Labour typically commences between 37 and 42 weeks of pregnancy. In instances where this doesn’t occur naturally or if pregnancy complications arise, your midwife or doctor might propose labour induction. Before initiating labour induction, in most cases, a membrane sweep will be offered by your midwife or doctor. If the sweep proves unsuccessful and induction becomes necessary, you will be scheduled for induction within a hospital setting.
Medicinal induction (also referred to as artificial induction) typically takes place around the 42-week mark of pregnancy. This timing helps prevent the baby from being overdue, as there is an increased risk of stillbirth or complications for the baby if the pregnancy extends beyond this point.
How is labour induced?
The induction procedure transpires within a hospital unit. There are two methods to initiate labour: employing a pessary (tablet) or a gel inserted into the vagina to soften the cervix. If additional time is required for cervical softening, you may be permitted to return home until labour progresses. You should return to the hospital either upon the onset of contractions or if you haven’t experienced contractions for 6 hours. If the latter occurs, a second dose will be provided.
What if induction doesn’t work?
Although extremely uncommon, induction might not produce the desired effect. In such cases, your doctor will evaluate your situation and offer either another induction attempt or a Caesarean section.
Are there associated risks?
When contemplating artificial labour induction, it’s important to acknowledge potential risks:
- 5% of induced women may require assisted delivery using forceps or ventouse.
- 22% of induced women could face an emergency Caesarean section.
- There is a minimal chance of infection for you or your baby.
- Post-birth bleeding might be more pronounced.
- There is a remote possibility of uterine tearing or rupture.
