40w+3, B-ultrasound and fetal heart rate monitoring are normal, and all indicators are also normal. During the waiting period, the doctor said that before 41w could react, he would be hospitalized and injected with oxytocin to induce labor. It is common for babies to repeat a grade, but induction of labor may not be suitable for all pregnant women who repeat a grade. Some mothers have reached their due date, but there are no signs of labor such as contractions or labor pains, while other mothers want to choose a day they like to give birth, so they choose to induce labor. Can they induce labor in this situation? What should I pay attention to when inducing labor? The most important thing is, will induction of labor affect the baby?
When should labor be induced?
Generally speaking, a pregnancy exceeding 42 weeks is considered a post-term pregnancy, which is detrimental to the health of the pregnant mother and fetus and increases the risk of dystocia and intrauterine hypoxia. Therefore, if you have not given birth by the due date, you should still have regular prenatal check-ups. The doctor will decide the time to induce labor based on fetal movement, fetal heart rate monitoring, and B-ultrasound amniotic fluid volume. In principle, try not to exceed 42 weeks. At 39 weeks, you can prevent delays on your own through exercise, diet, or nipple stimulation. But it should be noted that as long as you are not giving birth, you must monitor fetal movement. After 40 weeks, check fetal heart rate monitoring again 3-7 days later, or even do B-ultrasound to know the amount of amniotic fluid. It depends on the situation in the palace. In principle, induction of labor in the hospital can begin at 41 weeks. During the monitoring period, if the amniotic fluid is low (the amniotic fluid depth is 3cm or the amniotic fluid index is less than 8cm) and the fetal movement is not good (less than 3 times per hour, less than 20 times in 12 hours), the doctor will arrange for you to be admitted to the hospital for induction of labor.
Does oxytocin induce labor?
In everyone\’s mind, doctors generally use oxytocin to induce labor, but the decision must be made after careful evaluation by an obstetrician and a series of examinations and tests on the mother and fetus. Such as B-ultrasound to determine placental maturity, fetal size, amniotic fluid condition, etc., maternal cervical examination, fetal pelvic examination, etc.
Pregnant mothers may be curious, how do doctors use oxytocin to induce labor? Is it direct injection? Not so. Oxytocin should be used with great caution. If used improperly, it can be harmful to both the pregnant woman and the fetus. In severe cases, it can even be life-threatening.
The process of using oxytocin to induce labor:
Before inducing labor, your doctor will carefully assess your contraction pattern, how dilated your cervix is, and where your baby is descending. Your doctor will also closely monitor how your baby\’s heart rate responds to contractions to make sure he can handle stronger contractions.
Then, if the decision is made to speed up your labor, your doctor will give you an injection of oxytocin (which is a synthetic form of oxytocin) through an IV connected to a pump, which allows the doctor to control labor. dose.
Your doctor will start with a low dose of oxytocin and gradually increase the dose until your uterus responds appropriately. How much oxytocin you need depends on how your contractions progress, how sensitive your uterus is to the drug, how dilated your cervix is, and how pregnant you aretime. Typically, your doctor will aim for 3 to 5 contractions every 10 minutes.
The goal of giving you just the right amount of oxytocin is to trigger contractions and dilate your cervix effectively and in time to help your baby descend, but not so much that the contractions become too frequent or are abnormally long and intense. If you have more than 5 contractions in 10 minutes, or if each contraction lasts longer than 2 minutes, your doctor will think your uterus is overstimulated, which can put stress on your baby. As your labor progresses, your doctor will use an electronic fetal heart rate monitor to monitor the frequency of your contractions and the condition of your fetus.