So I've been ready to give birth for the last 2 weeks, and still... waiting.
I don't want to wait beyond August 1 that's for sure because of the complications that may arise when the baby stays too long in the womb. So I tried to find and did some research on natural induction methods. Some of which, I do wish I started earlier.
This are generally the requirements for a successful vaginal delivery: 1. regular labor contractions, 2. cervical dilatation and effacement, and for the 3. descent of the fetus to the vaginal canal. To induce labor contractions, one needs oxytocin while cervical softening requires prostaglandins. Descent of the baby usually is not a problem when there is no problem with the pelvic area (which causes cephalopelvic disproportion); this part cannot be helped much.
1. Exercise
There are a lots of exercises out there for pregnancy. Mind you, I did my "normal" walking (applicable with commuting) through out pregnancy. I even incorporated some yoga mornings and stretches to "open my hips" more (though those poses I already did prior to getting pregnant).
In pregnancy, the hormone elastin allows the pelvic bones to move in preparation for birth, enabling it to become wider... and supposedly this stretches are supposed to help.
What I should probably do is climb lots of stairs...
2. Dates
There's a research journal saying that this is effective if taken in 4 weeks before your estimated time of birth, taking a daily dose of 6-7 dates/day. My OB friend who is also working in the middle east, also swears by this based from the patients she'd seen. Eating dates are supposed to shorten the labor time and soften the cervix effectively.
3. Acupuncture and acupressure
Because I'm an acupuncturist, of course I would do this to induce myself into labor. The most effective points is LI4 and SP6, but I am also doing GB21 (just because I also love my shoulder massages), BL32 (back massage), BL 28 and BL 48 (butt massage), KI1, KI3 and BL 60 (foot massage).
I read that some are effective without the need for electrical stimulation, but if it doesn't work, I am going to apply TENS also to my needles.
4. Sex
Nipple stimulation causes oxytocin to be released (which is similar process to producing breast milk), prostaglandins from the semen, and reaching orgasm to stimulate contraction of the uterus are all said to help induce labor... but really, it's a bit of a challenge to do this when you're so big and you easily get shortness of breath with certain positions.
5. Evening primrose oil
My friend took this orally for several weeks before giving birth, and it wasn't very effective. I tried to look it up in journals also but oral intake doesn't seem to be much effective.
My OB told me that on the day of induction, she will use 6 caps of evening primrose oil 4 hours before IE. Apparently, she was one of the authors in a study in PGH, where it was said to improve Bishop scoring (and cervical dilatation) to more than 4... Though in that study, only about 31% had successful vaginal deliveries and the rest had cesarean sections due to fetal distress (46%), intraamniotic infection (1%), and arrest in cervical dilatation (15%).
Because almost half the reason for cesarean section was due to fetal distress, I am contemplating on doing that the night before we get admitted, or just doing it in the hospital.
6. Malunggay capsules
One OB in a prenatal class I attended said that Malunggay capsules can also start contractions, that's why she recommends giving it when the patient is already term. When I asked my OB about it as a supplement in preparation for breastfeeding, she just told me that it's a supplement, so you have to establish breast milk first. And it may have constipation as a side effect.
Anyway, I started drinking 1 cap 500 mg since I was in 37 wks old, but I don't think it's very helpful.
7. Pray
Probably the best thing to do is also to pray. Pray for a safe and successful delivery to a healthy baby. I am constantly in anxiety over the possibilities of stillbirth and postnatal infection and complications, especially now that I'm getting past my ideal 38-39 weeks AOG.
Every night, I listed to my fetal heart tone... sometimes, twice! Especially if I don't feel her move as much. I noticed that there is less tendency for movement in my last month of pregnancy as compared to the 2nd and early 3rd trimesters. The reason for this is because the baby is accumulating fat and getting bigger, and the uterus is getting cramped.
Anyway, I will update on how my labor goes. I don't know else what to do when there's only less than 48 hours before my scheduled admission!
I don't want to wait beyond August 1 that's for sure because of the complications that may arise when the baby stays too long in the womb. So I tried to find and did some research on natural induction methods. Some of which, I do wish I started earlier.
This are generally the requirements for a successful vaginal delivery: 1. regular labor contractions, 2. cervical dilatation and effacement, and for the 3. descent of the fetus to the vaginal canal. To induce labor contractions, one needs oxytocin while cervical softening requires prostaglandins. Descent of the baby usually is not a problem when there is no problem with the pelvic area (which causes cephalopelvic disproportion); this part cannot be helped much.
1. Exercise
There are a lots of exercises out there for pregnancy. Mind you, I did my "normal" walking (applicable with commuting) through out pregnancy. I even incorporated some yoga mornings and stretches to "open my hips" more (though those poses I already did prior to getting pregnant).
In pregnancy, the hormone elastin allows the pelvic bones to move in preparation for birth, enabling it to become wider... and supposedly this stretches are supposed to help.
What I should probably do is climb lots of stairs...
There's a research journal saying that this is effective if taken in 4 weeks before your estimated time of birth, taking a daily dose of 6-7 dates/day. My OB friend who is also working in the middle east, also swears by this based from the patients she'd seen. Eating dates are supposed to shorten the labor time and soften the cervix effectively.
3. Acupuncture and acupressure
Because I'm an acupuncturist, of course I would do this to induce myself into labor. The most effective points is LI4 and SP6, but I am also doing GB21 (just because I also love my shoulder massages), BL32 (back massage), BL 28 and BL 48 (butt massage), KI1, KI3 and BL 60 (foot massage).
I read that some are effective without the need for electrical stimulation, but if it doesn't work, I am going to apply TENS also to my needles.
4. Sex
Nipple stimulation causes oxytocin to be released (which is similar process to producing breast milk), prostaglandins from the semen, and reaching orgasm to stimulate contraction of the uterus are all said to help induce labor... but really, it's a bit of a challenge to do this when you're so big and you easily get shortness of breath with certain positions.
5. Evening primrose oil
My friend took this orally for several weeks before giving birth, and it wasn't very effective. I tried to look it up in journals also but oral intake doesn't seem to be much effective.
My OB told me that on the day of induction, she will use 6 caps of evening primrose oil 4 hours before IE. Apparently, she was one of the authors in a study in PGH, where it was said to improve Bishop scoring (and cervical dilatation) to more than 4... Though in that study, only about 31% had successful vaginal deliveries and the rest had cesarean sections due to fetal distress (46%), intraamniotic infection (1%), and arrest in cervical dilatation (15%).
Because almost half the reason for cesarean section was due to fetal distress, I am contemplating on doing that the night before we get admitted, or just doing it in the hospital.
6. Malunggay capsules
One OB in a prenatal class I attended said that Malunggay capsules can also start contractions, that's why she recommends giving it when the patient is already term. When I asked my OB about it as a supplement in preparation for breastfeeding, she just told me that it's a supplement, so you have to establish breast milk first. And it may have constipation as a side effect.
Anyway, I started drinking 1 cap 500 mg since I was in 37 wks old, but I don't think it's very helpful.
7. Pray
Probably the best thing to do is also to pray. Pray for a safe and successful delivery to a healthy baby. I am constantly in anxiety over the possibilities of stillbirth and postnatal infection and complications, especially now that I'm getting past my ideal 38-39 weeks AOG.
Every night, I listed to my fetal heart tone... sometimes, twice! Especially if I don't feel her move as much. I noticed that there is less tendency for movement in my last month of pregnancy as compared to the 2nd and early 3rd trimesters. The reason for this is because the baby is accumulating fat and getting bigger, and the uterus is getting cramped.
Anyway, I will update on how my labor goes. I don't know else what to do when there's only less than 48 hours before my scheduled admission!
