If something does go wrong, rest assured that the doctors will do everything possible for you and your child. When complications arise and all plans are disrupted, it is easy to lose control of yourself, but try not to panic. The doctor will be able to explain the situation, talk about possible consequences and ways out of it. Together you will decide what is best for you and your child.
Once mother and baby finally reach their estimated due date after 40 long weeks, regular check-ups become more frequent.
If the actual due date is a few days later than expected, this will not cause problems, provided that both are in good health.
Using ultrasound, the doctor will periodically monitor the child’s condition and his life support. Only when the examination shows that the baby is too small is delaying the onset of labor considered undesirable. In this case, early artificial induction of labor is recommended. The same applies to the situation when the child is very large and weighs more than 4500 g. And here artificial birth is preferable, since otherwise the child will continue to gain weight, and spontaneous childbirth can become extremely difficult.
More than 20% of births in France take place with the use of stimulant drugs (both for medical reasons and for personal preference). In both cases, the woman receives medications that speed up the process of labor, since labor can be protracted and more painful.
Indications for induction of labor
Here are some of them.
- When labor does not come at the appointed time (41st week of amenorrhea).
- When the water has already broken and there are no contractions for 24-48 hours.
- When problems arise with the normal development of the fetus (intrauterine growth retardation).
A woman in labor can agree on a due date in advance if she lives far from the maternity hospital or has already had a rapid labor.
Conditions. Doctors do not often give consent to induced labor if a woman does not have the indications listed above.
The doctor may ask you some questions before making any decisions.
It is advisable that this is not the first birth and that the cervix has already dilated.
Stimulation is not carried out before 39 weeks, as there is a danger of harming the baby’s health.
If there are no indications, do not insist on induction of labor - trust your doctor.
The lower your stress level, the more likely it is that you will not need labor induction.
Post-term pregnancy
- The end of the 9th month (41st week of amenorrhea) is the end of pregnancy.
- If by this time you have no signs of labor, you will be sent to the maternity hospital. The child's condition will be checked there. By this time, the placenta may cease to fully perform all its functions (nutrition and oxygen saturation of the blood).
- The doctor will prescribe an ultrasound and CTG to check the heart rhythm, the amount of amniotic fluid and assess the biophysical condition of the fetus according to the Manning scale. If any abnormalities are detected, the doctor may decide to induce labor.
- In any case, 3-5 days after the deadline that you determined with your doctor, labor will be induced artificially. The deadline for natural childbirth is 42 weeks of amenorrhea.
How is labor induced?
When the decision has already been made, it is necessary to determine the degree of maturity of the cervix. For this purpose, the doctor will perform a vaginal examination and determine the degree according to the Bishop system (scale from 0 to 10). A result of 6-10 points indicates that the cervix is mature: it opens (to the width of 1-2 fingers), shortens (about 1 cm in length), softens and its center falls in the middle of the vagina. The mature cervix will quickly open: labor will soon begin.
If the cervix is immature, 3 cm long, in good shape and located in the back of the vagina, then it is not yet ready to open - you will have to be patient.
If the cervix is mature enough. You will be placed in the delivery room, under a system and a heart monitor, like any other woman in labor. The only difference is that you will be given drugs that provoke contractions (oxytocin). Then the doctor punctured the amniotic sac. You are due to give birth during this day.
If the cervix is not mature enough. If you score low on Bishop's system, you will need additional stimulation. This may take several days, so bring a book or player with you... The obstetrician will insert a tampon soaked with hormones into the vagina. It should cause contractions followed by opening of the cervix, shortening, softening, smoothing and moving forward. After a few hours of monitoring on a heart monitor, you will be able to return to your room. If after 24 hours there are still no contractions, your doctor will examine you again to determine the degree of maturity of the cervix. If the degree of maturity is sufficient, intravenous administration of birth-stimulating drugs and puncture of the amniotic sac may be prescribed. If the cervix is not yet ripe, after six hours you will have an application with hormonal gel.
Be patient. If you are sent to the ward to wait for labor to begin, take advantage of this to rest, shower, and move around calmly. Perhaps labor will begin at night and you will need strength. It is better to wait until contractions begin on their own than to induce them artificially, and then, if unsuccessful, have a caesarean section.
When labor is induced, the fetus is under constant monitoring.
Regular control
After the expected due date, the doctor will first determine the volume of amniotic fluid. Its decrease can negatively affect the blood supply to the umbilical cord and oxygen supply to the child. Therefore, in this state of affairs, inducing labor artificially becomes inevitable. With a normal amount of amniotic fluid, post-term pregnancy is not a problem.
If the ultrasound results say that everything is going well and there are no risks. there is no need to remove CTE. The so-called oxytocin test is also an unnecessary measure. Recently, scientists have found that it does more harm than good, and is often the reason for inducing artificial labor.
If the pregnancy continues uncomplicated, the doctor should check the amount of amniotic fluid with ultrasound every three days. During these examinations, the child's heart sounds are also monitored.
After a week has passed beyond the estimated due date, a CTG is additionally recorded. If the pregnant woman is nursing for more than seven days, the doctor discusses with her the possibility of inducing labor with the help of medications.
The absence of deviations in the volume of amniotic fluid and in the cardiac activity of the child allows us to conclude that it is well supplied - under such conditions, further post-term pregnancy is possible, if the mother herself is not against it. But now it is advisable to monitor the child’s condition, including CTG, every two days. No later than 12-14 days after the calculated date of birth, the pregnancy, however, must end, since otherwise the risks for the child may increase significantly.
Labor cannot begin, stimulation is needed
Sometimes labor does not start on its own. If this happens to you, your doctor may start (induce) labor with medications.
Situations in which labor stimulation is possible:
- The baby is post-term. The pregnancy is approaching 42 weeks.
- The waters broke (the membranes burst), but labor did not begin.
- An infection has developed in the uterus.
- The doctor fears for the child, since growth has stopped, the child is not active enough, and there is little amniotic fluid.
- You have a health condition, such as high blood pressure or diabetes, that could put your baby at risk.
- The problem with the Rh factor is that your blood and the baby's blood are incompatible.
If you were hoping that labor would begin on its own, but the doctor insists on induction, try to look at it positively. It may be more convenient to know exactly when the baby will appear than to wait for nature to take its course. You will be better prepared physically and mentally before heading to the hospital.
Stimulation of labor. The doctor can induce labor in several ways, but the cervix should soften, thin and dilate. If this does not happen, the doctor can take steps to start the process.
Medicines. Medicines may be used to soften and dilate the cervix. These drugs also often help initiate labor, eliminating the need for other stimulants such as oxytocin. If cervical priming is required, you may want to go to the hospital the day before the stimulation to give the medications time to take effect.
Mechanical methods. One method is to insert a thin catheter containing a balloon filled with water through the cervix into the uterus. This irritates the uterus, and it begins to push the balloon through the cervix, softening and expanding it from 2 to 4 cm.
Rupture of membranes. In this case, the amniotic sac enveloping the baby ruptures and fluid begins to flow out. Normally, this is a sign that the baby will be born very soon. One result of this rupture is increased uterine contractions.
One way to speed up labor is to artificially rupture the membranes. In this case, the doctor inserts a long and thin plastic hook through the neck and makes a small tear in the membranes. You will feel the same as during a normal examination, and warm liquid will flow out. This is not dangerous for you or the child.
Oxytocin - a way to stimulate labor
The usual way to induce labor is to use the drug oxytocin, a synthetic analogue of the hormone oxytocin. Normally, during pregnancy, the body produces small amounts of oxytocin. During active labor, its level increases.
Oxytocin is usually given intravenously after the cervix has thinned and dilated somewhat. A catheter is inserted into a vein in the arm, and small doses of medication are regularly released into the blood using a special pump. These doses may be adjusted during stimulation to regulate the strength and frequency of contractions until they stabilize. If the dose is chosen correctly, you will feel contractions in about half an hour. Contractions may be more regular and stronger than during natural childbirth.
Oxytocin is one of the most commonly used drugs. It can stimulate labor that might not start on its own, and it can also push contractions forward if they slow down during labor and the process does not progress. Uterine contractions and the baby's heart rate are monitored to reduce the risk of complications.
If stimulation is successful, you will feel signs of active, progressing labor, such as prolonged contractions that become stronger and more frequent, dilatation of the cervix, and rupture of the amniotic sac - if it has not ruptured before.
The reasons for inducing labor must be serious. If your or your child’s health is at risk, the doctor may decide on further intervention, a caesarean section. Induction may take several hours, especially during the first birth.
Oxytocin
- This is a natural hormone produced by the hypothalamus, which is located in the neurohypophysis. Its function is to stimulate the muscles of the uterus at the time of childbirth. It also promotes contraction of the mammary glands during lactation.
- There is also synthetic oxytocin, which is administered intravenously to stimulate labor. Its use must be carried out under certain conditions and strict dosage control. Continuous monitoring of the fetus allows you to see if the baby is suffering when contractions begin or intensify.
- Synthetic oxytocin is sometimes given immediately after birth to shrink the uterus, expel the placenta, and reduce bleeding.
Artificial induction of labor
Artificial stimulation of labor (induction).
Most births begin with spontaneous contractions and a healthy baby is born. However, during preventive examinations in the last weeks of pregnancy, it sometimes turns out that the child’s life support is no longer at an optimal level. In this case, the doctor must, after weighing all the circumstances, decide whether the pregnancy should be continued until spontaneous labor contractions occur or whether it would be better for the mother and child if premature labor is induced artificially with the help of medications.
Whether early delivery is the best option depends on
what week of pregnancy the woman is in. If complications appear shortly before the calculated due date, then labor is induced artificially even if there is a relatively small risk. All the child’s organs have already formed, and he can breathe independently with his small lungs. If danger to the baby arises at an earlier stage of pregnancy, the doctor will try to delay the birth of the child as long as possible.
Reasons for artificial induction of labor
There are various reasons for inducing labor with medication.
- The most common of them and far outpacing all others in frequency is oxygen starvation of the child, for example, due to placental insufficiency.
- If preventive examinations, such as ultrasound, CTG or Doppler sonography, indicate a threat to the further successful development of the child, then premature birth gives him an excellent chance to be born healthy.
- In some cases, the baby reaches a very large size even before the 38th week. If the observed developmental process gives reason to conclude that the baby's weight will increase significantly in the remaining two weeks, inducing a premature birth with the consent of the expectant mother may be very appropriate. This solution reliably guarantees that the child will be born healthy and without major complications.
- In case of premature rupture of the membranes and the absence of contractions, stimulating labor with medication helps to avoid the risk of infection of the child.
- Twins themselves are often born earlier than expected. If there is insufficient supply of one or both of them, labor is induced prematurely.
- If the baby is sick and cannot be treated in the womb, premature delivery will improve his health. First of all, this applies to children suffering from severe anemia.
- Maternal diseases such as gestational hypertension or diabetes may also require early induction of labor.
- If the expectant mother suffers greatly from various physical and mental disorders, it is possible to artificially induce premature birth when the child has finished maturing, that is, after the 37th week of pregnancy. The reason for making such a decision may be, for example, severe back pain, severe sleep disturbances or heavy physical exertion.
Labor is induced either by prostaglandins or by the administration of oxytocin.
Methods of artificial stimulation of labor
Which method of artificial stimulation of labor the doctor will choose depends on the well-being of the fetus and the condition of the cervix. If the child is already in danger and the uterine os is still closed, childbirth most often occurs by caesarean section.
- Stimulation of labor by administration of oxytocin is carried out provided that the uterine os is already sufficiently soft and slightly open. This means that the uterus is preparing for the onset of contractions. The advantage of this method: stimulation does not last long, and you can quite accurately calculate how long labor will take. With the start of oxytocin administration, the child’s heart contractions are constantly monitored using CTG; for this, a portable cardiotocograph is usually used.
- In the case of an immature uterine os, prostaglandins are used to stimulate labor. A pregnant woman does not receive these medications in the form of injections. They are used locally in the form of a gel, pessaries or tablets, which must be absorbed in the area of the uterine pharynx. Under the influence of prostaglandins, the uterine pharynx softens and begins to open. Contractions usually occur within two to three hours. If there are no contractions, then after six hours the procedure is repeated.
With this method of stimulation, constant monitoring of the child via CTG is not required. It is quite enough to take a CTG every two hours, starting from the moment contractions appear.
Stimulation with prostaglandins should always be carried out in a hospital setting, since it is quite difficult to predict when contractions will begin. Once the cervix has matured, the further process of labor can be supported by the administration of oxytocin. If after two days there are still no contractions, you should consider whether it is advisable to try again or whether it is better to take a break. Sometimes a caesarean section may be necessary in this situation - primarily if it turns out that your baby's health is at stake.
- Induction of labor with misoprostol. This drug was initially approved only for the treatment of stomach tumors. But for 20 years now, in some countries it has been recommended for inducing labor, although, strictly speaking, it has never received the appropriate approval.
Misoprostol causes few side effects and has the advantage that it can be taken in tablet form. Before starting stimulation, the doctor should inform you in detail about the effect that this medicine has - be sure to ask again if anything is unclear to you!
Alternative methods of inducing labor
Artificial opening of the amniotic sac
When the amniotic sac ruptures and amniotic fluid begins to leak, its volume in the uterus decreases. As a result, contractions often occur, from which labor contractions develop. But this method can only be recommended for multiparous women and only if the cervix is dilated.
Sexual intercourse
Having regular intercourse late in pregnancy will reduce the likelihood that you will have to carry your baby to term. It is believed that sex has a dual effect: firstly, it promotes the production of the contraction hormone oxytocin, and secondly, semen contains prostaglandins, which also cause contractions. However, the amount of prostaglandins during a single ejaculation is very small - significantly less than the dose used for drug stimulation of labor.
Separation of the fertilized egg
Even before the artificial stimulation of labor through medications became widespread, the best way to induce spontaneous contractions was considered to be the separation of the fertilized egg in the lower pole. This operation can be performed only after the 40th week of pregnancy and provided that the cervix is already slightly dilated. At the same time, the obstetrician penetrates her with his finger. Using rotating movements, he massages the internal uterine os and carefully separates the membranes from the uterine wall. The use of this method requires extreme caution, since the manipulation, which is very painful in itself, can also cause bleeding. Therefore, you should think carefully before starting it at all.
Nipple stimulation
When nipples are stimulated, the hormone oxytocin is released, which causes contractions. But the effect of the hormone is manifested only in the case of maturation of the uterine pharynx. Studies have shown that the effect is so insignificant that it is not worth resorting to this method at all.
Exercise stress
Excessive physical stress, for example, climbing stairs, leads to a more intense redistribution of blood supply (blood from the placenta rushes to the muscles) and in some cases provokes the onset of contractions. However, this method is unlikely to be recommended. Slow movement, such as a short walk, is much more pleasant in the initial phase of labor. It is better not to resort to physical activity that requires large energy expenditures - you need to save your strength for the upcoming birth.
Additional therapeutic measures
Some women enjoy additional treatments such as prenatal acupuncture or reflex zone massage. But, unfortunately, this cannot be said to be a reliable way to induce contractions.
Using herbs to stimulate contractions
Sometimes a decoction of cinnamon, ginger and cloves is prepared and used to soak tampons. With an immature uterine os, such actions lead to prolonged contractions of the uterus, which can result in oxygen starvation of the child. Therefore, we will not recommend this method. However, the herbs listed above can be used in the form of aromatic oils for an aroma lamp or, mixed with almond oil, used for massage. If you apply this mixture on the abdominal wall and massage the uterus from the upper end, it will help your baby to finally hit the road.
Stimulating bath
A bath that stimulates contractions can make you feel better. To do this, add four drops of essential oil, such as clove oil, cinnamon leaves or ginger root, to 250 ml of cream, mix and pour into a filled bath. The water temperature should not exceed 37 °C.
Castor oil
Castor oil, which is used industrially in the production of varnishes and dispersion paints, is also used in the production of cosmetics.
If this oil is taken internally, it will cause intestinal upset, which in turn will lead to contractions. Contractions provoked in this way with an immature uterine os do not bode well. They will not be the beginning of labor, but will only manifest themselves in prolonged contractions of the uterus, which negatively affect the oxygen supply of the fetus. Therefore, an attempt to induce labor without monitoring the child via CTG can be very dangerous for him.
Nausea, diarrhea and intestinal cramps are common unwanted side effects.
On top of everything else, the taste of castor oil is so unpleasant that it is usually taken with wine or vodka, and on top of that the child has to deal with the negative effects of alcohol.
To summarize, this method is unacceptable.
Onset of labor with artificial stimulation
Doctors have several methods to induce labor. What your doctor chooses depends on various reasons, such as the readiness of your cervix and the health of the baby.
Separation of membranes
The doctor will examine the cervix and use a finger to separate the amniotic sac from the walls of the uterus. For many women, their water breaks after this and cramps begin. Once the membrane is separated, prostaglandin is released and contractions begin. This method is only suitable for you if your cervix is dilated.
Cervical preparation
Before inducing labor, your doctor may use something called the Bishop Score to find out if your cervix is ready for labor. The doctor will examine your cervix to see how much it has dilated and effaced and whether the baby has descended into the pelvis. Research shows that induced labor is more effective if the cervix is dilated, so if your cervix isn't ready for it, your doctor may use some substances to speed up the process, such as prostaglandin E suppositories, prostaglandin gel, prostaglandin on a special device, or prostaglandin tablets. Some women who use these products go into labor within 24 hours without any further intervention. Other medications that help dilate the cervix are kelp (kelp sticks that absorb water from the cervix, causing it to dilate) or a catheter flask (which is inserted into the uterus and gradually dilates the cervix).
Amniotic sac puncture
The doctor may use a gynecological instrument, similar to a crochet hook, to make a small hole in the amniotic sac. (This is called an amniotomy.) The procedure mimics what sometimes happens on its own when your water breaks before labor begins. This can be uncomfortable if your cervix is less than a centimeter dilated, but other times it doesn't hurt at all. If contractions do not start 24 hours after your water breaks, your doctor will likely induce labor with Pitocin or other medications to reduce the risk of infection.
Pitocin drip
Pitocin is a synthetic form of oxytocin, the hormone that causes contractions. Most pregnant women go into labor in part due to high levels of oxytocin in the blood; your doctor wants to simulate this process by using Pitocin.
If labor is induced by this drug, you will be admitted to the hospital where an IV needle will be inserted into your arm. Pitocin usually takes about 30 minutes to start working, so your doctor will likely take your time and monitor how you and your child respond to the drug. There is no guarantee that labor will go quickly with Pitocin; contractions may be strong and each contraction may last 1 minute or longer. Many women said that breathing exercises help during such births. Inducing labor is a long process, and if this is your first baby, several procedures may be needed. For example, recently it is common to prepare the uterus and only then administer Pitocin. Ask your doctor what procedures will be performed on you and be prepared to wait patiently.
My obstetrician wants to induce labor. For what reason does this happen?
Induction of labor
There are many reasons why it is necessary to induce the birth of a baby earlier than expected. In some cases, caesarean section is practiced. A priori, the child and mother can tolerate childbirth well and, if the obstetrician-gynecologist believes that the birth will take place naturally, stimulation is not required. But sometimes there are reasons to stimulate labor.
- The fetus has stopped developing: it receives little nutrition. Examination shows that the placenta is not fully performing its functions, and the uterus is no longer a healthy protection for the baby.
- The due date for childbirth has passed, the amount of amniotic fluid is reduced, and the baby moves less.
- The due date has arrived, the amniotic sac has ruptured, and the amniotic fluid is colored.
- The expectant mother has diabetes and is treated with insulin. All the preconditions are that when the due date comes, the child will be too large.
- The mother suffers from preeclampsia. Neither complete rest nor medications help her, her life and/or the life of the child is in danger.
- The baby (Rh positive) is anemic because the mother (Rh negative) produces antibodies against red blood cells.
- The obstetrician-gynecologist is afraid that the mother will arrive at the maternity hospital too late due to the distance from where she lives or the previous birth was too rapid.
Induction of labor- this is the artificial induction of labor at various stages of pregnancy and the activation of labor activity already during childbirth. First of all, we note that urgent childbirth (childbirth on time) occur between 37 and 42 weeks. And with normal childbirthstimulationchildbirth not required.
It is intended by nature to childbirth began at 39-40 weeks of pregnancy. But sometimes it happens that childbirth are late... After 40 weeks, doctors persistently suggest that mommy go to the hospital for artificial stimulationchildbirth.
Induction of labor is used only as a last resort, when something threatens the child or his mother. Also, if you are “past” the due date, and labor still does not begin, doctors may offer you stimulation. You can get rid of some of the reasons leading to “postmaturity,” and therefore to stimulation, yourself, without resorting to the help of doctors. For example, fear of childbirth, as well as the use of medications, including painkillers, can lead to artificial stimulation.
All methods of stimulation can be divided into two types, which stimulate the ability of the uterus to contract, and which accelerate the process of dilation of the cervix. Stimulationchildbirth is a fairly common procedure in modern maternity hospitals. Sometimes with a normal start generic activity there is a weakening or complete attenuation of contractions. And with normal childbirthstimulationchildbirth not required. Medication stimulationchildbirth At home, induction of labor (in the absence of an experienced obstetrician-gynecologist nearby) is contraindicated.
Amniotomy– opening of the amniotic sac is one of the most popular means of influencing active contraction of the uterus. The essence of this method of stimulation is that the doctor, with a special instrument similar to a hook, pierces the amniotic sac, after which the waters break. After this, the pressure inside the uterus drops sharply, the baby begins to put pressure on the pelvic bones, the cervix opens and provokes labor. This method is considered safe, and it does not in any way affect the child’s condition. In addition, amniotomy is an absolutely painless procedure, and only in rare cases may it not be particularly pleasant. It is worth considering that, for medical reasons, this stimulation can be used only after the baby’s head enters the pelvis. Otherwise, you may need a drug to induce contractions. Now, for these purposes, Oxytocin is used in medicine.
Oxytocin is an analogue of a hormone produced by the pituitary gland. The action of this drug is aimed at stimulating contractions of the muscle tissue of the uterus, but does not in any way affect the readiness of the cervix to dilate. It is mainly administered intravenously, although there are solutions for intramuscular injections and even tablets. When exposed to oxytocin, labor pain intensifies, so it is used together with antispasmodics. For each woman, doses are selected individually. The action of oxytocin is based on its ability stimulate contraction of the muscle fibers of the uterus.
Prostaglandins- hormones that affect the readiness of the cervix to dilate. These hormones are found in large quantities in seminal fluid and amniotic fluid. For artificial stimulation, prostaglandin suppositories and gels are used, their action is also aimed at stimulating uterine contractions.
The decision on the need for stimulation is made by the doctor, taking into account the conditions of the pregnancy.
The 40th week is approaching, but labor does not begin, or maybe it does not want to continue, what should I do? Is it worth resorting to arousal or stimulation of labor? How does this happen and what consequences can it have for the child?
When the due date approaches, doctors conduct studies (ultrasound, cardiotocography, etc.), and based on the results they determine whether the pregnancy is post-term or not?
The doctor looks at the following signs: decreased thickness of the placenta, relative lack of water, thickening of the skull bones. In such cases, it is recommended to perform labor induction. Labor induction is done not only in case of postmaturity, but also in case of gestosis and fetoplacental insufficiency. And only after all these studies is a conclusion made that need to whether to call artificial stimulationchildbirth.
So what are the ways stimulationchildbirth do doctors have in their arsenal? To stimulate labor, doctors use:
- amniotomy - artificial rupture of the membranes. A puncture is made in the amniotic sac with an instrument that looks like a hook. This procedure is almost painless, since the amniotic sac does not have nerve endings; the painlessness of the procedure depends on the professionalism of the doctor who performs the amniotomy. As a result of amniotomy, amniotic fluid begins to drain, and after 2-3 hours the birth process begins
- The use of a special gel that includes prostaglandins. The obstetrician inserts it into the cervical canal. Prostaglandins help the cervix “ripen” faster; these hormones stimulate the process of uterine contraction. The procedure is painless and takes no more than 5 minutes. Labor begins 9-10 hours after the procedure.
Medication stimulationchildbirth carried out strictly according to indications, if there is a threat to the life of the fetus or mother.
Induction of labor - why is it needed?
Stimulation of labor is needed when labor is weak, when labor has already begun, there are contractions, but they are weak, the cervix opens slowly.
12 hours is the time spent by those who give birth for the first time; in the second - 8 hours. If labor is delayed, the baby may suffer, then stimulation is resorted to.
There are main drugs that are used to stimulate labor - prostaglandins and oxytocin.
Prostaglandins are used when weakness of labor is observed when the cervix is dilated to 4 cm. Oxytocin is used at the stage of uterine dilatation from 5 cm to 10-12 cm, during the period of pushing. Prostaglandins and oxytocin are administered intravenously. Oxytocin begins to act, the pain intensifies, it should be used in combination with antispasmodics (drugs that relax the muscles of the uterus). There are no standard regimens for using oxytocin; different women respond to the same dose differently, and doses must be adjusted individually.
Please note that the child's condition should be assessed more often than usual (in the 2nd period after each push) using cardiotocography or a regular obstetric tube.
Within 4-6 hours after the administration of stimulants, doctors assess whether the drugs are beneficial, but if not, then consider the option of a cesarean section.
In some cases, doctors do not use stimulants, but sedatives, which are required in cases where a woman becomes physically tired from prolonged contractions. There is still a period of pushing ahead, when a woman pushes to give birth to a child. In such situations, doctors administer sedatives to the woman so that she can rest a little and gain strength before the upcoming attempts.
Is labor induction necessary?
Induction of labor is an emergency option for obstetrics; it is necessary that the woman gives birth on her own and does not require serious medical intervention. The expectant mother needs to know how to act correctly during childbirth, how to breathe during contractions and pushing. It is advisable that the expectant mother undergoes training at a pregnancy school and knows what childbirth is like. Then it is likely that she will not need stimulation.
It is better for the child if labor takes place without stimulation. When labor occurs naturally and is not rushed, the baby experiences less stress as it passes through the birth canal. During labor stimulation, the baby may experience hypoxia - a lack of oxygen, which is very bad for the baby.
Contractions may not occur, the cervix may not “ripe,” but these means of stimulation are guaranteed to provide hypoxia to the child. The child’s brain suffers from hypoxia, but how severe the damage is is visible only after birth. The consequences may be disturbances in the activity of the central nervous system: regurgitation, delayed speech development, autism syndrome, ADHD, cerebral palsy, visual impairment, hearing impairment, epileptic syndrome
Children who are born as a result of stimulation of labor have a yellowish skin color. This is newborn jaundice, which goes away within 2-3 weeks. The cause of jaundice is an increase in the substance bilirubin in the blood, which enters into a chemical reaction with oxytocin.
Points for inducing labor
Stimulation, or stimulationbirth at home is a procedure that induces contractions (uterine contractions) during pregnancy, but before the natural onset of labor.
Stimulate the point between the thumb and index finger, the point at the height of 4 fingers from the ankle and the point in the corner of the little toe on the foot. Each point for 20 seconds, 2 minutes break and so on 3 times.
Methods for approaching labor using folk remedies at home:
If the due date set by doctors has remained behind, and labor has not begun, you can try the following steps.
- Take 1 tablespoon of vegetable oil 3 times a day: it contains semi-saturated fatty acids, which contribute to the production of the body's own prostaglandins. These substances help prepare the cervix for the upcoming process and trigger the labor mechanism.
- Drink any vegetable oils (olive, flaxseed, wheat germ, etc.) that are rich in vitamin E and omega 3 and 6 acids. Start with 1 tablespoon and work up to 3 tablespoons per day. It is better to drink on an empty stomach, but you can also drink it in salads and with bread. The oil helps tissues and muscles be elastic and prevents ruptures.
- You should drink tea from raspberry leaves. Brew 1 tbsp per 0.5 l. Start drinking no earlier than 36 weeks, because... can provoke labor. Start drinking 1 glass a day, from 38 weeks 2 glasses, from 39 weeks 3 glasses. Drink instead of tea and be sure to drink warm or hot.
- Have sex: during sexual intercourse, the nerve cells of the cervix are irritated, a signal is sent to the pituitary gland, which “gives the command” for the body to produce oxytocin, the hormone that initiates labor. Manual or oral stimulation clitoris, even without orgasm, can also be effective to begin with childbirth. Semen contains prostaglandins, which cause uterine contractions.
- Increase physical activity: you can walk up the stairs, wash the floors - all this helps to bring birth closer. Excessive stress should be avoided, otherwise it can lead to placental abruption.
Remember that giving birth and inducing labor at home is not advisable if you want to give birth to a healthy child.
Almost every full-term pregnancy ends with the appearance of a baby. But, in some situations, additional outside help is required. For this purpose, drugs are used to stimulate labor.
Induction of labor does not occur in every delivery. Doctors carefully analyze the situation before taking action.
The main reason for stimulation is when the deadline for natural childbirth has passed, which occurs at 38-42 weeks of pregnancy. If during this period the child is not born, then the placenta ages and cannot cope with the necessary functions. Toxins accumulate in amniotic fluid, which changes color, which can lead to oxygen starvation in the fetus.
Indications for stimulation:
- sometimes, due to multiple pregnancies, or due to polyhydramnios, the uterus is overstretched. This is also an indication for stimulation;
- discharge of amniotic fluid ahead of schedule, and at the same time the absence of contractions for more than 10 hours. This significantly increases the rate of infection penetration to the baby through the dilated cervix;
- if placental abruption occurs prematurely, which poses a threat to the baby’s life;
- the presence of chronic diseases in a pregnant woman that pose a threat to the health of the mother and baby. In some cases, the occurrence of late toxicosis. In these situations, stimulation takes place at 38 weeks.
Artificial stimulation of labor is also recommended in cases of significant deterioration in the baby’s condition. Most often, in such a situation, a caesarean section is performed.
How long does labor last after stimulation? The time of labor after stimulation is different for each woman. It all depends on how the birth canal is prepared, how dilated the cervix is, and what the activity of the woman in labor is. But many note that their duration with artificial stimulation is somewhat shorter than with natural childbirth. But the contractions are much more painful and occur at shorter intervals.
Consequences and contraindications
Despite the help provided by stimulation of labor, it also has negative aspects. Some medications for stimulation are administered through a drip, and the woman in labor has to lie in one position for a long time, without moving, which causes not only inconvenience, but also severe pain.
Many expectant mothers note that artificially induced contractions are much more painful than during natural childbirth.
How does induction of labor affect the baby? In some cases, artificially inducing labor provokes oxygen starvation - hypoxia - in the baby, which can negatively affect his health. Often, immediately after birth, the child needs stimulation of breathing, as he is weakened by sharp contractions, due to which not enough oxygen is supplied.
Artificial methods of stimulating labor also have their contraindications; they are not used in the following cases:
- the position of the fetus is incorrect, or the baby is too large, and the size of its head does not correspond to the size of the mother’s pelvis;
- The woman had already had a caesarean section. Artificially inducing labor can cause suture rupture.
Much when carrying out stimulation depends on the qualifications of medical personnel and the correctness of the chosen drug.
Types of mechanical stimulation
In obstetric practice, various methods of stimulating labor are used, depending on the indications and the stage at which it is located.
Detachment of the amniotic membrane. The procedure is performed during a gynecological examination. To induce contractions, the doctor carefully peels off the membrane near the os of the uterus with his hands. It is not always possible to peel off the first time; sometimes you have to do it again. The method does not entail any particular risks and does not cause pain to the mother in labor, since there are no nerve endings in the membrane, but a feeling of discomfort is possible.
Bubble piercing. This is a more risky method, since when the bladder is punctured, the fetus is unprotected and is easily susceptible to any infections. Puncture of the bladder does not activate labor; it is necessary to resort to additional measures of stimulation, or to perform a cesarean section.
Most often, this method is used during prolonged contractions or when the baby’s head has dropped into the pelvic area. To pierce the bladder, a special medical instrument in the form of a hook is used, with which the amniotic membrane is picked up, inserted into the vagina, a puncture is made, which leads to the release of amniotic fluid.
Such types of labor stimulation are not often used, as negative consequences are possible, especially when the bladder is punctured.
Prostaglandins
In maternity hospitals, if there are certain indications, they prescribe birth stimulants that cause contractions. Obstetricians use injections, gels, suppositories, droppers or tablets to speed up labor.
Most often, a woman is injected with prostaglandins, which are physiologically active substances that are produced by the human body and are found in almost every organ. There is a lot of this substance in amniotic fluid. With their help, the dilatation of the cervix is stimulated. The product is available in the form of a gel or suppositories that are administered vaginally. They do not cause discomfort to the mother in labor and do not hinder movement.
After administration of the drug, contractions should begin 10 hours later. If this does not happen within 24 hours, then the gel or suppositories can be administered again, but no more than three times during the day.
Further use is unsuccessful. The product should not be used if the water has already broken. Prostaglandins, as a drug to speed up labor, have almost no side effects or contraindications, and obstetricians prefer them. The drug has no effect on the baby, since it is not able to penetrate the amniotic sac.
As a negative aspect of the drug, doctors note a slower transition to the active stage of labor.
Hormone oxytocin
Often, women are prescribed oxytocin, a hormonal drug to induce labor. It is an artificial analogue of the natural hormone produced by the pituitary gland.
What stimulates labor? The hormone oxytocin causes and accelerates contractions by stimulating uterine contractions. Its use is necessary when labor is weak or contractions are fading. Most often the drug is administered intravenously. The expectant mother is given an IV to induce labor.
Recently, so that a woman does not have to lie motionless during contractions, instead of a dropper, a catheter is inserted, a special tube through which the medicine is given. If the action of the dropper turns out to be ineffective, an injection of oxytocin solution is given through the abdominal cavity into the walls of the uterus to stimulate labor.
Its use is carried out under the supervision of a physician, and monitoring of the condition of the fetus and the intensity of contractions is mandatory. In case of an overdose, oxygen starvation of the baby and hyperstimulation of contractions is possible.
In some cases, oxytocin is not used to induce labor. For example, incorrect position of the fetus, placenta previa, or the presence of scars on the uterus in the woman in labor or a narrow pelvis for independent childbirth. Also, the medicine is not used if the birth canal is not yet prepared, since it does not affect the dilatation of the cervix.
All women, when using the hormone, complain of very painful contractions, so they often use antispasmodics simultaneously with the administration of the drug.
Stimulation tablets
Several years ago, in obstetric practice, they began to use pills to induce labor in late pregnancy. They contain artificially synthesized antistogens that block some uterine receptors responsible for stopping the production of progesterone, the main hormone of pregnancy. Early pregnancy termination drugs, or abortifacients, are called labor-inducing pills that are used as stimulants during a normal pregnancy.
What pills are used to induce labor in the hospital? Obstetricians, usually for the purpose of stimulation, give women in labor pencrofton, miropristone, mifepristone, which are often used in conjunction with misoprostol. Only the doctor decides whether to take the pills or not, after examining the woman, assessing the quality of contractions, and the degree of dilatation of the cervix.
Misoprostol tablets were originally used to treat stomach problems. In some countries, it is recommended to take pills to induce labor. Misoprostol is not prescribed as a pill to induce labor.
The drug helps open the cervix and stimulate contractions of the uterine muscles. Therefore, it is taken only in conjunction with mifepristone and the effect of misoprostol on the fetus can only be considered in their totality. With normal dosage, no negative effects occur. In case of excessive intake, cerebral hypoxia may occur in the unborn baby.
How long does it take for labor to start after misoprostol? Misoprostol is taken simultaneously with mifepristone, one tablet at a time. A day later you need to take another dose. The effect of the medicine begins after 48-72 hours, depending on individual characteristics.
Natural stimulation
The scheduled delivery date of 40 weeks is only an estimate. Childbirth even at 42 weeks is considered normal, and pregnancy is not considered post-term.
Many expectant mothers are interested in whether induction of labor at 40 weeks of pregnancy is harmful. Often, during this period, a woman in labor is admitted to a maternity hospital, under the supervision of doctors. But by this period, the fetus is already ready for birth and if the birth canal is mature, then doctors suggest enhancing labor naturally. There are several methods you can use to do this.
What helps to enhance labor:
- walking, walking up the stairs, feasible physical activity, which will ensure mobility of the pelvis and have an impact on the uterus;
- having sex, which will cause uterine contractions;
- Stimulating your nipples will help release the hormone oxytocin naturally, which helps your uterus contract. To do this, you need to massage your nipples for 5-10 minutes every day, once or twice a day.
Some women in labor take castor oil at home, but doctors are against it. In addition, the effectiveness of its use has not been proven.
Do not be afraid of artificial stimulation of labor. It is important to understand how necessary it really is in a particular case. Without the consent of the woman in labor, doctors do not have the right to begin stimulation.
You should not induce labor until at least 40 weeks. Once it begins, you can use natural methods that will not harm, but will only tune the body to the process.
Dosed physical activity after 40 weeks - yoga, Nordic walking, breathing exercises and exercises on a gymnastic ball are very useful, but only with the permission of a doctor. You can simply do some general cleaning or walk up and down the stairs.
If physical activity causes severe malaise, fatigue, swelling, increased blood pressure or other unpleasant symptoms, you should reduce its intensity or even abandon it to avoid more serious consequences.
Sex is especially useful on the eve of childbirth for two reasons:
- A man's semen contains prostaglandins, which have a positive effect on the cervix. Under their influence, it softens, shortens, and opens.
Nipple stimulation on the chest sends signals to the brain to release oxytocin, the level of which quickly increases in the blood. It is also useful for preparing the body for childbirth. It is recommended to irritate both nipples alternately or together several times a day for 3-5 minutes.
The nerve plexuses of the intestines and uterus are interconnected. Irritation of some leads to activation of others. This can be used to “wake up” the uterus. It is recommended to include the following foods in your diet:
- pineapple fruit;
- garlic cloves;
- hot spices - pepper, etc.;
- liquorice root;
- vegetables – cabbage, carrots, beets;
- raspberries are suitable for berries;
- caraway oil or tea.
There are active points, massage which will also be favorable for the onset of labor. It is recommended to do this several times a day for 3-5 minutes. Here are the two most commonly used points:
Can be used at home device for DENAS therapy, influencing the abdominal area, cervical-collar area.
Homeopathy medications will help based on Pulsatilla and Caulophyllum. However, they should be used only as prescribed by a homeopathic doctor or at least a gynecologist.
Indications for induction of labor in the maternity hospital:
- post-term pregnancy - after 41 weeks;
- if there is no need for a caesarean section;
- complications of pregnancy requiring delivery in the absence of labor, for example, with oligohydramnios, suspicion of some malformations in the fetus;
- somatic diseases of a woman that require earlier delivery, for example, cardiovascular pathologies.
Mother's assessment upon admission to the maternity hospital using the Bishop scale Conditions for holding:
- live fruit;
- absence of significant bleeding from the genital tract, detachment;
- the size of the fetus and the woman’s pelvis corresponds to the normal course of natural childbirth;
- readiness of the birth canal for the onset of contractions, especially for the cervix - its length should be no more than 2 cm and the opening should be no less than 1.5-2 cm.
- After stimulation, contractions are somewhat more painful, so additional pain relief is often required.
- More than 1/3 of inductions ultimately result in a caesarean section. "
- The incidence of complications such as weak contractions, placental abruption, fetal hypoxia, and injuries to the birth canal of the woman and child is higher during induced labor than during natural labor. However, the use of drugs and some methods is carried out on an initially abnormal pregnancy.
- All medications reach the fetus. The baby still experiences a lot of stress in utero.
Methods of inducing labor:
- Amniotomy. This is a stimulation method as close as possible to the physiological process. It can be performed both before the onset of contractions and during them. When performing an amniotomy, the membranes of the fetal bladder are opened with a special instrument. At this moment the front waters pour out. By their number, color, smell, one can judge the intrauterine state of the baby. This is a painless procedure that is performed on a gynecological chair.
- Cook's catheters(you can replace them with regular urine ones if you don’t have them). The doctor inserts a catheter into the cervical canal up to the internal os and fills its end with saline solution. A part of the catheter remains outside and hangs freely. For convenience, it is attached to the pregnant woman’s thigh. Thus, the filled catheter puts pressure on the cervix, promoting its structural changes. The catheter is installed for 12 hours, after which it is removed. Sometimes it can fall out on its own - this means that the cervix has opened to such an extent that it can no longer hold it. Typically, additional stimulation methods are required after catheter placement.
- Laminaria– pressed seaweed. Kelp is introduced into the cervical canal and left for 8-12 hours, after which it is removed. During this time, they gradually swell as they are in a moist environment, exerting mechanical pressure on the cervix and leading to its opening.
Using kelp to dilate the cervix Stimulation drugs in the maternity hospital:
- Prostaglandins. In addition to stimulating contractions, they promote transformation of the cervix, therefore they are used when the birth canal is not yet completely ready for childbirth (for example, a long or tight cervix, a small opening). The effect is mild, contractions are not so painful.
- Oxytocin. It is used if the cervix is already ready for contractions, since the drug only stimulates its contractions. It is administered intravenously or via lineamate, a special device that regulates the rate at which the drug enters the bloodstream.
- Desaminooxytocin. It is usually used to stimulate contractions during pushing or as an addition to basic medications. The drug is not used alone to induce labor, as it is difficult to dose and control contractions, and it is less effective compared to other drugs.
If oxytocin drugs, prostaglandins are used, and an amniotomy is performed, then three hours are given for the development of effective labor. After this time, if it is insufficient, other drugs can be added, or some drastic decision is made, for example, indications for a cesarean section are identified.
Read more in our article about inducing labor in the maternity hospital.
Read in this article
Methods of natural stimulation of labor
Once the 37th week has arrived, you don’t have to worry about labor starting. But you shouldn’t try to stimulate labor, as there may still be almost five weeks ahead—day 42, inclusive.
After the 40th week has arrived, you can think about methods of natural stimulation of labor. They definitely won’t harm, but can help the body tune in to the birth process.
Dosed loads are useful throughout pregnancy. They will help control body weight and make the body more resilient. After 40 weeks, it is still possible and beneficial to do yoga, Nordic walking, breathing exercises and exercises on a gymnastic ball. But this is all with the doctor’s permission and if the pregnancy proceeds physiologically. Any deviations may result in a ban on this type of activity.
If you don’t want to do any special exercises, you can simply do some general cleaning at home or walk up and down the stairs, for example, if a pregnant woman is in the hospital.
Expert opinion
If physical activity causes severe malaise, fatigue, swelling, increased blood pressure or other unpleasant symptoms, you should reduce its intensity or even stop altogether to avoid more serious consequences.
Sexual contact
Sex is allowed throughout the entire gestation period if the pregnancy proceeds without complications. Intimate relationships on the eve of childbirth are especially useful for two reasons:
- A man's semen contains prostaglandins, which have a positive effect on the cervix. Under their influence, it “prepares for childbirth” - it softens, shortens, and opens. This effect is possible only with a certain hormonal background of a woman, so you should not be afraid of sexual intercourse until a full-term pregnancy.
- During arousal, oxytocin is released in a woman's body. It promotes contraction of the uterus, which will thus prepare for real contractions.
Watch this video about whether sex will help speed up labor:
Nipple stimulation on the chest
The areola areas of the breasts are very sensitive. When they are irritated, signals are sent to the brain to release oxytocin, the level of which quickly increases in the blood. It is also useful for preparing the body for childbirth.
Special diet
The nerve plexuses of the intestines and uterus are interconnected. Irritation of some leads to activation of others. This can be used to “wake up” the uterus. It is recommended to include the following foods in your diet:
- pineapple fruit;
- garlic cloves;
- hot spices - pepper, etc.;
- liquorice root;
- vegetables - cabbage, carrots, beets;
- raspberries are suitable for berries;
- caraway oil or tea.
Acupuncture and similar methods
There are active points, massage of which will also be favorable for the onset of labor. Here are the two most commonly used:
- on the palmar surface of the hands between the thumb and index finger;
- outside the ankle at a distance of 5-7 cm from the “bone” upward.
You can also use such a device for DENAS therapy at home, affecting the abdominal area and the cervical-collar area.
Herbal infusions and decoctions
Plants can also help stimulate labor. The most commonly used are the following:
- nettle;
- ergot;
- shepherd's purse;
- barberry.
Recipes can be for preparing infusions, tinctures, and decoctions. Sometimes it is recommended to add castor oil to the prepared solutions or make microenemas with it. It irritates the intestinal walls, and this in turn leads to reflex stimulation of the uterus. However, it should be borne in mind that castor oil can provoke intestinal colic.
Other methods
Homeopathy medications are also used to stimulate contractions. For example, based on Pulsatilla and Caulophyllum. However, medications should be used only as prescribed by a homeopathic doctor or at least a gynecologist.
Indications for induction of labor in the maternity hospital
After 40 weeks, and in some cases even earlier, women are sent as planned to the maternity hospital for hospitalization, where doctors draw up a plan for future labor and determine its time, if it has not occurred before this point. The main indications for inducing labor are as follows:
- post-term pregnancy - after 41 weeks;
- gestosis, if there is no need for a cesarean section;
- complications of pregnancy that require delivery in the absence of labor, for example, stimulation is often used for polyhydramnios and oligohydramnios, suspicion of some malformations in the fetus;
- somatic diseases of a woman that require earlier delivery, for example, diabetes mellitus, cardiovascular pathologies.
Conditions for holding
Any method of inducing labor is used if there are conditions from the obstetric situation for implementation. They are as follows:
- live fruit;
- stable, controlled condition of the woman;
- absence of significant bleeding from the genital tract;
- the size of the fetus and the woman’s pelvis corresponds to the normal course of natural childbirth;
- readiness of the birth canal for the onset of contractions, especially for the cervix - its length should be no more than 2 cm and the opening should be no less than 1.5-2 cm.
Advantages and disadvantages
Almost all women are quite categorical about any kind of stimulation of contractions, as they consider it a non-physiological process. Indeed, each method has its own advantages and disadvantages.
The advantages of inducing labor include the following:
- it is possible to reduce the duration of labor;
- in case of weak contractions, they become stronger, which prevents possible suffering of the fetus, and the risk of complications for the woman becomes less;
- This way, in many cases, a caesarean section can be avoided.
The disadvantages of the procedure are the following:
- After stimulation, contractions are somewhat more painful, so additional pain relief is often required. This is due to the fact that during natural childbirth without the use of any drugs, the muscle fibers do not contract all at once, but one at a time. When stimulated, it immediately affects more than 50% of the myometrium, which sometimes even provokes unbearable pain.
- More than 1/3 of inductions ultimately result in a caesarean section. “Forced fights” are not always productive. After long trials with contractions, a woman can be operated on for various indications, ranging from ineffective stimulation to bleeding, acute hypoxia, etc.
- The frequency of complications such as weak contractions, placental abruption, fetal hypoxia, and injuries to the birth canal of the woman and child is higher during induced labor than during natural labor. However, it should be noted that the use of drugs and some methods is carried out in an initially abnormal pregnancy - after all, labor is induced if there are some indications for this.
- All medications used to enhance uterine contractions reach the fetus. The baby still experiences a lot of stress in utero.
According to scientific data, drug-induced labor several times often have the following consequences:
- placental abruption during childbirth;
- fetal hypoxia (lack of oxygen);
- serious injuries to the birth canal;
- often end with a cesarean section.
Considering that any stimulation of labor has not only advantages, but also significant disadvantages, in each case one should take a differentiated approach to determining the indications.
Watch this video about what stimulation of labor leads to:
Methods of inducing labor and how it all happens
There are many stimulation options. In each case, it is necessary to choose the most optimal, “soft” one - this is the doctor’s task.
Amniotomy
This is a stimulation method as close as possible to the physiological process. It can be performed both before the onset of contractions and during them. The role of the amniotic sac is important until approximately 6-7 cm of cervical dilatation; it works “like a wedge”, exerting gentle pressure on the cervix, causing it to open.
When performing an amniotomy, the membranes of the fetal bladder are opened with a special instrument. At this moment the front waters pour out. By their number, color, smell, one can judge the intrauterine state of the baby. Amniotomy is a painless procedure that is performed in a gynecological chair.
What kind of catheter is used
The essence of this effect is as follows:
- The doctor inserts a catheter into the cervical canal to the internal os and fills its end part, which expands into a balloon, with saline solution.
- A part of the catheter remains outside and hangs freely. For convenience, it is attached to the pregnant woman’s thigh.
- Thus, the filled catheter puts pressure on the cervix, promoting its structural changes.
The catheter is installed for 12 hours, after which it is removed. Sometimes it can fall out on its own - this means that the cervix has opened to such an extent that it can no longer hold it.
Expert opinion
Daria Shirochina (obstetrician-gynecologist)
Before installing the catheter, two hours later, and immediately after its removal, it is necessary to record a CTG (fetal heartbeat) to prevent possible complications.
After the catheter is removed, the issue of further stimulation is decided. Rarely do women experience spontaneous contractions; additional methods are usually required. For example, if the result is good and the cervix is open, an amniotomy is performed. Prostaglandins, oxytocin and other stimulants may be prescribed.
Laminaria
They are compressed algae. They have an effect similar to a catheter. Kelp is introduced into the cervical canal and left for 8-12 hours, after which it is removed. During this time, they gradually swell as they are in a moist environment, exerting mechanical pressure on the cervix and leading to its opening.
A drug
This is a hormonal drug, available in the form of tablets for oral administration and placement into the vagina or rectum, a gel for vaginal or cervical use, and a solution for intravenous infusion.
Prostaglandins, in addition to stimulating contractions, promote the transformation of the cervix, therefore they are used when the birth canal is not yet completely ready for childbirth (for example, a long or tight cervix, a small opening).
The effect of prostaglandins is milder, contractions are not as painful.
How long will it take for it to work?
Each case of labor stimulation has its own criteria by which one can judge whether the method works or not.
If oxytocin drugs, prostaglandins are used, and an amniotomy is performed, then three hours are given for the development of effective labor. After this time, an examination is carried out and the effectiveness of stimulation is assessed. If it is insufficient, other drugs can be used, or some drastic decision is made, for example, indications for a cesarean section are identified.
The effectiveness of installing a cervical catheter and laminaria is assessed by structural changes in the cervix. If she is already ready for real birth, further stimulation is carried out, but with medications.
Useful video
Watch this video about stimulating labor in the maternity hospital:
Methods of natural stimulation of labor are used in cases of post-term pregnancy and to prepare the cervix for childbirth. By the approximate date of the onset of labor, the cervix shortens significantly, which causes the pregnant woman pain in the lumbar region and frequent urination. Natural stimulation helps relieve pain and speed up the process if the date of birth does not occur on the date prescribed by the doctor. All natural methods of labor stimulation are absolutely safe for both the child and his mother.
Nipple stimulation
One of the main ways to naturally stimulate labor is nipple massage. It is believed that when massaging and pinching the nipples, the body of a pregnant woman begins to more actively produce the hormone oxytocin, which causes labor pains. Nipples should be stimulated several times a day for 10-15 minutes. When using this method, contractions should begin within three days after the start of stimulation.
Castor oil
Castor oil is primarily known as a natural laxative; this is its main property in stimulating labor. By affecting the intestines, the oil simultaneously stimulates the uterus, accelerating the birth process. To soften the specific taste of the oil, you can add fruit juice or syrup to it. In half the cases of using this method, 100-150 grams of castor oil consumed cause natural contractions immediately after consumption.
Modern traditional medicine does not recommend the use of castor oil, which can cause diarrhea and lead to dehydration.
Walks
Walking at a brisk pace, preferably in the fresh air, also helps to naturally stimulate labor. When the expectant mother takes active walks, the baby's head, under the influence of gravity, begins to put more pressure on the cervix, which stimulates more active production of oxytocin. As a rule, almost all pregnant women take regular walks before giving birth, so the effectiveness of this method is quite difficult to determine. But no expectant mother should give up active walks, because they contribute to the adoption of the “correct” position of the fetus before childbirth.
Oxytocin is a hypothalamic hormone of oligopeptide structure that has a stimulating effect on the smooth muscles of the uterus.
Homeopathy
This method can also be classified as a natural method of stimulating labor, but when using this method you should still consult a homeopathic specialist. The main homeopathic remedies that enhance the activity of labor are caulophyllum and pulsatilla, which are considered absolutely safe for health. The results of surveys of many women who have already given birth indicate that homeopathic medicines helped them solve various problems that arise during pregnancy.
In addition, natural methods of stimulation include: having sex with the obligatory violent orgasm in a pregnant woman, taking a small dose of alcohol, drinking tinctures of some medicinal herbs, inflating balloons, and acupuncture.