Forum The birth

Inducing labor or planned C-section for a dysmature baby

13 replies

Milo2010
Hi,

It’s known here that my daughter will be small for gestational age. I’m 37 weeks pregnant. The estimate is that my daughter will weigh between 4 and 5 pounds at birth. There’s now an induction scheduled for 38+1 weeks.

My first birth was a planned C-section due to breech position. I actually handled that quite well, but now I’m also caring for my eldest daughter, who just turned 2.

I’m really dreading the induction. Due to the scar in my uterus, they can only use a balloon, but then it can take days for the cervix to ripen. After that, there’s a higher risk of instrumental delivery or emergency C-section.

I’m wondering if a planned C-section might actually be the better choice since the baby has fewer reserves...

What would you do??

Thanks!

Replies

  1. Nancy Guest #2

    I was induced for both my daughters due to chronic high blood pressure. My first daughter wasn't growing anymore and weighed 2500 grams at birth.

    I was induced at 38+1 weeks using a balloon. I had absolutely no effacement or dilation before getting it. It took 24 hours for the balloon to fall out and for me to have 3 cm dilation. Then, in the morning at 9 am, my waters broke and I got an IV with oxytocin. She was born in the evening at half past 6 without any further intervention. I didn't have any other artificial delivery methods or anything like that.
    The induction didn't bother me at all.

    And on May 18th, my second daughter was born via induction.
    I was induced at 38+3 weeks. In the evening at 8 pm, I got a balloon, and I already had 1 cm dilation by then.
    I started having contractions from 1 am, and by 3 am, the balloon had fallen out. In the morning at 8 am, my waters broke, and she was born at 1 pm. This time, the contractions started on their own, so I didn't need oxytocin.

    The induction this time also didn't bother me. I only had back labor, which was terrible.

    It would be nice if you could give birth naturally; I could already give my little girl a bath the next day. Luckily, I didn't have any tearing or episiotomy.
  2. Milo2010 started this #3

    Hi Nancy,

    Thanks for your reply. Congratulations on your little girl! It’s nice to read a good story about it. I know that online there are mostly horror stories instead of success stories.

    I’ve decided to go ahead with a C-section after all; we’re planning it tomorrow at the prep area in the hospital.
    I’m just too scared of complications from induction, or because she’s post-term, or because of the scar already in my uterus… 3 things that make the chance of something going wrong a bit higher.

    Best,
    Nicolle
  3. Nancy Guest #4

    You should do what feels right for you; that's the most important thing.

    When is your C-section scheduled?

    It's exciting! Good luck in advance, and enjoy your little one soon.

    What's the estimated weight of your baby? Will she need to stay after birth? I hope she/he ends up being a bit heavier than expected.

    My daughter turned out to be fine at 2.5 kg, and we could go home the next day. My second daughter was 2900 g, and we went home the same day.
  4. Milo2010 started this #5

    Monday the 20th is scheduled. So one more week :-)
    The estimate from the growth ultrasound last Thursday was that she weighed about 2375 grams then. So I hope everything will be okay on Monday.. I'll have to stay for two nights anyway due to my C-section. Hope we can all go home after that :-)
  5. Nancy Guest #6

    Well, she still has a week to keep growing.
    At 2500 grams, that's the threshold where they have to take the baby to the pediatrician and prick her to check her sugar levels. Our daughter weighed 2545 grams, so she just barely avoided that and didn't need the prick.

    She stopped growing in my womb because I have chronic high blood pressure for which I take medication. But despite her weight, she wasn't skinny; she was just small overall, measuring 44 cm.

    It's brave of you to choose a C-section; I find that quite scary. I'm afraid of infections and stuff like that with the wound. Luckily, it wasn't necessary.
  6. Sas #7

    Hi Milo2010.

    Great choice..no risks for your little one.
    I gave birth on May 9th via a natural C-section..This was so amazing! I never knew that a C-section could be so beautiful and special.
    My recovery is super fast, very little pain from day 2 (my tear from the first birth caused more pain) and after a week I was already walking through our village with the stroller or just popping to the supermarket nearby.
    Everything is going super well and it's been 6 weeks next week. So I'd say go for it and enjoy it because it's after all the birth of your child.
    I do realize it's an abdominal surgery, but I always try to put the birth first in my mind
    Just sharing a positive experience
  7. Milo2010 started this #8

    Haha thanks so much, Sas :-)
    I think this is indeed the right choice for me and my little girl.
    My previous C-section wasn’t too bad either, so I’m going into the second one on Monday with full confidence :-)
    Just 3 more nights to go!!
  8. Sas #9

    Wow!! Almost... still exciting, enjoy all the movement in your belly for a bit more, because I missed that afterwards and still do sometimes
  9. Milo2010 started this #10

    Meanwhile, our daughter Amélie is already 10 days old.
    The C-section went super well, recovery is also going quickly, so I'm really happy with the choice I made!

    And it was all such a big fuss for nothing.. our dysmature estimated baby turned out to weigh 3130 grams!!!
    So they were way off, luckily though
  10. Nancy Guest #11

    Congratulations!! Enjoy it.

    That's indeed a good weight. You do hear more often that they miss the mark with those measurements, but yeah, better not to take any risks of course.

    Good to hear that your recovery is going well too.
  11. Sas #12

    Congratulations!!! Enjoy it, definitely not a premature baby haha
  12. Anonymous Guest #13

    It wasn't premature; it was full-term. They thought it was dysmature, meaning too small and too light for the number of weeks of pregnancy.
  13. Sas #14

    Oh yeah, sorry, that's what I meant too

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