Induction of Labor

Inductions are generally scheduled in the morning between 6:30-9:00 a.m., but patients may be scheduled to come in the evening prior, around 8 or 9 p.m. If you are admitted in the evening, a cervical ripening agent, such as cervidil or cytotec may be inserted into your vagina to help ready your cervix for dilation.

If your induction is scheduled for the morning, you may have a light dinner the evening before. Please have nothing to eat or drink after midnight except ice chips and water, unless otherwise directed by your doctor.

After registration you will be directed to a labor hall room where you will change into a hospital gown. External fetal monitors will be applied to watch the baby’s heart beat and evaluate contractions. Your vital signs (pulse and blood pressure) will be monitored every 15 minutes. An I.V. will be inserted into a vein in your arm. Fluids and pitocin (a medication used to stimulate uterine contractions) will be administered. Your progress and condition will be closely monitored, as the goal of induction of labor is to mimic natural labor. When you start to have regular, uncomfortable contractions, occurring every five minutes, your doctor may break the bag of waters.

You have a variety of choices for pain relief during labor induction, similar to those offered to all women in labor. Breathing and relaxation techniques will help you in the early stages of labor and may provide adequate pain relief for your entire labor and delivery. Narcotic pain medications can be administered through your I.V., or you may choose to have an epidural. Epidural anesthesia will not be administered until after you are in active labor, shown by dilation of your cervix with regular, uncomfortable contractions.

There is always the possibility that an induction will not be successful-contractions do not become regular, the cervix does not dilate or the baby becomes distressed. If this occurs, the I.V. Pitocin will be stopped. You may be allowed to rest overnight and Pitocin restarted in the morning or a cesarean section may be necessary. As always, safety of mother and baby is our primary concern.

Please check in at the registration desk on the 2nd floor of Central Baptist Hospital near Labor Hall. There is a possibility your induction could be cancelled or rescheduled by labor hall staff if the number of actively laboring patients exceeds the delivery rooms available.

Please ask your doctor or nurse if you have any questions regarding these instructions or call the office at
(859) 278-0396.

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