I'm a student nurse and have a question that relates to me and my family personally.
My aunt is currently in labor with her first child. Her due date was last week and the doctor said that if she did not start labor by 11:00PM last night (Memorial Day) she was to be admitted to be induced at that time because they felt the baby was growing too big.
Now, this got me thinking, as medical things are oft to do to nursing students, but I was wondering how labor inductions are scheduled at your facility. I thought it was odd that they would want her to come in at 11:00PM on a holiday. On the plus side, I guess if she starts laboring in the middle of the night hopefully she'll have the baby on day shift when there are more nurses and doc's around and also it will no longer be the Memorial Day Holiday.
But, I also don't like the idea that she or any woman has to "purposefully" go through labor through the night and early morning.
After being given drugs she started contractions at 1:00AM this morning. The contractions were coming very close together, every couple minutes, but per my grandmother they have now slowed down and still no baby yet as of noon today (Tuesday).
Anyway, just wondering how things are done where you live.
May 27, '03
Not knowing the specifics, it's hard to say weather or not induction was indicated. It's common for people to be induced when they are past their due date. Usually the concern is not the size of the baby but the function of the placenta.
Placentas are meant to work for 40 weeks. 42 weeks is about the longest most docs will let a pregnancy go. There is of course debate about this. Some say that post dates aren't a good reason to induce, but standard of care sees it as prudent to induce past 40 weeks and before 42. However, its hard to say if this is the reason your aunt is being induced without knowing her actual due date.
Going in last night, starting contx at 1 am and not delivering yet sounds normal to me. Where I work we start people out with cytotec q 4 hours times 3 and then start pit 4 hours after the last cytotec so the initial process take 16 hours in most cases. Having contx for several hours without a baby is fine. labor is defined by cervical dilation not contx. We only become concerned if the contx are a minute or less apart or if they are lasting more then 90 seconds.
It's hard to be in the hospital with nothing else to think about other then contx so it probably seems like they are coming more often then they really are.
I hope she delivers soon and wish the best for her and her baby
Last edit by Dayray on May 27, '03