Being Pregnant

5 Things Moms Should Know About Induction

Posted by danielle625 on February 24th, 2011 at 11:30 am

307846312 2203c037e1 225x300 5 Things Moms Should Know About InductionIn a time where induction of labor is such a popular thing for mothers, there is a lot of misinformation, as well as information being left out, including risks and statistics.

With my oldest son I was induced, and there were many risks that were left out of the conversation with my provider. I was told I needed to be induced for a medical reason and went along with it despite being two days away from my due date.

In the long run, my induction was hellish, and ended in a c-section like many inductions do. Had I known this, I would not have opted for the induction because my biggest fear in childbirth was a c-section.

My top 5 things that I think all mothers should know about induction are:

1. Induction increases your risk for a c-section!   A speculated 40-50% of inductions will end in c-sections. Whether they are medically necessary or not, this is a really high number. Sometimes induction simply does not work because the baby is simply not ready to be born, and your body is not ready to give birth. No matter all the medical advances we have today, sometimes nature just doesn’t comply. And sometimes, it is too late for your provider to just send you home and wait it out once they try to induce.

Many medical studies have also backed this up:

“Induction of labor doubles the risk of C-section,” said study author Dr. Deborah Ehrenthal, director of women’s health programs at Christiana Care Health System in Newark, Del., and an assistant professor of family medicine at Jefferson Medical College of Thomas Jefferson University in Philadelphia. The research appears in the July issue of Obstetrics & Gynecology.

So if you want to avoid a c-section, or there is no medical reason to induce, skip it!

2. Induction increases the risks to your baby during labor.  Some of these risks include fetal distress, shoulder dystocia. Because of the forceful nature of the drugs used, and sometimes the manner the mothers water is broken can move the baby into a position that is not favorable for birth.

3. Induction increases the risk of your baby being admitted to the NICU.
I didn’t know this one before I started researching for this post though. I read some information on about.com from Robin Elise Weiss that showed:

Increased risk of your baby being admitted to the neonatal intensive care unit (NICU).
Babies who are born via induction have not yet sent signals to the mother to start labor. This means that they simply aren’t yet ready to be born. This risk is worth it if the baby or mother’s lives are in danger, but simply to take this risk for elective reasons may not be well advised.

When a baby is in the intensive care unit there is less ability for you to be with your baby or to hold your baby. Breastfeeding usually gets off to a rocky start as well. This can usually be avoided by giving birth when your body and baby say it is time.

All great information from one of my mentors in becoming a childbirth educator.

4. Induction increases your risk for a premature baby. We all know that due dates are not set in stone, and can be inaccurate by up to two full weeks in either direction. The March of Dimes has spoken out against elective inductions, as well as inductions with no medical reason before the 39th week of pregnancy because of the risk of a late term preemie.  Increasing the levels of jaundice or other problems that can be avoided if you wait things out a little bit!

5. Pitocin contractions are stronger and much more painful than normal labor contractions. Believe me I know… I have been there!  My first was induced and the contractions were so painful my idea of a medication free birth went right out the window 2 hours into pitocin. With my second son, I labored with natural and strong productive contractions for 24 hours before having an epidural.

Pitocin contractions are unnaturally strong, and often form a cascade of interventions you normally would not experience if you had not been induced. The cascade was also featured in a birth documentary film:

It is a lot of information to take in, but be sure to look at all of your options before you sign up and head into the hospital for your induction!

photo: flickr.com/wyscan

 5 Things Moms Should Know About Induction

Go Back To Being Pregnant

21 Comments

How about true medical reasons as well – many are told things like “fluid levels are low,” “the baby is measuring big,” or small pelvis. Truly small pelvis is rare. Fluid levels can change, especially if you yourself are dehydrated. And the size of the baby is relative, and can only be determined when weighing the baby at birth. Ultrasound measurements for baby’s size and fluid levels can be off significantly, (and fundal height of the baby can vary depending on his position, too). Some of the “medical reasons” many women hear about for inductions are, in and of themselves, questionable.

The Deranged Housewife commented on Feb 24 11 at 12:35 pm

There can be valid medical reasons to induce though. In my case, the baby showed difficulties with stalled weight and lack of movement in a high risk (hyperemesis gravidarium) pregnancy, to the point it was going to end early in either induction or c-section. Luckily, the induction worked and the baby was only in the NICU a few extra days.

I can definitely agree about induction causing stronger contractions though! My first was born naturally after only a 6 hour labor (although it ended with shoulder dystocia). My induced second delivery lasted 12 hours and I was begging for an epidural at 4 cm! The contractions were stronger with pitocin than even with my first intense delivery.

No one should choose an induction for mom or doctor’s convenience, but sometimes getting a baby out fast is important. Parents just need to realize that they face a real risk of c-section so not to treat induction casually…

Em commented on Feb 24 11 at 1:10 pm

@Em – Of course there are many real medical reasons for labor induction. Unfortunately we see a lot of women being induced today for reasons that aren’t really in that category.
Women should be able to be fully educated in all their decisions for childbirth, whether it has to be induction, or any other intervention they may need.

Danielle625 commented on Feb 24 11 at 1:16 pm

The induction experience also depends upon the amount of pitocin used. I was induced at 41 weeks and 3.5 cm. They started me off at only 2 mL/hr to “get things started”, and gradually increased the dosage over 6 hours to 12 mL/hr. My baby was born, vaginally and epidural-free, four hours later. No other complications. The contractions were not much stronger than my previous pitocin-free labor. I was told that many hospitals use a much stronger pitocin dosage, going up to 50 mL/hr.

Maria S commented on Feb 24 11 at 3:45 pm

Inductions should of course be medically indicated for the best possible outcome for mother and baby.
As far as the dose of pitocin…everyone mother-to-be is different. It should be titrated to produce the strength and frequency of productive contractions by the qualified person monitoring the mom’s labor.
A natural labor is always preferable.

Lorette Lavine commented on Feb 24 11 at 5:19 pm

You had me until you added a clip of “the business of being born.” While that film is definitely worth seeing, it also has a major agenda. With my first child, I labored naturally for 30 hours with little progression and finally succumbed to an epidural and pitocon (I didn’t even consider getting the pitocin without the epi because I had seen The Business of Being Born and thought they had to go hand in hand! In hindsight, if I had just gotten some pitocin earlier on in the labor, I probably could have avoided the epidural). With my second, my midwife (yes, MIDWIFE, not doctor) decided I ought to be induced when I passed my due date and placenta began to show age. I REALLY did not want to be induced. I fought it to the end. I considered checking out of the hospital and giving birth at home. The first day of the induction didn’t work. The second day, things progressed and I had a natural, easy (for giving birth), pain-med-free delivery. No other interventions. It was super painful, but not more so than my first pit-free labor. In the end, I was happy, and it totally changed my view of induction.
On the other hand, a few years ago, one of my friends had her first baby at home. Her midwife let her go nearly 2 weeks past her due date. She labored and delivered in 8 hours, but her little girl had to spend a week in the hospital because she had meconium in the amniotic fluid for several days. Baby had respiratory infection, fever, etc. Mom also had severe tearing because the baby had grown very large for her quite petite body. Of course she had been frightened of induction by the film, TBOBB. Every pregnancy, labor, and birth is different. I definitely believe going naturally is the best, but don’t rule out induction if medically necessary–and I’m telling you, you can have an induced labor without getting an epidural. As long as you trust your provider, things will be ok.

kristen commented on Feb 28 11 at 9:47 am

The article clearly states that there are medical reasons for needing an induction. The article also states that inductions are far more prevalent than necessary.

Mariah commented on Aug 26 11 at 11:05 pm

I just have one thing to say… Induction due to low fluid checks or stress testing is driving me crazy in my community!

How can a woman who is 38 weeks, healthy, low risk, glowing and comfy in her late pregnancy be told her baby is in grave danger due to low fluid? I couldn’t believe it when they tried to tell me that my first baby was dangerously low on fluid right at 40 weeks. They tried to send me in right away too… but I fought to avoid induction and I even hid from my OB’s phone calls. In the end I had a 10 lb 5 oz baby boy all natural 17 days later and he was PERFECT. No wonder I was told I had low pockets of fluid surrounding my babe… they thought he was only 7 lbs and he was MUCH bigger.

Now after teaching childbirth for almost 12 years, I am appalled at how many couples take the “low fluid” diagnosis so seriously even after attending my class. They are scared by their care provider to an unethical immoral level; sometimes even being told that if they don’t induce or go in for and immediate section their baby could die!

I decided to put fluid checks by ultrasound to the test with my last pregnancy (baby number 7) and even though I am not a fan of frequent and routine ultrasound use I just couldn’t help but test my theory and sure enough it was amazing. at 39 weeks gestation, I told 4 different types of providers in town that I was a planned-home-birth mother but that I had a history of being diagnosed with low fluid in late pregnancy and it had me worried. I scheduled 4 fluid checks in one single day with 4 different providers and sure enough I was given 4 completely different levels ranging from scary/dangerous numbers like 3 to 4 all the way up to no worries at 9 or 10. I was told a variety of things…

The CNM told me “of course your baby is lower on fluid at this stage of pregnancy but that is normal and if it gets too low you will probably just go into labor”

The high risk OBGYN told me “Your placenta is on a downhill path and we need to see you every two days for a fluid check and coinciding stress test to guarantee that your baby is safe inside of you.”

The worst thing I was told was actually a family practitioner and he said that “A home birth was the last possible thing you should be considering with fluid levels this low and you should switch to a hospital birth and schedule and induction or even a section immediately.”

In the end, I sent all of the ultrasound technicians as well as the nurse practitioner, midwife, OB, and FP all a letter to let them know my findings were conclusive! That fluid checks are inconclusive and ridiculous. I had my baby girl at 41 weeks and 1 day exactly with plenty of fluid and a perfect home water birth with my CPM.

The system we are in is broken and there are not enough of us questioning the system to make it change especially in states like Nebraska! Do not induce because you are told you have low fluid… especially if there are no other warning signs and you are in the healthy and low risk categories. UGH!

Nicci Walla commented on Mar 02 12 at 11:32 pm

When I was pregnant with my son, I was informed at 35 weeks that I was 2 cm dilated and 80% effaced already. The doctor said that I could possibly give birth Memorial Day weekend last year. I did everything that I could to safely induce pregnancy. I did pretty much it all – sex, spicy food, walking, swimming, exercises, etc. But nothing happened. Then June 8th, 2011 at 10:15 p.m., I discovered that my water was breaking. It didn’t break completely, so there was leakage the whole time. I went to the hospital, and I settled in for what I hoped wouldn’t be too long of a wait. I came in at 6 cm dilated and still 80% effaced. I told them that my contractions were literally painless, but that I just had to pee every hour and that I felt the slightest bit gassy.

I progressed to 7 cm, but I still wasn’t feeling anything, and I was getting irritated and bored. Even when your labor is as easy as mine seemed to be, it still tires your out more than anything. So I told the nursing staff about 3 times prior to 6 a.m. that I was ready to be induced because I had stalled for a few hours, and I was getting worried; they had asked me repeatedly if I wanted pitocin, and I kept telling them no emphatically. I had read the most recent and updated information on it, and there was no way that I was going to allow them to give me synthetic oxytocin that still to this day HAS NOT BEEN APPROVED BY THE FDA FOR THAT USE. But I knew that if could get dicey if I waited too much longer since I had stalled for so long. The nurses never told the doctor or the message got lost in communication, because it was about 7 a.m. when the doctor came in with all these nurses and they were all flustered and worried about something. They told everyone to leave the room, and they had me turn over like I was trying to hold my knees or something, and then they started giving me oxygen.

They said that the baby was in distress, and that both of our heart rates were dangerously low. I was feeling perfectly fine by the way, just sleepy. I hadn’t known that anything was wrong, so they rushed me to the OR for an emergency C-section, but I was alone with the doctors and nurses because according to hospital policy, my fiance couldn’t be there during an emergency C-section. So they delivered my blue son at 8:10 a.m., and I didn’t see him until about 2:30 p.m. I had a bad reaction to the anesthesia, and I was pretty such psychotic when I woke up in the labor and delivery room. I was in so much pain that I was hysterical, and I said so many awful things that I thankfully can’t remember. I don’t want to be judged, but I know that my reaction upon wakening is not a rare occurrence.

I had to be sedated because I was saying things like I didn’t want my son, even though I know in my heart that I never meant what I said. That apparently was the reason that I couldn’t see him for so long, and I found out a few weeks ago by my new doctor that the reason that my labor wasn’t normal was because I had Premature Rupture Of Membranes, or PROM. Had they given me pitocin or waited even an hour longer I’ve come to find out, I would’ve died before they would’ve been able to whisk me off to an emergency C-section. So women should be wary of non-FDA approved medications that can cause more harm than good.

Nadah Valadanzouj commented on Mar 03 12 at 12:06 pm

i was induced with my fifth child because i was very high risk as i lost my 2nd baby Micheal at 8and a half months along&my fourth baby girl,Desrai, was born high risk as all the rest of my pregnacys were&she came out healthly&beautiful but i then started to bleed to death again losing a 30lb.blood clot in the hospital shower I never had ever neded to pull tht emergency rip cord they have until this, which saved my life! But when i got induced i guess i was lucky i never had to go the route of a C-section!My son Joe Steven Troy Dickes{his given name by me,his legal name is Johnny Strawn Blick}! He was born a healthy beautiful baby boy but if i had known what i read here today i might have made differnt choices! i was NEVER given this information@any time@all!!! and that mi amigo IS NOT RIGHT OF THE HOSPITAL NOT TO LET ME KNOW THE RISK I WAS TOLD TO DO WITH MYYYYYY BABY! So in my opinion hospitals,doctors,nurses,midwives,WHOMEVER asks you to do this BETTER GIVE THE MOTHER ALLLLL THE INFO–GOOD&BAD!!!!!!!!!!!

sheil maldonado commented on Apr 04 12 at 12:36 pm

I had a midwife for my pregnancy who did not like any sort of intervention, but because of my increased blood pressure she suggested an induction. I thought I was a huge wuss because I begged for an epidural 5 hours in. I’m happy to know that the pitocin makes the contractions worse, I am determined to have a drug free delivery next time!

Liz O commented on Apr 04 12 at 5:23 pm

I had a midwife for my pregnancy who did not like any sort of intervention, but because of my increased blood pressure she suggested an induction. I thought I was a huge wuss because I begged for an epidural 5 hours in. I’m happy to know that the pitocin makes the contractions worse, I am determined to have a drug free delivery next time!

Liz O commented on Apr 04 12 at 5:23 pm

I was induced with all three of my children. They were all weighing large before delivery and I had developed Preeclampsia. The first induction was horrible because they didn’t gradually increase the pitocin, but my daughter was born healthy (9.1 lbs), 12 hours later. She was 10 days overdue. During the end of her pregnancy I had not dilated at all before being induced, so I needed cytotek to soften my cervix. I think in this case I should have waited and not been induced til my body showed some signs of being ready, like early dilation. My second went much more smooth. I was induced in the morning and had a gradual build up of Pitocin which caused only one hour of hard labor, then my son was born. He was 10 days early- healthy (8.8 lbs). The whole month before he was born, I was dilated to 3cm, so my body had already taken the first steps toward his birth. I needed the induction because of the Preeclampsia. My blood pressure was very high and could have caused seizures and stroke. With my third, which was just last week, I was induced again. Again it was due to the Preeclampsia. But I was dilated already to a loose 2. They started the pitocin gradually again, broke my water and a few hours later, after only 2 hours of hard labor, my daughter was born healthy. She was 10 days early (8.1 lbs). I wanted to go into labor naturally because I understand the risks of induction and I wanted to feel like a normal “woman” whose body worked perfectly and started labor on it’s own, but my blood pressure was 184/100 near the end, and was very close to causing seizures. The nurses kept checking my reflexes to make sure I wasn’t showing signs of seizing. During this last pregnancy my body basically went to war with itself. I developed preeclampsia, colitis (digestive problem), sleep apnea (I got no sleep in the last month of pregnancy and couldn’t drive myself around during the day because I would fall asleep at the wheel, because at night I would wake myself up by not breathing), and then finally shingles. I felt with all of these things that were happening, my baby would be safer outside in my arms than in my warring body. Preeclampsia causes the body to fight the placenta. The placenta will then calcify and become useless to the baby, by not providing nutrients/blood/oxygen. Preeclampsia is bad for mom and baby. I am glad that they offered induction. In some cases it can be harmful, I had a friend who went into a coma after a bad unnecessary C-section due to induction not working, but in some cases it is good. The main thing is that women be educated on BOTH sides, as well as understand the specific pregnancy and complications. Every pregnancy is different. To form one solid opinion on the whole matter of induction, without knowing the specifics of the pregnancy, is not logical. What you may need one time, may be unnecessary at another time. For the sake of your baby and your health, you should be open minded, and educate yourself on all aspects, not just chose certain biased opinions.

Tanya commented on Apr 05 12 at 9:43 am

I was told my baby was too big and quite honestly it is bull @#*!. I went in to be induced and if I ever get pregnant again I will not be getting an induction! It was the worst expierience, there were complications and if I could do it over I would have let my son come on his own terms. It is more dangerous to be induced for mother and baby. In my opinion and expierience, definitely not worth it! If something is wrong, they will do a c section.

amanda commented on Apr 06 12 at 3:06 am

I was induced at 40 weeks. The nurse said my daughters heart rate dropped for a little bit. She said it was normal and that sometimes they can grab their cords, realize they can’t breathezb and let them go but since I was a day before my due date they were inducing me. I was in labor for 36 hours. At 12 hours they broke my water. I got a horrible infection because my water was broken for too long. My temp went up to 104 and her heart rate passes 200. During the c section they put me to sleep becaus e the epidural was no longer working. Because of all the pitocin my uterus had gone limp and they could not get it to contract back to its normal size. While the doctor is working on my uterus I am hemoraging. He wanted to remove my uterus because he could not stop the bleeding. He must have gotten it just in time because I still have it. By the time I left the hospital I had received 6 units of blood. They had to draw blood from my feet because they couldn’t get enough out of my arms. Oh and after 36 hours on pitocin. I got to a whole whopping 4 cm.

amanda commented on Apr 06 12 at 8:07 am

I was induced a week early in January with my first baby and not because of an emergency. It was in labor for 6 hours total and pushed for only 20 minutes. No problems at all

Samantha commented on Apr 07 12 at 1:48 am

my first two births were all natural no drugs. but with my last two i was induced and my dr never told me about the risks now i’m upset but thankfully both are fine and born naural, i did end up getting epidural with both but it only work on my last labor.

ferena commented on Apr 17 12 at 9:08 pm

I was induced at 39 weeks with my first child, a little girl. Doc gave me the choice, whether to wait it out over the weekend or to go ahead and induce. I was 18 years old at the time and I was very excited to meet her! I arrived at the hospital at 7 a.m and by 8 a.m they had me on a pitocin drip. I never was told all the harmful side effects of pitocin and never bothered to think to look them up. I was just excited, and ready to get this pregnancy over with. I had gained 80 lbs! I was miserable. She had dropped into position at around 35 weeks and it was very painful. I was dilated to 2 cm and completely effaced when I went into the hospital that morning. Around 10 a.m doc came in and broke my water. Around 1 p.m I decided I needed to pee. Leave it up to my luck, but I had a trainee for an OB RN to help me into the bathroom. About 6 steps from my bed and a huge gush of green tinged “water” came out. I don’t think she knew too terribly much and neither did I! I was never told that my baby had pooped and I didn’t realize this until much later. At 4 that afternoon, I was at a 6. By 6 that night, I was still at a 6. All of this pain free! I was determined to have her with no pain meds! By 8:30 that night, I had doc and 4 nurses in there with me. Every time I contracted, her heart rate dropped dangerously low. They deemed me emergency c-section. She had got stuck in the birth canal and the doc and on-call surgeon had trouble getting her out. By 9:20 that night, my “8 1/2 lb (by ultrasound) baby girl” was finally here, weighing in a 9 lb and 6 oz. I have to agree that induced labor is more painful. The contractions are stronger and come much closer together. If I knew then what I know now, I would have waited to have her. In the end though, my result was the same. I have a beautiful, intelligent very giving now 8 1/2 year old little girl.

Elizabeth commented on Apr 17 12 at 9:52 pm

I can fully understand that induction may not be necessary if a woman’s body isn’t quite ready to give birth. However, I was induced, and I had no problem with it at all. But in my situation, I was in “pre-labor” for about two weeks. My doctor kept telling me that he thought I’d go into labor on my own any day, but it just didn’t happen, as much as we thought it would. So being induced was a huge relief. And I didn’t find labor to be the nightmare most people make it out to be. The breaking of the water hurt, and I had painful contractions for about one hour before an epidural was given to me. Other than that, I’d be induced all over again!

Michelle Huffman commented on May 07 12 at 4:25 pm

i’m 19 & wanted to start having my daughter naturally with natural contractions, but my doctor said she wouldnt deliver my baby unless i was induced a few days after 40 weeks because she didnt have time for it, she didnt feel like waiting and she didnt want to put her schedule around a normal natural surprise labor :( im glad i didnt have to have c-section, that was 1 of my worst fears

keisha commented on May 15 12 at 11:03 pm

Ironically, I was originally scheduled for a c-section, but my son turned the day I was supposed to go in. Of course, it being the military they wouldn’t do it then to save themselves money. Even though I was in pre-labor with contractions for two weeks, my body wouldn’t dilate. I was induced 2 weeks after my due date. I was on Pitocin for 36 hours, the max dose for 5 hours, and I pushed for 3 hours. I survived 18 hours without an epidural and only took it after the Folly Bulb was out. This is where the video comes in. Pitocin speeds up contractions, it does not help you dilate. Please keep that in mind if you cannot dilate and you have a choice on how to give birth. They decided that they were going to do a c-section at 29 hours because my body was only dilated to a 4, but then his head dropped too far into my pelvis. There, his head got stuck an angle and my doctor had to assist him from the bottom, while manually assisting the dilation the rest of the way. Of course by this time the epidural dosage was at its maximum and I couldn’t be given any more. Thankfully I went numb and blacked out when I started pushing, only fully becoming aware again after he was born. Even though this was a long and painful process, I would do it again any day, every day if it gave me my son. :)

Victoria commented on May 16 12 at 9:02 am

Add your take:

Note: Babble is a supportive, diverse community. We encourage a range of opinions,
but any unduly hostile comments will be removed.


Comments are delayed up to 15 minutes

  • MailChimp

    Sign up for Babble

  • iPhone App Ad

  • Best of Babble.com


    Most Popular on Facebook

  • Aela Mass
  • Casi Densmore-Koon
  • Rebekah Kuschmider
  • CaitlinHTP (Caitlin Boyle)
  • Michelle Horton
  • Ceridwen Morris
  • Katie
  • Devan McGuinness
  • Disney Online Moms & Family Portfolio

    The Walt Disney Company supports Babble as a platform dedicated to honest, engaged, informed, intelligent and open conversation about parenting. However, the opinions expressed on this site are those of individual parents/writers and do not reflect the views of Disney. In addition, content provided on this site is for entertainment or informational purposes only and should not be construed as medical advice, diagnosis, treatment, or safety advice. Click here for additional information. Privacy Policy | Terms of Service | Interest-Based Ads

    More in Being Pregnant (50 of 5070 articles)