This summer Mike and I welcomed a baby into our family! I was happy to have an easy pregnancy (especially after my miscarriage in 2017) and was hoping the labor and delivery would be easy as well. My mom was only in labor with me for three hours, and my grandma had been in labor for six hours or less with both my mom and my uncle, so I had high hopes that quick labors were in my genes. Unfortunately, I reached 41 weeks and had not gone into labor. I was okay with waiting longer, especially since tests conducted at 41 weeks indicated our son was perfectly fine; however, the midwife at my 41-week appointment did not want to wait much longer, since the risk of complications and stillbirth increases slightly the longer you are overdue. Many of the induction appointments for the next few days were already taken (the hospital only scheduled four per day and fewer on the weekends), so we ended up with an appointment for 5 p.m. at 41 weeks and 3 days.

At my 41-week appointment, the midwife explained that if I was not dilated at the time of my induction, then they often used Cytotec (misoprostol) to start the induction process, rather than Pitocin, which seems to be the drug you mostly hear about in childbirth classes and from others who have been induced. Prior to her talking about it, I knew Cytotec was sometimes used and had already decided that I probably did not want it. I had first heard of Cytotec in October 2017 when it was offered as an option to complete my missed miscarriage. I did some research on the drug at that point in time, and, after reading about some potential scary side effects–which were made even scarier by the fact that you took this drug at home for a missed miscarriage and not in the hospital under medical supervision–decided on a D&C.

Cytotec is not approved by the FDA for use in pregnancy (not that I rely on the FDA for everything, but still, it makes you think twice). Cytotec is supposed to be used to treat gastric ulcers. When it is used for the off-label purpose of pregnancy, it can be used to cause an abortion in the early weeks of pregnancy, complete a missed miscarriage, or induce labor of a live, healthy, full-term baby. The midwife assured me that they only use a small percentage of this drug for induction compared to its use in a missed miscarriage, and that the hospital has never really had any issues with it. I still find it concerning, though, that it is used for both aborting a baby and delivering a healthy one. Also, Cytotec dissolves instantly, so if there are problems from it, you can’t remove it. Some of Cytotec’s worst potential side effects include uterine rupture, death to mother and/or infant, and brain damage to the infant. It can either be taken orally or inserted vaginally. Obviously, if it’s inserted vaginally, it’s awfully close to your infant’s head, which is concerning if you consider the brain damage side effect.

If I had not heard of Cytotec previously, I probably would not have researched it for my induction. I would have just assumed that pill was what they used and tried not to worry about it. Since I wanted to avoid that drug if possible, though, I decided to pick a different option. Two other options my hospital offered were mechanical dilation with a Foley catheter and Cervidil. I wanted to use the catheter option because it has the fewest risks associated with it, but you have to be dilated a certain amount on your own in order to pick the catheter, and I was not. So my last option was Cervidil, and I am glad I picked that rather than Cytotec. Cervidil is inserted vaginally but can be removed easily (similar to a tampon) if it is causing any side effects or problems. It does, of course, have its own list of side effects (which at this point in my induction decisions I mostly tried to avoid viewing, since Cervidil was my last option), but it is actually approved for pregnancy. The midwife acted surprised that it worked so well on me (I went from basically not being dilated at all to 3 cm in the span of about 12 hours). Normally, they would administer Pitocin at that point to continue the induction, but I requested to see if my body would continue the labor process without the use of Pitocin, and they agreed that was fine. One of the downsides of being induced is that the contractions can come closer together right from the beginning, and mine did–they were roughly three minutes apart for almost all of my 27-hour labor.

I wrote this post because I want women to be aware that they have options when it comes to labor induction. Ask questions of your OBGYN or midwife and do your own research as well. Also, if you reach 40 weeks in your pregnancy and have not started labor on your own yet, schedule your induction date. You can always cancel it if you don’t need it. I waited until 41 weeks to schedule mine because I kept hoping I wouldn’t need to be induced. I would have been given the green light to wait until 41 weeks and 5 days to start induction, but they were booked full. Perhaps I would have gone into labor on my own if I had had those extra couple of days.

If you would like to read more about Cytotec, please check out these resources:

The Freedom to Birth–The Use of Cytotec to Induce Labor: A Non-Evidence Based Intervention

Inductions and the Use of Drugs in Labor and Delivery

The Risks of Cytotec for Inducing Labor

Misoprostol Information from the FDA

Cytotec Unsafe for Labor Induction (This page is from an attorney’s website–continue down to the bottom of this webpage to read comments from women who have had complications during a Cytotec induction.)

**I am not a doctor. Please consult your healthcare professional before trying any health advice I offer on my blog.**

When I wrote Illegally Innocent (my first self-published novel), I did not have a set process for how I completed it or a certain number of drafts I planned to do before publishing. Honestly, I have no idea how many different drafts I wrote for that novel. When I wrote The Anorexic Experiment, I decided I wanted to try something different–basically a formula. Below you’ll see my novel-writing process for The Anorexic Experiment, and it worked so well that I am using the same formula for my current project, the sequel to Illegally Innocent. You can watch the companion video for this post on my YouTube channel here: https://youtu.be/HLEgLyc3wmU. If you have a certain plan you follow for your writing projects, let me know in the comments below!

First Draft—I am not an outliner. I have a general idea of where the book is starting and where it is going to end up, and I have some plot points in mind that I want to touch on along the way. I try not to edit myself much at all in this first draft and mostly write whatever comes to mind. This is sort of a “junk draft.” I do not let anyone read it. Much of it may not even make sense to someone else or be in the order it is going to be in when all is said and done. I will have a word count target in mind and will try to write until I have both reached my target word count and have managed to form some semblance of an ending to the novel.

Second Draft—I start revising. I don’t spend a lot of time on descriptions or fine-tune the plot yet, but I rearrange the plot points into something that makes more sense, fix obvious errors, and in general turn it into something that I am okay with someone close to me reading. My husband, Mike, reads it to give me big-picture feedback.

Third Draft—I use Mike’s feedback to make more edits and now I will spend time on descriptions, fixing dialogue, and doing what needs to be done to make me comfortable with other people reading it. I fix everything I can identify as needing to be fixed. I ask for beta readers and send the manuscript to several people for feedback on things like what parts are confusing, what parts are boring, and any other general edits that they notice.

Fourth Draft—I take the feedback from my beta readers and incorporate much of it into my editing process. The book is basically finished by the time the fourth draft is done.

Fifth Draft—This is where I go over the book with a fine-tooth comb, checking for any grammar errors I may have missed; checking that I have called all of my characters by the correct names (and spelled their names correctly); and if I have used any brand names, I look them up to make sure that I spelled those brand names accurately. I also check for words that I may have repeated too often. One of those words that I tend to use too much is the word “actually.”

Done! Ready to start the formatting and publishing process!

I have not been posting much this year, so I figured it was time for an update!

In writing news…

I have one more event planned for 2018–the Christmas at Wings Arts & Crafts Show in Kalamazoo, MI, on December 1 and 2. Another author, the lovely Sally Mahieu, and I will be sharing Booth 722, and we would love it if you stopped by!

I started a new YouTube channel in July. It currently has a few videos posted on it. If you’d like to see videos about writing-related topics as well as other things I do in my life, check out my channel here: https://www.youtube.com/channel/UC8FscDzxIxC7Ab8P5AOicKQ/videos. If you enjoy watching it, I would love it if you would subscribe!

In the next few weeks I will be sending out an October/November 2018 e-newsletter. If you haven’t signed up already and would like to, please visit my website here: http://angelabaconbooks.com/newsletter-sign-up/. I only send out e-newsletters a few times per year, so don’t worry–I won’t fill your inbox with tons of emails each week! My e-newsletter is a good way for you to keep up with my author events; find out about special deals like Kindle sales, copyediting coupons, and contests; and become a beta reader for my upcoming projects.

My current writing project is the sequel to Illegally Innocent, and it still needs A TON OF WORK. I do not have a release date for it yet. This month marks SIX YEARS already since Illegally Innocent was released, and I know you have been waiting a long time for the sequel! I hope to bring it to you in 2019.

In personal news…

The store where I worked for over a decade shut down in March, and I am currently working in a job where I dabble in Accounts Payable, HR, and random administrative assistant types of tasks. Since this job spans quite the range of duties, I am still training even though I’ve worked there for over six months. I am enjoying having nights, weekends, and holidays off, since I regularly worked many of those shifts at my previous job.

I am writing this post to accompany a video on my new YouTube channel, Angela Bacon Books! This way you can have a list to print out if you would like to do so. 🙂 Here is a link to the video: https://www.youtube.com/watch?v=68IaxAe-Z10

Here is a list of what (and who) you should consider bringing to your first book signing:

1. Copies of your books (obviously)

2. Multiple black pens

3. A helper

4. Tablecloth(s)

5. Price sign

6. Display materials to hold your books

7. Business cards

8. Flyers/other papers if you have them (sometimes I will bring copies of my copyediting contract)

9. Sign-up sheet for your e-newsletter if you have one

10. Paperweight(s) to hold down loose papers at an outdoor event

11. Change & change box/money pouch

12. Square or other product to enable you to accept debit & credit cards

13. Back-up battery for your phone or other electronic devices

14. Foam core board & easel

15. Sales tax license

16. Blank notebook

17. Table & chair(s)

18. Large garbage bags to protect your items if it is raining or snowing

19. Bags to put your customers’ purchased books in

The president of the store where I have worked for nearly thirteen years announced to us in an emotional meeting yesterday that our store will be closing in three to four weeks. I know this was an extremely hard decision, and I appreciate that they have gone to great lengths to keep us open as long as they have. I am currently a full-time employee, and I have told them I will stay the remaining weeks that we are open. It has been a great store to work for, and they are doing their best to find positions for as many of us as possible at their other stores. As we all consider what our next steps will be (not just the next steps for us, but for anyone who is going through job loss, whether you are with this company or another), here are some questions I’m thinking about, and maybe they will help you, too:

  1. What is my passion? What do I not only enjoy doing but also feel that I am skilled in?
  2. What are my career goals not only for right now, but also for the next five or ten years?
  3. What do I need to do to make those career goals happen? How can I take at least one step each week toward making those career goals happen?
  4. If what I want to do is not going to make enough money to pay my bills for a while, what can I do in the meantime to pay those bills? What steps can I take so that my passion gradually does start paying more and more of my bills (and paying for fun things, too, like vacations)?

“Hitting bottom and hitting it hard was the worst thing that ever happened to me and the best thing that ever happened to me.” –Dave Ramsey