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Induction of Labour: A Guide for Expecting Parents

Writer's picture: Gina (hollyblue-antenatal)Gina (hollyblue-antenatal)

Welcoming a new life into the world is an exciting and transformative journey.

For some parents-to-be, the path to meeting their baby involves a process called induction of labour. Whether you’ve been advised to consider induction or are simply exploring your options, understanding what it entails can help you feel empowered and prepared.


What Is Induction of Labour?

Induction of labour is a medical procedure used to stimulate contractions and start the birthing process before it begins naturally. This is typically recommended when continuing the pregnancy poses risks to the mother or baby, or when labour hasn’t started spontaneously by a certain point.


Why Is Induction Recommended?

There are several reasons why a healthcare provider might suggest induction:

  • Going past the expected due date: If the pregnancy extends beyond 41-42 weeks.

  • Medical conditions: Issues like high blood pressure, preeclampsia, or gestational diabetes.

  • Concerns about the baby’s health: Such as slowed growth or decreased amniotic fluid.

  • Premature rupture of membranes (PROM): When the water breaks without labour starting.

  • Other considerations: Including convenience in specific circumstances, like distance from the hospital.


Using BRAIN to Decide if Induction is Right for You

When considering induction, applying the BRAIN decision-making framework can help you make an informed choice:


  • Benefits: What are the potential benefits of induction for me and my baby?

  • Risks: What risks are associated with induction, and how might they compare to waiting for spontaneous labour?

  • Alternatives: Are there other options to consider, such as closer monitoring or natural induction methods?

  • Instinct: What is my gut feeling about this recommendation?

  • Next Steps: What happens if I choose to wait or do nothing for now?


Taking the time to think about these questions with your midwife ensures you feel confident and supported in your decision. It’s okay to ask for more information or a second opinion if needed.


Methods of Induction

Depending on your individual situation, your midwife might use one or a combination of the following methods:


  1. Membrane Sweep; This involves a midwife sweeping their finger around the cervix to separate the membranes. It can help release oxytocin hormones that encourage labour which can reduce the likelihood of a medical induction, however the procedure can cause discomfort, bleeding, cramping, irregular contractions and the membrane waters may break.

  2. Prostaglandins; These hormone-like substances are applied to the cervix to encourage the cervix to soften and prepare for labour.

  3. Breaking the Water (Amniotomy); If your cervix is already partially dilated, the midwife may rupture the amniotic sac to encourage contractions.

  4. Oxytocin (Pitocin); A synthetic version of the hormone oxytocin is administered via an IV to stimulate contractions.

  5. Catheter; A balloon catheter might be inserted into the cervix to apply pressure and encourage dilation.


What to Expect During Induction

The experience of induction varies greatly from one person to another, depending on factors like the method used and how ready your body is for labour. Some inductions progress quickly, while others may take a day or more.


You might feel:

  • Discomfort with certain methods like a membrane sweep.

  • Gradual onset of contractions, which could intensify with medications like oxytocin.

  • The need for pain management options, such as epidurals or breathing techniques, as contractions become stronger.


Risks and Considerations

While induction is generally safe, it’s not without risks. These include:


  • Stronger contractions: Induced contractions may be more intense than spontaneous contractions.

  • Prolonged labour: Sometimes induction takes longer than expected.

  • Increased likelihood of interventions: Such as assisted delivery (forceps/ventouse) or caesarean birth

  • Potential stress for the baby: Monitoring is usually continuous to ensure the baby’s well-being.

    It’s essential to discuss the risks and benefits with your midwife to make an informed decision.


How to Prepare for an Induction

Here are some tips to feel more confident and ready:


  • Ask questions: Understand why induction is being recommended and what to expect.

  • Pack your hospital bag: Include comfortable clothes, snacks, and items to pass the time.

  • Practice relaxation techniques: Deep breathing, meditation, or light movement can help ease tension.

  • Prepare for flexibility: Labour is unpredictable, and plans may change.


Embracing Your Journey

Remember, there’s no “one-size-fits-all” approach to childbirth. Whether your labour begins spontaneously or with induction, the ultimate goal is a safe and healthy delivery for you and your baby.

Every birth story is unique, and choosing induction when medically necessary is just one part of your beautiful journey to parenthood. Trust your body, your baby, and the team guiding you through this incredible experience.

If you have any questions or concerns about induction of labour, remember to talk to your midwife.


A midwife standing supporting a pregnant woman in hospital

Have you experienced an induction of labour? Share your story in the comments below to help other parents on their journey!


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