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What You Should Know: Methods of Labor Induction

How to Get Things Jump-started

By Liz Copeland, published Jan 05, 2007
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This article is part of my series on pregnancy. For more on pregnancy, see the articles on my content producer page. Also see my articles on homebirth.

This article is to teach you all of the forms of labor induction that are out there, starting with the ones in hospitals and going down to more natural, least invasive or dangerous forms of induction.

Oxytocin, or Pitocin, is a synthetic form of oxytocin that is naturally released by a mother during labor. Pitocin can decrease the other positive hormones the mother would usually receive during labor like endorphins, that can help her cope with pain.

Prostogladins - gel (prepidil) and insert (cervadil). These are used to ripen a cervix and are sometimes used in conjunction with pitocin to start a labor that might not take otherwise.

Cytotec/misoprostol - not recommended for induction of a live birth, but it's cheap so it's administered 'off label' by doctors. It can be taken orally or a pill can be placed near the cervix. Can be quite dangerous.

AROM - breaking the bag of waters to put more pressure from the baby's head onto the cervix can make contractions more productive, as well as more painful. Could cause complications like heart rate problems with baby.

More natural forms of induction

Enema or castor oil - the cramping of your intestines can set off labor. Uncomfortable, unpredictable, and sometimes unproductive.

Herbal preparations or homeopathic remedies - effective when used safely. Midwives know about this form of induction and how it should be done. They also know how to use evening primrose oil to ripen a cervix.

Foley Catheterization - catheterizing the cervix and inflating the foley can ripen and open a stubborn cervix.

Stripping the membranes - can be done by a doctor or a midwife, mildly uncomfortable, may accidently rupture bag of water. Somewhat effective, if you're ready to go into labor.

Acupressure - mostly done by midwives and alternative health practitioners, this is said to be an effective way to induce labor.

Nipple stimulation - touted as somewhat effective if labor is off to a groggy start, nipple stimulation causes the release of oxytocin.

What You Should Know: Methods of Labor Induction

Need to get the show on the road? Here are your options.

Credit: Jose Torres

Copyright: www.sxc.hu

Takeaways
  • There are many forms of induction besides hospital induction.
  • Midwives are known to induce labor herbally.
  • If your body isn't ready to go into labor, it won't do so.
Did You Know?
I've had 2 herbal inductions by midwives and 7.5 hours later I had a baby!
Comments
Showing Comments 1 - 3 of 3
 
 
Wonderful article.

Posted on 03/21/2008 at 12:03:27 AM

 
Great article! Just a couple things to add: prostaglandins should NOT be used in a mom who's having a VBAC, and they should be used very cautiously (if at all) once your water has broken. Also, unless you get the go-ahead from your doctor or midwife, it's not really advisable to try inducing labour yourself. Ultrasound dates can be wrong, and Nagele's rule (used for predicting due dates from the date of the last menstrual period) isn't always accurate. Unless you're more than a week overdue, or there's a very good reason to induce, you might be at risk for having a premature baby and your body might not yet be ready for labour.

Posted on 03/02/2008 at 11:03:01 PM

 
Liz, you are a pregnancy guru!

Posted on 01/08/2007 at 12:01:00 PM

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