Induction of labour

Induction of labour is a medical procedure that stimulates childbirth and delivery. It involves using methods to help start the process of labour in pregnant women who are not going into labour naturally, or if there is a concern for the health of the mother or baby.

Reasons for Induction of Labour

Induction of labour is often recommended when there is a risk to the health of the mother or baby. This can include conditions such as pre-eclampsia, gestational diabetes, or if the baby is not growing as expected. It may also be recommended if the mother is overdue, usually two weeks past the expected due date.

Methods of Induction

There are several methods that can be used to induce labour. These include:

• Membrane sweep or stretch and sweep: This involves a healthcare professional sweeping their fingers around the cervix during an internal examination. This action separates the membranes of the amniotic sac surrounding the baby from the cervix, which can stimulate hormones to kick-start labour.

• Prostaglandins: These are hormones that prepare the body for labour. They can be used in the form of a gel, tablet or pessary and are inserted into the vagina to help soften the cervix and trigger contractions.

• Artificial rupture of membranes (ARM), also known as 'breaking the waters': This involves a healthcare professional making a small hole in the amniotic sac during an internal examination, which can help to speed up labour.

• Oxytocin drip: If other methods of induction haven't worked, a synthetic version of the hormone oxytocin can be used. This is given via a drip and can help to start contractions.

Risks and Complications

Like all medical procedures, there are potential risks and complications associated with induction of labour. These can include:

• An increased likelihood of needing further interventions during labour, such as use of forceps or a caesarean section.
• Increased likelihood of infection, particularly if the waters have broken and labour does not start soon after.
• Changes to the baby's heart rate.
• The contractions can be more intense and painful.

See Also

• Childbirth
• Pregnancy
• Pre-eclampsia
• Gestational diabetes

Induction of labour Resources
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