At this point, I vacillate between thinking every abdominal twinge is the beginning of labor and feeling like it is clear that the baby will not come before 42 weeks.
We finally hired a doula. Apparently, it is normal to do this before one reaches 39 weeks, but I think that perhaps our delay is not just a procrastination issue. We needed time to think about what our priorities were for the birth. The obvious answer is “healthy mother, healthy baby,” but there is a bit of leeway in how that is defined and how you get there (which should be obvious, but based on some comment threads I have read is not).
Anyway, for us it worked out that we had written a draft of a birth plan before meeting the doula, rather than having her help us come up with one. (So far, the main benefit of the birth plan was making it easier to talk to the doctor about my concerns. Instead of me having to both remember and ask my questions, my husband, whose assigned role at that appointment was to help me get my questions asked, said “we wrote a birth plan, here it is, what do you think?” and the doctor read it and said it all was fine with him.)
Monday was our second appointment with the doula. We talked a bit about induction and alternatives to Pitocin. All the standard things I’ve heard, plus some I hadn’t.
I had already been thinking that I would probably just prefer to wait it out, hope that labor started before 42 weeks (actually 42w2d, due to my doctor’s staff having calculated my EDD at 6/1 instead of 5/30), and deal with the Pitocin if I had to at that point. A post of DoctorMama’s gave me some support for this approach.
I realized while talking to the doula that my issue is not so much any kind of reasoned skepticism about natural induction strategies, but that my attitude towards alternative medicine has been profoundly affected by my experiences with providers. I’ve had my ups and downs with allopathic health care providers, but my worst health care experience ever was with a doctor of Chinese medicine in Old Colony, and I also had a bad experience with an accupuncturist in Neighboring Country. I know there are plenty of capable and ethical practicioners of alternative medicine, and bad practicioners of standard medicine, but these are my experiences, and in the absence of strong evidence that I need to use a particular alternative therapy, I think it is a good idea to honor my feelings about this. I think this is equivalent to a woman who wants a home birth, not because studies show it is safe or because there are fewer antibiotic-resistant bacteria at home, but because hospitals freak her out. As long as it is a fact that homebirths have good outcomes, why shouldn’t she avoid the anxiety of a hospital birth? In my case, that means that when it comes to self-induction: eating spicy food, fine, I like spicy food. Anything to do with yoga is fine by me, as long as it’s not one of the poses that I just can’t do. Nipple stimulation, depends on how painful it is. Homeopathic tablets, accupuncture, evening primrose oil: I’ll pass.
Of course, since I started this post yesterday, I’ve changed my mind again and have begun to believe that labor will start sooner rather than later.