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    davejag's Avatar
    davejag Posts: 308, Reputation: 5
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    #1

    May 31, 2008, 02:26 PM
    Prostaglandin Vaginal Gel
    I have to phone L&D tomorrow morning to see if they have any beds to induce me, they didn't this morning so I am hoping they do. The nurse said they would insert the Gel and then send me home, and after 6 hours I would have to come back for a second round. How long does it take for the Gel to work? Is it favorable with a cervix that is short but still high? Will they send me home after the second round? Once the gel has been inserted and nothing happens will they just send me home, and tell me wait till things happen naturally? How many rounds would I need in order for it work? I have a cervix that is still high up there but it's short.
    I am really hoping they can induce me tomorrow and things will start to happen.
    J_9's Avatar
    J_9 Posts: 40,298, Reputation: 5646
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    #2

    May 31, 2008, 02:37 PM
    It's hard to say how many rounds it will take as we are all different. It is also hard to say if this will work at all.

    I had this used on me over 14 years ago. Where I am from it is not used as widely anymore.
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    #3

    May 31, 2008, 02:45 PM
    I guess she was saying that's the first step they do, but from what I have just read it doesn't seem to work very well. Why would they even try it then?
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    #4

    May 31, 2008, 02:50 PM
    They would try it maybe because it could be the mildest form of induction. Where I am from, we use cervidil for this, but the woman is not allowed to leave the hospital, nor is she allowed to get out of bed.

    Remind me please, are you dilated or effaced at all?
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    #5

    May 31, 2008, 02:58 PM
    I am not sure I was having really bad pain in the last 24 hours in my back ( broke my back when I was 16 baby is putting too much pressure on it), so the Dr was concerned that The pain would be too much for me. As well that I would not be able to have an epidural during labor, because this could do more damage to my back. When I went to his office yesterday he checked me and said my cervix was still high closed but short. He didn't say anything about the effaced part, does that mean I won't be going into labor tomorrow? He still has to consolt with a OB about all this, she may pull back and say no to everything, I really hope she does not.
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    #6

    May 31, 2008, 03:01 PM
    What kind of doctor do you have following your pregnancy? You don't have an OB?
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    #7

    May 31, 2008, 03:06 PM
    No we can`t see OB`s where I am from, only your family DR. The OB is only there for complications or sections. Other then that you are with your family DR to help you out.
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    #8

    May 31, 2008, 03:07 PM
    Where are you from?
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    #9

    May 31, 2008, 03:12 PM
    Quote Originally Posted by davejag
    No we can`t see OB`s where I am from, only your family DR. The OB is only there for complications or sections. Other then that you are with your family DR to help you out.
    Wow, that's right out of the 1970's where I am from!! :eek:

    At the hospital I work at, the doctors will not allow a woman to go over 42 weeks in pregnancy due to complications with the baby, typically called uteroplacental insufficiency, which means that the placenta no longer functions well enough to nourish and oxygenate the baby.

    It may also be possible, and I hesitated in mentioning this, that you may not be able to have a normal vaginal birth. After reading that you broke your back when you were younger and an epidural may not be possible, it may be better for you to have a C-Section.
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    #10

    May 31, 2008, 03:20 PM
    Yes I know I live in Canada you would think that I would be able to see a OB but nope lol. I am only 2 days over my due date but because of the pain I am in they thought of inducing. I went in this morning and they had me on the monitor the baby seemed happy. The heart rate was between 180 and 195 so I think that was okay. I asked him about pushing and doing more damage on my back and he said no I don't think that will make a difference. Even though I still think pushing might do some damage. He still has to talk to the OB, I am just afraid she`ll say well your only two days over due and your cervix is to high.
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    #11

    May 31, 2008, 03:22 PM
    Remember that delivery dates are only an estimate. The actual "due" date could be two weeks before or two weeks after what the doctor has given you. So, you may actually still have almost 2 weeks to go.
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    #12

    May 31, 2008, 03:23 PM
    Well I asked him about that and he is sure that my due date was 2 days ago, because of my period and the size of the baby. I don't know anymore it seems like it chances day by day, I just want everything to work out.
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    #13

    May 31, 2008, 03:31 PM
    I'm sorry, but I have to disagree with your doctor. I know I am only a measly little nurse, LOL, but he cannot say for sure when the sperm met the egg unless he was in bed with you. Giggle.

    There is always a two week window either way. When we have a baby, the most accurate way to tell how far along you were is to test the baby using several different methods. We had a baby last week that was supposed to be 38 weeks, after testing, it was found that mother was actually 43 weeks.
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    #14

    May 31, 2008, 03:35 PM
    WOW 43 weeks that poor lady LOL and I thought I was bad. Well nope my DR was not in bed with me thank god, but I guess I can`t really argue with him since I am only the pationd. So what do you think should they induce, do you think that the OB tomorrow will say no because my cervix is still hight and closed but short.

    PS your not a measly nurse you know what your doing at least you tell the truth and not try to make it sound so sweet.
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    #15

    May 31, 2008, 03:39 PM
    High, closed and short is no reason not to induce. We do that frequently, but we use cervidil to soften and open the cervix.

    However, inductions carry quite a few possible complications.
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    #16

    May 31, 2008, 03:41 PM
    Well I hope that Ob agrees tomorrow that really scares me besides the fact that they won't have any beds.
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    #17

    May 31, 2008, 03:44 PM
    Girlfriend, there are many times we don't have beds, but we make do. LOL

    I'm sure you will get through this just fine.
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    #18

    May 31, 2008, 03:48 PM
    LoL it got so bad this morning new moms were lying in the Hallway with their babies, they had 3 deliveries of twins last night plus 2 in the parking lot and 4 sections. So she told me sorry lady but you can`t come back unless your crowning. I was like okay I guess I won't join anyone in the hallway today LOL
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    #19

    May 31, 2008, 03:51 PM
    LOL, been there done that. Fortunately it was when I was doing my clinical rotations and could only "watch"

    But now, I actively participate. What was supposed to be a relatively quiet day (no scheduled sections or inductions) last Thursday, turned into 10 deliveries. We only have 4 labor and delivery rooms and one section room!! :eek: :eek:
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    #20

    May 31, 2008, 03:52 PM
    How do you do that with only 4 rooms

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