Hi,
I just wanted to post some information on inductions to give you guys the correct spellings of the names of medicines and what they actually mean if your doctor schedules your induction. I am putting them in order of most common!
#1 Pitocin - This is administered through your IV. It is a medication that acts like the hormones in your body to produce contractions.
It brings them on much faster than your body would naturally produce them.
The downside to this medication is that most hospital's have a policy that the patient MUST be on the fetal monitor the whole time that this medication is infusing.
#2 Cervidil - This is a suppository placed in your cervix by a doctor or a nurse that also stimulates your hormones to start thinning out your cervix. It syays in for 12 hours. The first two hours you must lie still and be monitored to see if the uterus will respond favorably to it and if baby tolerates it okay. After that you can sit up and eat and generally have light activity.
Downside is that it can possibly hyperstimulate your uterus in which case it would be removed. Upside is that sometimes this kick starts your own natural labor process and I've seen people start contracting strongly and deliver! If not, Pitocin is used after the 12 hours are up.
#3 Cytotec- This is a pill that is kind of squashed and placed in your cervix. Works very similarly to the Cervidil. Funny info about this medication is that it is not FDA approved for this procedure. This pill is manufactured to treat a medical problem, so don't ask me how they figured out it causes cervical ripening!
After 12 hours, Pitocin is used. EDITED to say some hospitals use the cytotec orally not vaginally.
#4 Foley Bulb - A Foley is what is used primarily as a catheter to drain your urine, but in this case it is inserted into your cervix and inflated with a certain amount of saline. When your cervix dilates to 5 cm then the foley falls out and usually Pitocin is used.
#5 AROM - Artificial Rupture of membranes by the doctor using an Amnio hook. This is usually used on women that this is their third or so child and tend to have a history of delivering relatively fast. You must be dilated at least enough to get the hook in and the baby's head needs to be relatively applied to the cervix so there is no chance of the umbilical cord falling out or prolapsing out of the cervix in front of the baby's head.
#6 Prostin - This is a suppository that works similar to cervidil, BUT it has some very nasty side effects such as horrible vomitting and / or diarrhea. Dizziness and fainting are sometimes seen. (I've had some patients who really reacted very violently to this medication!) This not used very routinely.
Now these are the induction methods that I'm familiar with and the timing that we do them. Other hospitals may do things a little differently, like for example, repeat the cervidil after X number hours, etc. In other words the protocols may be a little different wherever you go but I just wanted to give you the options and the info on them.
And yes ,remember everything is an option! This is your labor and delivery. If you are not comfortable with something, say so! Don't let any nurse or doctor bully you into something you don't want!!!!!!!!!!!!
My Motto " The Patient Has the right to REFUSE ANY treatment or Medication." And EVERY hospital has this written in A Patient's Rights Handbook. This is a LAW!