However, the baby’s size is difficult to determine accurately (RCOG, 2012). A larger baby in this situation is considered to be one with an estimated weight in the largest five in 100 babies (NICE, 2021a). Induction may be offered if a baby seems to be growing larger than expected, although there is little evidence around the benefits and risks of induction in this situation (NICE, 2021a). Why is induction offered for a larger baby?
STRETCH AND SWEEP HOW TO
If you decline, then your carers will explain how to reduce the chance of infection. It always remains the woman’s decision to accept or decline an induction. If someone is over 37 weeks pregnant and their waters break with no signs of labour, they may be offered the choice of an induction or 24 hours to wait and see if labour starts (NICE, 2021a). Your carers may recommend waiting until 37 weeks for an induction if there are no other complications and the baby is doing well (NICE, 2021a). It is unlikely that an induction would be offered before 34 weeks of pregnancy unless there is an additional complication for the baby. When the amniotic sac of waters around the baby ruptures before contractions have started, it slightly increases the chance of infection for the baby, and giving birth reduces this risk (NICE, 2021a). Why is induction offered if my waters go?ĭepending on when the waters break during pregnancy, an induction may be offered. If someone declines an induction, they will be offered additional monitoring of the baby, which can also be declined (NICE, 2021a). Such offers should be individualised, because for example, a fit and healthy 42-year-old may have a healthier pregnancy than a woman of 35 with additional health issues. This is because as we age, we can accumulate other health conditions that may affect pregnancy.
In mothers over 40 years old, induction is likely to be offered earlier, although this does not form part of national guidance. So you may wish to discuss this with your healthcare provider (NICE, 2021a). While these risks are still comparatively low at 41 weeks, some research has found that the increased risk of stillbirth is higher for people from a minority ethnic background or those who live in deprived areas. After pregnancies lasting over 41 weeks, more women have a caesarean birth (NICE, 2021a). Induction is offered in longer pregnancies because, after 41 weeks, there is a higher chance of a baby being admitted to a neonatal intensive care unit, and the rate of stillbirth increases from less than one in 1,000 at 40 weeks to three in 1,000 (Middleton, 2020 NICE, 2021a). So you may want to consider how long your previous pregnancies and those of your female relatives were (Oberg et al, 2013). The length of pregnancy can be a family trait. Over 80 in 100 babies arrive before 41 weeks of pregnancy and 99 in 100 by 42 weeks of pregnancy (NICE, 2021a). Some end earlier and some are a little longer. Most pregnancies come to a natural end with birth between 37 and 42 weeks. Why the concern about a longer pregnancy? Your healthcare providers will provide you with information, so read below to find out what questions to ask. No test can predict whether an individual baby would be better to wait for labour to start or if labour should be induced (Middleton, 2020). Many hospitals offer inductions from 41 weeks of pregnancy, or earlier if there are other medical conditions or complications for either mother or baby (NICE, 2021a). when the baby is unable or unlikely to survive outside the womb.health complications for the mother or baby.pre-labour rupture of membranes (PROM) after 37 weeks.Inductions are offered for various reasons, which include: You might want to consider some of the risks and benefits of induction before you make a decision about it.
Should I choose to have my labour induced?
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