If the water breaks after 36 weeks and one does not proceed into labor in a reasonable period of time,
then induction of labor is indicated.
For example, among three large studies investigating prostaglandins
for induction of labor in women with a previous cesarean delivery, one found an increased risk of uterine rupture (89), another reported no increased rupture risk (5), and a third found no increased risk of rupture when prostaglandins were used alone (with no subsequent oxytocin)(6).
In a study to be presented Thursday, Jan. 26, in the oral concurrent session at 1:15 p.m. PST, at the Society for Maternal - Fetal Medicine's annual meeting, The Pregnancy Meeting ™, researchers with the Université de Sherbrooke in Sherbrooke, Quebec, Canada will present their findings in a study titled, Reduction of total labor length through the addition of parenteral dextrose solution in
induction of labor in nulliparous: results of DEXTRONS prospective randomized controlled trial.
Similarly, in another large cohort, the rate of VBAC was higher among women undergoing
induction of labor at 39 weeks compared with expectant management (73.8 % versus 61.3 %, P <.001)(104).
If you've
undergone induction of labor or gone into labor on your own but your baby will not deliver for some reason (such as a disparity between the size of your baby's head and the size of your pelvis) you may require a C - section.
I have friends who lost their babies to preventable home birth accidents, attended by negligent midwives, and yet other friends who have lost babies because they
refused induction of labor against the advice of their medical provider.
Please provide one example (within the last 10 years in the USA) of a baby who died as a result of
induction of labor who most likely would have survived without it.
Suspected fetal macrosomia is not an indication for
induction of labor because induction does not improve maternal or fetal outcomes (Level B).
Many women are able to keep parts of their birth plans intact,
despite induction of labor, with the proper planning, practitioner support, and labor support from both family members and doulas.
For example, even if you are low risk, if you have a
Pitocin induction of labor you will likely have continuous external monitoring.
Inclusion criteria were
induction of labor scheduled at term (37 weeks or later), a viable singleton fetus, intact membranes, and cephalic presentation.
Considering induction of labor and intrapartum interventions, our results are in line with previous studies showing that midwife - led care for low - risk women reduces the risk of some interventions when compared to obstetrician - or physician - led care [1,4,8,9].
Despite modern techniques,
induction of labor still introduces considerable risk compared with natural onset of labor, and many, if not most, inductions are done for reasons that are not supported by sound medical research.
Recognizing that 38.5 % of women in our cohort had a primary cesarean delivery
after induction of labor, it is tempting to assert that avoiding labor induction could reduce the rate of primary cesarean delivery.
«Therefore, it is reasonable to
offer induction of labor to women reaching that time of pregnancy and maybe a little earlier.»
Obese women also have more medical problems, like diabetes and high blood pressure, which might
require induction of labor, setting them up for unwanted Cs (see below).
Several studies have noted an increased risk of uterine rupture in the setting of
induction of labor in women attempting TOLAC (5, 6, 89, 100 — 102).
Interventions
including induction of labor, IV fluids, pain medications, and separation of mother and baby can contribute to nursing challenges.
Induction of labor, because of the potential of added intervention and the increased likelihood of the baby being born prematurely, even slightly, can cause difficulties in breastfeeding.
When a fetus has a severe anomaly that is known to be fatal or when a mother develops life - threatening complications during her pregnancy, the safest option may be to end the pregnancy through surgery or
an induction of labor.
These tests will help determine if your practitioner needs to intervene with
an induction of labor for the health of your baby or let your pregnancy continue.
Because of this tendency for inaccuracy, it's not a great idea to have
an induction of labor based on the predicted size of your baby.
The most common intervention would be
an induction of labor, where your practitioner tries to jumpstart labor with a variety of different methods.
It has been frequently used routinely in early labor for many pregnant women or during
an induction of labor.
Induction of labor is used when medically indicated that your baby is safer on the outside than on the inside.