Induction of Labor, When and How is the Procedure?

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Induksi Persalinan, Kapan dan Bagaimana Prosedurnya?

Every mother who is pregnant certainly wants the delivery process to run normally and smoothly without any obstacles. But before delivery, you have to have contractions and wait for the opening. It certainly makes Mums easy to stress and worry, yes.

Interestingly, unbearable contractions and heartburn do not always occur in every pregnant woman, even after entering the time of delivery. If your due date has passed but there are no signs of labor and there are no serious health problems, your doctor will usually wait for you to experience contractions for a week or two.

However, when the gestational age has entered 42 weeks, the doctor will do a way to be able to bring the baby into the world. Because if left in the womb for too long, the baby will experience complications, the risk of childbirth will be higher. Well generally doctors will do induction on Mums.

Also read: Pregnancy Exercises To Make Childbirth Easy

What is Induction of Labor?

Induction of labor is a procedure performed to stimulate the labor process. This effort is used to stimulate uterine contractions before labor begins by itself and so that the baby is born immediately.

When is Induction Performed?

Induction of labor is not always necessary if you have not been able to give birth at the right time. According to the American College of Obstetricians and Gynecologists (ACOG), induction of labor is only performed when the baby’s condition is more at risk of staying in the womb.

There are several factors that can put you at risk for induced labor, such as:

  • Mum’s Health.
  • Baby health.
  • Position of the baby in the womb.
  • Cervical condition.
  • Gestational age and size of the baby.

Apart from these factors, some conditions such as the following can also cause you to experience induction, for example if the amniotic sac has ruptured, but you have not yet contracted, then induction is needed.

If the membranes rupture at 34-37 weeks and no contractions have occurred, then induction is required.

  • Pregnancy is almost 2 weeks past the due date and Mums is showing no signs of giving birth. if the gestational age exceeds 42 weeks, the baby and Mums will experience complications and various problems, such as infant death.
  • You have certain health conditions, such as preeclampsia or diabetes, which can have an impact on your baby’s condition and growth.
  • You have an infection of the uterus or chorioamnionitis.
  • The condition of the placenta worsens.
  • Little or insufficient amniotic fluid surrounds the baby.
  • The baby in the womb has stopped growing.
  • Mums have a history of stillbirth in previous pregnancies.
Also read: Waiting for Childbirth? Do These 10 Activities Come On, Mums!

How is Induction of Labor Performed?

In general, there are 2 ways that doctors usually do to carry out the induction process, namely by chemical or mechanical induction. In addition, induction can be done in various ways, such as drug administration or other methods. These conditions can be adjusted to the readiness of your body to accept the process that occurs.

When you experience certain conditions, your doctor will likely provide a mechanical method to soften the cervix so that you are ready for labor. Some of the methods used to soften the cervix and induce labor are:

  1. Using a Foley catheter

In addition to drugs, stimulating labor can also be done with tools. Your doctor will insert a catheter with a special balloon into the end of your cervix. Then the balloon will be filled with water to press the cervix, which will stimulate the release of the hormone prostaglandin in the body.

  1. Using prostaglandins

To make the cervix open or thin, the doctor will insert a prostaglandin drug into your uterus. This drug is useful for ripening the cervix and also stimulates labor contractions.

  1. rupture of the amniotic sac (amniotomy)

When the cervix has opened a few centimeters and the baby’s head has moved into your pelvis, but there is no further opening or the labor has stopped, the doctor will break your amniotic sac with an instrument.

  1. Using oxytocin

Oxytocin is used to stimulate or increase contractions in Mums. You do this by giving oxytocin fluid through intravenous fluids in low doses. The dosage will change according to your needs.

  1. Wiping the lining of the cervix

If the cervix has begun to open, stimulation can be done by rubbing the cervical membrane. Mums just need a little stimulation to be able to facilitate the opening of the cervix

At the time of delivery, doctors and Mums can not predict what will happen. However, it is better to always maintain health and be diligent in exercising during pregnancy to facilitate the delivery process. (US)

Also Read: Do These 6 Things During the Early Phase of Labor


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