What should you know about hormonal induction of labour?

A clinician may offer induction when waiting could add concern, such as with pre-eclampsia, or when labour has not started after discussion of your circumstances. A cervical-ripening medicine may prepare the cervix; oxytocin is given through a drip to encourage contractions. Your team will explain the proposed medicine, examination, monitoring and alternatives. A membrane sweep is a separate procedure that may be discussed before formal induction. Induced contractions can feel different from spontaneous labour, and progress is checked regularly.

Ask why induction is being offered, how ready your cervix is, where monitoring will happen and what happens if the first method does not work. Tell the maternity team about medicines, allergies, previous caesarean birth and any concerns about pain relief or mobility. Follow the instructions about eating, drinking and arrival time. You can ask about a planned caesarean section when induction is unsuitable or does not progress, although the appropriate option depends on your examination and pregnancy history.

Contact your maternity unit urgently if you have heavy vaginal bleeding, severe constant abdominal pain, trouble breathing, fainting, or reduced or changed baby movements. During induction, tell staff promptly about severe pain between contractions, a sudden gush of fluid, fever, or feeling unwell. Use the emergency route advised by your maternity team if symptoms are severe or you cannot reach them.

What is the reason for induction in my pregnancy? Which medicine will you use, and how will you monitor me and my baby? How long might each stage take, and what are the next options if labour does not establish?