5 questions to the expert: “I still haven’t given birth … How to speed up the birth?” “

1 – Zero contraction as D-Day approaches, is it annoying?

No, because in reality all future mothers have contractions! Some don’t feel them because they don’t hurt. Painful or not, this uterine activity prepares the cervix for childbirth. And then, you can feel nothing the day before the famous date of appointment in the maternity ward, and go into labor very quickly the next day! Nothing on the horizon? Do not panic ! 4 in 10 women give birth between the 40th and 42nd week.

2- I want us to fire, can we start from when?

From 39 weeks of amenorrhea, the risks, especially for the baby, are reduced. However, inducing labor without medical indication is not a good idea, explains Thomas Savary, because it increases in particular the risk of cesarean section, long labor, forceps… This is why it is better to discuss it in advance with your doctor. . If he thinks the risks are acceptable, he will probably give the green light.

3- Cuddling, does it trigger labor?

Hugs are good for morale and good for the body, because they release the hormones for well-being. In contrast, there is not yet enough evidence in the scientific literature to claim that this method (ironically called “Italian induction”) works to induce labor. Have as much sex as you want! It won’t increase your chances of going into labor, but you will probably be more relaxed! You can also go up and down

the stairs, take a long walk …

4- What gentle methods to boost a lazy uterus?

Nipple stimulation, which releases oxytocin, appears to be the only proven gentle method of inducing labor. However, the scientific data is still insufficient for the French College of Gynecologists and Obstetricians to recommend it. Just like acupuncture, homeopathy or hypnosis *. On the other hand, the doctor or midwife may suggest that you peel the amniotic membranes during a vaginal examination. It releases prostaglandins which boost cervical maturation and stimulate the uterus. On the other side of the coin, it is not pleasant and it can cause false work!

*Mozurkewich EL, Chilimigras JL, Berman DR, Perni UC, Romero VC, King VJ, et al. “Methods of induction of labour: a systematic review”. BMC Pregnancy Childbirth. 2011 ; 11:84.

5- What if the deadlines are exceeded?

When all is well, the doctor generally suggests inducing labor between 41 WA and 42 WA + 6 days. The method used (oxytocin and / or prostaglandins) depending on several characteristics: estimated fetal weight, opening of the cervix, etc. Most often, you are offered to come.

the day of the term to check if all is well, then a monitoring is instituted every two days while waiting for Mother Nature to do its work.    

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