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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:

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.

What about Due Dates?

While early ultrasound can be a good indicator for dating weeks of gestation, it’s not an indicator of how many weeks needed to gestate.

A lot of moms are being told things like “Your placenta is starting to shut down” or “your baby is too big” and while these sound legitimate, they often are not backed up by science. Ultrasound is often off by as much as 2 pounds and 2 weeks, especially later in pregnancy!

While ten pounds sounds big and late sounds scary, these two things are grounds for you doing more research, not required induction.

What Your Baby Really Needs

Things You Need to Have For A New Baby:

  1. Car Seat (infant and/or convertible) is required now to leave a hospital and you will need one no matter where you take your baby that first time if you have a homebirth.
  2. Diapers. Even if you plan to do EC (WHAT is that?) a few diapers may become necessary for family events, funerals, weddings, if someone who doesn’t know your baby as well needs to babysit for a bit. Have a few cloth diapers on hand even if you disposable diaper because you never know when a growth spurt is going to change a size or baby will go through your last ten in one day just for fun! Many moms are converting to cloth due to ease of use, cuteness of baby behind in patterns and cost effectiveness. You may want to do the math of how much disposable diapers will run you for 2-4 years!
  3. Carrier. You may think you want to lug around a car seat carrier but seriously consider some sort of baby wrap or baby wearing carrier (Here are some suggestions!) for convenience, comfort, and closeness! It will save your knees from a hard carrier, your shoulders from the strain of carrying a heavy carrier and baby, too and your sanity as your baby is always nearby but you are hands-free!
  4. Clothes. What kind of clothes does a baby really need? Ultimately, consider the time of year and climate where you live. A Florida baby may need four washable onesies during July while a Michigan baby may need a lot more coverage in January. While babies go through clothing fast sometimes (nothing says “change me” like a breastfed baby blow-out on a diaper!)

So, are there things we HEAR we will need that we won’t, really?

  • Diaper Pail, Diaper Genie…yeah, no real need there. Cloth diapers can be tossed in with your normal wash and disposables tossed in a trash can, no need to create an indestructible diaper sausage. If you want one, go for it. Parenting is about choices.
  • Breast Pump and Bottles. Wait, what? Breastfeeding is important! Yes, it is. Pumping, however, usually isn’t. Almost moms can learn to effectively hand express despite worrying that they won’t be able to, which would solve many moms’ worries about having breastmilk on hand if they are unavailable. I recommend really sitting down and considering what you will be using a breast pump for and how often before making the hefty decision to buy one, even if insurance covers it. If you are buying a decent breast pump, it will cost some money but be worth it. Beware those cheap pumps put out by bottle manufacturers! If you do go for pumping and buy bottles, consider glass. It’s tough, it doesn’t hold as many germs, it doesn’t reduce the nutrients in the milk and it won’t leech chemicals into your milk if you freeze, refrigerate or heat it.