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Your name: is required Error: This is required. Your email: is required Error: This is required Error: Not a valid value. Send to: is required Error: This is required Error: Not a valid value. Deciding whether to have an induced labour If you are overdue , you might decide to wait and see if labour will start naturally.
Do not be afraid to ask lots of questions, such as: Why do I need an induction? How will it affect me and my baby? What will happen if I do not have the induction? What procedures are involved and how will you care for me and my baby? What options are there to induce labour?
The different ways to induce labour are listed below. Sweeping the membranes During a vaginal examination, the midwife or doctor makes circular movements around your cervix with their finger. Oxytocin A synthetic version of the hormone oxytocin is given to you via a drip in your arm to start your contractions. Artificial rupture of membranes 'breaking your waters' Artificial rupture of membranes ARM is used when your waters do not break naturally.
Prostaglandins A synthetic version of the hormone prostaglandins is inserted into your vagina to soften your cervix and prepare your body for labour. Cervical ripening balloon catheter A cervical ripening balloon catheter is a small tube attached to a balloon that is inserted into your cervix. You may also need ARM or oxytocin if you are using a cervical ripening balloon catheter. You may start to wonder — is this baby ever going to come?
Late pregnancy can be challenging — you may feel large all over, your feet and back might hurt, you might not have the energy to do much of anything, and you're beyond ready to meet the little one you've nurtured all this time. Which is why waiting a little longer than you'd expected can be particularly hard.
Still, being past your due date doesn't guarantee that your doctor or other health care provider will do anything to induce or artificially start labor — at least not right away.
Labor induction is what doctors use to try to help labor along using medications or other medical techniques. Years ago, some doctors routinely induced labor. But now it's not usually done unless there's a true medical need for it. Labor is usually allowed to take its natural course. However, in some situations, a health care provider may recommend induction.
Induction also can be appropriate under certain circumstances, as with a mother who is full term and has a history of rapid deliveries or lives far from a hospital. Some mothers request elective inductions for convenience, but these do come with risks. Some methods of induction are less invasive and carry fewer risks than others. Ways that doctors may try to induce labor by getting contractions started include:.
Stripping the membranes can be a little painful or uncomfortable, although it usually only takes a minute or so. You may also have some intense cramps and spotting for the next day or two. It can also be a little uncomfortable to have your water broken. You may feel a tug followed by a warm trickle or gush of fluid. With prostaglandin, you might have some strong cramping as well. If you have a successful vaginal delivery after induction, there might be no implications for future pregnancies.
If the induction leads to a C-section, your health care provider can help you decide whether to attempt a vaginal delivery with a subsequent pregnancy or to schedule a repeat C-section. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Sections for Labor induction About. Overview Labor induction — also known as inducing labor — is the stimulation of uterine contractions during pregnancy before labor begins on its own to achieve a vaginal birth. Request an Appointment at Mayo Clinic.
Uterine incisions used during C-sections Open pop-up dialog box Close. Uterine incisions used during C-sections A C-section includes an abdominal incision and a uterine incision.
Share on: Facebook Twitter. Show references Wing DA. Induction of labor. Accessed April 25, Frequently asked questions. Pregnancy FAQ Then, massage the area. Acupressure might also make your labor less uncomfortable.
Learn which pressure points work best for easing labor pain. Induction at 39 weeks. A study found that women in their first pregnancy who were induced at 39 weeks were less likely to need a C-section than those who waited. While they may be necessary in certain cases, these surgical deliveries can also cause more problems with future pregnancies. Labor induction process. Your labor will be induced in a hospital or birthing center. The process will differ based on which technique your doctor uses to induce labor.
Sometimes doctors use a combination of methods. Depending on the techniques your doctor tries, it can take anywhere from a few hours to several days for your labor to start. Most of the time, induction will lead to a vaginal delivery. What to expect during labor induction. What you can expect depends on the method of induction: Prostaglandins come as a suppository that goes into your vagina.
After a few hours, the medicine should trigger labor. This chemical stimulates contractions and helps to speed the labor process. During amniotic sac rupture, the doctor will place a plastic hook inside your vagina to open up the sac. You may feel a warm rush of water as the sac breaks. The hospital staff will monitor your contractions to see how your labor is progressing.
Labor induction risks. Health concerns and a long pregnancy are reasons why you might consider labor induction. Labor induction side effects. The drugs and techniques used to induce labor can cause side effects in both you and your baby. Pitocin and other medicines that ripen your cervix can intensify your contractions, making them come faster and closer together. More intense contractions may be more painful for you.
Your doctor might stop giving you the drug if your contractions are coming too quickly. Rupturing the amniotic sac may cause the umbilical cord to slip out of your vagina before your baby. This is called prolapse. Labor needs to start within about 6 to 12 hours after rupturing your amniotic sac.
Not going into labor within that time frame increases the risk of infection to both you and your baby. Bishop score for induction. It gets its name from obstetrician Edward Bishop, who devised the method in Your doctor will calculate your score from the results of a physical exam and ultrasound.
Your odds of a successful induction go down with a lower score.
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