REPLAY: EBB 253 – Preparing for a 38-week Labor Induction due to Intrauterine Growth Restriction with Leah Bergman, EBB Childbirth Class Graduate

Navigating a medically induced birth following an intrauterine growth restriction (IUGR) diagnosis requires informed advocacy and flexibility. Leah Bergman, a graduate of the Evidence Based Birth childbirth class, details her experience managing this diagnosis, which presented significant uncertainty because the fetus passed all non-stress tests and Doppler scans. Despite the lack of consensus on the optimal timing for delivery, she and her medical team opted for induction at 38 weeks to address potential placental dysfunction. The process involved multiple interventions, including mechanical dilators and Pitocin, with a strategic pause that allowed for rest at home. Throughout the labor, effective communication with providers enabled the adjustment of Pitocin levels, facilitating a successful, unmedicated vaginal birth. This experience underscores the importance of understanding evidence-based practices to maintain agency and achieve a positive birth outcome even when faced with unexpected medical complications.