Augmentation of labor helps a childbirth that’s failing to progress. Your healthcare provider may perform an amniotomy to break your water. Or you may get oxytocin to stimulate contractions. Augmented labor techniques can strengthen uterine contractions and give you more of them, so you can have a vaginal childbirth instead of a C-section.
Augmentation of labor speeds a slow or stalled spontaneous active childbirth. Healthcare providers use medications and other methods to help move the process along. These methods stimulate more uterine contractions and make them stronger and closer together. You may need labor augmentation if there’s too much time between contractions or your contractions stop. A slow or stalled labor and delivery can be dangerous to you and your baby.
In medical terms, augmentation means adding (augmenting) a medication or other treatment to improve outcomes. With augmentation of labor, your healthcare provider uses medications or other methods to aid your labor and delivery.
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Labor induction starts the labor process. A healthcare provider (typically an Ob-Gyn) uses artificial means to open your cervix and start contractions.
Providers use augmentation of labor only when you experience prolonged labor. You’re in prolonged labor if you’re still in active childbirth 18 to 24 hours after your contractions start. Healthcare providers also call this failure to progress.
You may need labor augmentation if you’re in natural active labor (not induced labor) and the childbirth process stalls or takes too long.
Failure of labor to progress may be due to:
Healthcare providers won’t augment your labor if these conditions exist:
Before you deliver, you and your healthcare provider will discuss pain relief options during delivery. You may choose to get a type of anesthesia called an epidural. A provider called an anesthesiologist inserts a catheter (thin tube) into the epidural space. This is between your spinal column and the outer membrane of your spinal cord. The catheter goes into your middle or lower back. It stays in place throughout childbirth. It allows your anesthesiologist to offer you pain relief as needed.
Healthcare providers use similar assisted delivery methods to augment labor, as well as induce labor. These methods aid cervical ripening (opening the cervix for childbirth). The treatment depends on your specific childbirth situation.
Labor augmentation methods include:
Labor augmentation can aid vaginal childbirth, helping you avoid a C-section. During a C-section, your healthcare provider delivers your baby through a surgical incision in your abdomen and uterus. Recovery from a C-section is often longer and more painful.
In rare instances, oxytocin can cause strong uterine contractions (hyperstimulation). These strong pushes may trigger your unborn baby to go into fetal distress. Fetal distress means your baby isn’t getting enough blood and oxygen. You also have a higher risk of uterine rupture. Your healthcare provider can adjust the amounts of oxytocin to prevent this problem. To further lower these risks, your provider will use electronic fetal monitoring. This checks the strength of your contractions and your baby’s heart rate throughout labor and delivery.
Although it’s uncommon, artificially breaking open the amniotic sac has the potential to cause a bacterial infection called chorioamnionitis. Bacteria can contaminate the amniotic fluid surrounding your unborn child. This increases the risk of newborn sepsis. You’re also at risk for blood clots and infections like sepsis. After childbirth, you and your baby will receive antibiotics.
An amniotomy also increases the risk of umbilical cord prolapse. Your baby’s umbilical cord slips into the cervix and vagina ahead of them, which can cut off their oxygen. You’ll need an emergency C-section.
Your recovery depends on many factors. You may have more discomfort and need more time to heal if you have:
You should call your healthcare provider if you experience:
A note from Cleveland Clinic
Healthcare providers use augmented labor techniques only when medically necessary to aid a stalled childbirth. Medications and procedures can open your cervix and stimulate contractions. You may need augmentation of labor to protect your health and that of your unborn baby. Augmented labor may also help you avoid a C-section, which has a longer, more painful recovery. If you experience a prolonged labor, your provider will discuss childbirth options with you.
Last reviewed by a Cleveland Clinic medical professional on 09/29/2022.
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