Posts Tagged ‘induction’

It’s important to get to 39 weeks

Friday, July 29th, 2016

pregnant woman with doctorFeatured question:

I’m 31 weeks pregnant and I can’t wait any longer for my baby boy to come into the world! Is there any way I can get induced so I can be with my baby?

This is a question we recently received through AskUs. We know how excited you are to meet your baby. But if your pregnancy is healthy, it is best to wait for labor to begin on its own. And if you do decide to induce labor, ask your provider if you can wait until at least 39 weeks.

Why is 39 weeks so important?

More and more births are being scheduled a little early for non-medical reasons. Experts are learning that this can cause problems for both mom and baby. Getting to at least 39 weeks gives your baby the time he needs to grow. Here’s why your baby needs 39 weeks:

  • Important organs, like his brain, lungs and liver, get the time they need to develop. At 35 weeks, baby’s brain weighs just two-thirds of what it does at 39 weeks.
  • There is more time to gain weight. Babies born at a healthy weight have an easier time staying warm than babies born too small.
  • Your baby will be able to feed better. Babies born early can sometimes have a difficulties with sucking, swallowing, and staying awake long enough to eat.
  • Your baby is less likely to have vision and hearing problems after birth.

Why can scheduling an early birth cause problems for me and my baby?

There are some risks associated with inducing labor:

  • Your due date may not be exactly right. Even with an ultrasound, your due date can be off by as much as 2 weeks. If you schedule an induction and your due date is wrong, your baby may be born too early.
  • Pitocin, the medication used to induce labor, can make contractions very strong and lower your baby’s heart rate.
  • You and your baby have a higher risk of infection if labor doesn’t begin soon after your water breaks.
  • If the medications used to induce labor do not work, you may need to have a c-section.

What if there are problems with my pregnancy?

You may not have a choice about when to have your baby. Your provider may need to induce labor to help keep you and your baby safe. Some medical reasons to induce a pregnancy include:

If your provider does decide to induce labor for the health and safety of you and your baby, you can learn more about how labor is induced on our website.

If your pregnancy is healthy, it is best to let labor begin on its own. If your labor does need to be induced, and you and your baby are healthy, make sure you wait until at least 39 weeks. Healthy babies are worth the wait!

Have questions? Email us at AskUs@marchofdimes.org.

C-sections, scheduling births and why healthy babies are worth the wait

Friday, April 4th, 2014

We’ve written a lot of posts about labor and, that if your pregnancy is healthy, it’s best to wait for labor to begin on its own. We’re glad that more moms know that having a healthy baby is worth the wait. But sometimes, it doesn’t hurt to have a reminder – not just for moms-to-be, but for everyone.

Both of my babies were late, especially my son. (He’s a true mama’s boy and I sometimes get the feeling that he would climb back in if he could!) I remember all of the frustration and discomfort I felt as I reached and went past my due date. But as uncomfortable as those last weeks were, it was a small sacrifice to make for my baby’s health.

If there are no medical reasons for either you or your baby to have a c-section or schedule your baby’s birth, then it’s best to wait for labor to begin on its own. And unless you have a medical reason for having a c-section, it’s best to have your baby through vaginal birth.

A c-section is major surgery that takes longer to recover from than a vaginal birth. And you’re more likely to have complications from a c-section than from a vaginal birth. A c-section can cause problems for your baby, too. Babies born by c-section may have more breathing and other medical problems than babies born by vaginal birth.

All this is to say that if your pregnancy is healthy and you’re thinking about scheduling your baby’s birth, consider the risks. And even though those last weeks can be very uncomfortable, your baby’s health is worth the wait.

What is Pitocin?

Monday, June 25th, 2012

iv-bagPitocin is a medicine that acts like oxytocin, a hormone your body makes to help start labor contractions.  When used, it is administered in the hospital by an IV drip and the dosage is regulated, gradually increasing until labor progresses well.

Contractions, which signal the beginning of childbirth, are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb). If you’ve ever had a baby, you know and never will forget what contractions are like. But if you’re a first time mom, you might not be too sure in early labor if what you’re experiencing is the real deal.  You can read about contractions and the different stages of labor on our web site.

Sometimes labor begins but doesn’t move along as well as doctors like.  A woman’s water may have broken, but contractions have not started.  Labor may have slowed down or the contractions just may not be strong enough to move labor forward. In these cases, health care providers may use Pitocin to strengthen the contractions.  Other times it may be medically necessary, for the health of the baby or the mother, to induce labor that has not yet begun. This is often the case with women who have reached 42 weeks gestation. Giving the mother Pitocin can induce labor.

If you’re pregnant and your doctor wants to give you something to help your labor progress, you should start having labor contractions shortly after you begin Pitocin. Depending on the dosage you receive, it can make your contractions very strong and may lower your baby’s heart rate.  So, your provider will carefully monitor your baby’s heart rate for changes and adjust the amount of Pitocin you get, if needed.

Inducing labor – medical reasons

Wednesday, January 11th, 2012

Dr. Siobhan Dolan talks with a new mom about her experience with induction. Dr. Dolan also reviews situations when inducing labor can help keep mom and baby healthy.

Questions about induction

Thursday, December 15th, 2011

Dr. Siobhan Dolan talks with a new mom about her experience with induction. Dr. Dolan also suggests questions a pregnant woman can ask her health care provider when planning for an induction or c-section.

Thinking about an induction?

Thursday, September 3rd, 2009

pregnancy-womanIt seems like your pregnancy has been going on forever. You’re exhausted. You’re not sleeping. Your back really hurts. Isn’t it time to induce labor?

Sometimes it is. Sometimes it isn’t.

Since 1990, the rate of inductions in the United States has more than doubled. In 2006, roughly 1 out of every 5 women had their labor induced.

Medical experts are concerned that many inductions are medically unnecessary. They can pose a risk to the baby. One main worry is that the baby may be born too early. Babies born preterm are at risk of serious health problems.

In August, the American College of Obstetricians and Gynecologists (ACOG) issued new guidelines on inductions. The organization cautions health care providers to avoid inductions before 39 weeks gestation. There must be a clear medical reason to induce labor before then.

For more information, read the March of Dimes news release.