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Dr. AlanisWhat is labor? 
Labor happens when the uterus begins to contract regularly and strongly, causing the cervix to dilate.  Active labor refers to rapid, progressive cervical dilation, usually after the cervix has “ripened” to 4 cm or more.  When the cervix is 10 cm dilated (full dilation), pushing can begin.  Delivery of the placenta is the last stage of labor, usually occurring very rapidly.

What is an induction of labor? 
Babies that come after 37 weeks of pregnancy are said to be born at term.  Most babies are born after a woman begins to experience natural labor between 37 and 42 weeks of pregnancy. Sometimes, however, labor is brought on with medications rather than awaiting spontaneous labor.   This is called an induction of labor.

Induction of labor may take much longer to deliver a baby than it does for naturally laboring women.  This is especially true for women who will be delivering their first baby.  The reason is because the cervix is frequently unprepared for the strong uterine contractions of active labor.  Such “unfavorable” cervixes need to be ripened slowly by the use of vaginal suppositories like Cytotec or Cervidil, or by dilators like the Foley balloon catheter.  All the methods used for cervical ripening share the same general principle: they mimic the body’s natural chemical processes to cause mild uterine cramping and softening/opening of the cervix.

Amelia Rowland, CNM...

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