Medical reasons for inducing labor. E-mail to a friend Please fill in all fields. Please enter a valid e-mail address. Thank you! Your e-mail was sent. Save to my dashboard Sign in or Sign up to save this page. Saving Just a moment, please. You've saved this page It's been added to your dashboard. In This Topic. What is inducing labor? What are medical reasons for inducing labor? Your provider may recommend inducing labor if: Your pregnancy lasts longer than 41 to 42 weeks.
After 42 weeks, the placenta may not work as well as it did earlier in pregnancy. The placenta grows in your uterus womb and supplies your baby with food and oxygen through the umbilical cord. Your placenta is separating from your uterus also called placental abruption or you have an infection in your uterus. Your water breaks before labor begins. This is called premature rupture of membranes also called PROM. You have health problems, like diabetes , high blood pressure or preeclampsia or problems with your heart, lungs or kidneys.
Diabetes is when your body has too much sugar called glucose in your blood. This can damage organs in your body, including blood vessels, nerves, eyes and kidneys. But, Polyakov says, in the public hospital system doctors have no financial incentives to offer inductions, because they are more costly and resource-intensive than spontaneous births.
Moss emphasises that the findings of the NSW study can only be applied to women with low-risk pregnancies. Obstetric practice has changed in the last decade, says Polyakov. As a result, he says, the number of women who do have medical indications for induction has likely also increased too.
Abbey McCauley, a year-old Melbourne woman, has had three medically-necessary inductions for her pregnancies. With her first child, she was suspected of having cholestasis of pregnancy, a condition associated with intense itching. Pelvic instability and gestational diabetes were diagnosed for the second and third. Emma delivered her second child last year, as a vaginal birth after caesarean. Compared with her first birth, she felt supported in the process by an experienced obstetrician, as well as a doula and student midwife.
This article is more than 5 months old. He called for "continued research, based on better data, in what's still a relatively new arena. He noted that the study found a worse outcome for elective early-term cesarean deliveries.
Infants delivered by cesarean at 37 weeks to 38 weeks had a 13 percent to 66 percent higher risk of adverse outcomes, according to the study. One expert said the risk difference between the modes of delivery was the study's most interesting finding.
Siobhan Dolan, professor of clinical obstetrics and gynecology and women's health at the Albert Einstein College of Medicine in the Bronx and a medical adviser to the March of Dimes. Dolan emphasized that the study shouldn't affect hospitals' new policies, known as the "hard-stop" rule.
She attributed recent improvements in neonatal health to the policies. Doctors may use naturally occurring chemicals called prostaglandins to try to soften and thin out the cervix and encourage cervical dilation. They deliver prostaglandins to the cervix through the vagina.
In some cases, they may administer the hormone oxytocin to induce labor by stimulating contractions. This method can help release prostaglandins to induce labor, according to ACOG. According to one source , this may be uncomfortable for some women and is only possible following the dilation of the cervix. Some women may seek out natural or nonmedical ways to induce labor at home. However, some of these methods may not be safe.
It is essential to discuss any thoughts of induction with a healthcare professional. There are several factors to consider before deciding on any method of induction. These include the gestational age of the fetus, the fetal position, and any pregnancy complications. Nipple rolling or gentle rubbing may lead to a release of oxytocin , which could help induce labor.
Exercise is advisable during pregnancy unless a doctor specifies otherwise. However, there is no evidence that it can induce labor. Having sex could help induce labor because orgasms cause uterine contractions, nipple stimulation triggers the release of oxytocin, and semen contains high levels of prostaglandins.
However, a study of almost 1, women in Malaysia found no difference in labor and delivery whether or not the women had sex with the aim of inducing pregnancy. In some cases, sex during pregnancy could lead to bleeding, putting the health of both the woman and baby at risk. Women should talk with their doctor if they have any concerns about having sex during pregnancy.
Some people recommend herbs and homeopathic remedies to induce labor. The authors of a study that BMJ Open published in concluded that even though some herbs may be effective, there is a lack of evidence to confirm that they are safe to use.
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