Induction of labour after a previous caesarean section

Your maternity team will consider why the caesarean happened, the type of uterine incision, your current pregnancy and whether labour or a planned caesarean is suitable. The cervix may be assessed before choosing a method. A membrane sweep may be discussed before formal induction. Medicines that soften the cervix are not suitable for everyone with a uterine scar, so the team may favour a mechanical option or carefully supervised oxytocin. Continuous observation of contractions and the baby's heart rate can help the team respond to changes. Read about Caesarean Section and Induction of Labour to understand the possible birth pathways.

Ask when to attend hospital, how your previous operation changes the plan and what happens if induction does not establish labour. Bring details of your previous birth if they are available. Discuss pain relief, monitoring, who will be present and the possibility of moving to caesarean birth if labour is not progressing or concerns arise. Do not use induction medicines at home. Your clinician may explain why Oxytocin or a membrane sweep is being considered and how each choice will be monitored.

Contact your maternity unit urgently for vaginal bleeding, leaking fluid, regular painful contractions, severe or constant abdominal pain, faintness, or a noticeable reduction in your baby's movements. After induction begins, tell staff promptly about pain that is sudden, unusual or persistent between contractions, because it needs assessment in the setting of a uterine scar. Follow the unit's instructions if your waters break or labour starts before the planned admission.

Ask: Which induction methods are appropriate with my scar? How will my baby and contractions be monitored? What signs would change the birth plan? How long might the assessment and induction take? What pain-relief options are available?