Induction – the medical kind
No one knows exactly when their baby will make an appearance, but for some women, the wait can feel like torture. If you're at the end of your pregnancy and are eager to meet your little one, your doctor may suggest a medical induction.
Here's what you need to know about this process.
There are several ways of inducing labour that your care provider might suggest. All these procedures are generally safe and effective, and they can help to induce labour when it is medically necessary.
Pitocin, Cervidil, and Misoprostol (Cytotec) are medications that can be used to induce labour.
Pitocin is a synthetic form of the hormone oxytocin. Pitocin is used to stimulate the muscles of the uterus, and it is administered through an IV.
Cervidil is a medication that is inserted into the cervix, and it helps to ripen the cervix and prepare it for labour.
Misoprostol (Cytotec) is another medication that can be used to induce labour, and it is taken orally, or vaginally.
A foley catheter is a method used to open the cervix manually.
Inducing labour is a medical intervention, and like other medical interventions, it can carry certain risks, which is why it's important to be aware of them before deciding to induce. One of the most common risks associated with induction is that it can lead to more painful labour. This is because contractions during induced labour tend to be stronger and more frequent than those that occur naturally. Additionally, induction can sometimes lead to complications such as uterine rupture or cord prolapse. While these complications are rare, they can be very serious, so it's important to discuss all the potential risks with your doctor before deciding on induction.
Before the start of an induction, your provider will determine your bishop score to help plan for the most effective method to start with. Often there is a need to prepare the cervix before they start producing contractions. Once your bishop score is high enough, and labour is induced with Pitocin, contractions usually start within hours. Generally, the dose is increased in small increments until your contractions are consistent and strong enough to create change. The induction process can be uncomfortable and tiring, so it’s important to be prepared mentally and physically. It’s also a good idea to have someone with you who can offer support and encouragement, such as a Doula, in addition to your partner so that everyone can rest during the process. If you have any concerns about induction, speak to your care provider. They can explain the process and answer any questions you may have.
There are several things you can do to physically and emotionally prepare for an induction of labour. First, it's important to try to get your body in the best possible shape. This means eating healthy foods, staying hydrated, and getting regular exercise. It can also be helpful to develop a support system that can help remind you of your desires for birth and help you feel informed. Finally, it's important to try to stay positive and have faith in your body's ability to give birth. Induced labour can be challenging, but if you are well prepared, you will be more likely to have a positive experience.
Are you feeling overwhelmed or anxious about your upcoming medical induction? You are not alone. Many women feel this way before their baby is born. But don't worry, we're here to help. Our team of experienced Doulas can offer support and guidance during the induction and birth of your baby. If you have any questions or want more support, please let us know. We would be happy to chat with you!