This data compares pregnancies at low risk for complications, therefore if you have complexities where we recommend induction earlier than 41 weeks, please discuss your individual risks with your midwife or doctor. Here we touch on some information for you to make a fully informed decision about an induction.Ī recent large review of data looked at pregnancy, labour, and birth outcomes when labour was induced compared to when labour was not induced before reaching 42 (or more) weeks. We understand the topic of stillbirth is a sensitive issue for all expectant parents. This aligns with The National Institute of Clinical Excellence (NICE, 2021) guidelines, and World Health Organisation (WHO) recommendations. This is to avoid an increased chance of caesarean birth, baby being admitted to the neonatal unit, and stillbirth (baby dying before birth). If you have an uncomplicated pregnancy and labour has not started by 41 weeks, local and national evidence supports having an induction from 41 weeks with the aim of delivering your baby before 42 weeks. Why do you offer induction for pregnancies that go beyond 41 weeks? If you choose not to have an induction, you may be referred to our Birth Options clinic or to a more senior doctor so they can give you further information to make an informed decision and a care plan can be created with you. It is always your decision, and the team will outline the risks and benefits to you and baby. If we recommend an induction of labour, the reason will be explained, and you will have an opportunity to ask questions. Your waters have broken before labour and the baby has done a poo, usually called ‘meconium’ (we would advise IOL as soon as possible in this instance as there are increased risks to your baby).(There is a small increased risk of infection to you and baby 24 hours after they have broken, so we offer induction if labour has not started and monitor you both carefully) Your waters have broken, but your labour has not started within 24 hours.You have experienced reduced fetal movements at term (from 40 weeks).You have been assessed as high risk ASPRE – this means there is a higher chance of high blood pressure, pre-eclampsia and/or issues with your placental function that can sometimes affect baby’s growth.You have a medical condition such as high blood pressure or diabetes.
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