Induction means starting labour with medical support rather than waiting for it to begin on its own. It is recommended when giving birth is safer than continuing the pregnancy. Common reasons include going past the due date, high blood pressure, diabetes, reduced fetal movements, or when the waters have broken without contractions starting.

Induction happens in stages, and the method used depends on how ready the cervix is. The cervix must soften and begin to open before active labour can start. This can be supported with:

• Prostaglandins (tablet, gel, or pessary) to soften the cervix and encourage early labour.

• Balloon catheter, which gently widens the cervix over several hours.

When the body is more prepared, labour may be supported further through:

• Release of the waters, where the midwife helps the amniotic fluid to come out. This often strengthens and regulates contractions.

• Oxytocin infusion, which increases the strength and frequency of contractions.

Induction can be quick, but it can also take time — sometimes more than a day. The body moves through the process at its own pace, and multiple steps are normal. Throughout, the baby and contractions are monitored closely with CTG.

Most inductions result in a vaginal birth. The medical team adjusts the plan depending on how your body responds.

Alma’s tips

• Bring snacks, chargers, and things to pass the time — induction is often a long journey.

• Rest whenever possible.

• Ask which stage you are in and what the next step may be.

• Request pain relief early if contractions become intense.