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Induction of labour: what to expect

Induction means starting labour with medical help. Here is why it is offered, how it works and the questions worth asking.

In short

Common reasons are going past your due date, your waters breaking without labour, or a health concern for you or baby.

It can start with a gel or pessary, a balloon, a membrane sweep or a hormone drip, step by step.

Induction often takes longer than labour that starts on its own. Bring things to pass the time.

Ask what the risks are of both inducing and waiting, and what your other choices are.

Induction means starting labour artificially. It is offered when waiting longer may be riskier for you or your baby than starting labour now.

Common reasons are going past 41 weeks, your waters breaking without labour starting, or health concerns like high blood pressure or diabetes.

It often starts with a membrane sweep. Then a pessary or gel to soften the cervix, or a small balloon.

Next, your waters may be broken, and a hormone drip (oxytocin) may be used to start contractions.

Induction can take a day or more, especially with a first baby. Bring things to pass the time and snacks.

Ask: why is it advised for me? What are the risks of waiting? What are the options, and can I go home during the early part?

Based on NICE guideline on inducing labour and NHS guidance. Mia teaches. Your midwife knows you best.

Sources: NICE guideline NG207: Inducing labour · NHS: Inducing labour

Can I say no to induction?

Yes. It is your decision. Your team will explain the risks and benefits so you can choose.

Does a membrane sweep hurt?

It can feel uncomfortable or crampy for a short time.

Is induction more painful?

Contractions can feel stronger, and more people ask for an epidural.