Stimulation of ovulation. Dangerous consequences of the procedure and how to avoid them. The long-awaited baby: stimulation of labor

Nature has programmed the body so that a woman gives birth spontaneously, without any outside intervention. At normal course pregnancy, the birth of a child occurs between 37 and 41 weeks. But there are cases when the process does not begin on time, then the pregnant woman has to induce labor. In what cases is it necessary to resort to stimulation, is it dangerous, what methods exist - these and other questions that concern women in labor will be discussed in the article.

What is labor induction?

Induction of labor is called artificial induction birth process various methods. The action can be used at any stage of pregnancy after 27 weeks, if indicated. It is from the 27th week that the baby can survive outside the womb. But most often stimulation is done when a woman carries the fetus beyond term.

Before deciding whether a woman’s body is ready for stimulation, the doctor checks the cervix. If it has shortened and become soft, it means that readiness for an important process has already occurred.

Otherwise, the pregnant woman is first prescribed drugs that accelerate the “maturation” of the uterine pharynx, and only then the appropriate method of inducing contractions is chosen.

If a woman does not have any pathologies, the mother and fetus feel well, then an artificial induction of labor can only be advisory. The expectant mother herself has the right to choose whether to take this step or wait until the process begins spontaneously.

In what cases is stimulation used?

There are many reasons for artificially inducing the birth process:

The decision on the need to induce labor is made only by the doctor, who also chooses the most suitable method, depending on the situation and condition of the patient.

Methods of inducing labor

All methods of artificially inducing labor are divided into two types:

1. Medication.
2. Natural.

Let's look at each in detail.

Medication methods

This type includes methods involving pharmacological drugs And medical equipment. The techniques are carried out in a hospital setting, in a maternity hospital, under the careful supervision of a doctor.

Amniotomy (puncture)

When a woman in labor has been having contractions for quite a long time, and the amniotic sac has not yet burst on its own, the uterine os opens very slowly, the doctor performs an amniotomy (puncture of the bladder). The procedure is quick and painless, after which the water breaks and the baby’s head begins to move along the birth canal. The cervix dilates faster and labor begins fairly quickly.

Pills

Today, pharmacology offers artificially synthesized antigestogens in the form of tablets that effectively stimulate labor. The drugs cause the release of the hormone progesterone, which is responsible for the dilation of the cervix and its contraction.

Doctors prescribe these same pills to women to terminate early pregnancies. At a later stage they act as stimulants.

Such drugs have a minimum of side effects and do not harm the health of the mother and baby. In addition, they significantly facilitate the birth process, promoting rapid and complete opening of the uterine pharynx. The percentage of emergency caesarean sections in women giving birth when taking such pills is very low.

The medicine is taken strictly in a hospital setting under the supervision of a doctor.

Oxytocin is a synthetic analogue of the hormone involved in uterine contractions and expulsion of the fetus. The drug is administered as an injection intravenously or drip. An obstetrician-gynecologist uses the method only as a last resort, when the woman’s water has already broken, but the contractions have begun to fade, the dilatation of the cervix is ​​slow or has stopped completely.

Oxytocin is administered while simultaneously monitoring the baby's heartbeat. The drug acts very quickly and there is a risk that the uterus will begin to hypercontract and the fetus will experience oxygen starvation.

Oxytocin has serious side effects and may cause uterine bleeding. It is not performed on women with a very narrow pelvis or when the fetus is in an incorrect position.

Before administering this drug to an expectant mother, the doctor carefully weighs all the risks.

Prostaglandins

Prostaglandins are lipid substances that are contained in our body. They are found in concentrated quantities in amniotic fluid. Lipids, along with hormones, provoke the uterus to contract and open. In pharmacology, the drug is presented in the form vaginal suppositories or gel. Stimulation of labor in this way is very gentle, has virtually no side effects and negative influence for the fruit

The substance is inserted into the vagina and after 1-4 hours the woman begins to experience contractions.

Detachment of amniotic membranes

The technique is used for post-term pregnancy. It is done manually by a gynecologist. The woman lies down on the chair, the doctor begins to move his finger around the cervix. The procedure is not particularly pleasant, but painless. During such a “massage,” the amniotic sac begins to gradually peel off, which causes labor. Immediately after the session, bloody spotting may be observed. Nothing wrong with that. If labor does not begin within 24 hours, the doctor repeats the procedure.

Foley catheter

An outdated method that is practically not used in modern clinics. The catheter consists of a long silicone tube with a balloon-shaped tip. The device is used mainly in urology. In gynecology, it was previously used to open the uterine cervix. The process is painful, so today they resort to it only in extreme cases, when there is nothing else, but it is necessary to induce contractions.

Natural Methods

The doctor may recommend to the pregnant woman natural ways stimulation, without the use of drugs. Typically, such therapy is prescribed for post-term pregnancy, when the health of the mother and baby is in perfect order and no threats are observed.

Physical activities

If labor has not yet occurred at 40-41 weeks, the woman is advised to increase physical activity, of course, within acceptable limits. Walking up stairs, doing housework, light gymnastics, long walks - all this can have a positive effect on the onset of labor.

Sexual intercourse

The more sex a lady will have later, all the better. But only sexual acts leading to orgasm count. At the moment of climax, the uterus actively begins to contract, which stimulates the onset of labor. Of course, you should exclude overly violent sex with sudden movements. Male semen contains prostaglandins, which also cause the cervix to dilate. But one dose is not enough; it is advisable to have sex 2-4 times a day.

Bath

A warm bath with the addition of essential oils of cinnamon, cloves and ginger is a pleasant relaxing method that leads to the opening of the uterine os. A bath should not be taken if the water has already broken, or if feeling unwell.

Enema

A cleansing enema causes contraction of the smooth muscles of the intestines. There is a high probability that this will be followed by uterine contraction. To induce labor, most likely, one enema will not be enough. The procedure will take 3-4 days.

Laxative food

You can eat foods for several days causing relaxation intestines. There is no need to lead to terrible diarrhea; it is enough for bowel movements to occur twice a day. Bowel spasms can stimulate uterine contractions. The method is not guaranteed, but some ladies claim that this is what helped them.

What not to do

When preparing for the arrival of your baby, it is important to remember that some actions can be harmful.

Prohibited:

• Take any causing drugs without a doctor's prescription.
• Resort to natural methods without consulting your doctor.
• Induce labor if the due date has not yet reached 37 weeks.
• Do the procedures yourself if you feel unwell and are alone.
• Violate doctor's orders.
• Use risky ones traditional methods. On the Internet you can find a lot of advice on taking oils, decoctions and other drugs to induce labor. But all these methods are extremely unpredictable. There is a danger of harming not only yourself, but also the child.

What are the dangers of stimulation?

Even under the supervision of a doctor in a clinic or ward, artificially inducing contractions in a pregnant woman carries with it some negative consequences:

• Contractions are too painful. The opening of the pharynx after taking medications occurs faster than during the natural course, so the pain increases.
• Some techniques cause discomfort to women. For example, when administering oxytocin, you need to lie under a drip for a long time, and when administering prostaglandins, lie for an hour without getting out of bed.
• At accelerated labor There is always a risk of fetal asphyxia.
• Possibly a central nervous system disorder in the child.

Contraindications

Artificial induction of labor has a number of contraindications:

• Hypertension (most drugs cause increased blood pressure).
• Intracranial pressure.
• Scars on the uterus.
• Chronic oxygen deficiency in the fetus.
• Some diseases in a woman in labor.
• Incorrect position of the baby in the womb.

How does induced labor work?

Regardless of the way in which the uterus labor was induced, after the onset of contractions everything goes as usual. Labor with stimulation is the same as spontaneous labor, the only difference is that contractions can be longer in intervals and painful. But this doesn't always happen.

During contractions, the cervix gradually opens. When the pharynx is opened by 10-12 cm, contractions turn into pushing. This means that the baby is actively moving along the birth canal and will be born very soon.

Is stimulation harmful?

Any interference with body processes that should occur naturally is risky. Is artificial stimulation of labor harmful? Doctors do not have a clear answer to this question. Certainly, when there is a threat to the child or his mother, such a step can save a life.

There is also a risk of an unfavorable outcome of labor in spontaneous cases; in the case of a stimulated process, it increases slightly.

If you look objectively at the statistics, then in 95% of cases, women give birth safely after invasive methods, and children are born completely healthy. Therefore, there is no need to be panicky about such an appointment. It is very important to trust your doctor. If the doctor has ordered induction of labor, then it is really necessary.

Finally

Doctors and psychologists have long established that the course of pregnancy and its outcome largely depend on psycho-emotional state women. The happier, calmer and more confident the mother feels, the more likely it is that the birth will take place as expected: in a timely manner, easily, quickly. Stress, fears, anxiety and other negative emotions create strong blocks in muscular system. This is reflected in the uterus, and the more tense the body, the more difficult it is for the uterine tissue to begin natural reduction. Therefore, the most important thing is to remain calm, relaxed, joyful, harmonious and simply trust nature, because it is perfect.

Mothers who have already given birth so often talk about stimulating labor, scaring their pregnant friends, that it seems to them that no childbirth can proceed without forcing the process of dilation of the cervix. In fact, childbirth does not have to be “push” very often - according to official statistics, about seven women out of a hundred. How does this happen and why might induction of labor be needed?

The indications for inducing labor are obvious - labor does not begin, although it is high time, does not progress once it has begun, or for medical reasons it is necessary for the child to be born earlier due date. Stimulation can be natural or artificial.

With natural birth, the expectant mother speeds up the onset of labor with some simple actions. If this happens beyond 40 weeks, doctors most likely will not object. But, of course, you should consult with them first. As for artificial stimulation, it is performed only by doctors and only in a maternity hospital.

Administration of oxytocin

Why is it necessary? Oxytocin is a hormone that is responsible for triggering labor and enhancing the contractile activity of the uterus. Its synthesized analogue is administered to prepare the uterus for dilation if labor does not occur in the case of post-term (more than 42 weeks) pregnancy.

How is it administered? The hormone is administered intramuscularly or subcutaneously by injection.

Advantages and disadvantages. If labor begins, but then labor suddenly stops, oxytocin will start contractions again. But they will be powerful and therefore very painful, so the woman must be given painkillers. There is a possibility of an overdose of the drug, and some women may develop increased sensitivity to it.

When should it not be used? In case of abnormal fetal position, narrow pelvis and other complicating pathologies. Oxytocin should not be used after a previous cesarean section when there is a scar on the uterus.

Administration of prostaglandins

Why is it necessary? In order to release the baby without injury, the cervix must ripen before birth - become soft, elastic, begin to stretch and open. If the due date has arrived, but the cervix is ​​not yet ready, its maturation is accelerated by prostaglandins - analogues of the hormones responsible for this process.

How is it administered? Gel or suppositories containing prostaglandin are injected deep into the vagina and cervical canal.

Advantages and disadvantages. The advantage is that prostaglandins do not penetrate the amniotic sac and do not affect the baby in any way. In addition, even with the drug administered, the woman is not limited in her movements in any way. But at the same time, prostaglandins can slow down the transition to the active stage of labor. Some women experience intolerance to the drug, resulting in headache or vomiting.

When should it not be used? As with any induction of labor, the administration of prostaglandins should not be used when a woman is experiencing endocrine disorders, diabetes mellitus, after cesarean section, and also when vaginal delivery is not possible due to abnormal position, size of the fetus or deteriorating state of its health.

Amniotomy - puncture of the amniotic sac

Why is it necessary? Puncture amniotic sac done during postterm pregnancy, when the condition of the placenta worsens and, as a consequence, high risk development of hypoxia in a child. An amniotomy can also be performed when a woman quickly develops gestosis - in this state, the rupture of water speeds up the process and alleviates the condition of the woman in labor, simultaneously preventing labor complications that can develop in the case of prolonged labor. Sometimes the indication for amniotomy is the risk of development.

How do they do it? The operation is completely painless and safe, but, like any other operation, it is performed only by an experienced doctor and only for medical reasons. A special hook is inserted into the vagina, the amniotic sac is grabbed and opened, which causes the amniotic fluid to leak.

Advantages and disadvantages. The rupture of amniotic fluid starts the process and intensifies contractions. But sometimes contractions may not come even after this manipulation, and the water-free period should not last more than 12 hours. So women in labor will sometimes need the same injection in order to still stimulate labor. In addition, if you do an amniotomy without compelling indications, the process can only be slowed down. The anterior waters, which are located above the baby's head in the amniotic sac, are a wedge that gently opens the cervix from the inside. Normally, water flows out only after the cervix is ​​almost completely dilated and the baby is ready to be born.

When should it not be used? Amniotomy can be performed only after the baby’s head has passed into the pelvis, compressing the amniotic sac and the vessels located on its surface. If the puncture is made earlier, there is a high risk of bleeding and prolapse of the umbilical cord, as well as infection.

How do they do it? During long walk the baby puts pressure on the cervix, which causes it to begin to dilate. Other active actions also contribute to this. However, the expectant mother should avoid extreme loads; they should be feasible and light.

Advantages and disadvantages. The method only works if the cervix has already begun to prepare for childbirth - to soften and smooth out. In addition, it is difficult for a woman who wants to give birth “as soon as possible” to refrain from overexertion, and washing floors in a half-bent position and conquering skyscrapers without the help of an elevator clearly belongs to them. All such actions can cause premature placental abruption!

When should it not be used? For gestosis and other complications of pregnancy, for indications for caesarean section, up to 40 weeks of pregnancy, for chronic diseases not related to pregnancy.

Sexual intercourse

Why is it necessary? Semen contains natural hormones prostaglandins, which soften the cervix, and orgasm promotes its muscle contractions. Massaging the breasts (especially the nipples) increases the level of oxytocin in the blood.

How do they do it? The old fashioned way and taking into account interesting situation mothers: a woman undergoing pregnancy should not feel pain, but be comfortable and pleasant.

Advantages and disadvantages. What if the couple doesn’t want anything at all? Then the spouses will have to give up sex (and the woman will only have to go for a long walk). As for nipple massage, it’s not so simple either: in order for it to work, it needs to be done three times a day for 10-20 minutes. Not everyone is able to withstand such foreplay.

When should it not be used? The most obvious is if one of the partners has an STD. After all, contact protected by a condom may be pleasant, but it is an almost meaningless “stimulant.” If the couple was prescribed complete sexual rest during pregnancy, they should also consult a doctor.

Sometimes women resort to natural (but unconventional) methods of inducing labor such as acupuncture, aromatherapy and homeopathy. We must remember that, like any other medical procedure, stimulation of labor can be beneficial or harmful, especially when it is done unjustifiably and illiterately.

Comment on the article "Induction of labor: 5 methods. Drug administration or sex?"

Discussion

What do you mean by stimulation - oxytocin? it gives continuous contractions, which are not only difficult for the mother, but also for the child, as he experiences constant and excessive compression for which he may not be ready. Natural contractions are always softer and intermittent.
opening the bubble? The cervix does not always open after it; often the entire ECS ends. or it opens, but the tissues are not elastic enough, hence ruptures and/or episiotomy. By the way, in cases of premature birth they almost always do an episiotomy, although the babies are tiny, but the tissues are not ready yet.
It’s better to prepare for childbirth and give birth when the due date comes. You can always monitor the condition of the baby, umbilical cord and placenta using additional ultrasounds.
I gave birth at almost 41 weeks, a large baby 4250g, without tears or incisions. I was preparing for childbirth, breathing correctly, pushing correctly, helping my baby, and he helping me. I wish you an easy natural birth too:)

Now half of the children, if not more, have hypoxia without any walking or stimulation. Plus, not every woman will agree to stimulate and for this you need to go to the maternity hospital in advance, and there is not always room there. Everything is individual

Induction of labor without indications.... Medical issues. Pregnancy and childbirth. Induction of labor without indications... Almost a horror story, but knowing is better than not knowing!!!

Discussion

So, Arisha and I were very lucky... We had piercings, and she had hypoxia, and a huge headache...

perhaps that is why in most RDs they are now waiting until the victory and do not stimulate. I was actually surprised when I started reading this conference that so many people were being stimulated. I remember last time, the doctor very clearly told me that now they are trying not to interfere, when there are no more options...

Labor with stimulation. Zamyatnina Tatyana. Stimulation of labor. This is exactly the sex I have with my firstborn >. methods of natural stimulation of labor: 1. walk high, lifting...

Stimulation before childbirth. Medical issues. Pregnancy and childbirth. At the moment I have been in the maternity hospital for 41 weeks and they decided to give me stimulation.

Discussion

reflected - maybe. An acquaintance reached 42 weeks and gave birth to a boy of 3500 (the girl herself is tall and big) - without stimulation.
If there is no “crime” - aging of the placenta, meconium in the water, etc. - then you probably shouldn’t be stimulated. IT ITSELF knows best - when...

I was stimulated after my water broke. A drip with an analogue of oxytocin, just called differently. The only effect of it was that it was painful, and there were no effective contractions to open the cervix.

methods of natural stimulation of labor: 1. >. methods of natural stimulation of labor: 1. walk with your legs raised high (90 degrees) 2. walk up the stairs without an elevator 3. wash the floor...

Nature made sure that children could be born without outside help. Of course, without medical help, any complications can lead to fatal consequences. Fortunately, in the modern world, women are not left alone with their problems. Typically, labor begins between 38 and 42 weeks.

At the same time, they develop naturally and culminate in the birth of a child. But if the baby is in no hurry to be born at the appointed time, doctors may prescribe induction of labor.

In what cases may stimulation of labor be required? There are several indications for inducing the onset of labor:

1. First of all, induction of labor in case of postmaturity. As you know, full-term birth is considered from the 38th week, and at 42 weeks they speak of a post-term pregnancy. This entails certain risks: the placenta begins to age and can no longer cope with its functions. The amniotic fluid changes color due to toxins accumulated in it, and the child may experience chronic oxygen starvation. Usually, when postmaturity occurs, stimulation is prescribed between 41 and 42 weeks, and if there are signs of post-term pregnancy, at 40 weeks;
2. If the uterus is distended too much because multiple pregnancy or polyhydramnios, most likely, it will also come from artificial stimulation of labor in the maternity hospital;
3. Chronic diseases, such as diabetes, some disorders of the cardiovascular system, kidney disease and other ailments that threaten the health of the mother and child, can also become a reason for stimulation as early as 38 weeks;
4. Stimulation of labor may also be necessary for those who already have The amniotic fluid has broken, but contractions do not start for 12 hours or more. The thing is, after the breakup amniotic sac, the child becomes vulnerable to various infections.

In some cases, stimulation may be necessary when labor has begun spontaneously, but for one reason or another does not lead to natural delivery: contractions begin to fade or the cervix does not dilate.

What are the dangers of inducing labor: consequences

Like any intervention in the natural course of labor, induction of labor has consequences, including negative ones.

What are the dangers of inducing labor? First of all, it is worth mentioning that artificially induced contractions are often much more painful, and therefore there is a need for additional pain relief.

Some types of stimulation require the administration of drugs through a dropper, which creates additional inconvenience: the woman is forced to lie on her back, limited in movement. But this is far from the most comfortable position for a woman in labor; it is much more comfortable to walk or lie on her side.

In addition, stimulation in some cases causes the child oxygen starvation, which is unlikely to have a positive effect on his health.

Sometimes stimulation does not produce any results, in which case, depending on which method of stimulation is chosen, it is either postponed to another time, or a caesarean section has to be performed. Taking all this into account, it is necessary to weigh the pros and cons before agreeing to induce labor.

The doctor must be 100% sure that artificial stimulation is really necessary, that it will be more beneficial for the baby to be born right now and in this particular way.

There is evidence that when artificially stimulating labor in the maternity hospital, it is much more common to resort to forceps and other similar instruments. Many experts advocate that the reason for this is the stimulation itself. However, it is quite possible that the same complications that led to the need to stimulate labor.

Is induction of labor harmful? Absolutely yes. Like any artificial intervention in natural process. But according to the indications described above, such an approach to childbirth is really necessary.

Contraindications to induction of labor

Like any medical procedure, induction of labor has a list of contraindications. In particular, stimulation is not carried out if a woman, after a caesarean section in a previous birth, plans to give birth on her own for the second time. Hyperstimulation of the uterus can lead to rupture along the old seam.

In addition, incorrect position of the fetus or its size, in particular, a discrepancy between the size of the fetal head and the size of the small pelvis, can also become a contraindication to induction of labor. The same as the health status of the fetus, based on CTG.

Types of stimulation

Depending on the indications and the stage at which labor is located, if any, various methods of stimulation are used.

Detachment of amniotic membranes

When pregnancy is carried beyond term, doctors sometimes resort to a procedure such as detachment of the amniotic membranes. This is done with normal gynecological examination. The doctor carefully peels off the amniotic membrane at the very os of the uterus, which causes contractions to begin. This procedure does not always lead to the desired results the first time.

Sometimes it is necessary to repeat it several times. If the desired effect cannot be achieved, then stimulation is transferred or other methods are used.

This method of stimulation does not carry any special risks. Painful sensations when the membranes peel off, a woman should not experience it, since there is no nerve endings. However, some unpleasant sensations are still possible.

Prostaglandins

Much more often they resort to another method - the introduction of prostaglandins. Prostaglandins are physiologically active substances, which the human body produces independently, and they are contained in almost all organs and tissues of the body, as well as in all natural secretions. Especially in sperm and amniotic fluid. Prostaglandins act on the cervix, causing it to ripen and dilate.

Prostaglandin preparations are administered vaginally: in the form of suppositories or gel. Neither the gel nor the suppositories hinder a woman’s movements or cause any unpleasant sensations. Typically, contractions begin within half an hour after labor is stimulated by the gel, but in some cases labor does not begin after the administration of the gel. If there are no contractions within 24 hours after the administration of drugs to induce labor, they may be reintroduced.

Why do gynecologists prefer to use this method? The fact is that the gel for inducing labor has virtually no contraindications or side effects. Of course, the risk of hyperstimulation remains in this case, but it is significantly lower than when using other methods. In addition, it does not penetrate the amniotic sac, which means it does not have any effect on the baby.

Unfortunately, in some cases, prostaglandin can cause a delay in the transition to active labor.

Puncture of the amniotic sac

Puncture of the amniotic sac to stimulate the onset of labor is used extremely rarely, as it is associated with some risks. In particular, rupture of the amniotic sac leaves the fetus without natural defense, which can cause infection. In addition, if the burst of the bladder does not cause the development of labor, you will have to resort to other methods of stimulation, or even to a cesarean section.

More often, this method is used to speed up labor if contractions are prolonged. A puncture of the amniotic sac is done during a routine gynecological examination using an amino hook - a long plastic hook-shaped instrument that is inserted into the vagina, and through the cervix it is used to pick up the amniotic sac and pierce it, which causes the rupture of amniotic fluid.

Typically, puncture of the amniotic sac is performed when the baby’s head has already dropped into the pelvic area. In such a situation, the amniotic sac is compressed, and the vessels of the amniotic sac are also compressed. Otherwise, when puncturing, there is a risk of damaging the blood vessel and causing bleeding.

In addition, there is a risk of umbilical cord prolapse, which also leads to risks for the child: when passing through the birth canal, the fetus will press on the umbilical cord, and thereby deprive itself of oxygen. This is another reason why puncture of the bladder, as a way to provoke the onset of labor, is extremely rarely resorted to.

Oxytocin

Oxytocin is an artificially synthesized analogue of the natural hormone that stimulates uterine contractions. It is produced by the pituitary gland under the influence of other hormones. Oxytocin is usually used if labor is attenuated or the intensity of contractions decreases. It is administered intravenously using a dropper.

An overdose of oxytocin very quickly leads to oxygen starvation of the fetus and even hyperstimulation of the uterus, so this is done under the supervision of a doctor. In parallel with the administration of oxytocin, the child’s condition is monitored, as well as the intensity of contractions.

If symptoms of fetal hypoxia begin to be observed, the administration of oxytocin is immediately stopped, and in some cases, special drugs, reducing contractile activity of the uterus.

Considering that some women have hypersensitivity to oxytocin, the dose of the drug is selected strictly individually, in accordance with preliminary tests.

It is with oxytocin that, as a rule, the main complaints of women about excessive pain in contractions are associated. Therefore, very often, in parallel with the administration of the hormone, pain-relieving procedures or epidural anesthesia are practiced.

IN Lately doctors began to use pills to induce labor containing artificially synthesized antigestogens. These drugs block a number of uterine receptors that are responsible for blocking progesterone.

As a result, the balance of the hormones progesterone and estrogen changes in favor of progesterone, which leads to the development of labor. In addition, hormones have positive impact on the cervix, accelerating its ripening and opening.

Previously, such drugs were used for emergency contraception and termination of pregnancy early stages, up to 5-7 weeks. In these cases, effectiveness is achieved due to the same increase in progesterone levels.

Because these drugs are known to be abortifacients, many women are afraid to take them, believing that they will have a negative effect on the fetus. However, this drug has virtually no effect on the condition of the mother and child.

In terms of ease of use, effectiveness and number of side effects, at this stage this method of stimulating labor and preparing the cervix for dilatation can be considered the most preferable.

The number of cesarean sections when using antihistogen drugs, such as mifepristone and miropriston, to induce labor is significantly lower than with other methods of induction.

Contraindications for the use of this drug may be liver and adrenal failure, asthma, diabetes, blood clotting disorders, as well as individual intolerance to the drug.

It is quite natural to be afraid of new and untested, unfamiliar methods of influence. If you are offered this method of stimulation and are still wary of using it, consult with several good doctors, ask them about the pros and cons of the pills, and only then make a decision.

Natural methods of stimulation

We have looked at methods of stimulation in the maternity hospital, but in fairness it is worth mentioning that you can also stimulate at home. If, after talking with your doctor, you already understand the need to speed up the onset of labor, and you have already been assigned a day of stimulation, you can try to resort to one of the methods of natural stimulation of labor. However, it is still recommended to consult your doctor first.

The simplest, most obvious and natural way to induce labor at home is sex. It is also jokingly called husband therapy. During sex and especially orgasm, the uterus contracts, which can become the natural beginning of labor. In addition, during sex, natural oxytocin is released into a woman’s blood, and sperm, as already mentioned, contains a large number of prostaglandins. As a result, the stimulation turns out to be truly natural and complex.

Of course, having sex for a long time is not very convenient; you will have to choose positions in which both partners can relax and enjoy. In addition, some men find it psychologically difficult to have sex with a woman before giving birth. However, all these problems are quite easily overcome.

Some use Castor oil to simulate childbirth. There is no data on how this method actually works, or whether it actually works. In general, castor oil is a fairly strong laxative. It is assumed that the increased work of the intestines affects the uterus, which causes labor. Castor oil for inducing labor is a rather controversial remedy, as it can cause nausea and diarrhea, which is not very pleasant, and is also fraught with large water loss.

Walking and light exercise can also induce labor, so they can also be used to stimulate labor at home. It often happens that in recent weeks a woman has been eager to wash the floors, rearrange some things in the house, but her relatives dissuade her from this. Now is the time to satisfy your need to improve your own home. This will help you realize your instincts and calm down at the same time, and will also speed up the birth of your baby.

Acupuncture can also be a way to naturally stimulate labor. As you know, such a doctrine as acupuncture claims that there are points on the body that are responsible for the functioning of different organs and body systems. An injection with a fine game into a correctly chosen point, which is responsible for the uterus and its condition, can contribute to the onset of labor.

In conclusion, I would like to say that you should not be afraid of stimulation, although it is important to understand how necessary it really is in your case. Remember that without your consent, doctors do not have the right to carry out any intervention in the natural process of childbirth. And no one has the right to force you.

I like!

If something does go wrong, rest assured that the doctors will do everything possible for you and your child. When complications arise and all plans are disrupted, it is easy to lose control of yourself, but try not to panic. The doctor will be able to explain the situation, talk about possible consequences and ways to get out of it. Together you will decide what is best for you and your child.

Once mother and baby finally reach their estimated due date after 40 long weeks, regular check-ups become more frequent.

If the actual due date is a few days later than expected, this will not cause problems, provided that both are in good health.

Using ultrasound, the doctor will periodically monitor the child’s condition and his life support. Only when the examination shows that the baby is too small is delaying the onset of labor considered undesirable. In this case, early artificial induction of labor is recommended. The same applies to the situation when the child is very large and weighs more than 4500 g. And here artificial birth is preferable, since otherwise the child will continue to gain weight, and spontaneous labor can become extremely severe.

More than 20% of births in France take place with the use of stimulant drugs (both for medical reasons and for personal preference). In both cases, the woman receives medications that speed up the process of labor, since labor can be protracted and more painful.

Indications for induction of labor

Here are some of them.

• When labor does not come at the appointed time (41st week of amenorrhea).
• When the water has already broken and there are no contractions for 24-48 hours.
• When problems arise with normal development fetus (intrauterine growth retardation).

A woman in labor can agree on a due date in advance if she lives far from the maternity hospital or has already had a rapid labor.

Conditions. Doctors do not often give consent to induced labor if a woman does not have the indications listed above.

The doctor may ask you some questions before making any decisions.

It is advisable that this is not the first birth and that the cervix has already dilated.

Stimulation is not carried out before 39 weeks, as there is a danger of harming the baby’s health.

If there are no indications, do not insist on induction of labor - trust your doctor.

The lower your stress level, the more likely it is that you will not need labor induction.

Post-term pregnancy

• The end of the 9th month (41st week of amenorrhea) is the end of pregnancy.
• If by this time you have no signs of labor, you will be sent to the maternity hospital. The child's condition will be checked there. By this time, the placenta may cease to fully perform all its functions (nutrition and oxygen saturation of the blood).
• The doctor will prescribe an ultrasound and CTG to check the heart rhythm, the amount of amniotic fluid and assess the biophysical condition of the fetus according to the Manning scale. If any abnormalities are detected, the doctor may decide to induce labor.
• In any case, 3-5 days after the deadline that you determined with your doctor, labor will be induced artificially. The deadline for natural childbirth is 42 weeks of amenorrhea.

How is labor induced?

When the decision has already been made, it is necessary to determine the degree of maturity of the cervix. For this purpose, the doctor will perform a vaginal examination and determine the degree according to the Bishop system (scale from 0 to 10). A result of 6-10 points indicates that the cervix is ​​mature: it opens (to the width of 1-2 fingers), shortens (about 1 cm in length), softens and its center falls in the middle of the vagina. The mature cervix will quickly open: labor will soon begin.

If the cervix is ​​immature, 3 cm long, in good shape and located in the back of the vagina, then it is not yet ready to open - you will have to be patient.

If the cervix is ​​mature enough. You will be placed in the delivery room, under a system and a heart monitor, like any other woman in labor. The only difference is that you will be given drugs that provoke contractions (oxytocin). Then the doctor punctured the amniotic sac. You are due to give birth during this day.

If the cervix is ​​not mature enough. If you score low on Bishop's system, you will need additional stimulation. This may take several days, so bring a book or player with you... The obstetrician will insert a tampon soaked with hormones into the vagina. It should cause contractions followed by opening of the cervix, shortening, softening, smoothing and moving forward. After a few hours of monitoring on a heart monitor, you will be able to return to your room. If after 24 hours there are still no contractions, your doctor will examine you again to determine the degree of maturity of the cervix. With a sufficient degree of maturity, they can be prescribed intravenous administration birth-stimulating drugs and puncture of the amniotic sac. If the cervix is ​​not yet ripe, after six hours you will have an application with hormonal gel.

Be patient. If you are sent to the ward to wait for labor to begin, take advantage of this to rest, shower, and move around calmly. Perhaps labor will begin at night and you will need strength. It is better to wait until contractions begin on their own than to induce them artificially, and then, if unsuccessful, have a caesarean section.

When labor is induced, the fetus is under constant monitoring.

Regular control

After the expected due date, the doctor will first determine the volume of amniotic fluid. Its decrease can negatively affect the blood supply to the umbilical cord and oxygen supply to the child. Therefore, in this state of affairs, inducing labor artificially becomes inevitable. At normal quantity amniotic fluid, post-term pregnancy is not a problem.

If the ultrasound results say that everything is going well and there are no risks. there is no need to remove CTE. The so-called oxytocin test is also an unnecessary measure. Scientists have recently discovered that it brings more harm than benefit, and is often the reason for inducing artificial labor.

If the pregnancy continues uncomplicated, the doctor should check the amount of amniotic fluid with ultrasound every three days. During these examinations, the child's heart sounds are also monitored.

After a week has passed beyond the estimated due date, a CTG is additionally recorded. If the pregnant woman is nursing for more than seven days, the doctor discusses with her the possibility of inducing labor with the help of medications.

The absence of deviations in the volume of amniotic fluid and in the cardiac activity of the child allows us to conclude that it is well supplied - under such conditions, further post-term pregnancy is possible, if the mother herself is not against it. But now it is advisable to monitor the child’s condition, including CTG, every two days. No later than 12-14 days after the calculated date of birth, the pregnancy, however, must end, since otherwise the risks for the child may increase significantly.

Labor cannot begin, stimulation is needed

Sometimes labor does not start on its own. If this happens to you, your doctor may start (induce) labor with medications.

Situations in which labor stimulation is possible:

• The baby is post-term. The pregnancy is approaching 42 weeks.
• The waters broke (the membranes burst), but labor did not begin.
• An infection has developed in the uterus.
• The doctor fears for the child, since growth has stopped, the child is not active enough, and there is little amniotic fluid.
• You have health conditions such as high pressure or diabetes, which could endanger the baby.
• The problem with the Rh factor is that your blood and the baby's blood are incompatible.

If you were hoping that labor would begin on its own, but the doctor insists on induction, try to look at it positively. It may be more convenient to know exactly when the baby will appear than to wait for nature to take its course. You will be better prepared physically and mentally before heading to the hospital.

Stimulation of labor. The doctor can induce labor in several ways, but the cervix should soften, thin and dilate. If this does not happen, the doctor can take steps to start the process.

Medicines. Medicines may be used to soften and dilate the cervix. These drugs also often help initiate labor, eliminating the need for other stimulants such as oxytocin. If cervical priming is required, you may want to go to the hospital the day before the stimulation to give the medications time to take effect.

Mechanical methods. One method is to insert a thin catheter containing a balloon filled with water through the cervix into the uterus. This irritates the uterus, and it begins to push the balloon through the cervix, softening and expanding it from 2 to 4 cm.

Rupture of membranes. In this case, the amniotic sac enveloping the baby ruptures and fluid begins to flow out. Normally, this is a sign that the baby will be born very soon. One result of this rupture is increased uterine contractions.

One way to speed up labor is to artificially rupture the membranes. In this case, the doctor inserts a long and thin plastic hook through the neck and makes a small tear in the membranes. You will feel the same as during a normal examination, and warm liquid will flow out. This is not dangerous for you or the child.

Oxytocin - a way to stimulate labor

The usual way to induce labor is to use the drug oxytocin. synthetic analogue the hormone oxytocin. Normally, during pregnancy, the body produces small amounts of oxytocin. During active labor, its level increases.

Oxytocin is usually given intravenously after the cervix has thinned and dilated somewhat. A catheter is inserted into a vein in the arm, and small doses of medication are regularly released into the blood using a special pump. These doses may be adjusted during stimulation to regulate the strength and frequency of contractions until they stabilize. If the dose is chosen correctly, you will feel contractions in about half an hour. Contractions may be more regular and stronger than during natural childbirth.

Oxytocin is one of the most commonly used drugs. It can stimulate labor that might not start on its own, and it can also push contractions forward if they slow down during labor and the process does not progress. Uterine contractions and the baby's heart rate are monitored to reduce the risk of complications.

If stimulation is successful, you will feel signs of active, progressing labor, such as prolonged contractions that become stronger and more frequent, dilatation of the cervix, and rupture of the amniotic sac - if it has not ruptured before.

The reasons for inducing labor must be serious. If your or your child’s health is at risk, the doctor may decide on further intervention, a caesarean section. Induction may take several hours, especially during the first birth.

Oxytocin

• This natural hormone, produced by the hypothalamus, which is located in the neurohypophysis. Its function is to stimulate the muscles of the uterus at the time of childbirth. It also promotes contraction of the mammary glands during lactation.
• There is also synthetic oxytocin, which is administered intravenously to stimulate labor. Its use must be carried out under certain conditions and strict dosage control. Continuous monitoring of the fetus allows you to see if the baby is suffering when contractions begin or intensify.
• Synthetic oxytocin is sometimes given immediately after birth to shrink the uterus, expel the placenta, and reduce bleeding.

Artificial induction of labor

Artificial stimulation of labor (induction).

Most births begin with spontaneous contractions, and the baby is born. healthy child. However, during preventive examinations in the last weeks of pregnancy, it sometimes turns out that the child’s life support is no longer at an optimal level. In this case, the doctor must, after weighing all the circumstances, decide whether the pregnancy should be continued until spontaneous labor contractions occur or whether it would be better for the mother and child if premature labor is induced artificially with the help of medications.

Will there be an early delivery? the best way out from the situation, depends on

what week of pregnancy the woman is in. If complications appear shortly before the calculated due date, then labor is induced artificially even if there is a relatively small risk. All the child’s organs have already formed, and he can breathe independently with his small lungs. If the danger for the baby arises for more early stage pregnancy, the doctor will try to delay the birth of the child as long as possible.

Reasons for artificial induction of labor

There are various reasons for inducing labor with medication.

• The most common of them and far outpacing all others in frequency is oxygen starvation of the child, for example, due to placental insufficiency.
• If preventive examinations, such as ultrasound, CTG or Doppler sonography, indicate a threat to the further successful development of the child, then premature birth gives him an excellent chance to be born healthy.
• In some cases, the baby reaches a very large size even before the 38th week. If the observed developmental process gives reason to conclude that the baby's weight will increase significantly in the remaining two weeks, inducing a premature birth with the consent of the expectant mother may be very appropriate. This solution reliably guarantees that the child will be born healthy and without major complications.
• In case of premature rupture of the membranes and the absence of contractions, stimulating labor with medication helps to avoid the risk of infection of the child.
• Twins themselves are often born earlier than expected. If there is insufficient supply of one or both of them, labor is induced prematurely.
• If the baby is sick and cannot be treated in the womb, premature delivery will improve his health. First of all, this applies to children suffering from severe anemia.
• Maternal diseases such as gestational hypertension or diabetes may also require early induction of labor.
• If the expectant mother suffers greatly from various physical and mental disorders, it is possible to artificially induce premature birth when the child has finished maturing, that is, after the 37th week of pregnancy. The reason for making such a decision may be, for example, severe back pain, pronounced violations sleep or heavy physical activity.

Labor is induced either by prostaglandins or by the administration of oxytocin.

Methods of artificial stimulation of labor

Which method of artificial stimulation of labor the doctor will choose depends on the well-being of the fetus and the condition of the cervix. If the child is already in danger and the uterine os is still closed, childbirth most often occurs by caesarean section.

• Stimulation of labor by administration of oxytocin is carried out provided that the uterine os is already sufficiently soft and slightly open. This means that the uterus is preparing for the onset of contractions. The advantage of this method: stimulation does not last long, and you can quite accurately calculate how long labor will take. With the start of oxytocin administration, the child’s heart contractions are constantly monitored using CTG; for this, a portable cardiotocograph is usually used.
• In the case of an immature uterine os, prostaglandins are used to stimulate labor. A pregnant woman does not receive these medications in the form of injections. They are used locally in the form of a gel, pessaries or tablets, which must be absorbed in the area of ​​the uterine pharynx. Under the influence of prostaglandins, the uterine pharynx softens and begins to open. Contractions usually occur within two to three hours. If there are no contractions, then after six hours the procedure is repeated.

With this method of stimulation, constant monitoring of the child via CTG is not required. It is quite enough to take a CTG every two hours, starting from the moment contractions appear.

Stimulation with prostaglandins should always be carried out in a hospital setting, since it is quite difficult to predict when contractions will begin. Once the cervix has matured, the further process of labor can be supported by the administration of oxytocin. If after two days there are still no contractions, you should consider whether it is advisable to try again or whether it is better to take a break. Sometimes a caesarean section may be necessary in this situation - primarily if it turns out that your baby's health is at stake.

• Induction of labor with misoprostol. This drug was initially approved only for the treatment of stomach tumors. But for 20 years now, in some countries it has been recommended for inducing labor, although, strictly speaking, it has never received the appropriate approval.

Misoprostol causes few side effects and has the advantage that it can be taken in tablet form. Before starting stimulation, the doctor should inform you in detail about the effect that this medicine has - be sure to ask again if anything is unclear to you!

Alternative methods of inducing labor

Artificial opening of the amniotic sac

When the amniotic sac ruptures and amniotic fluid begins to leak, its volume in the uterus decreases. As a result, contractions often occur, from which labor contractions develop. But this method can only be recommended for multiparous women and only if the cervix is ​​dilated.

Sexual intercourse

Having regular intercourse late in pregnancy will reduce the likelihood that you will have to carry your baby to term. It is believed that sex has a dual effect: firstly, it promotes the production of the contraction hormone oxytocin, and secondly, semen contains prostaglandins, which also cause contractions. However, the amount of prostaglandins during a single ejaculation is very small - significantly less than the dose used for drug stimulation of labor.

Separation of the fertilized egg

Even before artificial induction of labor through medications became widespread, in the best possible way The separation of the fertilized egg in the lower pole was considered to cause spontaneous contractions. This operation can be performed only after the 40th week of pregnancy and provided that the cervix is ​​already slightly dilated. At the same time, the obstetrician penetrates her with his finger. Using rotating movements, he massages the internal uterine os and carefully separates the membranes from the uterine wall. Application this method requires extreme caution, since the manipulation, which is very painful in itself, can also cause bleeding. Therefore, you should think carefully before starting it at all.

Nipple stimulation

When nipples are stimulated, the hormone oxytocin is released, which causes contractions. But the effect of the hormone is manifested only in the case of maturation of the uterine pharynx. Studies have shown that the effect is so insignificant that it is not worth resorting to this method at all.

Exercise stress

Excessive physical stress, for example, climbing stairs, leads to a more intense redistribution of blood supply (blood from the placenta rushes to the muscles) and in some cases provokes the onset of contractions. However, this method is unlikely to be recommended. Slow movement, such as a short walk, is much more pleasant in the initial phase of labor. TO physical activity It is better not to resort to exercises that require large energy expenditures - you need to save your energy for the upcoming birth.

Additional therapeutic measures

Some women enjoy additional treatments such as prenatal acupuncture or massage reflex zones. But, unfortunately, it cannot be said that this is reliable way cause contractions.

Using herbs to stimulate contractions

Sometimes a decoction of cinnamon, ginger and cloves is prepared and used to soak tampons. With an immature uterine os, such actions lead to prolonged contractions of the uterus, which can result in oxygen starvation of the child. Therefore, we will not recommend this method. However, the herbs listed above can be used in the form aromatic oils for aroma lamp or, mixed with almond oil, use for massage. If you apply this mixture on the abdominal wall and massage the uterus from the upper end, it will help your baby to finally hit the road.

Stimulating bath

A bath that stimulates contractions can make you feel better. This requires four drops essential oil eg oils of cloves, cinnamon leaves or ginger root, add to 250 ml of cream, mix and pour into a filled bath. The water temperature should not exceed 37 °C.

Castor oil

Castor oil, which is used industrially in the production of varnishes and dispersion paints, is also used in the production of cosmetics.

If this oil is taken internally, it will cause intestinal upset, which in turn will lead to contractions. Contractions provoked in this way with an immature uterine os do not bode well. They will not be the beginning of labor, but will only manifest themselves in prolonged contractions of the uterus, which negatively affect the oxygen supply of the fetus. Therefore, an attempt to induce labor without monitoring the child via CTG can be very dangerous for him.

Nausea, diarrhea and intestinal cramps are common unwanted side effects.

On top of everything else, the taste of castor oil is so unpleasant that it is usually taken with wine or vodka, and on top of that the child has to deal with the negative effects of alcohol.

To summarize, this method is unacceptable.

Onset of labor with artificial stimulation

Doctors have several methods to induce labor. What your doctor chooses depends on various reasons, such as cervical readiness and baby health.

Separation of membranes

The doctor will examine the cervix and use a finger to separate the amniotic sac from the walls of the uterus. For many women, their water breaks after this and cramps begin. Once the membrane is separated, prostaglandin is released and contractions begin. This method is only suitable for you if your cervix is ​​dilated.

Cervical preparation

Before inducing labor, your doctor may use something called the Bishop Score to find out if your cervix is ​​ready for labor. The doctor will examine your cervix to see how much it has dilated and effaced and whether the baby has descended into the pelvis. Research shows that induced labor is more effective if the cervix is ​​dilated, so if your cervix isn't ready for it, your doctor may use some substances to speed up the process, such as prostaglandin E suppositories, prostaglandin gel, prostaglandin on a special device, or prostaglandin tablets. Some women who use these products go into labor within 24 hours without any further intervention. Other medications that help dilate the cervix are kelp (kelp sticks that absorb water from the cervix, causing it to dilate) or a catheter flask (which is inserted into the uterus and gradually dilates the cervix).

Amniotic sac puncture

The doctor may use a gynecological instrument, similar to a crochet hook, to make a small hole in the amniotic sac. (This is called an amniotomy.) The procedure mimics what sometimes happens on its own when your water breaks before labor begins. This can be uncomfortable if your cervix is ​​less than a centimeter dilated, but other times it doesn't hurt at all. If contractions do not start 24 hours after your water breaks, your doctor will likely induce labor with Pitocin or other medications to reduce the risk of infection.

Pitocin drip

Pitocin is a synthetic form of oxytocin, the hormone that causes contractions. For most pregnant women, labor begins partly due to high level oxytocin in the blood; your doctor wants to simulate this process by using Pitocin.

If labor is induced by this drug, you will be admitted to the hospital where an IV needle will be inserted into your arm. Pitocin usually takes about 30 minutes to start working, so your doctor will likely take your time and monitor how you and your child respond to the drug. There is no guarantee that labor will go quickly with Pitocin; contractions may be strong and each contraction may last 1 minute or longer. Many women said that breathing exercises help during such births. Inducing labor is a long process, and if this is your first baby, several procedures may be needed. For example, recently it is common to prepare the uterus and only then administer Pitocin. Ask your doctor what procedures will be performed on you and be prepared to wait patiently.

My obstetrician wants to induce labor. For what reason does this happen?

Induction of labor

There are many reasons why it is necessary to induce the birth of a baby earlier than expected. In some cases, caesarean section is practiced. A priori, the child and mother can tolerate childbirth well and, if the obstetrician-gynecologist believes that childbirth will take place naturally, no stimulation required. But sometimes there are reasons to stimulate labor.

• The fetus has stopped developing: it receives little nutrition. Examination shows that the placenta is not fully performing its functions, and the uterus is no longer a healthy protection for the baby.
• The due date for childbirth has passed, the amount of amniotic fluid is reduced, and the baby moves less.
• The due date has arrived, the amniotic sac has ruptured, and the amniotic fluid is colored.
• The expectant mother has diabetes and is treated with insulin. All the preconditions are that when the due date comes, the child will be too large.
• The mother suffers from preeclampsia. Neither complete rest nor medications help her, her life and/or the life of the child is in danger.
• The baby (Rh positive) is anemic because the mother (Rh negative) produces antibodies against red blood cells.
• The obstetrician-gynecologist is afraid that the mother will arrive at the maternity hospital too late due to the distance from where she lives or the previous birth was too rapid.

After the 37th week of pregnancy, the moment of natural birth of the child comes. However, this does not always go smoothly. Sometimes it is necessary to induce contractions through surgery or medication. Stimulation of labor can only be carried out by a doctor when labor begins spontaneously and then stops: the woman cannot continue to give birth. This article describes methods and methods safe stimulation labor in a hospital or at home.

What is labor induction

The procedure for inducing labor is the birth of a child as a result of contractions caused by artificially. It is carried out to stimulate labor in a pregnant woman according to doctor’s indications. It is aimed at ensuring the dilation of the mother's cervix. If the birth canal is closed or not completely ready before delivery begins, then such labor is called weak. For this procedure, both medications and natural methods can be used, which are described below.

Artificial methods

There are several artificial methods of inducing labor. The first is transcervical. The essence of the method is that a catheter with a solid rod is inserted into the cervical canal. It is then replaced with a needle. It is used to pierce the amniotic sac to remove some of the amniotic fluid. After this, a highly concentrated sodium chloride solution or 20% glucose solution is injected inside. This method is not used on women who suffer from high blood pressure or have kidney disease.

The next method is transabdominal. It is not used if the placenta is attached to the anterior wall of the uterus. The method involves doctors injecting saline solutions with ultrasound to determine the location of the placenta. It is used in case of injury or bleeding. In the amnion ( inner part placenta) a saline solution is administered after a certain amount of amniotic fluid has been removed. Unfortunately, in this case the child does not survive, since the saline solution kills him. After a couple of days, artificial labor is performed.

Artificial birth It is also carried out by dilating the cervical canal, after which the fetal bladder is opened. Induction of labor can occur if the woman in labor has contraindications to hypertonic solutions. There are also medicinal methods, which promote the opening of the cervix and the contraction of its muscles. However, induction of labor with drugs is used in extreme cases, when other manipulations are contraindicated for the mother. After such a procedure there is a risk of consequences.

Natural stimulation

If artificial induction of labor is not suitable for the woman, the doctor or obstetrician suggests rupturing the membranes. This is the manual separation of the amnion from the uterine wall. The doctor inserts a finger into the cervix and, using gentle movements, separates the membrane from the wall. There is also rupture of the water bladder using an amnio-hook. There are options for natural stimulation of labor at home, but more on that a little later.

What are the dangers of inducing labor?

Inducing labor itself can not only harm the child, but also the woman. Any type of stimulation is carried out only with the permission of a doctor who is familiar with the patient’s medical indications. Complications occur frequently. In the following sections, you will learn the dangers of stimulation during childbirth in a clinic, how it can harm the mother or newborn baby, and how such a procedure can be dangerous.

Pain during contractions

In order to stimulate labor, a woman may be given synthetic hormones, which cause severe pain than during natural labor. This pain passes quickly and does not cause the release of painkillers into the blood. During normal labor, they are produced by the female body. At the first stage of stimulation, gels or balloons may be introduced, which cause painful contractions. Vaginal examinations also cause painful discomfort. You will learn further about how to stimulate contractions yourself.

Uncomfortable body position

In the case of using IVs, doctors place the woman in the most uncomfortable and ineffective positions that prevent the birth of a child - lying on her back, on her side or on all fours. In such poses, unpleasant discomfort occurs, which can intensify. This interferes with the process of labor, and the pain of contractions noticeably increases.

Oxygen starvation of the fetus

Induction of labor can lead to the development oxygen starvation fetus (fetal hypoxia). This is a violation of the intensity of blood supply. Such a problem does not sum up the development of a child. The diagnosis is “removed” after 3 months, when the child develops as it should and no deviations are observed. In some cases, induced labor can lead to disruption of the baby's cardiac system. However, this can also be fixed.

Indications for induction of labor

Labor is stimulated in several doctor's indications. The most common reason use of stimulants – pregnancy period (more than 41 weeks). In such cases, natural stimulants can be used, which can also be used at home. This procedure is performed to reduce the risk of caesarean section. Used if the child is large.

In case of multiple pregnancy, when babies simply cannot be born in the usual way, stimulation is also prescribed. If the mother has kidney disease, thyroid gland, gestational diabetes, high blood pressure, then doctors prescribe stimulation. This method is also used for umbilical cord prolapse. Doctors want to avoid complications during and after the birth process.

How labor is stimulated in the maternity hospital

IN maternity ward obstetricians and doctors stimulate labor different methods. Doctors determine stimulation methods for certain indications and situations. They can use pills, injections, dissection membrane, oxytocin or prostaglandin is administered. These methods have advantages and disadvantages, which you will learn about in the following sections.

Drugs to induce labor

In our time, drugs have become increasingly used to speed up labor in certain cases. They are used to cause minimal physical damage to the fetus during the process. If you want to be used during childbirth medications, and not others more dangerous methods, then this can be discussed with your treating gynecologist.

Oxytocin

The substance oxytocin is a synthesized analogue of the hormone produced by the pituitary gland. It stimulates contraction muscle fibers uterus, which helps with weak labor, postpartum hemorrhage and to stimulate lactation. Available as a solution for subcutaneous and intramuscular injections. The disadvantage of this drug is that a woman cannot move normally while under a connected drip system.

Doses are selected individually for each woman - each woman’s body reacts differently. The drug does not affect the readiness of the cervix to dilate, so when oxytocin acts, labor pain occurs. Can be taken together with antispasmodics. This drug not used if the birth of a child is undesirable normal birth, in case of incorrect position of the baby, individual intolerance to the components, presence of scars on the uterus and others. Side effect - can lead to hypoxia.

Miropriston

The medicine Miropriston is a medicine that is used to interrupt intrauterine pregnancy in the early stages (up to 42 days) and for artificial induction of labor. Analogue this tool is Pencrofton. Both drugs are used for confirmed ectopic pregnancy, pregnancy that occurred while using intrauterine or hormonal contraceptives. It is contraindicated for:

• individual intolerance to the components of the drug;
• porphyria;
• anemia;
• impaired hemostasis;
• adrenal insufficiency;
• uterine fibroids;
• smoking;
• acute inflammatory pathology of the female reproductive system.

Tablets to induce labor

A popular method by which the uterus “ripens” is the use of Prostaglandin hormones. They stimulate labor by acting on the cervix, causing structural changes. They are used for slow labor, the reason for which lies in the immaturity of the uterus and its resistance. Next, we will consider the pros and cons of such hormones.

Prostaglandins

Hormones have a beneficial effect on a woman's reproductive system. They stimulate smooth muscles, fallopian tubes, uterus and cervix. The drug causes painful contractions, which help the woman give birth faster. Available in tablet form, which have side effects. The drug acts in much the same way as Oxytocin. Side effects include nausea, fever, vomiting, diarrhea and more. They cost a little more. Tablets are used for artificial termination of pregnancy in the early stages.

Detachment of amniotic membranes

Prenatal stimulation detachment of the membranes is performed only by a gynecologist or midwife during a gynecological examination. From lower sections The uterus near the internal os of the cervix carefully peels off the amniotic membranes. Used this procedure several times until the woman’s labor begins. It is rarely used, only in extreme cases and as prescribed by a doctor.

Puncture of the amniotic sac

Amniotomy is performed exclusively during delivery. It is not used today, because there is a risk of infecting the child various infections. Rarely, when other methods cannot be used, puncture of the amniotic sac is used. In this case, it is used when the cervix is ​​softened, using a special instrument to puncture the amniotic sac.

Foley catheter

To use this method, you must consult a specialist. Upon inspection, the size that suits you is determined. Please note that the catheter is inserted in the hospital by doctors; it is prohibited to do this at home. This will harm the baby and mother. It is rarely used and only when available medical indications for use. A Foley catheter is contraindicated in:

• inflammatory process in the cervix (cervitis);
• inflammation of the vaginal mucosa (vaginitis);
• rupture of the membranes;
• low placenta previa.

Stimulation of labor at home

It’s not uncommon for girls to not want to use different medications or go on the operating table, so they discuss possible ways stimulation during childbirth at home with your gynecologist. This is the kind of independent solution that comes to mind the quickest. If you don’t want to use traditional methods either, you can choose one of such methods as late-term sex, gymnastics for pregnant women, nipple massage and castor oil. If you don't know how to induce labor yourself at home, the following sections will help you.

Sex during late pregnancy

During sex, oxytocin is produced, which helps speed up labor. Male sperm contains prostaglandins, which promote the maturation and expansion of the uterus. Unfortunately, this method is used only when the water has not broken, because this can introduce an infection into the placenta. Sexual contact prohibited if you have a low placenta previa.

Exercises to induce labor

Small physical exercise is also a natural labor stimulant. Daily walks walking slowly down the street will help you induce contractions faster. We recommend that you climb the stairs one step at a time, dance and slowly rotate your hips. It is prohibited to lift heavy objects or use strength exercises on simulators. Another option would be to mop the floors without using a mop.

The advantage of using such methods is that the cervix softens and smoothes out faster, which causes a quick delivery in the woman. However, this method will be harmful to women with preeclampsia, indications for cesarean section, up to 40 weeks, and chronic diseases that are in no way related to pregnancy. Before using this method, consult your gynecologist.

Nipple massage

Special nipple massage helps female body produce the hormone oxytocin. It stimulates uterine contractions, which helps to begin labor faster. It also helps a woman get used to unpleasant sensations, because after birth the baby will “bite” your breast. When massaging the nipples, the same sensation is felt. Massage is done several times a day for 15 minutes. The nipples should be lightly pinched and stroked.

Castor oil to speed up labor

Castor oil has been used in the past to induce bowel movements because castor oil has a laxative effect. Today it is sold in the form of candles. Castor oil stimulates contraction of the intestines and uterus. However, if you use a slightly higher dose, diarrhea begins, which can lead to dehydration. Such an action could result in real danger. It is better to drip a couple of drops of castor oil on bread and eat it with tea.

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