maneuver that all OBs should learn: Put your hands behind you, then sit down firmly but gently on a chair.
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I went to 42 weeks with my first and 41 and a half with my second, and I got a little tired of all the remarks made with pity toward me! “You’re still pregnant? Oh, are you doing okay?” “Your doctors are letting you go this long?” “Aren’t you going to be induced??” Like being pregnant is some terrible thing that women have to go through to get the baby at the end. I have to say, I was perfectly comfortable all the way to the end, which I realize not everyone experiences. I still think you shouldn’t pity a pregnant woman, but applaud her strength even when extremely uncomfortable. Mothering starts before they’re even born!
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Renai Reply:
November 2nd, 2011 at 7:29 pm (Quote)
My now 10 month old went to 41.3 weeks. I finally had my canned responses down:
“You’re still pregnant? Oh, are you doing okay?” Yep!
“Your doctors are letting you go this long?” It’s not up to the doctors, it’s up to the baby. Besides, I have a midwife
“Aren’t you going to be induced??” Oh goodness no! I don’t want that risk- especially since this is a vbac!
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I disagree with any doc trying to push induction on a mother who doesn’t need it and I will say being induced turned my pain free early contractions into immediate pain, but I, in general, had the opposite experience to most people. My labour I’d do again without an issues, despite pictocin (and I refused to have an epidural). Infact, my labour was no where near as bad as I expected. From the beginning of the process to my waters breaking I was moving around and not on monitors. It was only after my waters broke and I needed gas and air that I was bed-bound.
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Oh, so close, doc, but I’m afraid you don’t qualify for Thoughtful Thursday. If you had just left out the “and suffer longer” you might have been acceptable…
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