Understanding Labor Induction: When and Why It’s Necessary
When considering inducing labor, it’s essential to understand the reasons behind it and the implications it may have for you and your baby. At Hoag, we prioritize your health and well-being, so let’s explore when inducing labor is necessary and when it might be best to wait.
“Labor induction is the process of initiating contractions before labor starts on its own. This procedure is vital for ensuring a safe delivery, particularly when there are health concerns for either the mother or the baby,” said Dr. David Lagrew, chief of maternal fetal medicine.
Why Might Labor Induction Be Necessary?
Your health care team may recommend labor induction for several reasons, including:
Diabetes: Whether gestational or pre-existing, diabetes that requires treatment is a strong reason to consider induction by 39 weeks.
High Blood Pressure: This condition can pose risks during labor and delivery.
Medical Conditions: Issues such as kidney disease, heart disease, or obesity can complicate pregnancy and necessitate earlier delivery.
Infections: An infection in the uterus may require timely intervention.
BMI Concerns: A body mass index (BMI) of 30 or greater can increase risks during pregnancy.
Additional concerns may include, the baby’s growth, insufficient amniotic fluid, labor hasn’t started on its own one to two weeks after the due date, water breaks but labor doesn’t begin and potential problems of the placenta.
In some cases, waiting for labor to start naturally is the best choice. If your pregnancy is progressing without complications, and you’re not overdue, it may be safer to let nature take its course. Labor should be started with medical reasons in mind, because inducing labor can lead to a longer process and a higher chance of needing a C-section compared to going into labor naturally. It’s best to avoid starting labor artificially if the cervix isn’t ready. However, if you’re nearing or past 41 weeks, the risks associated with prolonged pregnancy, such as reduced amniotic fluid and increased fetal size, increase.
Patients may be eligible for elective induction, which is when a patient requests labor induction without a specific medical reason. “If considering elective induction, it’s essential to confirm that the baby is at least 39 weeks old to minimize health risks. Research shows that inducing labor during this time lowers several risks specifically preeclampsia. Conversely induced labors typically carry an increased risk of needing a cesarean section. It's important that you and your health care professional share in the decision to induce labor at 39 to 40 weeks,” said Dr. Lagrew.
Potential Risk of Inducing Labor
Inducing labor isn’t suitable for everyone. It may not be recommended if you have a history of:
A vertical C-section or major uterine surgery.
A prolapsed umbilical cord (when the cord slips ahead of the baby).
Placenta previa (where the placenta blocks the cervix).
While many women may seek natural ways to induce labor, evidence shows that most methods such as exercise or intercourse are unlikely to be effective. In modern obstetrics the typical induction process involves ripening (softening/opening) the cervix; rupture of membranes and administration of oxytocin to induce contractions. The specific techniques vary amongst patients and your midwife or obstetrician will review what your body needs prior to the process beginning.
We advise you to work closely with your health care team at Hoag to determine the best course of action for you and your baby. Your health and safety are our top priorities, and together, we can navigate this important journey. For more information or to discuss your options, schedule an appointment with your Hoag provider today.