What’s the standard protocol regarding inductions for AMA these days?

[Anonymous]

Anonymous wrote:OP here. Thanks all for sharing. If you opt for induction due to general AMA as opposed to a specific risk/identified issue, is the protocol to get epidural before all else? There was an earlier thread on here about elective inductions, and some responses mentioned epidural before Cervadil/Pitocin, others seemed like they had to start the induction and only get epidural after cervix was dilated enough. One of pros of induction would be minimizing pain - I'd want the epidural first thing before anything is jammed up there.

If anyone had a similar induction recently at Sibley I'd love to hear your experience of how it went!

If you’re induced, the pain on pitocin becomes excruciating once your water breaks. Do NOT let them break your water without the epidural first.

[Anonymous]

I’m 35 and my OB let me induce at 39 weeks due to AMA, but it was my choice. My practice does not induce earlier for AMA alone.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here. Thanks all for sharing. If you opt for induction due to general AMA as opposed to a specific risk/identified issue, is the protocol to get epidural before all else? There was an earlier thread on here about elective inductions, and some responses mentioned epidural before Cervadil/Pitocin, others seemed like they had to start the induction and only get epidural after cervix was dilated enough. One of pros of induction would be minimizing pain - I'd want the epidural first thing before anything is jammed up there.

If anyone had a similar induction recently at Sibley I'd love to hear your experience of how it went!

If you’re induced, the pain on pitocin becomes excruciating once your water breaks. Do NOT let them break your water without the epidural first.

When I delivered two weeks ago, they gave me an epidural at the same time as the pitocin. It was great!

[Anonymous]

Anonymous wrote:OP here. Thanks all for sharing. If you opt for induction due to general AMA as opposed to a specific risk/identified issue, is the protocol to get epidural before all else? There was an earlier thread on here about elective inductions, and some responses mentioned epidural before Cervadil/Pitocin, others seemed like they had to start the induction and only get epidural after cervix was dilated enough. One of pros of induction would be minimizing pain - I'd want the epidural first thing before anything is jammed up there.

If anyone had a similar induction recently at Sibley I'd love to hear your experience of how it went!

Every doctor is going to be different. Some want 4cm dilated before they will do the epidural. That would be the advantage of picking your induction day for the doctor who will support your plan

I had pitocin no epidural for premature rupture of membranes. Not gonna lie, I ate s--- for 10 hours but I got through it. It even felt good to push.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP here. Thanks all for sharing. If you opt for induction due to general AMA as opposed to a specific risk/identified issue, is the protocol to get epidural before all else? There was an earlier thread on here about elective inductions, and some responses mentioned epidural before Cervadil/Pitocin, others seemed like they had to start the induction and only get epidural after cervix was dilated enough. One of pros of induction would be minimizing pain - I'd want the epidural first thing before anything is jammed up there.

If anyone had a similar induction recently at Sibley I'd love to hear your experience of how it went!

If you’re induced, the pain on pitocin becomes excruciating once your water breaks. Do NOT let them break your water without the epidural first.

When I delivered two weeks ago, they gave me an epidural at the same time as the pitocin. It was great!

That’s good. My nurses tried to convince me to wait/delay epidural with my first induction. Then when I really needed the epidural, it was 40 minutes of agony while they ran the IV fluids and summoned the anesthesiologist. I was so annoyed they hadn’t run the fluids beforehand. When I had my second, the doctor wanted to break my water and I said not til I get the epidural. Doctor was annoyed at me but I didn’t care. 40 minutes later I was ready to go, dr broke water and I had a lovely and painless delivery.

[Anonymous]

Thanks for all these tips! Seems like one of the benefits of elective induction is hopefully you can minimize pain and get the epidural early, even before any contractions. With my last baby there was a very painful wait of over an hour while they ran labs and the anesthesiologist finished up with the queue, when I was already over 6 cm.

[Anonymous]

I had pitocin but no pain meds for my first (due to a messed up series of events), and it was absolute HELL. You'll want to carefully discuss the order and timing of meds if you're induced.

[Anonymous]

Or just naturally wait for labor to start…?

[Anonymous]

15 years ago they were offered at 39 weeks. Currently they are also offered at 39 weeks.