Is a “Natural” Birth Possible When Labor Induction is Necessary?
It’s completely understandable to feel a bit apprehensive if your midwife mentions the possibility of labor induction, especially if you've been envisioning a natural birth experience. The good news is, it's absolutely possible to have a "natural" birth even when induction is necessary! Here's what you need to know:
Understanding Induction
First and foremost, it's crucial to understand why induction is being recommended. Generally, induction is suggested when it's safer for the baby, the mother, or both, to end the pregnancy. Examples include issues like the baby not growing well or maternal health concerns like gestational diabetes. If there are no medical issues, it's often best to wait until at least 40 weeks, and sometimes even a bit longer, before considering induction. Always discuss your specific situation with your care provider to determine the best course of action.
Exploring Natural Induction Techniques
If induction becomes necessary, explore natural or low-risk methods first. If you've already felt some mild contractions, nipple stimulation with a breast pump can stimulate your body to make oxytocin, which can bring on labor. Acupuncture and acupressure have also shown to be effective for some women. Your care provider might also try sweeping your membranes, a procedure that can release hormones that bring on labor. These techniques may take longer, but they are less risky and can often be done at home or in your care provider’s office. Midwives have tricks handed down from generation to generation which are used in specific instances to get labor going, your midwife will guide you.
Pharmacological Induction
If natural methods aren't successful, pharmacological induction may be used. This often involves cervical ripening agents to prepare the cervix, followed by Pitocin, the synthetic version of oxytocin. Many women find they tolerate Pitocin better when the dosage is increased gradually.
Preparing for Labor
Rest Up: Try to get as much rest as possible before your induction. Early labor can take time, so being well-rested will help.
Embrace Movement: Once contractions are intense, use positions that incorporate gravity and bring you comfort. Birth balls, standing, rocking, or slow dancing with your partner can make contractions more manageable.
Monitor Options: Ask about telemetry units for continuous fetal monitoring, which allows for more freedom of movement, if you are not at home.
Comfort Techniques: Utilize relaxation techniques like massage, breathing exercises, music, and heat or cold therapy.
Other Considerations
Breaking the Water: You can discuss with your care provider whether to break your water early on in the induction process. (hint, answer is NO in most cases!!)
Doula Support: Consider hiring a doula for physical, emotional, and informational support.
The Bottom Line
While induction may change the timing of your labor, it doesn't have to change your birth experience. Open communication with your care provider about your preferences and goals is key. With the right preparation and support, you can absolutely have a wonderful and empowering birth, even if induction is necessary.
