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KristiHuntington1368676938 KristiHuntington1368676938 2 years

If a pregnant woman is receiving medications to induce or augment labor, then CONTINUOUS fetal monitoring IS required, in almost all US healthcare facilities. Every time the woman changes position, the baby can come off the monitor.....if induction medicine is being given and the baby is not being adequately "traced" for 10 minutes or more, the nurse can lose his or her job....and possibly her license.

When a patient is obese, moves around a lot, if the baby is very active, there's too much amniotic fluid....or a million other possible can be extremely difficult to get the baby back onto the monitor after a position change. Most nurses caring for labor patients are responsible for the care of MULTIPLE patients, and cannot remain at the bedside, hand holding the monitors and adjusting them every time you or the baby moves. Some facilities have "portable" (aka cordless) monitors, where the baby can be monitored without the mom being attached to an immovable machine. Even with this technology, significant movement can hamper the ability for the baby to be continuously monitored.

During a low risk, non-induced or augmented labor, intermittent monitoring is possible.....this gives the laboring woman greater freedom to move around and change positions (which is CRUCIAL for comfort during labor). Her support people (including a doula) can more easily provide comfort measures. However, this will also depend upon the usual practice of your doctor (some doctors, under NO circumstance, will "allow" intermittent fetal monitoring....if this is something that is important to you, then you need to discuss your doctor's usual practice WELL BEFORE labor begins), the policies of the hospital or birthing center that you plan to utilize, as well as the comfort AND the experience of the nurse who is assigned to care for you.

As related to this article....many inductions are performed for reasons of "convenience" only. Before you agree to be induced because your doctor is going on vacation....or you aren't due for another week, have an unfavorable cervix, but are just really sick of being pregnant (aka....non-medical indications).....educate yourself and ASK QUESTIONS. Ask your physician his or her usual practice, and consider scheduling a meeting with the nurse manager of the maternity department of the hospital or birthing center that you are considering.

If induction becomes necessary because of health risks to you or your baby, then I'm sure most of us can agree that we would do whatever is necessary for a safe delivery. However, it is important to remember.....if the baby and the mom are comprised enough to require immediate delivery, continuous, uninterrupted monitoring of BOTH mom and baby will be essential.

However, if you are considering induction for NON MEDICAL reasons (which comprise the vast majority of inductions in the US), you MUST realize that more intervention will require more monitoring....which, in turn, will require greater restrictions....many of which will be unpleasant. Induction also significantly increases your risk for having a c-section. If these are not risks that you are willing to take for non-medical indications, then you may want to re-think being induced.

TaraPatenaude TaraPatenaude 2 years

Ha seriously some nurses have no tact. Women in labor need comfort, not to be belittled. I had the WORST nurse at first, told her to get the fk out of my room and send in someone else before I knocked her on her ass, and that she needed to go shower because her hair looked like it hadnt been washed in weeks. After I was discharged , I wrote a scathing letter to the Nurse Manager and got this turd fired. She was so rude, made comments about me being overweight, needing to make sure that my water broke and that I didnt just pee my pants. Ummm ya Im pretty sure the POP I felt that woke me up, then a gush, then clear liquid running down my legs at 2 am was not freaken urine. Some really need to learn what a bedside manner is!

Kim2590101 Kim2590101 5 years
 @2568248 As an OB nurse, I know that the US standard of care requires that a first trimester ultrasound be on the patient's chart prior to any voluntary induction.  In the first trimester all fetuses are about the same size, regardless of genetics.  In the second trimester, genetics take over and it is harder to determine a true estimated date of confinment (EDC). This is a good lists of things to consider when being induced.  Under induction, you must be monitored when receiving Pitocin which limits your freedom to labor in various positions.  So if you really want to follow your birth plan, you need to consider waiting for natural labor.  
2568248 2568248 5 years
I disagree with inducing over due dates or convenience, the model they used to make the formula they use to Estimate due dates is based on a 20 something first time mom, in perfect health, with a perfect 28 day menstrual cycle. How many of us fit that model? A more accurate method takes in your actual cycle length...if it can be established, your age, if this is your first or a more delivery. The due date can be up to a 10 days later then the due date most will give you, meaning if you are induced early you could actually be birthing a preemie.  
macgirl macgirl 8 years
That is an interesting article CG. I had pitocin with both births (wasn't in birth plan) and Epidural (which was in the birth plan). Births went as expected and bonded fine with both boys. I would love to see more statistics on there possibly being a pitocin link to autism by an unbiased (is anyone really unbiased these days?) research group.
LuvLeoDiCaprio LuvLeoDiCaprio 8 years
Thanks for the info caterpillar unfortunately some high risk women don't have a choice but to be induced so hopefully those side affects are rare.
CaterpillarGirl CaterpillarGirl 8 years
also know that Pitocen (an artificial hormone) , is known to cause fetal distress due to impaired uterine blood flow. It can also cause hematomas, seizures, uterine rupture and post partum hemorrhage. In many cases moms who are given pitocin have problems bonding with the child due to the drugs nature. There is also a link between Pitocin and the rise of Autism Please know what you are taking before deciding to induce.
iieee_grrl iieee_grrl 8 years
I was induced with both babies.. had no epidural on either. It wasn't as bad as people had described. I was allowed to walk around my room and change positions as I wanted. I think the key is talking to your doctor about your wishes and keeping an open mind. Both labors were beautiful!
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