Labor Induction
When a pregnant woman is unable to continue pushing or when a caesarean section (C-section) is not feasible, labor may be induced. Labor induction is a procedure to stimulate uterine contractions before labor begins naturally. The causes for labor induction include:
- Approaching 2 weeks beyond due date 
- Labor hasn’t started naturally 
- Water has broken, but a woman is not having contractions 
- Infection in the uterus 
- Baby has stopped growing at expected pace 
- Lack of amniotic fluid surrounding baby (oligohydramnios) - Leads to lung immaturity 
 
- Placenta has begun to deteriorate 
- Placenta peels away from inner wall of uterus before delivery - Partial or completely 
 
- Associated medical condition putting the baby at risk - Diabetes 
- High blood pressure 
- Hypo/hyperthyroidism. 
 
Risks associated with labor induction are:
- Need for C-section 
- Premature birth 
- Low heart rate (bradycardia) - Diminish your baby’s oxygen supply 
 
- Infection for mother and baby 
- Umbilical cord complications 
- Uterine rupture 
- Bleeding after delivery. 
Labor induction is not for:
- Women with prior C-section 
- Placenta blocking the cervix – placenta previa 
- Baby is lying crosswise in uterus – transverse fetal life 
- Active genital herpes infection (HSV 2) 
- Birth canal too small to allow for normal birth. 
The process may only be performed in a hospital with appropriate monitoring. Women who reside in Denver should visit the Denver Holistic Center for more information. Here are some things the physician will do beforehand:
- Strip or sweep the amniotic membranes 
- Ripen the cervix – using synthetic prostaglandins 
- Manually break a pregnant woman’s water – amniotomy or rupturing the membranes 
- Intravenous medication – oxytocin to induce labors or prevent hemorrhaging. 
Figure 1 – This is how labor induction is done.
Figure 2 – Different stages of labor.3 Stage I (up to full dilation: Latent Phase [contractions → 4 cm] and Active Phase [4-10 cm]), Stage II (full dilation → Delivery), Stage III (Delivery of the placenta due to PG-F, blood gush → cord lengthens → fundus firms).
Conclusively, this is a risky procedure and each and every pregnant woman should be made fully aware of the risks and impediments.
