Anyone induced and have a pain med free birth? Is that even possible?
Anyone induced and have a pain med free birth? Is that even possible?
pea / 22 posts
Hey @Lindsayinny I did! Induction was started at 10am with a propress pessary (was 1cm and relatively well effaced) and we were allowed to go home. Contractions started 6pm and waters broke at 8. Baby born 1.20am with paracetamol. I don't know if propress is routinely used in the US but in the UK it's very common. They usually give you 24 hours with it before moving on to breaking your waters and / or starting the pitocin
grapefruit / 4770 posts
I was given the option to have or not have an epidural with induction. But, cytotec is a medicine that was definitely used with mine as well as pitocin. I wasn't given the option not to have those.
kiwi / 656 posts
If you mean pain med free, then yes, I did. They used cervidil and pitocin to induce me, though. I had a med free spontaneous labor the first time around, and was induced for IUGR the second time. They said since I had delivered vaginally before, there was a good chance my body would remember what to do once prompted. That’s how it happened for me and my labor felt very similar to my first. I didn’t require a ton of pitocin though. I had been open to an epidural once I knew I was going to need pitocin, but by the time I would have even wanted it, I knew I was almost done and didn’t want to get it as I was pushing her out.
squash / 13199 posts
@LindsayInNY: oh ok yeah I have heard of people being induced amd not taking an epidural. In my case my induction failed so I didn't get to find out if I could do it without an epi
nectarine / 2431 posts
@LindsayInNY: Yes! I had an epidural free induction 3 months ago.
http://boards.hellobee.com/topic/my-accidental-epidural-free-induction
cantaloupe / 6086 posts
It’s possible! My care team was really understanding about my wishes for that. We tried cytotec first, didn’t work, so we agreed to try breaking my water and that did it (next step would have been pit if needed). I did end up with an epi but that was my choice because I also had shingles and was too exhausted. After my water broke it felt (intensity wise) similar to my two other med free births.
pear / 1648 posts
I tried both times and don't recommend it. My OB pushed me to get the epi before breaking my waters with each birth and I declined. However, particularly with DD2, the contractions after water breaking (with Pitocin) were so strong and constant I literally thought I was dying. It was actually fairly serious because they were so strong and constant they made DD2's heart rate drop and they had to turn off the pit and give me a terbutaline shot to stop the contractions so DD2 could handle it. By the time I knew I *needed* the epi, I couldn't sit to have it placed. We eventually got it placed, but our room was full of doctors and nurses trying to handle the situation and it was really scary.
On the other hand, my epi with DD1 never really worked well so I guess that was kind of a "pain med free" birth? But I didn't fully realize it at the time. I could feel everything including when they were stitching me up.
Anyway, I guess I'd just see how you do and be open to suggestions from the doctors/nurses.
persimmon / 1467 posts
Yes, it's possible. I did it. I highly DO NOT recommend it. I did it because I was afraid of the needle in my spine. For my second birth I was more afraid of the pain and screaming for hours than I was of the needle and it was an amazing birth with an epidural.
pomegranate / 3895 posts
I was induced and got to 6 or 7 cms (can't remember) without the epidural. Not the same thing, obviously, since I didn't go through transition or anything... but just thought I'd give some you encouragement. I had always intended on getting the epidural so it wasn't like the pain was just unbearable at that point... it just seemed like if I was planning on doing it why not get one before it was too late. I know people who have done it and if it's important to you I'm sure you can accomplish!
bananas / 9229 posts
@CatchAFallingStar: It’s always been part of my birth “plan.” I took Bradley classes and had DD unmedicated. Planned on the same with this one but TBD when he/she will come out!
nectarine / 2436 posts
Yes with some caveats. I had pPROM at 36w4d so technically my labor started naturally. I arrived at the hospital at 1.5 centimeters with absolutely nothing happening, not even a twinge of contraction. 2 cervadil and 4 hours later I was 9.5 cm. No time for so much as an ibuprofen. 15 pushes and he (literally) flew out.
He was 5lb12oz so it wasn't hard. My recovery was like 10 minutes and it was an absolutely wonderful experience. I definitely hope to go med free again. But son #1s birth was a unicorn experience.
Fwiw, my midwife said when you start labor naturally (even pprom) the cervidil tends to be more effective rather than just kind of forcing the baby out when not ready.
nectarine / 2028 posts
@LindsayInNY: I don't have personal experience with this-my first baby ended up a c-section after I failed to progress past 2 in 28 hours and got an in-uterine infection and his cord collapsed... BUT you can do it! I think going into it planning to go med-free is awesome, and you'll do whatever feels best for you and baby. Others here have done it and you can, to! Cannot wait to hear about your sweet new addition.
nectarine / 2028 posts
@CatchAFallingStar: I think it'd help if we empower her during a time like this! You've had a number of posts where you've expressed anxieties about parenting and found, I think, a lot of support when you needed it. Let's lift her up!
nectarine / 2808 posts
@ChiCalGoBee: I didn’t mean it like that. I was being silly.
nectarine / 2808 posts
I thought I wanted to go med-free with my first and it was awful! I finally had an epidural and wondered why I wanted to NOT have that relief. I still felt both babies come out (also had an epidural with my second) and there were no side effects. I totally understand that some mommies don’t want the drugs and I support it. I was being silly, just pointing out that if we can mask the pain, why not?!
clementine / 828 posts
I had an epidural with my induction, as I did with a previous birth, but I think it would have been doable. I did not get it until 8 cm, partly because I was progressing rapidly after my water was broken. If I waited another hour I would have missed my window. If movement was a significant part of my pain management, I might have had trouble, because I needed continuous monitoring on pitocin, and every time I moved the baby would move and they would lose his heartbeat (he also moved when I stayed still, and I needed the pitocin turned down because of this at one point, he was very active during labor).
pomegranate / 3601 posts
@LindsayInNY: Well I kind of did but I was already in labor: With the twins twin A’s water broke and I had contractions but they were mild. So they started me on pictocin and they were out within minutes. I was so so so scared of the pain but really it wasn’t too bad for me at all but I am so thankful that the midwife agreed to just see what the lowest dose possible will do and thankfully it was enough for me. The pain from the contractions wasn’t worse than the transition and pushing contractions that I had had with my first and second. I didn’t have pain meds with any of my births.
I mean maybe you can try to go unmediated and if it is too bad they can still turn the pit. down and get you the epidural before they turn it back up.
persimmon / 1390 posts
A med-free birth is a wonderful goal, and my only words of wisdom would be to prepare yourself in every way so you are not disappointed by what your labor ends up looking like. I know several women (all first-timers) who were very gung-ho about having med-free births, and when they ended up getting epidurals or c-sections they were really hung up on not having the birth they envisioned, so much so that it clouded their enjoyment of their newborns. So prepare yourself as much as possible for the birth you want to have, but give yourself grace if it doesn't go as planned.
pomegranate / 3045 posts
Thanks, @ChiCalGoBee: !
Yep, I had a pain med-free induction for my first, and one of the main things that helped carry me through labor was that I had talked to a collleague who had a pain-med-free induction, also! So I’m hoping this will give you some strength and empowerment as you go into labor. You can do it.
I was induced on my due date for concerns about platelets and highish blood-pressure/worries about pre-eclampsia. I started at around 1-2cm, 50%, -1 station. They inserted a foley bulb around 2:15. They started pitocin around 5:15pm. Due to the high blood pressure and pitocin, I had to be hooked up to an iv and constant fetal monitoring, which I really didn't want. I still tried to walk around the hospital a lot, though, and just dragged all the monitors and stuff with me.
My first son was born at 11:29pm, so it was quick for a first labor, especially an induced one. I read a bunch of the Bradley books, and, since you took the classes and had your DD pain med-free, you have a good idea of what to expect.
Good luck!! and please feel free to message me if you have more questions or need more encouragement. Good luck!
bananas / 9229 posts
@Becky: I had one for my daughter so I know I can but also realistic because every labor and baby is different.
persimmon / 1345 posts
So I had an unmedicated natural birth with my second (happened to be a vbac). With my 3rd, I was put on the lowest dosage of pitocin possible to get my labor started when DD2 was slow to come out at 41 weeks. I was already 5cm when I was induced so my doctor was convinced I only needed a little push.
Man, natural labor was so much less painful. The pitocin cramp was crazy and I asked for an epidural around 8cm. As soon as epidural was completed, I had progressed to 10 and ready to push. I'm so grateful that the epidural was in place bc she was facing up and had a hard time descending. The doctor had to get her out using forceps (ouch) and she ended up being 9lbs 3oz (double ouch). I also ended up with a 3rd degree tear and internal tearing which required quite a bit of time to stitch up. Again, so grateful that the epidural was in place otherwise I would have felt all that
persimmon / 1196 posts
My water broke naturally, but my labor did not progress much beyond that, so they started me on Pitocin several hours later, and had me up to a pretty high dose before too long. I was very committed to a pain med-free birth (I don't take any kind of pain medication in my day-to-day life, and have some anxiety about being numbed), and I made it! That said, transition was excruciating (mainly because I didn't know that's what was happening), and I would have given in to the epidural had I not been ready to push. Pushing was not that bad, but I have a very high tolerance for productive pain. It was only about 5-6 hours from starting Pitocin to holding LO.
pear / 1992 posts
So, I had an unmedicated hospital birth with my first and planned for an unmedicated birth center birth this time. I ended up having a hospital birth with pitocin and an epidural due to a combination of necessities and my own choices.
One necessity was that because there was meconium in my waters when they broke I was always going to have a hospital birth and be on continuous monitoring. The limited movement was really difficult for me both in feeling like I could get around and stay active encouraging progress and just a general annoyance with the wires and cords and IV. The meconium also meant I would have continuous IV fluids (vs. just getting my antibiotics for GBS and then taking the line out to let me move better). The IV placement was literally the most uncomfortable/painful part of my whole childbirth experience due to the positioning - I ended up unable to bend my left wrist with it in and it was torture. That wouldn’t have made a difference as far as having a line or not but it was hard to lean on my partner, move myself around, grab onto things, and support myself with that hand/arm in general.
One choice I made was to skip cytotec and opt for pitocin when I needed augmentation to get my contractions more regular and my cervix more dilated. If I’d had cytotec it’s possible my contractions would have progressed the same as they would without augmentation as far as the build up and intensity, more similarly to my last birth with no pain meds. However because of the meconium I didn’t want to “wait” to see if cytotec would work how we wanted only to end up with pitocin anyway if it did not. Time was a big factor during my labor, and with already being on the continuous monitoring pitocin was the better choice for me and trying to ensure a vaginal birth.
I was on a low dose of pitocin the whole time (2 and then 4 - I think that’s pretty low?) and I think I could have made it pain med free if I’d had better freedom of movement and more “time”. Once I had the epidural I was complete within an hour and pushed for about 15 minutes - a lot less time than my first.
Some bonuses to the epidural I didn’t expect: I was actually laughing from joy when she was crowning which was very different from my first! Another bonus was that I had a lot less discomfort during repair of my second degree tear - I had the same last time and it was really uncomfortable/painful while trying to have skin to skin.
Sending you all the good vibes for a smooth delivery however it ends up and that you get to meet your baby so soon!
grapefruit / 4361 posts
Lo1's induced labor at 41+1 was a horrible hellish place of pain for 24 hours where I spent like 6 hours in transition and was totally wiped out and in another mental world when I finally met baby.
Lo2 was naturally started at 39 wks but augmented to move things along ( Water was broken for 6 hours with no progress) horrible experience for 8 hours until I got the epidural and then everything Was beautiful and peaceful and nothing hurt and I slept and I just got more and more excited to meet the baby and all I have is blissful memories of excitement and joy. When she was crowning, I yelled joyfully that there was a baby in my vagina but it didn't hurt.
Induced with cytotec, then pitocin, with water broken the entire time for both.
Real talk, I feel bad for all the women that turn down epidurals. Honestly. No need for self-flagellation or martyrdom.
bananas / 9229 posts
@lindseykaye: I was hoping to hear your experience since I knew you were kinda in a similar boat!!
bananas / 9229 posts
@DesertDreams88: There are often actual reasons people turn down epidurals. I’m not looking for a badge or award by doing so.
nectarine / 2288 posts
@DesertDreams88: I'm going without an epi this time because I don't like any of the hospital options near me and want to give birth in water (which the hospital won't allow) I also have a heart condition that could be retriggered by the major drop in blood pressure the epi can cause. So no award here, just feel it's best for me and baby
kiwi / 745 posts
I had an induction delivery without epidural! If you’ve already had a vaginal delivery I would say you absolutely can, and while the contractions were painful they were manageable and I was happy with my experience. I was induced using cytotec and pitocin and they broke my water at 5cm and baby was out 90 minutes later.
cantaloupe / 6171 posts
I had two inductions and tried to go pain med free but with both, I ended up asking for the epi after about 12 hours of pitocin because by then I was done with wanting to move through the contractions and needed a break. W both, after I got the epi I was able to rest and then my body finished laboring down— w both I was still barely dilated when I got the epi, lo1 was only 37 weeks so totally happy to keep chilling even though medically she needed to come out, and the cord was partly wrapped around lo2’s head so she had been stuck. I was happy to have the chance to labor w/o the epi but I think my body needed the break, and I was still able to feel enough to push effectively when it was time (lo2 only took 5 mins of pushing!). I hope my stories aren’t discouraging— I actually love the way my births ended up even though I had wanted to avoid the epis. I felt empowered by being able to choose to get it only when I was really ready.
pomegranate / 3045 posts
@DesertDreams88: you don’t need to feel bad for me I didn’t go without an epi for self-flagellation or martyrdom, and I had a baby in my vagina and it didn’t hurt me, either. I went without an epi because I knew my body best, and I didn’t want any of the effects associated with epidurals. I did what was best for me and baby,just like you did!
@LindsayInNY: hope you’re hanging in there!!
watermelon / 14467 posts
@LindsayInNY: A good friend of mine had a pitocen induced birth without pain meds for her first and said that while it was painful, she was glad she did it.
@DesertDreams88: Wow. I chose med-free birth because I have a real fear of needles and didn’t want the epi unless i needed a c-section. Not because I wanted to be a martyr or for the head pats.
pear / 1930 posts
My second delivery was an induction, and whether or not I got an epidural was up to me. I went a lot longer without one (8cm vs 4cm) because the contraction pain was not nearly as bad. In fact I was told that if I wanted one I needed to get it soon or else risk not being able to get one.
honeydew / 7235 posts
@LindsayInNY: definitely possible!
I was induced with my second with cytotec. I was 40+10... I was only a little more than 1cm dilated... When I arrived at 7am I was having some contractions already. They placed the cytotec, I was monitored for an hour or two. Then they unhooked me, and I was free to walk around outside and go get lunch, etc....The walking helped the most to get things moving vs just lying there... I got back to my room and the contractions were getting worse and more painful, the room i was in had a big tub, so I was in the tub for the next 2-3 hours, the hot water really masked most of the pain.... My water broke while I was in the tub and I knew I was getting close so I ordered my epidural. I thought I might try to go med-free for a minute but I was freaked about how big the baby was going to be (he was 9lbs 6oz) and with my first I had to push for 4 hours. so I went for the epi... I delivered him maybe an hour and a half after getting the epi!!
Good luck - you can totally do it if that's what you want to do!
grapefruit / 4361 posts
@LindsayInNY: @MamaBear87: @theotherstark: @avivoca: I knew my opinion would be unpopular but we're all adult women who can handle disagreement. I stand by the fact that I don't understand when women needlessly inflict pain on themselves due to some misguided notion that a med-free birth is better or more admirable or more real or that "tough" women do it the "real" way without meds. That's why I used the words I did. I never spoke about women who have a medically contradicted reason like @MamaBear87: or the vague "actual reasons" @LindsayInNY: cited.
Maybe you missed it in my response, but I'll recap.
With both of my kids, my water was broken the whole time. One was natural, one was induced at 41+1. Both kids: My cervix only opened 0-1cm per hour, resulting in 20 & 24 hours for both L&Ds. Wanting to avoid a C-section (hospital policy after 24 horus of ruptured membranes), we used cytotec to move things along, then eventually pitocin - this was with BOTH kids.
An epidural was contraindicated with my first birth due to low platelets. I spent 6-8 hours in transition and the entire time I felt like a sharpened battering ram was slamming through my insides, or like there was a metal corset squeezing my uterus. I feel bad for anyone who puts themselves through that needlessly. My birth with LO2 after the epidural was absolute heaven. I was happy when birthing LO2, and in terror and agony with LO1.
I just don't understand anyone enjoying a med-free birth. That's all.
I believe HB can handle a spectrum of opinions.
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