What should you know about induction of labour what to expect?

You may attend hospital for an assessment before treatment begins. A vaginal examination checks the cervix, and fetal monitoring checks the baby’s heart rate. Cervical ripening may cause cramping, pressure or bleeding similar to a show. It may take time before contractions become established, so the day can include periods of rest and reassessment.

Once labour is established, contractions may become stronger and closer together. Breaking the waters or starting oxytocin can alter their pattern, so your pain relief plan can be revisited. Staff will monitor you and the baby and explain changes to the plan.

Bring comfortable clothing, chargers, snacks if permitted and items that help you relax. Agree on a support person and tell staff what matters to you about movement, positions, privacy and pain relief. Ask how often examinations are needed and whether you can shower, walk or rest between checks.

Tell your maternity team straight away about heavy bleeding, a gush or ongoing leak of fluid, reduced fetal movement, severe abdominal pain, chest pain, severe headache, vision changes or feeling faint. Contact the unit before travelling if you develop concerning symptoms at home.

Ask where you will wait, who can stay with you, which pain relief is available, and how your preferences will be supported. Find out what would lead to a pause, a change in method or discussion of caesarean section.