It can happen that the birth of your child takes too long or that complications occur that make it better for the child to be born. In that case, the choice is made for initiate childbirth which means in short: the artificial initiation of the contractions and the birth.
The birth of a delivery always takes place in the hospital. In most cases you get a hormone through the infusion that starts the delivery. Read more about what the introduction of childbirth, what happens, how long it takes, whether it is painful and what the disadvantages are.
What does induction of childbirth mean?
In the induction of labor the contractions and birth are initiated in an artificial way. First of all, it is checked whether your membranes have already been broken and whether your cervix has softened enough and has passed. If your uterus is not yet mature enough to start delivery, this is done artificially. This is called Primen.
To prepare your uterus for delivery, vaginally progaslandin is introduced by means of a gel or jelly. This hormone can induce contractions and stimulate your uterus to mature so that the digestion starts.
Another method of priming is by means of a balloon catheter. This balloon is also inserted vaginally. After insertion, the balloon is filled with sterile water. This allows the cervix to open. Do not think that your contractions start immediately after these methods of priming. This can take a couple of hours to days. It is also not always successful. If this is not the case, the membranes will be broken.
If your membranes are not broken yet, this is done artificially. This is often after priming. With a kind of hook needle, the gynecologist punctures a hole in your membranes through which the amniotic fluid can drain. You do not feel at all like that.
Now that the amniotic fluid no longer stops your baby's head, it arrives at your cervix. This can induce the contractions. But if your baby really likes to sit down, you can switch to the next method.
Infusion with oxytocin
This is the most common way to induce contractions. It means that you get an infusion of the hormone oxytocin. This hormone induces the contractions. During a natural delivery, women make this hormone themselves.
After you have received the infusion, the contractions will start soon. You stay on the infusion during delivery to ensure that the contractions are also well under way. When you have had the afterbirth (placenta is expelled) the infusion is removed after one hour.
When is introductory necessary?
A natural delivery is always preferred, but sometimes induction is really necessary. That is when:
- You are two weeks away (ie 42 weeks pregnant).
- The membranes are already broken, but the delivery does not start within 48 hours and / or there is a risk of infection.
- There are complications during pregnancy such as pregnancy poisoning.
- It turns out that your baby has a growth retardation or your baby has it stuffy.
Nice book with 30 birth stories.
How long does the introduction take place?
How long an introduction lasts is very dependent on your situation. In priming, it can take hours or days for the contractions to start. If your membranes are broken, the baby is usually born within 24 hours. That must also be used to combat the risk of infection. Do you receive the infusion of oxytocin? Then the contractions get going quickly.
Also read: My delivery lasted 57 hours!
Is inducing childbirth painful?
In principle, an induced delivery does not have to be extra painful, but it can occur. This depends on the extent to which your body responds to the hormone. Some women can cope perfectly with the contractions that have been generated, just as is the case with natural childbirth.
But there are also women who are so sensitive to the hormone that they get a contractile storm. This is pretty painful. In that case they will immediately lower the pump of the infusion.
What are the disadvantages of inducing childbirth?
The introduction of childbirth is always done out of necessity. In the case of complications, it may be that you have to stay in hospital after delivery.
Another disadvantage is that it may happen that you are sensitive to the hormone that is administered and as a result you get a contractual storm. Hospitals try to prevent this by gradually administering the hormone via the pump.
The last disadvantage is that an introduction increases the chance of an art redemption (caesarean section, vacuum pump or forceps delivery) by 20%.