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| Read on for an introduction to induction: Many women get tired at the end of their pregnancy. They want to see and hold their baby. They want to tie their shoes and shave their legs. They want to not waddle. They want to feel their bodies again. They can’t sleep. They always have to pee. They have been waiting a long time and are just plain done with waiting. What now? The OB may offer to induce you or you may beg her to—but before you do, arm yourself with good information. Understand what induction is and how it can affect you and your baby. My advice is that the baby and your body know when it is time to be born. I know it is so hard. The last two weeks are inconceivably unbearable for many women. And many who try to have their babies before their bodies are what we call “ripe” deliver by cesarean section because their labor could not progress beyond what the immediate induction drugs made happen. Patience, patience is the virtue of the 9th and 10th month. I was 42 weeks pregnant with my second and 41 with my third so I am not just saying that I think it is uncomfortable—I know how you feel like an elephant and are convinced you birth a toddler! But I also know that the goal of a healthy mother and healthy child is best achieved through a spontaneous healthy delivery. Research backs what our babies and bodies know, please continue on to see what that research is and then use it as a discussion point with your OB if they suggest an induction or if you want one so that you fully understand why they are saying what they are and can make an informed decision. It is never my advice to go against your OB or Midwife—they know your body and your pregnancy as a unique entity which lies somewhere in the averages of this research and if you are concerned about what they are saying, get a second medical opinion. This research does not take the place of a live doctor or midwife at any time. Bishop's Score for Induction If your caregiver is suggesting an induced labor, this will help you determine how successful the induction might be. Ask them what your “Bishop’s Score” is so that you can understand where you fall in terms of risk and benefit of induction. BE INFORMED! To be successful, your Bishop's Score should be greater than 9. Be sure to ask your caregiver for your Bishop Score. Source: Modified from Romney S et al, editors: Gynecology and Obstetrics: The Health Care of Women, ed 2, New York, 1981, McGraw-Hill. Read about what research shows regarding induction Read about what research shows regarding medications used for inductions |
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| Cervix |
Score |
Score |
Score |
Score |
| 0 |
1 |
2 |
3 |
|
| Position |
Posterior |
Midposition |
Anterior |
--- |
| Consistency |
Firm |
Medium |
Soft |
--- |
| Effacement (%) |
0-30 |
40-50 |
60-70 |
>80 |
| Dilation (cm) |
closed |
1-2 |
3-4 |
>5 |
| Station |
-3 |
-2 |
+1 |
+2 |