Your pain relief options during labour are not restricted by being induced. You should have access to all the pain relief options usually available in the maternity unit. If you are induced you'll be more likely to have an assisted delivery, where forceps or ventouse suction are used to help the baby out.
Your obstetrician and midwife will assess your condition and your baby's wellbeing, and you may be offered another induction or a caesarean section. You may have heard that certain things can trigger labour, such as herbal supplements and having sex, but there's no evidence that these work. Other methods that are not supported by scientific evidence include acupuncture , homeopathy , hot baths, castor oil and enemas. Having sex will not cause harm, but you should avoid having sex if your waters have broken as there's an increased risk of infection.
For more information on induction, you can read the NICE information for the public on induction of labour. You can find pregnancy and baby apps and tools in the NHS apps library. Page last reviewed: 12 November Next review due: 12 November Inducing labour. It's your choice whether to have your labour induced or not. Why you might be induced if you're overdue if your waters have broken if you or your baby have a health problem If you're overdue Induction will be offered if you do not go into labour naturally by 42 weeks, as there will be a higher risk of stillbirth or problems for the baby.
If your waters break early If your waters break more than 24 hours before labour starts, there's an increased risk of infection to you and your baby. If you have a health condition or your baby is not thriving You may be offered an induction if you have a condition that means it'll be safer to have your baby sooner, such as diabetes , high blood pressure or intrahepatic cholestasis of pregnancy.
Membrane sweep Before inducing labour, you'll be offered a membrane sweep, also known as a cervical sweep, to bring on labour.
How labour is induced If you're being induced, you'll go into the hospital maternity unit. You should contact your midwife or obstetrician if: your contractions begin you have not had any contractions after 6 hours If you've had no contractions after 6 hours, you may be offered another tablet or gel.
What induced labour feels like Induced labour is usually more painful than labour that starts on its own, and you may want to ask for an epidural. If induction of labour does not work Induction is not always successful, and labour may not start. When you're feeling huge and rolling over in bed requires intervention, scheduling an induction like a hair appointment seems like a fabulous idea. More women are scheduling inductions to start the birth process — in fact, the American College of Obstetricians and Gynecologists ACOG reports that 20 percent to 40 percent of labors are now induced.
Plus, a recent study seems to indicate that induced birth at 39 weeks has better outcomes for women and children than "waiting it out. If a baby is showing signs of poor growth or distress or is more than a week or two overdue, he may be healthier if delivered quickly. For mothers with high blood pressure, preeclampsia , uncontrolled diabetes, or certain other health conditions, a medically indicated induction may mean the difference between a healthy delivery and a catastrophe.
If you're at and-a-half weeks of pregnancy, induction is a clear choice, says Leslie Ludka, a nurse-midwife in Silver Springs, Maryland. Past 42 weeks , odds are your baby will be larger, and that can lead to prolonged labor or complications with your newborn. Doctors have several methods of inducing labor. The one your practitioner uses will depend on a number of factors, such as the readiness of your cervix and your baby's health.
Get familiar with the methods below, but remember, there are no guarantees:. Your health care provider will do a cervical exam, and with her finger, she will separate the amniotic sac from the wall of the uterus.
Many women have cramping and spotting after this is done. When the membrane is separated, hormones called prostaglandins are released, and these ripen the cervix by causing contractions. Stripping the membranes during pregnancy can be done only if your cervix is dilated. Before inducing labor, the cervix is assessed by a Bishop Score — a point system of on five factors, including how far open and thinned out it is.
The higher the score, the greater the chance for a vaginal delivery, while totals under 5 are the biggest risk factor for a C-section. Your doctor will examine your cervix to see how effaced and dilated it is and will check to see if your baby has descended into your pelvis. Studies show that induced labors are most effective in women whose cervices are ready for labor, so if yours isn't, your health care practitioner may help things along by using one of several ripening agents.
These include prostaglandin E suppositories, a prostaglandin-laced gel, prostaglandin on a vaginal device, or a prostaglandin tablet. Some women who go this route go into labor within 24 hours without needing to have any other intervention. Pregnancy, Birth and Baby is not responsible for the content and advertising on the external website you are now entering.
Video call. This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes. The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.
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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. Induced labour — what are the options?
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