38 Weeks Pregnant Inducing Labor

38 Weeks Pregnant Inducing Labor – As your due date approaches, you may be creating different scenarios about how the work will begin. A fun shower worthy of a movie when your water breaks? Cramps that give you pain? Or a weird backache? It can be something in between. An example you may not have considered is what happens when you want to be attracted.

Induction refers to creating contractions in the uterus before labor begins. According to the Society of Obstetricians and Gynecologists of Canada (SOGC), more than one in five labors are induced, making it the best way to give birth.

38 Weeks Pregnant Inducing Labor

38 Weeks Pregnant Inducing Labor

If you are considering a different type of labor and birth, such as laboring at home for as long as possible or giving birth at home, this is not possible with other training methods. You may end up with a different birthday experience than the one you’ve been thinking about for months, so take time to process your thoughts about the sudden change in plans.

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It also helps to educate yourself on all the terms and types of labels your midwife or OB-GYN may use. And if you’re reading this, maybe it’s time to cross everything off your baby list and sign up for a free Amazon baby registry box filled with new items.

Jessica Dye, an Ottawa-based OB-GYN and co-author of the SOGC’s Clinical Practice Guidelines on Induction of Labor, says that when parents talk to their caregiver, the most important thing is to know why. Be attracted to and understand different teaching methods as well as the risks and benefits. The goal, of course, is a good delivery and a good outcome for you and your baby.

But Dy says it can look like one of those decision-making charts, with different options making more decisions. This can be difficult to fix. “There is no straight line in the work,” says Dy. “If you’re here, these are the things we can do. If you’re there, there are other things we can do. It always depends on how the mother and the baby are doing. .”

There are different reasons your doctor or midwife may want to induce labor: if you are two weeks before your due date (often a cervical health problem) or if your water has broken. Seizures don’t start on their own.

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Illnesses, such as infections in your uterus, low amniotic fluid, high blood pressure and placental abruption (where the sac has moved slowly or away from the uterine wall) are the causes.

If you have a midwife, she may try other birth control methods, such as cervical smears, in her office or stay with you while you receive oxytocin in the hospital, depending on the area or region where you are. live

Also known as a “stretch and sweep,” a cervical sweep or a membrane sweep, a membrane sweep is a quick procedure where a doctor or midwife inserts a glass finger into your uterus and separates the membrane that lines the amniotic sac. Uses a circular motion to the walls of the uterus. It releases a hormone called prostaglandin, which helps repair the cervix and close the uterus.

38 Weeks Pregnant Inducing Labor

The “dilation” part is when the doctor or midwife may insert two fingers with glasses into the cervix to open it slightly. Most women find it uncomfortable or painful, but the pain is short-lived.

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Carrie Harris, a midwife in Vancouver, said: “When I’m pregnant, when I’m in less pain, I usually start talking about a sweep of the membranes at 38 weeks. “Evidence shows that if we’re eight Pulling and sweeping for women is preventable. An entry after the due date.

Some people want to start at 38 weeks and do it every time, while others refuse and will never sweep. This is a personal matter. “

Some women may feel pregnant and eager for their babies to arrive and are willing to try anything to induce contractions, while others are happy to wait and see if they hit their due date. They go into labor on their own. If you’re adamant about avoiding hospital admission and stressed about going late, a stretch and sweep may be the right choice.

A Foley catheter is a small balloon that is inserted into the cervix by the doctor and inflated to about two to three centimeters in diameter. “It mechanically dilates the cervix but does not cause uterine contractions,” says Dy.

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Your doctor may recommend this procedure if you have had hormonal imbalances in the past. This is usually done in a hospital or clinic, and you will be monitored for an hour or so to make sure there is no bleeding and the baby’s heartbeat is normal. .

You may not feel the balloon inside you, but the insertion can be uncomfortable and cause menstrual cramps. You can then go home for 12 to 24 hours before returning to the hospital (or sooner, if the pain has started or if the balloon has dropped, meaning it has done its job to open the cervix).

If the pain hasn’t started by the time you return to the hospital, your doctor may tell you to use prostaglandins to explore the cervix or recommend that you rupture the amniotic sac, another way to induce labor. method (see “Amniotomy” section here).

38 Weeks Pregnant Inducing Labor

Your body produces hormones called prostaglandins, and synthetic forms can be used to “ear” the cervix, making the uterus soft, open, and ready for labor. It comes in many forms.

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The first form is a cervical injection that is inserted into the vagina, near the cervix, by a doctor or midwife.

The other form is a prostaglandin called cervidil, a drug that comes in a tab with a cord placed near the cervix.

A disadvantage: These training methods can cause contractions that are too strong or too close together, which can affect the baby’s heart rate, so your doctor will remove the prostaglandins or give you medicine to relax the uterus. will give Both of these can be given in a hospital or clinic, where you will be monitored to see if the baby is doing well, and then you can go home to see if labor is starting.

A third form is a tablet called misoprostol, which is swallowed with water or placed under the tongue. Some people’s bodies use them better than others, so they may work better for some women. This can be used if your water has already broken and your caregiver is concerned about introducing bacteria to the uterus through a pelvic exam.

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Misoprostol carries a higher risk of seizures, says Dy, so you may need to stay in the hospital to monitor the baby with an external monitor (you’ll be able to move around). All of these methods can cause labor to start faster or harder than it would naturally.

If the prostaglandins are working to soften and shorten your cervix (this is called a “good cervix”), your caregiver may give you oxytocin through an IV line. Oxytocin is naturally produced by your body to help the uterus contract. It may also be called by its generic name, Pitocin. (Oxytocin is not usually used alone before the cervix is ​​considered healthy because it is associated with increased C-sections.)

“When you’re given oxytocin, you’re constantly monitored with an external monitor because some people can be sensitive,” says Dy. “Normally, at this point, you’re going to get hit every two or three minutes.” Oxytocin and prostaglandins can slow your baby’s heart rate, so monitoring is used to make sure everything is okay.

38 Weeks Pregnant Inducing Labor

An amniotomy is when your doctor uses a tool that looks like a crochet hook to break open the amniotic sac, so that the amniotic fluid can come out. It is uncomfortable but not painful. Again, this usually happens when the cervix is ​​healthy, and oxytocin is used to stabilize labor.

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“Once your water breaks, there’s no going back,” says Dy. “You have to keep working [because] there’s a risk of infection.”

With this method, there is also an increased risk of cord rupture (where the umbilical cord falls into the vagina), so it is done in a hospital or clinic where you can be monitored to make sure your baby is safe. .

Every birth control method has some potential risks, so you and your provider should weigh the risks and benefits of continuing the pregnancy without inducing labor. Other less common but serious risks include uterine rupture and heavy bleeding after delivery.

A big question that many potential couples have is whether induction leads to more C-sections — and the answer is not clear.

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“The relationship between induction and C-sections doesn’t seem to work very well

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