10 common reasons for labor induction

As your due date approaches, you may find yourself wondering about labor induction. It’s natural to have questions—especially as you navigate the end of pregnancy when discomfort levels may rise. However, labor induction isn’t typically done for general discomfort alone.

In most cases, medical reasons related to the health of the mother or baby are the driving factors behind this decision. Here’s what you need to know about why labor might be induced and what you can do to feel prepared and empowered in this process.

Why labor might be induced

The American College of Obstetricians and Gynecologists (ACOG) has specific recommendations for labor induction, and it’s often recommended only when medical concerns arise. Below are the key reasons your doctor might suggest inducing labor:

1. Poor fetal growth
   Sometimes, babies don’t grow as expected. Inducing labor may be recommended if the fetus isn’t developing well in the womb, allowing your healthcare team to monitor and care for your baby outside the womb.

2. Placenta concerns or prior uterine surgery
   If there are issues with the placenta or if you have uterine scars from previous surgeries, labor induction may be safer than waiting for natural labor to begin.

3. Low amniotic fluid
   Amniotic fluid cushions and protects your baby. Low fluid levels can be a reason for induction, ensuring a safer delivery environment for your baby.

4. Diabetes (before or during pregnancy)
   Both preexisting and gestational diabetes can increase the risk of complications as pregnancy progresses. Induction might be recommended to help reduce those risks closer to your due date.

5. High blood pressure
   High blood pressure conditions, whether preexisting or developed during pregnancy, can impact both mother and baby, making an early delivery safer.

6. Pre-eclampsia
   This pregnancy complication, characterized by high blood pressure and signs of organ damage, may make it necessary to induce labor to protect the health of both mom and baby.

7. Cholestasis of pregnancy
   This liver condition can cause itching and other symptoms. It’s linked to potential risks for the baby, so induction may be recommended for a safer delivery.

8. Premature Rupture of Membranes (PROM)
   When your water breaks before labor begins, there’s a risk of infection. In such cases, doctors often recommend induction to start labor.

9. Twin or multiple pregnancies
   With twins or more, induction may be suggested if complications arise or if pregnancy goes beyond a certain point.

10. Going beyond your due date
    While it’s normal for some women to go slightly past their due dates, reaching 41 or 42 weeks may increase risks, and induction may be recommended to ensure a safe delivery.

Preparing for labor induction: questions to ask your doctor

If induction is being discussed, it’s natural to have questions. Here are some topics you may want to explore with your doctor:

• What is the reason for the induction?
• What methods will be used, and what should I expect?
• Are there any risks associated with induction for me or my baby?
• What are my pain management options during an induced labor?

Having these conversations can give you peace of mind, making the experience less overwhelming.

Supportive resources for a positive experience

Going into labor, especially with an induction, can feel like uncharted territory. Here are some resources to help you feel supported and prepared:

Books to help prepare

• Ina May’s Guide to Childbirth by Ina May Gaskin
  This book offers empowering insights into childbirth, covering both natural and induced labor scenarios with advice from a renowned midwife.

• The Birth Partner by Penny Simkin
  This book provides detailed information for your partner, helping them understand how they can support you during an induced labor.

Products to bring for comfort

• Birthing comb for labor pain relief
  This unique tool offers natural pain relief by applying pressure points to your palm, providing a simple and effective way to manage contractions.

• Labor and delivery gown for hospital
  A comfortable, hospital-friendly gown with easy skin-to-skin access makes bonding with your newborn easier right from the start.

• Essential oils and diffuser
  Scents like lavender or peppermint can have calming effects. Pack a small diffuser or roll-on essential oils for a relaxing environment.

• Birthing ball for pregnancy & labor
  Some hospitals have these available, but bringing your own exercise or birthing ball can help you stay comfortable and active during early labor. They can ease pain and pressure in your back, pelvic area and tailbone.

Self-care during the process

Labor, especially induced labor, can be a long process. Having comforting items, such as a soft blanket, pillow, or even your favorite snacks (with your doctor’s approval), can help make the experience more relaxing.

Remember, safety is the priority

The decision to induce labor is always based on the safety of both mother and baby. While the idea of induction may feel intimidating, your medical team will ensure that you’re fully informed and supported every step of the way. Preparing yourself with the right questions, a few comforting items, and a supportive mindset can make the process feel more manageable.

Ultimately, the goal is a safe, healthy arrival for your baby. Trust your healthcare provider’s guidance, listen to your body, and surround yourself with support to navigate this beautiful journey to motherhood.