With oxytocin, contractions are usually more frequent and regular than in a labor that starts naturally. With prostaglandin, you might have some strong cramping as well. You may feel a tug followed by a warm trickle or gush of fluid. It can also be a little uncomfortable to have your water broken. You may also have some intense cramps and spotting for the next day or two. Stripping the membranes can be a little painful or uncomfortable, although it usually only takes a minute or so. Oxytocin is also frequently used to spur labor that's going slowly or has stalled. After it's administered, the fetus and uterus need to be closely monitored. Given continuously through an IV, the drug (Pitocin) is started in a small dose and then increased until labor is progressing well. Giving the hormone oxytocin to stimulate contractions.Administered alone, prostaglandin may induce labor or may be used before giving oxytocin. This is typically done overnight in the hospital to make the cervix "ripe" (soft, thinned out) for delivery. A gel or vaginal insert of prostaglandin is inserted into the vagina or a tablet is given by mouth. Giving the hormone prostaglandin to help ripen the cervix.If the cervix is ready for labor, amniotomy usually brings on labor in a matter of hours. The doctor ruptures the amniotic sac during a vaginal exam using a little plastic hook to break the membranes. Breaking your water (also called an amniotomy).This method works for some women, but not all. When the membranes are stripped, the body releases hormones called prostaglandins, which help prepare the cervix for delivery and may bring on contractions. He or she moves the finger back and forth to separate the thin membrane connecting the amniotic sac (which houses the baby and amniotic fluid) to the wall of the uterus. The doctor puts on a glove and inserts a finger into the vagina and through the cervix (the opening that connects the vagina to the uterus). Ways that doctors may try to induce labor by getting contractions started include: Some methods of induction are less invasive and carry fewer risks than others. Doctors try to avoid inducing labor early because the due date may be wrong and/or the woman's cervix might not be ready yet. Some mothers request elective inductions for convenience, but these do come with risks. Induction also can be appropriate under certain circumstances, as with a mother who is full term and has a history of rapid deliveries or lives far from a hospital. you have certain risk factors (e.g., gestational diabetes or high blood pressure).you have an infection in the uterus (called chorioamnionitis).your baby still hasn't arrived by 2 weeks after the due date (when you're considered post-term - more than 42 weeks into your pregnancy).your water broke but you are not having contractions.Your doctor might suggest an induction if: However, in some situations, a health care provider may recommend induction. Labor is usually allowed to take its natural course. But now it's not usually done unless there's a true medical need for it. Years ago, some doctors routinely induced labor. Labor induction is what doctors use to try to help labor along using medications or other medical techniques. Still, being past your due date doesn't guarantee that your doctor (or other health care provider) will do anything to induce (or artificially start) labor - at least not right away. Which is why waiting a little longer than you'd expected can be particularly hard. Late pregnancy can be challenging - you may feel large all over, your feet and back might hurt, you might not have the energy to do much of anything, and you're beyond ready to meet the little one you've nurtured all this time. You may start to wonder - is this baby ever going to come? The farther away from the expected delivery date (called the EDD) you get, the more anxious you might become. It's common for many pregnant women, especially first-time mothers, to watch their baby's due date come and go without so much as a contraction.
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