Considering Induction? Things to Consider

This post is meant to be a launching point for women  to look at what an induction might mean for them, personally.

  • Do you know your Bishop’s Score?
  • Why are you being induced?
  • Does your provider induce “everyone” at 39-40-41 weeks? What is their induction rate? Their cesarean rate? What is their justification for induction or for recommending induction for you?
  • If an induction is indicated, are they planning a ‘slow’ induction? If so, is there truly an indication for induction?
  • What methods are they planning on using? Have you been given written informed decision-making on these medications or methods, their potential side effects or risks?
  • Is “stripping your membranes” induction? Yes, it is. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163659/
  • Is using castor oil, or other herbs, induction? Yes, it is.
  • Inductions increase the cesarean rate. If you are accepting an induction, you are accepting the risk of cesarean. (Note: A recent study claims that cesarean rates are not increased, however, the study has intense flaws because women in the induction AND the non-induction groups were induced and augmented indiscriminately. There was no control group. See more here: https://www.scienceandsensibility.org/p/bl/et/blogid=2&blogaid=786)

 

Other considerations:

Pumping? Bag tips here!

For a year, my daughter pumped over 100 gallons for a surrogate baby.

Here’s her review of some well-known breastmilk storage bags. While bags may change, this still gives you some basic tips of what to look for or what you do/don’t want when storing!

Post Edited to Add:

Honeysuckle bags were not available as of 2/24/2018, the company website is no longer responsive. Other bag companies have adopted their style, however.

What to Drink during Labor?

Looking for what to drink during labor?

  • Water!
  • Avoid broths that have heavy fat content
  • Electrolytes!
    • Homemade lemonade or limeade with sugar or stevia
    • coconut water with orange juice to cut the taste (Thanks for the tip, Elizabeth!)
    • Here are some laboraide recipes to help keep your fluid intake balanced even if you can’t keep food down. Remember, these are safe for pregnancy, labor, birth, postpartum, breastfeeding!

Constipation and Diarrhea: Discomforts in Pregnancy

Pregnancy changes how your body uses some nutrients and it can slow how your body works.

Some simple solutions for constipation include:

  • Drinking enough water. 2-3 quarts per day is recommended, or half your body weight in ounces. (ex: you weigh 142, drink at least 71 ounces a day)
  • Drinking electrolytes. You can make your own (check out our laboraide recipe post)
  • Calcium/Magnesium supplements. Many people find that magnesium helps them become more regular.
  • Blueberries or prunes. You can eat them or drink the juice but be careful and start off slowly. The effect can be severe if you overdo!

Some simple solutions for diarrhea include:

  • Stay hydrated. Make sure you are drinking enough water. Some diarrhea is viral or bacteria so you need to maintain enough fluids and electrolytes to help your body fight them off.
  • Reducing calcium/magnesium if you are taking them. If you are taking magnesium daily, you may need to cut back until your stools are just soft.

 

Washington State Newborn Screening

http://sboh.wa.gov/OurWork/PastProjects/NewbornScreeningCriteria

Newborn Screening Criteria :: Washington State Board of Health

Newborn Screening

Newborn infants in Washington State are screened for treatable disorders that can threaten their health or well-being.

Chapter 70.83 RCW authorizes the Board to determine the list of disorders, in addition to phenylketonuria (PKU), which is required by law, that must be screened for in newborns. Medical and technological advances have made it feasible to screen newborns for an increasing number of disorders. Adding disorders to the panel further prevents illness and death through early detection and treatment of affected newborns.

RCW 70.83.020: Screening tests of newborn infants.

70.83.010  <<  70.83.020 >>   70.83.023

RCW 70.83.020

Screening tests of newborn infants.

(1) It shall be the duty of the department of health to require screening tests of all newborn infants born in any setting. Each hospital or health care provider attending a birth outside of a hospital shall collect and submit a sample blood specimen for all newborns no more than forty-eight hours following birth. The department of health shall conduct screening tests of samples for the detection of phenylketonuria and other heritable or metabolic disorders leading to intellectual disabilities or physical defects as defined by the state board of health: PROVIDED, That no such tests shall be given to any newborn infant whose parents or guardian object thereto on the grounds that such tests conflict with their religious tenets and practices.
(2) The sample required in subsection (1) of this section must be received by the department [of health] within seventy-two hours of the collection of the sample, excluding any day that the Washington state public health laboratory is closed.
NOTES:
Purpose—2010 c 94: See note following RCW 44.04.280.

Creating A Birth Plan That Works For You!

The most important thing to remember about a birth plan is that it is not to inform your provider about your wishes, it’s for you to inform yourself and your process.

You see, only you can decide what priority each item has on your birth plan and how you far you are willing to advocate for yourself or your new baby. Only you know which battles to pick.

If your birth plan degrades to fighting every item with your provider once presented, remember that they cannot say no to something you decline in labor. Only you can consent or decline a procedure. This is important.

Equally important is to realize that fighting at every stage of labor is hard. It takes your focus off your labor, your baby and adds stress hormones. If you are already having to fight prenatally to get even a chance at what you want, this is a sign to shop around for a new provider, get more support for labor and/or really advocate for yourself prenatally.  This is vital if you want your expectations and needs to even come close to meeting the outcome you wind up with. Even if you are the strongest person willing to fight like a wildcat, fighting your entire labor is not the sign of a healthy client-care provider relationship.

Some good things to remember when designing your birth plan are:

  • What is an IV? A heplock?
  • Does your birthing location have waterbirth or water for labor?

(stay tuned for updates! This post is not complete!)