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Written by

Roxanne Albert, BSN, RNC-OB

Induction Options at Your Birth Location: 8 Questions to Ask

  • Birth, Birth Preparation, Induction

Induction options can be recommended by your provider for two main reasons: medically necessary or an elective induction. It’s important to understand why your provider is recommending this induction. Usually, when we feel uneasy about a recommendation it is because we do not fully understand why this is the recommendation, or our provider has not communicated clearly to us what is going on with our current medical situation that has prompted this recommendation.

Induction can be a scary decision to make too! There is a lot of stigmas involved with induction, especially if your plan was to have an unmedicated birth with low interventions. If you have to be induced, what could this mean for your pregnancy and birth plan? You can find out the answer to these questions by having an open conversation with your provider to be able to make the decision yourself on if you will be getting induced and understanding fully why. Induction is ultimately always your decision.

It can be helpful to have conversations about induction well before the third trimester, to help you better gauge the receptiveness of your provider and their team on engaging in an open conversation that help you feel heard and a part of the decision-making process.

And If you’re eager to learn all the nuances and tricks of pregnancy, we highly recommend checking out our childbirth education course.

Prepare for the journey ahead with confidence and ease, and become part of the community of happy moms who’ve experienced smoother and safer pregnancies with our help. You can check our Prepare for Birth bundles here.

Some questions I recommend asking abou induction:

1. Why do you recommend induction? 

  • If medically indicated —

    • what are the current recommendations for the timing of induction for that medical complication (pre-e, hypertension, GDM, etc)?

    • What are the risks to me and baby if we wait?

    • What if I would like to hold off on induction as long as possible, how will my care be different prenatally – ex. Closer monitoring/testing?

    • What would be signs that it is no longer safe for the baby or me to continue with the pregnancy?

    • What are our options to help prep the cervix for induction, membrane stripping?

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  • If elective –

    • Why do you recommend this induction for me?

    • What are the risks and benefits associated with an elective induction?

    • How long will this process likely take?

    • What are the risks and benefits associated with waiting for labor to begin on its own?

    • What other options do I have if I want to wait for labor to begin on its own to ensure that my baby and me are safe? Such as additional monitoring options, etc.

2. Who can be there while I am being induced?

  • Some hospitals may have restrictions on who can be in the room at certain points, such as your partner cannot be in triage with you, or your doula can’t join you until a certain point in labor.

  • Can your partner leave and come back during an induction? Such as can they go out to the car to grab something, or if they need to run home for any reason?

3. What methods of induction do you use and when?

  • Understanding how your induction may look can help you better plan for the type of options you would like to explore first, such as do they have a preference to break your water or start Pitocin? Do they use Cervidil or Cytotec for cervical ripening?

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4. What type of monitoring is available? Intermittent? Continuous – wired or wireless?

  • How can you expect to be monitored during different parts of your induction? Will you need monitors on at all times? If so, do they have portable or wireless monitors? Are those monitors waterproof? If the monitors are not portable or wireless, is there an option to detach to use the restroom or shower?

5. Can I eat? Clear or regular diet?

  • What are the restrictions on eating during induction? Can I eat up to a certain point, such as prior to Pitocin? How do these restrictions align with current research and guidelines from governing bodies?

6. What pain relief options are available?

  • How quickly can I receive certain pain relief options, and what are the restrictions on those options?

7. Do I have to be connected to the IV fluid the entire time?

  • Is there an option to only have a saline lock, without fluids attached? In what situations would you recommend IV fluids, such contraction pattern indicating dehydration?

8. What happens if my labor stalls while being induced, what will my options be?

Conclusion

These are not all the questions you can ask, but you should gather more information until you feel confident that this is the best decision for you and your baby!

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