What to expect from induction of labour for fetal growth restriction

Fetal growth restriction means a baby is smaller than expected or is not growing along its expected pattern. The placenta may not be supplying enough oxygen and nutrients, so your maternity team balances the benefits of continuing pregnancy against the benefits of birth. Ultrasound findings, blood-flow checks, the baby’s movements, your health and the stage of pregnancy all help guide timing.

At hospital, a clinician may examine your cervix and discuss a prostaglandin pessary, tablet or balloon device if it is not ready. Once the cervix is favourable, oxytocin through a drip or rupture of the membranes may start or strengthen contractions. The baby’s heart rate is watched closely because a growth-restricted baby may have less reserve during contractions.

Bring your maternity notes, medicines list and practical items for a hospital stay. Ask how long cervical preparation may take and whether you can eat, drink, walk or use different positions during each stage. Keep noticing your baby’s usual movements while waiting; follow the unit’s instructions about reporting any change. Pain relief options can include breathing support, medicines or an epidural, depending on your assessment and preferences.

Contact your maternity unit promptly for reduced or changed fetal movements, vaginal bleeding, leaking fluid, regular painful contractions, severe abdominal pain or feeling suddenly unwell. Call emergency services for heavy bleeding, collapse, severe breathing difficulty or a seizure. Do not wait for the planned induction date if movements have changed.

Ask what finding led to the recommendation, what monitoring will be used, which induction method is likely first, and what would lead to assisted birth or caesarean birth. You can also ask how your birth preferences fit with continuous monitoring and what support is available after delivery.