Guidance on induction of labour

Induction may be discussed when continuing pregnancy could increase risk, such as with [Pre-eclampsia](/conditions/pre-eclampsia/), or when labour has not begun after the expected time. The clinician considers your examination, the cervix, the baby’s position and wellbeing, previous births, and any uterine scar. You should receive a clear explanation of benefits, possible drawbacks, alternatives, and what happens if the first method does not work.

Methods can include a [Membrane Sweep](/treatments/pregnancy-and-birth-care/membrane-sweep/), cervical-ripening medicine, breaking the waters, or an intravenous hormone such as [Oxytocin](/materials/oxytocin/). The options depend on your situation; [Misoprostol](/materials/misoprostol/) is not suitable for every pregnancy.

Ask the maternity team to explain the sequence in plain language: where you will be assessed, how the cervix will be checked, when monitoring starts, and how pain relief is provided. Tell them about allergies, medicines, prior caesarean birth, bleeding, fluid loss, and changes in baby movements. Bring your birth preferences while staying open to changes if your health or the baby’s condition changes.

Call urgently for heavy bleeding, severe abdominal pain, fever, severe headache with visual changes, sudden swelling with feeling unwell, fluid loss with an unusual colour or smell, regular contractions, or reduced baby movements. Emergency help is needed for collapse, severe breathing difficulty, or a rapidly worsening condition.

Ask what makes induction advisable now, what alternatives are reasonable, which method is recommended first, how the baby and contractions will be monitored, and how consent works if the plan changes. Ask how long each stage may take and who to contact with concerns after leaving the unit.