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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here, yikes! Clearly I have a lot more research to do. I have a dr appointment on Thurs so I want to be prepared to discuss this.

PP- I am a FTM. According to the doctors, my contractions should naturally push the baby low enough so that I don't have to spend too much time pushing. It sounded a little strange to me too, but all three had the same suggestion, so it seemed like a common solution to me. [/quote]

I think what they are talking about is "laboring down" - with an epidural, instead of pushing after you are fully dilated, you can wait for your uterus to get the baby really low on its own.  Then you spend less time pushing.  This is what I did and ended up pushing only 20 mins or so!  But I don't think there's any guarantee that it will be such a short time to push. [/quote]

This was my experience with baby #1.  I was induced and started the epidural at 3 cms because I was in agony and another injectable painkiller they tried didn't work.  The injectable did make me sleepy, though, in part because I had checked in in the wee hours of the morning after no sleep (water had broken).  As soon as the epidural kicked in I went to sleep for five or six hours.  When I woke up I was fully dilated--probably had been for a while--and baby popped out after twenty minutes of pain-free pushing.

Second child was a bit smaller than the first but I pushed hard for about three hours.  I think the med team suspected that he had been stuck behind my pelvic bone.  I don't know if waiting longer between full dilation and the commencement of pushing would have helped, but I suspect so.  I recall that they needed to amend the lip of my cervix (or something like that) to open it fully, which makes me think maybe they rushed the process a bit.  I like your doc's go-slow strategy.

One other thought--What if the preexisting medical condition is activated during the twenty minutes of pushing?  Presumably you could still c-section at that point, but what would be the health risks to you associated with activation of the preexisting condition?[/quote]

Thanks for this. Glad to hear you went through this process and it turned out well. This is what I'm hoping/planning for. Good question about my condition. Since I haven't had complications from it so far, the doctors are willing to give this a try, but most women have to go straight to CS. They are confident that 15 minutes of pushing wouldn't cause damage, but the result could be primarily blindness or possibly neurological damage. They will monitor me throughout and if any minor symptoms crop up, we'll have to pull the plug on this plan. [/quote]

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