When you feel enormous and turning in bed requires the help of her husband, reserving induction as a hair appointment may seem like a fabulous idea. But there is much to consider before you decide to go this route, especially the fact that the experts agree on the important role failed inductions play in the cesarean rate of increase.
A 2005 study by the American College of Obstetricians and Gynecologists (ACOG) found that the induction of new mothers was directly associated with an increased risk of caesarean section. The rate was 12 percent for spontaneous labor, 23.4 percent for medically indicated inductions and 23.8 percent for elective inductions.
Other complications may be due to the fact that due dates are notoriously inaccurate. The same is true for predicting the size of the baby: the induction of a large baby increases the risk of cesarean suspect. Furthermore, the fetal lungs are among the latest to develop organs; schedule an induction before 39 weeks can lead to the delivery of a newborn who must spend time in the neonatal intensive care unit (NICU).
So who should be induced?
Sometimes labor induction is safer to do. If the baby shows signs of stunting or distress, or more than one or two weeks of delay, which can be healthy if delivered quickly. For mothers with hypertension, preeclampsia, uncontrolled diabetes or other health condition, proper medical induction can mean the difference between a healthy birth and a disaster.
"The inductions are getting a bad reputation because we do a lot for no reason, but they are often adequate medical tool," says Dr. Kim Gregory elective inductions, on the other hand, are provided for convenience. - To remove schedules messy, deliveries in the middle of the night and discomfort of late pregnancy. Many experts believe that up to 50 percent are elective inductions.
Your body should be ready
Vaginal delivery of a newborn depends on having healthy cervix - and a baby - it's ready. The neck is evaluated by an index of the bishop - a points system on five factors including 0-3 open and thinned it is the extension. The higher the score, the higher the possibility of a vaginal birth, while the total age of five are the biggest risk factor for cesarean section. Inductions can also lead to medical complications for mother and baby and interfere with the process of natural childbirth.
Oxytocin (a drug that stimulates contractions) requires an almost continuous fetal monitoring, reducing the mobility of a mother. The evidence suggests mobile can accelerate the work. If the work is progressing slowly, her amniotic sac may rupture to accelerate the process, which increases the risk of maternal and fetal infection. Women experiencing strong painful contractions caused by Pitocin often ask an epidural, which in turn can affect blood pressure and flow to the placenta.
Weigh the risks vs. benefits
Although many doctors planned inductions at 38 weeks, rising failed inductions, maternal and neonatal infections resulting membranes broke early, caesarean sections, and all NICU admissions led to stricter guidelines. In the United States, ACOG notes that not happen elective inductions before 39 weeks unless the maturity of the baby's lungs is determined by amniocentesis. In any event, elective inductions often sooner. Making the decision to induce requires careful consideration. Sometimes it's just not worth it to take a shortcut. "If there is a medical indication, that's obvious," said the midwife Karen Parker-Linn.
"The benefit outweighs the risk. But if a woman is not ready, do not drive. I'll ask, 'If your baby in the NICU and are you playing with another IV, was his most important prevention so upset? "
Did you know?
Induce labor if the pregnancy is 42 weeks or more, instead of waiting for labor to begin, it is safer for the mother and baby and reduces the risk of caesarean section.
You want a shorter labor and a healthy baby?
Let nature take its course. Babies born before 39 weeks have more complications. So in 2001 based on the United States, Intermountain Healthcare, with 21 hospitals handled 30,000 births per year, began to eliminate elective inductions for new mothers before 39 weeks.
They found that people with low (0-2) Bishop Score (a measure of the "maturity" of the cervix), even at 39 weeks, had jobs that were on average 21 hours and rates of Section C nearly 50 percent. With a score of 10, the work lasted 91? 2 hours and caesarean sections were reduced to eight percent. The result elective inductions inadequate was reduced by over 50 percent.