Pregnancy / Childbirth

Inducing labor - don't be fooled!

Inducing labor - don't be fooled!

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In most cases, physiological pregnancies childbirth begins when it should, when the child and the woman's body are ready for it. Infants are rarely born too late. Even if the deadline passes, this does not immediately mean a threat, but only forces closer monitoring of the state of the child and mother.

However, it is often the case just in case doctors terminate pregnancy after the date of the expected date of delivery. They do it often as part of belaying, calming conscience and reducing anxiety about pregnancy.

They work in an intuitive way as part of the ideas that were given to them in college - puffing cold. Quite forgetting that women for centuries gave birth without the assistance of doctors and in most cases did not have problems with it.

When the induction of labor is on hand ... a woman

It is difficult to find a woman in advanced pregnancy who is not tired. Of course, every pregnancy is different, but in the vast majority of cases with changes in the body - the frequency of unpleasant pregnancy symptoms increases. There is weariness, fatigue and a strong desire to see a baby being worn under his heart. It's natural.

However, if there is a choice and the induction of labor is dictated by "only" fatigue, fear, it is worth considering whether it is definitely worth it.

In this article, of course, I do not include medical indications for which induction of labor is necessary, for example, when a woman is at risk of preeclampsia. I do not take into account another reason for induction - gestational diabetes, which experts have different views on. It is increasingly said that the fear of fetal macrosomia is not a sufficient indication for induction of labor (more).

It is worth emphasizing clearly: induction carried out for medical reasons is a salvation for the mother and child. This must not be forgotten. However, in this article I focus on all those cases where induction of labor is not necessary and the decision to terminate pregnancy is made "just in case".

What is the difference between induced delivery and natural delivery?

The basic difference is that physiological delivery occurs at the best time when the child and mother are ready. It is a very simple and at the same time complicated process in which hormones that cooperate with and interact with each other take part. The consequence is a naturally increasing labor pain, stronger contractions aimed at expelling the fetus outside the womb.

When this process is artificially induced, oxytocin is administered, which unfortunately guarantees stronger and more unbearable labor pains. It is not a natural hormone but a synthetic substance that works in a slightly different way. Sometimes it is not effective at all and subsequent attempts to induce labor are necessary, and in many cases (some sources give 50-60%), such a pregnancy simply ends by caesarean section.

Synthetic oxytocin makes contractions during labor are stronger, they often overlap in an unnatural way, co makes it difficult for your child to get enough blood and oxygen. The effect is emerging fetal heart rhythm disturbances and, as a consequence, an indication for caesarean section appears. Doctors depicting the situation, indicating that during the induction of labor the level of oxytocin in a woman is 130-570 times higher than the body produces during natural delivery without medical intervention.

Other threat? Synthetic oxytocin does not cross the blood-brain barrier. In other words, injected into the blood or given as a drip, it cannot act as a "love hormone", which means it doesn't make it easier for a woman to find her new role. In addition, the use of synthetic hormones is associated with reduction of endorphin release or happiness hormones, which in a natural delivery make it easier for a woman to give birth and give a sense of accomplishment. Some research results indicate that a more difficult delivery (such as induced delivery) increases the risk of periods of poorer well-being of the young mother after delivery and the occurrence of it much more often depression and health problems.

In addition, a synthetic hormone increases the risk of significant bleeding after delivery. In the case of natural delivery, this risk is lower, because oxytocin in the 4th stage of delivery reduces the loss of blood dangerous for delivery.

Whether synthetic oxytocin administered in large quantities in induced delivery has an effect on the newborn? Recent studies confirm that yes. ACOG (the American College of Obstetricians and Gynacologists) researchers prove, after examining 3,000 women giving birth between 2009 and 2011, that induction of labor has increased the risk intensive care of newborns and had smaller impact on the Apgar scale.

In addition, by agreeing to induce labor, we usually agree to constant fetal monitoring by means of CTG, this means that you cannot change your position freely, choose your body position in which labor pains are the least painful. In practice, all the "benefits" of the delivery room remain beyond the reach of the delivery woman - her bed and standing on her back remain.

According to Cochrane Library data from 2013 continuous monitoring of the fetal condition is associated with a significant increase in cesarean section and instrumental vaginal delivery, when the needs of the woman giving birth are marginalized, and her need to give birth in accordance with what intuition suggests not taken into account.