Merck Manual Professional Version. Bush M, et al. Umbilical cord prolapse. Gabbe SG, et al. Abnormal labor and induction of labor. In: Obstetrics: Normal and Problem Pregnancies. Philadelphia, Pa.
Cunningham FG, et al. Induction and augmentation of labor. In: Williams Obstetrics. New York, N. Butler Tobah Y expert opinion. Mayo Clinic, Rochester, Minn. May 22, See also Back labor Bathroom during labor: What if you have to go?
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Send to: is required Error: This is required Error: Not a valid value. What is an induced labour? In Australia, about 1 in 3 women has an induced labour. What are the differences between an induced and a natural labour? When is induced labour recommended?
Your doctor might recommend induced labour if: you are overdue more than 41 weeks pregnant there is a concern the placenta is not working as it should you have a health condition, such as diabetes , kidney problems or high blood pressure the baby is making fewer movements, showing changes in its heart rate, or not growing well your waters have broken, but the contractions have not started naturally you are giving birth to more than one baby twins or multiple birth Not everyone can have an induced labour.
What to expect During the late stages of your pregnancy, your healthcare team will carry out regular checks on your health and your baby's heath. Pain relief during induced labour Induced labour is usually more painful than natural labour. Risks when inducing labour There are some increased risks if you have an induced labour.
These include that: it will not work — in about 1 of 4 cases, women go on to have a caesarean your baby will not get enough oxygen and their heart rate is affected you or your baby get an infection your uterus tears you bleed a lot after the birth What happens if the induction does not work? Back To Top. It comes in several forms. The first form is a cervical gel placed in the vagina, near the cervix, by your doctor or midwife.
The third form is a pill called misoprostol, which is swallowed with water or placed under the tongue. It may be used if your water has already broken and your care provider has concerns about introducing bacteria into the uterus through vaginal exams. Misoprostol has the highest risk of causing too many contractions, says Dy, so you would stay at the hospital so the baby can be monitored with an external monitor you will still be able to move around.
All of these methods may cause faster or more intense contractions than if labour started naturally. Oxytocin is naturally produced by your body to help the uterus contract. It may also be called by its synthetic name, Pitocin.
An amniotomy is where your care provider uses an instrument that looks like a crochet hook to break the amniotic sac, allowing amniotic fluid to leak out. This is uncomfortable but not painful. Again, this is usually done once the cervix is favourable, and oxytocin is used to keep labour consistent. Each induction method carries some specific potential risks, so you and your care provider have to weigh the risks and benefits against the risks and benefits of continuing the pregnancy without inducing labour.
Some uncommon but serious risks include uterine rupture and heavy bleeding after delivery. New research suggests that an induction at 39 weeks actually leads to a lower C-section rate, lower infant mortality and fewer blood pressure problems for women. Accessed April 25, Frequently asked questions. Pregnancy FAQ What to expect after your due date. American College of Obstetricians and Gynecologists. Reaffirmed Wing DA. Cervical ripening and induction of labor in women with a prior cesarean delivery.
Meconium aspiration syndrome. Merck Manual Professional Version. Techniques for ripening the unfavorable cervix prior to induction. Labor, delivery and postpartum care FAQ Labor induction. Gabbe SG, et al. Abnormal labor and induction of labor. In: Obstetrics: Normal and Problem Pregnancies.
Philadelphia, Pa.
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