The Seduction of Induction or the Wooing of the Pregnant Woman
I know, I know, you feel like you’ve been pregnant forever. You are uncomfortable, have trouble sleeping and haven’t been able to see your own vagina for months. People are making rude remarks (whether they think they are or not). Your back hurts, you pee when you blink, and your joints are so loose you feel like
Pregnant Wacky Waving Inflatable Arm Flailing Tube Man.
So, you are done and you want this baby out. I get it, I really do. I have so been there, it’s awful.
So when your doctor suggests a Pitocin induction you are ALL over it! You can have your body back and finally see your precious baby’s face? YOU are seduced.
Mmm,mmm, mmm hey idea of me being done with this pregnancy business, you are looking good!
You are super attracted to this idea.
Why wouldn’t you be? Good question, let’s explore that shall we?
I am reposting this blog that I wrote years ago and then again revisited at 41 weeks of my last pregnancy.
For me this was the longest I had ever been pregnant and I was feeling all kinds of empathy for anyone who ever considered being induced. If you are ,I encourage you to read this and watch the video below. You’ve gone this long whats another little stretch?
It’s Called Informed Consent
But I prefer to refer to it as informed choice.
According to the American Medical Association, Informed Consent
“is more than simply getting a patient to sign a written consent form. It is a process of communication between a patient and physician that results in the patient’s authorization or agreement to undergo a specific medical intervention. In the communications process, you, as the physician providing or performing the treatment and/or procedure (not a delegated representative), should disclose and discuss with your patient:
- The patient’s diagnosis, if known;
- The nature and purpose of a proposed treatment or procedure;
- The risks and benefits of a proposed treatment or procedure;
- Alternatives (regardless of their cost or the extent to which the treatment options are covered by health insurance);
- The risks and benefits of the alternative treatment or procedure; and
- The risks and benefits of not receiving or undergoing a treatment or procedure.
In turn, your patient should have an opportunity to ask questions to elicit a better understanding of the treatment or procedure, so that he or she can make an informed decision to proceed or to refuse a particular course of medical intervention. This communications process or a variation thereof, is both an ethical obligation and a legal requirement spelled out in statutes and case law in all 50 states.”-American Medical Association.
So if your doctor puts induction on the table and doesn’t let you know about the risks of induction have you been given informed consent? In case you are waiting for the answer…it’s no.
The Risks of Induction & Pitocin Use.
I’m just going to lay it out, the following information is from Drugs.com:
The following adverse reactions have been reported in the mother:
|Anaphylactic reaction||Premature ventricular contractions|
|Postpartum hemorrhage||Pelvic hematoma|
|Cardiac arrhythmia||Subarachnoid hemorrhage|
|Fatal afibrinogenemia||Hypertensive episodes|
|Nausea||Rupture of the uterus|
Excessive dosage or hypersensitivity to the drug may result in uterine hypertonicity, spasm, tetanic contraction, or rupture of the uterus.
The possibility of increased blood loss and afibrinogenemia should be kept in mind when administering the drug.
Severe water intoxication with convulsions and coma has occurred, associated with a slow oxytocin infusion over a 24-hour period. Maternal death due to oxytocin-induced water intoxication has been reported.
The following adverse reactions have been reported in the fetus or neonate:
|Due to induced uterine motility:||Due to use of oxytocin in the mother:|
|Bradycardia||Low Apgar scores at five minutes|
|Premature ventricular contractions and other arrhythmias||Neonatal jaundice|
|Permanent CNS or brain damage||Neonatal retinal hemorrhage|
|Neonatal seizures have been reported with the use of Pitocin.|
For medical advice about adverse reactions contact your medical professional. To report SUSPECTED ADVERSE REACTIONS, contact JHP at 1-866-923-2547 or MEDWATCH at 1-800-FDA-1088 (1-800-332-1088) or http://www.fda.gov/medwatch/.”
Lets Be Honest
If you are reading this and were (electively)induced, were you given all or any of this information? If you were given this information would you still have chosen to be induced?
Are you pregnant and want to know more? Insist on more information. If you don’t know what your rights and choices are, you don’t have any. Start with the video above and don’t be afraid to ask questions. Your baby will be in your arms soon, it’s never too soon to protect your baby just like you will when he’s lying in your arms.