Step-by-Step: What Happens During Induction?

Feb 12

Written By Brooke Elizabeth

1. Checking In & Initial Monitoring

Once at the hospital, your provider will:

Monitor your baby’s heart rate.
Check your cervix to assess dilation and effacement.
Discuss which induction methods will be used based on your body’s readiness.

2. Cervical Ripening (If Needed)

If your cervix isn’t already softened, your provider may use:

Prostaglandin Medications (Cytotec or Cervidil): Helps soften and thin the cervix, usually taking several hours.
Foley Balloon Catheter: A small balloon is inserted into the cervix and inflated to encourage dilation. This can take 6-12 hours.

Remember: You can decline any procedure or request time to discuss options before moving forward.

3. Starting Contractions with Pitocin or Breaking Your Water

Once the cervix is ready, labor may be stimulated with:

Pitocin (Synthetic Oxytocin): Given through an IV to start contractions. It is increased gradually.
Amniotomy (Breaking Your Water): A small tool is used to rupture the amniotic sac. This is only done if the cervix is sufficiently dilated.

Induced contractions often feel stronger and more painful than natural ones, increasing the likelihood of needing an epidural.

4. Active Labor & Pain Management

Labor can take several hours, and contractions will intensify. Pain relief options include:

Natural methods: Breathing techniques, movement, water therapy, massage, and labor support.
Medication: IV pain relief or an epidural.
Epidural: A common choice, but it may slow labor progression and increase interventions.

Tip: Discuss pain management preferences in advance, but keep an open mind in case your needs change.

5. Pushing & Birth

Once fully dilated (10 cm), pushing begins. Induced labors sometimes require:

Longer pushing times
Assisted delivery (vacuum or forceps) if exhaustion or fetal distress occurs
C-section if labor does not progress

Despite the challenges, many moms successfully birth vaginally after induction. Your birth team is there to support you every step of the way.

How Long Does Induction Take?

Induction can take anywhere from a few hours to over 24 hours, depending on:

Cervical readiness before induction.
Your body’s response to medications.
Whether you’ve given birth before (first-time moms tend to take longer).

Patience is key! Stay calm, trust your body, and advocate for your needs.

Final Thoughts: Making an Informed Decision

If your provider suggests induction, take time to ask:
✅ Is induction medically necessary, or can we wait?
✅ What are the risks and benefits for my situation?
✅ What alternative options do I have?

You always have a choice. Your voice matters in the birth process. Whether you decide to proceed with induction or wait for labor to begin naturally, feeling informed and supported is the most important thing.

Remember: No matter how your labor starts, the goal is a safe and healthy delivery for both you and your baby.

Brooke Elizabeth