What are the risks?

Labor induction isn't for everyone. For example, it might not be an option if you have had a prior C-section with a classical incision or major uterine surgery, your placenta is blocking your cervix (placenta previa), or your baby is lying buttocks first (breech) or sideways (transverse lie) in your uterus.

Inducing labor also carries various risks, including:

• Failed induction. About 75 percent of first-time mothers who are induced will have a successful vaginal delivery. This means that about 25 percent of these women, who often start with an unripened cervix, might need a C-section. Your health care provider will discuss with you the possibility of a need for a C-section.
• Low heart rate. The medications used to induce labor — oxytocin or a prostaglandin — might cause abnormal or excessive contractions, which can diminish your baby's oxygen supply and lower your baby's heart rate.
• Infection. Some methods of labor induction, such as rupturing your membranes, might increase the risk of infection for both mother and baby.
• Uterine rupture. This is a rare but serious complication in which your uterus tears open along the scar line from a prior C-section or major uterine surgery. An emergency C-section is needed to prevent life-threatening complications. Your uterus might need to be removed.
• Bleeding after delivery. Labor induction increases the risk that your uterine muscles won't properly contract after you give birth (uterine atony), which can lead to serious bleeding after delivery.

Inducing labor is a serious decision. Work with your health care provider to make the best choice for you and your baby.