Medical Induction of Labor
In some cases, the doctor needs to help
begin by using:
- Other procedures
Inducing labor is done instead of waiting for your body to go into labor on its own.
Reasons for Procedure
The most common reason to have an induction is that the pregnancy has gone 2 or more weeks past the due date (or at the due date with twins). In this situation, the baby may:
- Get too large for a vaginal delivery
- Not receive enough oxygen through the placenta (the organ that links the mother and the baby)
Other reasons for induction include:
The same complications that may occur when labor begins on its own may also occur during induced delivery. Risks associated with the medications used for labor induction include the following:
Stalled labor—If the medication does not trigger labor, you may need a
- Strong contractions—The medication that causes contractions could make them too strong. Although rare, this can lead to fetal distress and uterine rupture. In the event that your contractions are too strong, your doctor will lower the dose or stop the medication.
Be sure to discuss these risks with your doctor before the procedure.
What to Expect
Prior to Procedure
The same instructions used when labor begins on its own also apply to induced labor. But, there are some differences.
Do not eat too much before arriving at the hospital. It is okay to have clear fluids. The medications can create very strong contractions and could upset your stomach. Contractions slow the digestive process, so your stomach will remain full. This can cause a problem if you need
Description of the Procedure
To deliver your baby vaginally, the cervix will need to ripen. This means it needs to soften, thin, and open to prepare for delivery. If your cervix is not doing this already, your doctor may aid this process by giving you medication. Medication may be a:
- Gel that is applied to the cervix
- Suppository put in the vagina
- Pill taken by mouth
The cervical ripening process can last up to a few days.
There are also procedures that your doctor may try to aid cervical ripening, such as:
- Strip the membranes (separate your cervix from the tissues around the baby’s head)
- Expand a small balloon-tipped catheter in the cervix
- Place small cylinders that contain a type of sponge-like seaweed into the cervix
|Changes in the Cervix During Pregnancy
|Copyright © Nucleus Medical Media, Inc.
If contractions have not started when your cervix is ripe, your doctor will give you a drug that causes contractions. The drug is a man-made version of a hormone called oxytocin. This hormone is produced by your body during active labor. The drug will be adjusted during labor to strengthen or weaken the contractions. After contractions begin, the labor and birth process will be the same as when labor begins on its own.
The same pain medications are available for an induced labor as for a spontaneous delivery, including:
- Pain medication given into your vein
- Spinal block
- Local anesthesia
Immediately After Procedure
If everything goes well, you will vaginally deliver a healthy baby after the induction.
How Long Will It Take?
It can be hours to several days (rarely) from the time you are induced until the delivery. If your cervix is not ripe when you are scheduled for the induction, labor and delivery could take 2-3 days. It could take longer for first-time mothers and for pre-term babies.
How Much Will It Hurt?
Labor causes severe pain. Talk to your doctor about ways to manage the pain.
Average Hospital Stay
The usual length of stay is 1-3 days. Your doctor may choose to keep you longer if you have any problems.
The care after an induced labor is the same as for a spontaneous birth.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
- An unexplained fever of 100.4 degrees Farenheit (38 degrees Celsius) or above in the first 2 weeks
- Soaking more than 1 sanitary napkin an hour or if the bleeding level increases
- Wounds that become red, swollen, or drain pus
- New pain, swelling, or tenderness in your legs
- Hot-to-the-touch, significantly reddened, sore breasts
- Any cracking or bleeding from the nipple or areola (the dark-colored area of the breast)
- Foul-smelling vaginal discharge
- Painful urination or a sudden urge to urinate, inability to control urination
- Increasing pain in the vaginal area
- Cough or chest pain, nausea, or vomiting
- Depression, hallucinations, suicidal thoughts, or any thoughts of harming your baby
In case of an emergency, call for medical help right away.
American Congress of Obstetricians and Gynecologists
Women's Health—US Department of Health and Human Services
Women's Health Matters
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