As you likely know if you've been following along, we had our regular 38-week check on February 7. While everything continued to look good with me and baby, the doctor suggested making a plan for induction. I was progressing well and she feels that conditions are favorable. There is minimal additional benefit to keeping him in at this point, given that he's 38 weeks. Also, 38 weeks is generally the endpoint when pregnancy-induced hypertension is involved. So we weren't totally shocked when the conversation took this direction.
That being said, I had spent a lot of time thinking about how I felt about going this route. While I respect everyone's choices and experiences in this arena, I was never aiming for a low- or no-intervention birth. I did my research and am ok with hospitals, most drugs, epidurals, and the like. However, I also know that one intervention often leads to additional interventions, and I did not want to start myself down a road that might end in events (such as an unplanned c-section) that would leave me wondering if they would have been necessary otherwise.
We discussed this with the doctor, and I felt like she was on the same page as me. She said she would like to avoid a c-section if possible, and I don't feel like this is an induction of convenience or has any other reason beyond medical precaution. My blood pressure is still fine (i.e., not consistently above the 140/90 cutoff) and all labs are still normal. Baby also looks fabulous and is growing well. But at this point, it was sort of like we were waiting for something to go awry--the primary concerns being pre-eclampsia and growth restriction. I don't have a crystal ball, so none of us can know whether these less-good-scenarios will come to pass or not. So in order to stay out in front of the situation and even maintain some semblance of control, we've opted for the induction now. Of course, if everything stayed fine, I could presumably go into labor on my own and start the whole process without intervention. However, if one of the higher-risk situations developed, I'd also be looking at induction (in the case of growth restriction) or even an unplanned or emergency c-section (in the case of pre-eclampsia, which can develop very suddenly). I watch Downton Abbey. I have no interest in being the next Lady Sybil. So, in a way, when we weigh all the situations, this route offers me one of the best shots at proceeding relatively slowly and delivering the way I'd like to. And if an urgent situation develops, then we make the best decision we can with the information we have at the time. While I have opinions and preferences and would like to be an active participant in this process, the "birth plan" is and always has been just to get baby out safely. I feel like having a rigid plan is the best way to ensure it all blows up in your face.
So I was prepared for that and am comfortable with the decision to proceed. I also feel like the doctor, BA, and I all came to it together. Here's what we weren't prepared for: after the conversation, the doc stepped out to call labor & delivery to see what the schedule looked like. When she came back, she said "how about tomorrow night at 8:30?" Were we free? Um, yeah, we're free. What might be on the calendar that would be an impediment? "Oh, sorry, we've got dinner with friends..." But I had been thinking maybe Monday or Tuesday. So we sat there, shell-shocked, for a little bit. After some time and some mini-freakouts, I think that on balance it's a good thing that we just go ahead and aren't spending 3 or 4 days anticipating. Really, we'd done pretty much everything and are as ready as one ever is (which is to say, not really), so here we go.
The general timeline: we are to report to the hospital at 8:30pm on Friday. What a way to spend a Friday night, right? I'll be admitted and they'll start the first phase of the induction, but we pretty much hang out and try to get some sleep overnight. Saturday morning they will see how things are progressing, and we'll go from there. My doctor, who will be on call on Saturday, expects baby some time during the day on Saturday. As much as one can predict these things.
That's pretty much long and boring and probably not of much interest to anyone, but I wanted to record the process--thanks for hangin' in. I'm auto-posting this one, so if you're reading, we're already at the hospital and will update when there are things to know. I think it will be a lot of waiting, so you're not missing much.
We will take any and all thoughts, prayers, wishes, good vibes, high fives, karmic vibrations, hugs from the universe or whatever your inclination for a safe and smooth process.