Induction of Labour
Induction of labour is when labour is started artificially, rather than beginning on its own.
It is usually offered when healthcare professionals feel that continuing the pregnancy may carry more risk than giving birth — but it is always your choice whether to accept or decline.
In the UK, induction is increasingly common.
Why might induction be offered?
Induction may be offered for a number of reasons, including:
• pregnancy continuing beyond 41–42 weeks
• concerns about your baby’s growth or wellbeing
• medical conditions (e.g. diabetes, high blood pressure)
• reduced amniotic fluid
• waters breaking without labour starting
NICE recommends offering induction between 41 and 42 weeks in uncomplicated pregnancies to reduce risks associated with prolonged pregnancy.
Research shows that induction at this stage may:
• reduce the risk of stillbirth and neonatal death
• reduce meconium aspiration
• slightly reduce caesarean rates compared to waiting longer
Do I have to accept induction?
No - induction is always your choice.
You have the right to:
• ask questions
• take time to decide
• accept, decline or request alternative options
If you choose to wait (often called expectant management), your care team should discuss:
• the potential benefits and risks
• what monitoring may be offered
• when decisions may be reviewed
Making an informed decision: BRAIN
Benefits – What are the benefits of induction in my situation?
Risks – What are the risks of induction?
Alternatives – What are my other options?
Intuition – How do I feel about this?
Nothing – What happens if I wait or do nothing for now?
Resources
Induction of Labour Guide
A clear, evidence-based guide to help you understand the process of induction.