Induction of labour

 🟡 To Every Mama Facing Induction of labour: You’re Not Alone

Many women write to me feeling anxious about being induced — especially those with diabetes or other medical concerns.

One heartfelt message said:

> “Please explain labour induction. I’m diabetic. They want to induce me. Everyone is giving me information that’s stressing me for days. I’m sure others feel like me.”

💛 You are not alone. And this post is for you — and every woman walking this path.

🧠 What Is Labour Induction?

Labour induction means starting contractions artificially, before they begin on their own. This can be done using:

Medications (e.g., prostaglandins or oxytocin)

Or mechanical methods (e.g., Foley catheter or rupturing the membranes)

🩺 Why Is Induction Recommended?

Doctors may recommend induction when continuing the pregnancy becomes riskier than delivering, such as in cases of:

Diabetes (gestational or pre-existing)

High blood pressure or preeclampsia

Low amniotic fluid

Post-term pregnancy (after 41 weeks)

Reduced fetal movement or placental insufficiency

In these situations, induction can be a life-saving decision — for both the mother and the baby.

⚠️ One Key Risk: Shoulder Dystocia

In diabetic pregnancies, babies may grow larger than average, especially in the shoulders and upper body — a condition called macrosomia.

This increases the risk of a serious complication:

🧨 Shoulder Dystocia — when the baby’s head delivers but the shoulders become stuck behind the pelvic bone.

It’s a true obstetric emergency, and it requires:

Skilled medical staff

Quick, precise maneuvers

A well-prepared hospital

This is why fetal weight estimation and birth planning are critical — especially in diabetic mothers.

🩺 Induction in Diabetic Mothers: What You Should Know

If you’re diabetic, your doctor might suggest induction around 38–39 weeks to avoid risks like:

Stillbirth (IUFD)

Placental aging or insufficiency

Macrosomia and shoulder dystocia

But it must be individualized:

Know your baby’s estimated weight

Ask about your Bishop score to assess cervical readiness

Keep your blood sugar well controlled

Choose a hospital with continuous monitoring and surgical backup

💡 If the baby is estimated to weigh >4.0–4.5 kg, a planned C-section may be safer.

📋 What Do the Guidelines Say?

According to ACOG and NICE guidelines:

Induction is safe around 38–40 weeks for high-risk pregnancies

Bishop Score helps determine the right method

The hospital must be equipped for emergency delivery if needed

CTG monitoring during induction is essential

💬 Final Words

Induction isn’t something to fear — it’s just a medical tool.

When used wisely and in the right setting, it can save lives and ensure safe outcomes.

You don’t need to feel pressured or overwhelmed.

You just need to feel informed and supported.

🤍 And I promise to keep sharing — for you, and for every woman who needs clarity, not confusion.

#DrRababCares 

#LabourInduction #DiabeticPregnancy #SafeDelivery #WomenHealthMatters #ForestParkHospital #ObGynZambia #HighRiskPregnancy #PregnancyEducation #EmpoweredMothers #ShoulderDystocia

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