As you approach or pass your due date, your provider may discuss ways to start labor to keep you and your baby safe. Many guidelines recommend offering induction around 41 weeks (late-term), and most recommend induction by 42 weeks (post-term), because risks such as stillbirth and newborn complications rise with advancing gestational age.
Induction is also recommended earlier when medical conditions make delivery safer than continuing the pregnancy (for example, high blood pressure, diabetes, concerns about the baby’s growth, or your water breaking without labor).
How labor may be started
- Cervical ripening: A prostaglandin medication (dinoprostone or misoprostol) can be placed in the vagina or given by mouth to soften and open the cervix. A balloon catheter is another common option. Timing varies; contractions may begin within hours and your team will monitor you.
- Oxytocin (Pitocin): An intravenous infusion that starts or strengthens contractions. Dose is adjusted based on your contractions and baby’s heart rate.
- Amniotomy (breaking the water): Your provider may rupture the amniotic sac once the cervix is favorable and the baby’s head is well engaged. It’s often used alongside oxytocin. Routine amniotomy alone is not recommended to speed up a normally progressing labor.
- Nipple/breast stimulation: This can increase your body’s oxytocin and may help trigger labor in some low‑risk pregnancies. Evidence is limited; it isn’t appropriate for everyone. Ask your clinician before trying this.
Questions to ask your provider
- Why is induction recommended for me, and what are the alternatives?
- Which methods will you use first? How long might each step take?
- How will my baby and I be monitored?
- What are the potential benefits and risks for me and my baby?
Aim to rest, prepare, and bring your questions. Understanding the plan can help you feel ready for an induced or spontaneous labor.
Source: https://www.acog.org/womens-health/faqs/labor-induction