Induction of labor (IOL), a medical intervention to initiate childbirth artificially, is a topic that warrants attention and understanding in the realm of pregnancy and childbirth. While childbirth is a natural process, there are situations where medical professionals may recommend induction for various reasons.
Indications for induction of labor include, but are not limited to, the following:
- Gestational hypertension
- Chronic hypertension
- Pre-eclampsia, severe pre-eclampsia, eclampsia
- Diabetes
- Cholestasis of pregnancy
- Renal disease
- Antiphospholipid antibody syndrome
- Hypercoagulable disorders
- Systemic lupus erythematosus
Fetal conditions:
- Fetal growth restriction
- Multiple gestations
- Alloimmunization
- Structural malformations
- Genetic conditions
- Non-reassuring fetal testing
Obstetric complications:
- Chorioamnionitis
- Preterm premature rupture of membranes
- Premature rupture of membranes
- Oligohydramnios
- Polyhydramnios
- History of fetal demise
- Placental abnormality
- Post-term pregnancy
A medical indication for Induction of Labor (IOL) is necessary. Some critics have described elective IOL at 39 weeks of gestion in low-risk nulliparas as “obstetrical violence [1].”
Induction methods vary and may include medications like oxytocin or prostaglandins, mechanical methods such as stripping the membranes, or rupturing the amniotic sac. The choice of method depends on factors like the mother’s health, the baby’s condition, and the progress of labor.
While induction can be a valuable tool in managing high-risk pregnancies, it’s crucial to weigh the benefits against potential risks. Induction may increase the likelihood of medical interventions like cesarean delivery and can lead to longer labors. Therefore, it’s essential for expectant parent to have open discussions with their healthcare providers to make informed decisions regarding IOL, ensuring the best possible outcome for both mother and baby.
- Schantz C., Rozée V., Molinier P. Introduction: a new line of research for gender studies, a new challenge for care and society. Cah Like. 2021; 71: 5-24
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