Their hospital stay may be longer than with a spontaneous labour. Pharmacological methods of induction can cause hyperstimulation – this is when the uterus contracts too frequently or contractions last too long, which can lead to changes in fetal heart rate and result in fetal compromiseĪn induced labour may be more painful than a spontaneous labour There may be a need for an assisted vaginal birth (using forceps or ventouse), with the associated increased risk of obstetric anal sphincter injury (for example, third- or fourth-degree perineal tears) There may be limitations on the use of a birthing pool Their choice of place of birth will be limited, as they may be recommended interventions (for example, oxytocin infusion, continuous fetal heart rate monitoring and epidurals) that are not available for home birth or in midwife-led birth units Lacerations of the birth canal are common. Despite its low incidence, precipitous labor can lead to life-threatening complications, thus increasing maternal and fetal morbidity and mortality 6. Vaginal examinations to assess the cervix are needed before and during induction, to determine the best method of induction and to monitor progress Magnesium sulfate has also been recommended to decrease uterine contractions.
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