Induction of labour

What happens after labour induction: a journey to birth

February 19, 2025
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Contributors
Veronika Dobiasova, MD
Physician and International Product Manager

Veronika Dobiasova, MD is a physician specializing in obstetrics, gynaecology, and labour induction. She works closely with clinical experts to translate medical evidence into clear, practical information for healthcare professionals and expectant parents.

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Jan Waclav, MD
Clinical & Medical Affairs Director

Physician and Clinical & Medical Affairs Director with 30+ years of experience in clinical research, medical affairs, and evidence-based healthcare. Jan is certified in Anesthesia and Intensive Care Medicine and has held senior medical leadership roles at MEDICEM Technology, SOTIO, GlaxoSmithKline, and AstraZeneca.

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Key takeaways

Labour induction can progress differently for every woman. Cervical ripening may require one or more attempts before labour begins, followed by contractions and progression towards birth. Whether the journey leads to a vaginal birth or a C-section, recovery takes time and varies from woman to woman.

  • Cervical ripening may need to be repeated if the cervix is not yet ready for labour.
  • Once labour begins and progresses, the aim is typically a vaginal birth.
  • A C-section may be recommended if labour does not progress as expected or if it becomes more beneficial option for the mother or baby.
  • Recovery after a vaginal birth is usually shorter than after a C-section, but in both cases, giving the body enough time to heal is an important part of the postpartum journey.

Labour induction (IOL) can feel like a big step, especially when you’re eagerly waiting to meet your little one. For some, the process unfolds smoothly; for others, it takes a little extra time or leads to a new plan. No matter the path, the goal is always the same: a safe delivery for both you and your baby. Here's what you can expect after induction of labour and what recovery might look like depending on your birth experience.

The journey to natural vaginal birth

Labour induction gives your body a gentle nudge to get things moving. For many moms, it’s a straightforward process:

  • One round of cervical ripening might be all it takes for your cervix to ripen and contractions to begin.
  • If things need a little more time, a second round of cervical ripening may be necessary. This isn't unusual (more common in first-time mothers, those with an unripe cervix, obesity, diabetes, earlier gestational age, or a history of prolonged labor) and can help your body progress naturally.

Once labour starts and progresses, the goal is typically a vaginal birth. If this is how your story unfolds, here’s what recovery might look like:

  • Post-birth recovery: After a vaginal birth, even if induced, you’ll likely stay in the hospital for 1–2 days. During this time:
    • You may experience a sore feeling between the vagina and the back passage, especially if there were any tears or an episiotom (a planned cut made to help widen the opening for the baby during vaginal birth). Ice packs and warm sitz baths can help.
    • Postpartum bleeding (lochia) is normal and can last a few weeks. Your midwife will provide you with guidance on managing it, including tips on hygiene, choosing the right pads, and recognizing when to seek further advice.
    • Your body is working hard to heal, so rest, hydration, and good nutrition are key.

After giving birth, the postpartum period, often called the fourth trimester, starts and typically lasts around six weeks, during which a mother’s body undergoes significant healing and recovery while adjusting to the demands of life with a newborn. Take it slow and listen to your body—it’s done an incredible job!

image source: Freepik

When a C-section becomes part of the plan

Sometimes, despite induction efforts, labour doesn’t progress as expected, or your care team may identify reasons why a C-section (cesarean delivery) is the safest option for you or your baby. Common reasons for a C-section after induction include:

  • Baby’s heart rate shows signs of distress.
  • Labour stalls, and the cervix doesn’t dilate enough.
  • Baby’s position (e.g., breech) makes vaginal delivery unsafe.

A C-section is a surgical procedure where your baby is delivered through an incision in your abdomen. It’s a routine procedure, but recovery differs from a vaginal birth.

  • Post-surgery recovery: After a C-section, you’ll stay in the hospital a bit longer, depending on your hospital, typically for 3–5 days. Here’s what to expect:
    • You’ll likely have a sore abdomen. Pain medication and careful movement can help.
    • Rest is essential, but gentle walking within 24 hours can aid healing if you feel ready. Postpartum bleeding occurs with C-sections too, though it’s often lighter than after a vaginal birth.

A recovery after this type of surgery typically takes longer - about 6-8 weeks. During this time, it’s important to avoid heavy lifting and focus on healing and resting.

No matter the path, recovery takes time

Whether your induction leads to a natural vaginal birth or a C-section, it’s important to remember that recovery is a journey. Every mom heals at her own pace. Give yourself grace, lean on your support system, and don’t hesitate to ask your care team for help if you need it. Your birth story is uniquely yours, and the moment you meet your baby makes every step of the journey worthwhile.

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Always consult with your healthcare provider to address your individual needs and concerns.

FAQs
What are the cervical ripening methods?

Cervical ripening can be achieved using either mechanical or pharmacological methods. Non-hormonal methods, such as DILAPAN-S, help prepare the cervix mechanically, while pharmacological methods use medication to stimulate cervical changes. In recent years, mechanical methods have become increasingly popular due to their favourable safety profile and comparable effectiveness.

Which cervical ripening methods may be used after a previous caesarean section?

For women planning a VBAC (Vaginal Birth After Caesarean), healthcare providers may consider mechanical cervical ripening methods because they do not rely on hormonal stimulation and are associated with a lower risk of uterine hyperstimulation. DILAPAN-S is one non-hormonal option that may be used to help prepare the cervix for labour induction after a previous caesarean section.

Does a previous caesarean section mean another caesarean birth is necessary?

No. Many women may be eligible for a TOLAC (Trial of Labour After Caesarean), which can result in a successful VBAC (Vaginal Birth After Caesarean). Whether a VBAC is appropriate depends on factors such as the type of previous uterine incision, medical history and the circumstances of the current pregnancy.

Contributors
Veronika Dobiasova, MD
Physician and International Product Manager

Veronika Dobiasova, MD is a physician specializing in obstetrics, gynaecology, and labour induction. She works closely with clinical experts to translate medical evidence into clear, practical information for healthcare professionals and expectant parents.

Show more
Jan Waclav, MD
Clinical & Medical Affairs Director

Physician and Clinical & Medical Affairs Director with 30+ years of experience in clinical research, medical affairs, and evidence-based healthcare. Jan is certified in Anesthesia and Intensive Care Medicine and has held senior medical leadership roles at MEDICEM Technology, SOTIO, GlaxoSmithKline, and AstraZeneca.

Show more
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