In some cases it is necessary to induce labor, in the interests of mother and child. This is also called inducing. There are several reasons for induction of labor. This could include prolonged rupture of membranes, late delivery or growth retardation of the baby. When labor is induced, contractions are induced by means of an IV. During this process, the condition of mother and child is closely monitored.
Reasons for induction of labor
Retarded growth of the baby
An ultrasound may show that your child has suffered growth retardation. If this is the case, a CTG will be made to see what the baby’s condition is. If the baby’s condition appears to be unsatisfactory, it is better to induce labor.
When the waters break, this is a sign of the beginning of labor. Shortly after the waters break, contractions often start. But in some women, their waters break and then nothing happens at all! If the waters have broken for more than 24 hours and there are no further signs of labor, action should be taken! There is then an increased risk of infections. For this reason, labor will be induced.
If the waters break before 37 weeks of pregnancy, labor will not be induced immediately. However, the doctor will closely monitor that no infections occur. The condition of your child is also closely monitored . If this deteriorates, you may choose to induce labor after all.
If you have not given birth 2 weeks after the due date, i.e. at 42 weeks of pregnancy, you are officially overdue. The gynecologist will examine the condition of the baby and determine whether it is necessary to induce labor.
Function of the placenta
The function of the placenta can deteriorate due to various factors. The baby gets its oxygen and nutrition from this, and when the function of the placenta decreases, the condition of the child can deteriorate and the child can suffer from growth retardation. Impaired function of the placenta can be caused by high blood pressure or gestational diabetes.
If complications have occurred during a previous birth, it may be decided that it is safer to induce labor in the interests of mother and child.
How does induction of labor work?
When labor is induced, contractions are induced. To induce contractions you will be put on an IV. In this way, a substance is administered that ensures that the contractions start. This dosage is increased slightly every half hour, although this of course depends on how mother and child respond. With this method the contractions will gradually start. From this moment on, it actually works the same as a normal birth. The contractions will become more intense, and eventually contractions will occur.
The baby’s condition is closely monitored during this process using a CTG. In many cases, the CTG is applied internally and attached to the baby’s skull. When this is done, the membranes are immediately broken. The CTG can also be done externally. This is done by means of straps around the abdomen, which record the baby’s heart rate and contraction activity.