The doctor inserts a gloved finger into your uterus, and sweeps it around the wall of the uterus, separating it from the amniotic sac.  This is an outpatient procedure that can be done in your doctor's office, after which you'll go home and wait for labor to progress.  You might experience some menstrual spotting in the meantime, so don't be alarmed.  Contact your doctor if the flow becomes heavier than a usual period. This is the only labor-inducing procedure that isn't performed in a hospital.  Everything else listed in this section is done under close medical supervision, with the expectation that you'll be giving birth within hours. If you haven't yet experienced the physical changes to your cervix that mean labor is imminent, your doctor can administer a few different medications that might do the trick.  These compounds imitate the hormones that initiate labor:   Misoprostol, which can be taken orally or vaginally. Dinoprostone, which is taken as a vaginal suppository. Oxytocin (Pitocin), which is administered intravenously.  Labor aided by oxytocin can progress even more quickly than natural labor, especially in first-time mothers.  Be aware, though, that fetal distress is a risk with this medication, and might lead to a hasty C-section. If you'd rather not go the medication route, your doctor can physically coax the cervix to open with a balloon catheter.  A small tube with an deflated balloon at the end is inserted into the cervix, and the balloon is inflated. A balloon catheter is left in place until the cervix has dilated enough for it to fall out, usually around 3 centimeter (1.2 in). An amniotomy, in which the doctor gently breaks the amniotic sac with a sterile plastic hook, is usually done when the cervix is open and the baby is in place, but your water hasn't broken on its own. Your doctor will closely monitor your baby's heart rate, and make sure you don't experience umbilical cord complications.
أجري مسحًا للأغشية. تناولي الأدوية لتليين عنق الرحم. طلب قسطرة فولي لفتح عنق الرحم. إسالة ماء الرأس باليد.