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 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. One sits just above your ankle on the back of your shinbone. Another is in the center of your palm. To perform acupressure on yourself, press down on one of these points for a few seconds.
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. Induction vs. Induction uses medicines or medical techniques to start your labor. The length of a labor that happens without medical intervention varies. Some women deliver within a few hours of their first contractions. When you go into labor naturally, first the muscles of your uterus start to contract.
During active labor, your cramps become stronger and come more often. At the end of this stage, your baby is born. What does labor induction feel like? What labor induction feels like depends on how your doctor induces your labor. Artificial rupture of the membranes to induce labour. To help start or speed up labour, your doctor may rupture your amniotic sac rupture of the membranes. This should only be done after your cervix has started to open dilate and the baby's head is firmly descended engaged in your pelvis.
If the membranes are ruptured too early, there is a risk of the umbilical cord slipping down around or below the baby's head cord prolapse. If the cord gets squeezed between the baby's head and the pelvic bones, the blood supply to the baby may be reduced or stopped. To rupture your amniotic sac amniotomy , your doctor inserts a sterile plastic device into your vagina.
This device may look like a long crochet hook or may be a smaller hook attached to the finger of a sterile glove. The hook is used to pull gently on the amniotic sac until the sac breaks. This procedure is usually not painful. A large gush of fluid usually follows the rupture of the amniotic sac. The uterus continues to produce amniotic fluid until the baby's birth.
So you may continue to feel some leaking, especially right after a hard contraction. If active labour has started on its own but contractions have slowed down or completely stopped, steps need to be taken to help labour progress augmentation.
Augmentation will be done when:. If labour fails to progress in spite of membrane sweeping, an amniotomy, oxytocin, or a combination of these measures, delivery by caesarean section may be considered. Author: Healthwise Staff. This information does not replace the advice of a doctor.
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Top of the page. Topic Overview Labour induction As the end of pregnancy nears, the cervix normally becomes soft ripe and begins to open dilate and thin efface , preparing for labour and delivery. Your labour may be induced for one of the following reasons: Your pregnancy has gone 1 to 2 weeks past the estimated due date. You have a condition such as high blood pressure , abruptio placenta , infection, lung disease, pre-eclampsia , or diabetes that may threaten your health or the health of your baby if the pregnancy continues.
Your baby has a condition that needs treatment, and the risks of vaginal delivery are low. Induction and vaginal delivery are not attempted if the baby may be harmed or is in immediate danger.
In such cases, a caesarean delivery C-section is usually done. Ways to induce labour There are several ways to induce labour contractions. Medicine may be used to soften the cervix and help it thin efface. Medicine may be used to cause the uterus to contract. A balloon catheter such as a Foley catheter may be used to help the cervix open.
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