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<blockquote data-quote="CL85" data-source="post: 2261527" data-attributes="member: 523477"><p>Hi everyone,</p><p>I am nearly 32 weeks pregnant and my obstetrician has informed me I will be induced early due to being type 1. No information, no thorough discussion. Very much the typical one size fits all approach. I do not feel like I have been asked to give informed consent. She has very poor interpersonal and patient centred skills, and every interaction I have had with her I have left disappointed. So, I have done a lot of my own reading and research to inform my judgement and decision before agreeing to it either way. I may also request a second opinion. I appreciate induction reduces the chance of still birth in type 1 mothers but when you look at the stats, like Beth mentioned above, it is actually a very small percentage chance anyway. Some research also suggests that this risk is mitigated further with good control and healthy BMI. When considering the entire potential process of induction (none of which she has discussed with me) i.e. risks, complications and overall potential trauma of inducements (if it isn’t straight forward and the whole process is required), risk of the drip interfering with oxytocin and therefore bonding and breast feeding behaviour, more intervention, forceps, extra pain etc etc, I am weighing up if it’s worth it to offset what appears to be quite small risk. Inducement could mean being in hospital several days too, something which is a risk in itself in the current climate. I am fit, healthy, have very good control A1C currently and consistently 39-42 throughput pregnancy, and no further comorbidities. First growth scan was normal on all levels. I am struggling to see the benefit of putting myself through induction for the sake of it, just because of protocol. I would prefer the at least try the process of a natural birth and for baby to come when he is ready, even if it does end up with some form of intervention, at least it’s intervention when required, rather than intervention ‘in case.’ It is great to hear about experiences on here and very reassuring that people have declined advice and tried for a natural birth. I am due to speak to my obstetrician this week and I am dreading it, she doesn’t make me comfortable at the best of times but I am planning on discussing how I would prefer to try and avoid an induction. Can anyone offer any tips or any useful questions I should ask to ensure I get the support I need if I opt for natural? I am not sure what to expect if I don’t go ahead with their recommendation and I don’t expect her to be the most supportive so want to feel prepared. Any advice appreciated! Thank you!</p></blockquote><p></p>
[QUOTE="CL85, post: 2261527, member: 523477"] Hi everyone, I am nearly 32 weeks pregnant and my obstetrician has informed me I will be induced early due to being type 1. No information, no thorough discussion. Very much the typical one size fits all approach. I do not feel like I have been asked to give informed consent. She has very poor interpersonal and patient centred skills, and every interaction I have had with her I have left disappointed. So, I have done a lot of my own reading and research to inform my judgement and decision before agreeing to it either way. I may also request a second opinion. I appreciate induction reduces the chance of still birth in type 1 mothers but when you look at the stats, like Beth mentioned above, it is actually a very small percentage chance anyway. Some research also suggests that this risk is mitigated further with good control and healthy BMI. When considering the entire potential process of induction (none of which she has discussed with me) i.e. risks, complications and overall potential trauma of inducements (if it isn’t straight forward and the whole process is required), risk of the drip interfering with oxytocin and therefore bonding and breast feeding behaviour, more intervention, forceps, extra pain etc etc, I am weighing up if it’s worth it to offset what appears to be quite small risk. Inducement could mean being in hospital several days too, something which is a risk in itself in the current climate. I am fit, healthy, have very good control A1C currently and consistently 39-42 throughput pregnancy, and no further comorbidities. First growth scan was normal on all levels. I am struggling to see the benefit of putting myself through induction for the sake of it, just because of protocol. I would prefer the at least try the process of a natural birth and for baby to come when he is ready, even if it does end up with some form of intervention, at least it’s intervention when required, rather than intervention ‘in case.’ It is great to hear about experiences on here and very reassuring that people have declined advice and tried for a natural birth. I am due to speak to my obstetrician this week and I am dreading it, she doesn’t make me comfortable at the best of times but I am planning on discussing how I would prefer to try and avoid an induction. Can anyone offer any tips or any useful questions I should ask to ensure I get the support I need if I opt for natural? I am not sure what to expect if I don’t go ahead with their recommendation and I don’t expect her to be the most supportive so want to feel prepared. Any advice appreciated! Thank you! [/QUOTE]
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