Empowered Induction Decision-Making: Insights from a Labor Nurse | 97

And then we will walk you through. Some of the top reasons that we see that women are presented with induction. So enjoy this episode. 


So that is one of the things I'm going to talk about. I'm not going to go into like deep detail because I am teaching about this next week. We do have an old induction workshop or a past one that if you guys are interested in, I think it's 19. So if you're interested, just send us a DM and I'll send you the link to that. 


And then we have a 38 weeker who said they are talking of it. So typically if you have gestational diabetes, they are going to Want to induce you now what I recommend is and this is the same for all of you So I want you guys to really hear me that having a high risk diagnosis some of them like gestational diabetes or VBAC or IVF or there's a few other ones, but I don't want to go into all of them because you really need to be communicating with your provider and you need to look at the whole picture. 


Her blood sugars are within range. She, is eating a very healthy diet. She's a very healthy mom. She has no other diagnosis and baby is doing really good in the checkup. So maybe she's having a BPP, which is a biophysical profile, or she's having NSTs and the baby is passing with flying colors. 


When you have a mama who is diet controlled, Baby's doing good. Mama's doing good. This is the mom who can take some time and really do her due diligence and tell her provider, hey, I am willing to come in for more checks to have the BPPs, to have the NSTs, but I do not want to be induced. Here's what we can do. 


That is 100 percent reasonable. Now if mama number two is really having a hard time keeping her blood sugar in control, even with medication and she's going and baby's doing okay on the BPPs and the NSTs, she probably really wants to consider having an induction. That is a legit medical reason for a for having an induction. 


This is what the studies tell me. And that's what we're doing. Here's what I would say again, mama one, mama two, maybe mama one is IVF and she's 39 years old, but she's in superb health. She eats a healthy diet. Her, she's had no other problems during her pregnancy. Her baby looks good when they've done the ultrasounds and a BPP and they've done an NST and baby looks fantastic. 


And she might be a mom who Might need a medically induced induction, but mama number one, she's, yeah, she's older. She's got IVF. She's, she was an IVF pregnancy, but she's doing really good and baby's doing really good. So if you can see a common thread here, right? We need to examine each situation. 


You, there is not one blanket answer for everyone. Each situation needs to be examined. And if you are having all these things going on, and whatever your diagnosis is, it's not in control, and baby is reacting to it, then you might be someone who needs to have an induction. Now for my mama who has cholestasis, again, what are your labs? 


They're miserable. And that is an absolute 100 percent fantastic reason to be induced. When it's what you want. And even if it's elective, I have had some mamas who maybe their husband or their partners in the military, or maybe they're moving soon and induction is the best answer for them. That is fine. 


And I don't want that anymore. It frustrates me. I want you guys to be so freaking empowered that all the things. And not only in my induction masterclass, it's 27 you guys. And that includes your workbook, your induction birth plan. If it comes to you being induced, it's gonna, it'll probably be an hour and a half or so. 


Should all of them be induced? No! An induction is an intervention. An intervention should only be used when necessary and needed. And I want to help you guys really break it down. Not only that, I'm going to also teach you how to self induce and get labor kick started at home. So a lot of times when my virtual services students so if you join one of my birth classes, you have an option to add on a monthly virtual service option where you have like very detailed access to me and my doulas. 


for that induction. So let's say induction is the best for you or let's say you want to be induced. You don't want to just say, okay, I'm being induced on the 22nd and I can't wait. It's going to be awesome. And then, Hey what kind of induction? I'm not sure. What are you doing to prepare? 


It's 100 percent super common. And we don't want that. The more your cervix is ready, the better. And I'm going to also teach that inside this masterclass. I'm so excited about this masterclass. And I haven't been talking about it a whole bunch. But It, we only have, we have limited seats because I don't want a huge amount of people. 


I want to be able to really break it down with you guys and answer your questions and I don't want to be on there for 14 hours. It includes all the things I'm going to give you your pre induction plan so you'll leave there knowing how to do nipple stimulation and whether you should do nipple stimulation. 


And we're gonna talk about how to minimize your fears, but also how to take ownership of your induction so that you are the one making the decisions. Let's think about some other reasons. I saw that someone had a question. 


She said, I am on blood thinner and they wanted me to be induced and I wish I could have waited a week later. So when you're on blood thinner, which was me with Grayson, I also had to be on blood thinner and I have a whole story about that. You guys, I'll tell you real quick. So I had, four, five successful pregnancies, and then I had three losses in a row. 


I wish I had. However, if you are on blood thinner, it is much better to have a controlled, like when you're your birth happens and labor because if you go into labor and you have a lot of blood thinner in your system, you're at an increased risk for a postpartum hemorrhage. And postpartum hemorrhage is the leading cause of maternal death in the United States. 


I don't know all the other countries, but it's a leading cause of death. I just want to give you reassurance and peace that you made the right decision. Now, could you navigate coming off and not being induced a week later? Maybe, but being induced was probably the best option for you. Now, another one I want to talk about, and again, I want you guys to come to this workshop. 


Okay, so big babies. If you've been told that you are having a big baby and, usually it goes like this, right? You start hearing these little hints, this baby is, this baby's going to be a big one. You start hearing that, right? At some of your appointments, wow you really, this is a big baby. 


So what I would say to you is number one. that the growth ultrasounds are often off by up to two pounds. I cannot tell you how many times I've been in the OR. My patient came in for a scheduled cesarean because her baby was too big and the baby comes out between six and seven pounds. And then what happens is the provider will say something like I don't think you could have delivered this baby vaginally anyway. 


Yeah, let's cover our ass. Why don't we? No. The other thing I want to tell you is I personally would recommend that you give your body a shot. So you don't have to have an induction or a cesarean because of a big baby. I've had plenty of students who have gone into labor spontaneously with very big babies very actually big babies. 


Those are really powerful things to know. This is why my doulas and I were so passionate about that, that we broke it down into a very easily printable guide. It's normally 37. I think we have it on this insane sale of 7 right now. And It has visual, like it's a visual guide that you can print, put it in your labor bag. 


It's like knowing how to do like a Rubik's Cube or a little puzzle. If you know how to do it, you're going to do it really fast. You're going to do it right. You're going to move it smoothly. Same thing with moving that baby through the Rubik's Cube, which is the pelvis, right? You need to know all those movements. 


And that is like such a powerful process. And we're going to talk about that a little bit in the induction masterclass, but we do have our guide, which is 7 I think on sale right now because we want to get it into so many hands. Anyhow let's talk now about the ARRIVE study. So the ARRIVE study, and I'm going to go into this a little deeper during the master class, but the ARRIVE study is a study that is so flawed and a lot of providers use it. 


Don't just say, okay, whatever. No say, Oh, okay. So you're telling me about this study, or you're telling me that Can you please go to your office, print the study and bring it back to me? I'd like to take it home and read it over and then we can discuss it next time I come in so that we both know what you're talking about. 


Now, one thing you can get from here is I have 16 years of labor and delivery experience. Lots of childbirth education experience, and I've had six babies, so you know you're getting the real deal. And if I don't know your answer, your question, like if I don't know it, I'm gonna, I'm gonna do the research or refer you to someone who does. 


So just Knowledge is power. Obviously, I tell y'all all the time you need to take a full birth class. This is so important. My birth classes do have a section on inductions, but this induction masterclass, we're doing it on top of that. To go way deeper into it because so many of you guys end up being induced. 


I know a lot of you guys were on here with GDM. I just want to encourage you again, if your gestational diabetes is in control, which it should be because you should be making some lifestyle changes. If it's diet control, then you do not have to be induced. You can navigate that decision with your provider, but you are in charge here. 


You are the birth queen. 100 percent the birth queen. Okay. Hopefully that was very educational. If you want a bunch more, come next week to masterclass. It's going to be a small group of you guys. We've got limited seats and you're going to leave prepared, feeling calm with a workbook. And we're just going to have a lot of fun breaking apart this really important. 


Thank you. Thank you. Thank you. All right, you guys, any other questions that I need to get before I hop off? And then I'm gonna go snuggle with my little guy. Induced due to water breaking, was that necessary? It depends. What I tell my students when it comes to your water breaking, if your water breaks, you do not have to rush to the hospital. 


Even if you're GBS, I have rules for that, that I can teach you. But if your water breaks and it, come six, eight, 10 hours later, and labor is not starting, and labor would be regular labor contractions causing dilation, causing cervical change, then you might need what I call a sniff of Pitocin. 


So that's an augmentation. Okay, you guys have a fantastic day. 


Hey there. I hope you enjoyed this instagram live that I did Talking about how to navigate the decision on whether or not to be induced. I just want you guys to know you have Options you do not have to just say yes But should you say no? And if you do have an induction, you have a right to navigate it with knowledge and power and to understand the choices. 


Plus we're doing a drawing once a month. For those of you who leave a review. So if you leave a review, send me an email with info at labor nurse mama. com. And we will let you know if you're a winner of the drawing. All right. Bye for now.