Meet Onyi, a badass birth warrior who shares the difficult decisions she had to make during her labor induction. 

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**Episode Notes**

Contraception - Forms of medication that prevent someone from conceiving. Common options include (in order from most to least efficacious):

Subcutaneous implant or Nexplanon:  Last 3 yrs

Copper/Paraguard IUD (No hormones):  Last 12 yrs

Mirena IUD (Most Hormones of IUDs) Last for 8 yrs

Kylenna IUD (Hormonal):| Last 5 yrs

Syla IUD (Least Hormones): Last for 3 yrs

Depo shot: Last 3 mo (can cause delayed return to fertility)

Vaginal Ring: Last 3 wks

Patch: Last for 3 wks

Birth control pill: Take daily

Vaginal insert/Phexxi (No hormones):  Lasts 1 hr

Information to keep in mind for anyone interested in vaginal delivery after a cesarean section--

TOLAC - Trial of Labor After Cesarean

Term used when you are in labor

Option for someone who has had one or two cesarean sections

Should make sure your doctor is comfortable offering this

Some physicians only feel comfortable if you have had one cesarean section

Should make sure your hospital is capable of offering t   his

Most have policies around TOLAC

Risk that your scar could open, which is an emergency. Please discuss the risks and benefits with your healthcare provider if you are interested in this.

VBAC - Vaginal Birth After Cesarean

Term used when you have delivered a child vaginally

Good indicator that you will have another vaginal delivery

Vaginal lacerations are very common during vaginal deliveries. There are four types:

1st degree - vaginal tissue tears. It may or may not need repair.

2nd degree - some of the vaginal muscle is torn. (Most common)

3rd degree - vaginal muscle is torn and part or all of the rectal muscle.

4th degree  - complete tear thru all the vaginal and rectal tissue.

ARRIVE Clinical Trial: Induction of labor at 39 weeks in low-risk nulliparous women did not result in a significantly lower frequency of a composite adverse perinatal outcome, but it did result in a significantly lower frequency of cesarean delivery. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development)

 https://www.nejm.org/doi/full/10.1056/NEJMoa1800566