Induction of Labor

Induction of labor is a means of starting labor through the use of medication or mechanical means.

Some common reasons for induction:

• Mothers condition threatens the well-being of the mother, the baby, or both (maternal diabetes, severe Rh disease, maternal preeclampsia or toxemia, and a history of very rapid deliveries)
• Babies condition is a threat to the well-being of the mother or infant (overdue by 2+ weeks, demonstrated or suspected fetal distress)
• Prolonged rupture of membranes

Types of induction:

• Amniotomy or artificial rupture of membranes using a amnihook (a sterile instrument).
• Breast stimulation - causes a release of oxytocin hormone leading to uterine contractions. (Be sure to consult with your physician before doing this technique.)
• Pitocin drip (“Pit”) a synthetic oxytocin given intravenously (I.V.) to stimulate contractions. Requires continuous monitoring of mother and baby. Once Pitocin is administered and takes effect, you will have contractions of good strength, length, and frequency. You may miss the opportunity to accustom yourself gradually to the contractions of active labor. Pitocin induced contractions occur approximately every 2-3 minutes and last about 60 seconds. Also, these strong contractions may not produce a change in the cervix right away.

Coping with induction:

• Conscious relaxation
• Firm coaching support
• Prepare for change in contraction pattern; expect early peaks and contractions closer together
• Short cleansing breaths
• Vary breathing patterns
• Vary concentration techniques
• Notify nurse of continuous or prolonged contractions