Understanding Induction of Labour in Melbourne
Induction of labour is a medical process used to stimulate childbirth when it doesn’t start naturally. This can be due to various reasons, including health concerns for the mother or baby.
What is the Induction of Labour?
Induction of labour involves using medical or surgical methods to initiate labour. It is usually recommended when the benefits of delivering the baby outweigh the risks of continuing the pregnancy. Common reasons for induction include:
- Post-Term Pregnancy: When pregnancy extends beyond 41-42 weeks.
- Rupture of Membranes: If the water breaks, labour doesn’t start independently.
- Health Concerns: Conditions like preeclampsia, diabetes, or infections that make it safer to deliver the baby earlier.
Methods of Induction
There are different methods used to induce labour, each chosen based on the individual circumstances of the mother and baby.
Prostaglandins
These are hormones applied to the cervix to help it soften and dilate. They can be administered as gels, pessaries, or tablets.
Oxytocin
This is a hormone given through an IV to stimulate contractions. It’s carefully monitored to ensure effective and safe labour progression.
Membrane Sweep
This procedure involves a healthcare provider sweeping their finger around the cervix to separate the membranes from the cervix, releasing hormones that can start labour.
Amniotomy
Also known as breaking the water, this method involves rupturing the amniotic sac to release the fluid and stimulate contractions.
When is Induction Recommended?
Induction is typically recommended when continuing the pregnancy poses a risk to the mother or baby. Some common scenarios include:
- Post-Term Pregnancy: Beyond 41-42 weeks, the placenta may not function as efficiently, affecting the baby’s health.
- Pre-Labour Rupture of Membranes (PROM): If the water breaks but labour doesn’t start within a certain timeframe, there’s an increased risk of infection.
- Medical Conditions: Conditions like preeclampsia, gestational diabetes, or chronic hypertension may endanger the mother or baby if the pregnancy continues.
Important Risks and Considerations
While induction is generally safe, it does carry some risks and considerations that should be discussed with your obstetrician.
Increased Interventions
Induced labour may lead to more interventions, such as the use of forceps or a cesarean section.
Infection
Especially if the membranes are ruptured long before delivery.
Uterine Hyperstimulation
Excessive contractions can reduce the baby’s oxygen supply.
Preparing for Induction
If induction is recommended, preparation involves understanding the process, discussing any concerns with your obstetrician, and being aware of the methods that might be used.
- Consultation: Detailed discussions with the obstetrician about the reasons, methods, risks, and benefits of induction.
- Hospital Bag: Preparing a hospital bag with necessary items for labour and the hospital stay.
- Support: Having a support person ready to assist and provide comfort during the process.
Post-Induction Care
After induction, the mother and baby will be closely monitored to ensure their well-being. This includes:
- Monitoring Contractions: To ensure they are effective but not too strong.
- Fetal Monitoring: Continuous monitoring of the baby’s heart rate to ensure they are not distressed.
- Pain Relief: Discuss pain relief options with your obstetrician, as induced labour can sometimes be more intense than natural labour.
Finding An Obstetrician Who Supports You in Melbourne
Empower Obstetrics & Gynaecology is a team of dedicated female obstetricians in Melbourne who are committed to supporting you throughout every stage of your pregnancy journey, including labour induction. With expertise and compassion, Empower provides personalised care to ensure you feel empowered and informed throughout your pregnancy and childbirth experience. Their focus on comprehensive obstetric care and commitment to women’s health allows them to tailor their services to meet your individual needs, making them a trusted choice for expecting mothers in Melbourne.