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Labor induction is the process of stimulating the contraction of the uterine muscles so that the mother can give birth normally through the vaginal route. If signs of labor do not start on their own, labor induction will be done to stimulate the fetus to be born quickly.
However, not all labor inductions are successful. There is a reason why labor induction fails in some mothers. Check out the following explanation.
The reason behind a failed labor induction
Labor induction occurs between 10% and 20% of all deliveries with regard to the indications for both the mother and the fetus. Thus the condition of the mother's and the fetus's pregnancy can be the reason why labor induction needs to be done and can also be the reason why induction of labor is canceled or failed.
Before doing induction there are several things that need to be considered. The doctor will do a cervical assessment. The success of labor induction depends on the pelvic score.
Other things to consider before deciding whether labor induction is necessary or not are vital signs of the mother, such as blood pressure, pulse, respiration and temperature, fetal heart rate, abnormal uterine contractions, and bleeding or not.
That is why induction must be carried out under the close supervision of the treating doctor. If the mother feels unable to endure the pain that is caused, usually the doctor will stop the induction process then the delivery will be carried out by cesarean section.
Labor induction can be declared a failure if the mother cannot reach the desired target contractions. The doctor who handles labor will pay attention to the response of the uterus to the contraction drug that has been given. If the mother is not strong or experiences excessive pain, the induction can be stopped.
Cancellation of labor induction in case of complications
Apart from failed induction, there was also the cancellation of labor induction. This cancellation is carried out by the doctor if there are signs of complications in the mother or fetus. Signs of complications from the mother, for example:
- Fatigue
- Emotional crisis
- His abnormalities (contractions) such as lack of energy to open the cervix or push the fetus out so that labor is obstructed or congested
- Birth canal abnormalities such as the size or shape of the birth canal that may hinder the progress of labor
- Acute infection of the amniotic fluid, fetus, and chorioamnionic membranes caused by bacteria.
Apart from the mother's side, the induction cancellation can be done when the fetus is also experiencing some problems. For example, the baby is not ready for the normal birth position.
Babies who are ready to be born normally, the location of the head will always be at the bottom of the cervix. Temporary induction can be canceled when the baby's bottom is at the bottom of the cervix or the baby is in a transverse position in the womb.
Induction cancellation can also be done when the baby has umbilical cord prolapse. Umbilical cord prolapse is a medical condition characterized by the discharge of the umbilical cord from the uterus to the vagina before the baby is born. This condition can occur during pregnancy or during childbirth. These pregnancy complications can hinder the birth of the baby in labor.
Talk about the failure or success of labor induction can be seen through the partograph. A partograph is a graphic record showing the progress of labor to monitor the condition of the mother and fetus.
The observations recorded on the partograph include:
- Labor progresses such as opening of the cervix, lowering of the head and penis, or contractions with a frequency of ten minutes.
- Fetal condition such as fetal heart rate, color, number and duration of rupture of membranes and molasses (bone infiltration) of the baby's head.
- The mother's condition is monitored through pulse, blood pressure, and temperature.
Through this pathograph, the medical team is able to find out whether labor induction was successful or failed.
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