What should you know about induction of labour steps?

The first step is an assessment of your wellbeing, the baby’s position and heart rate, and the cervix. If the cervix is not ready, the team may use a vaginal medicine such as misoprostol or a mechanical device to soften and open it. The response is checked before the next step.

When the cervix is favourable, a clinician may break the waters. If contractions remain weak or do not begin, oxytocin can be delivered through an intravenous drip. Monitoring may be continuous or intermittent according to your clinical situation and local practice.

Confirm where to report and what to bring. Tell the team about previous births, allergies, medicines and your preferred comfort measures. You may be able to change position, walk or use a birth ball between assessments. Ask before eating, drinking or using a bath because the plan can change as labour develops.

Call your maternity unit for heavy bleeding, fluid that is green or smelly, reduced fetal movement, severe pain between contractions, a severe headache, visual disturbance, or sudden breathlessness. If you are already in hospital, tell staff immediately about any new symptom or a change in fetal movement.

Ask which step is planned first, how long each stage may be observed, what monitoring is needed, and what alternatives are available. Clarify how pain relief and caesarean section would be considered if induction is not successful.