?) and (3) the progress of labor.
The first concern is whether there’s a possibility that induction will be more difficult than vaginal delivery, which is why we recommend waiting for spontaneous onset of labor. The second issue concerns the timing in relation to when your baby goes into full-term or near-full term. If you induce before 37 weeks, it increases the chance that your baby will deliver early because he/she may not be mature enough to cope with an extra week in utero. This is especially true if you have several previous cesarean deliveries or are having twins or another multiple pregnancy at this time. Also, consider that by inducing after 37 weeks, you increase the chances that your placenta may fail to release fully during birth , resulting in cord prolapse and necessitating emergency caesarian section . Finally, inducing when babies are only 39 weeks gestation puts them at risk for prematurity related health conditions such as cerebral palsy . Even if these risks don’t apply to you personally due to prior cesareans or other high risk factors for premature birth , they can still affect future pregnancies by increasing complications associated with preterm births including neonatal encephalopathy . So I strongly recommend against inducing until mid-to-late 38th week gestation unless absolutely necessary! You can read all about why induction isn’t recommended here .
Now let’s look at how long labor typically lasts once patients go into active labor: