Labour and birth

Induction of labour

We understand you may have many questions about the induction of labour (IOL) process and what this means for you.

What to expect during IOL:

In the video below, which is also available on our YouTube channel, specialist midwife Claire Sookun-Hull explains the induction of labour (IOL) process at East and North Hertfordshire NHS Trust.

Induction of Labour discussion tool

Learn more about what, when and why labour is induced and the various processes available to stimulate the induction of labour through our useful patient information booklet.

You can also read our induction of labour information leaflet and patient information leaflet here.

Caesarean section

In the video below, which is also available on our YouTube channel, one of our consultant obstetricians Kelly McNamee talks expecting parents through the journey of an elective caesarean section at Lister Hospital’s Diamond Jubilee Maternity Unit.

Please also read this information leaflet on enhanced recovery after a caesarean section

Choosing a caesarean section

We support all choices of place of birth and choice of mode of birth, including requesting a caesarean when there is not a medical need.

You can talk to your community midwife or obstetrician about your birth plan at any appointment.

If choosing care options outside of guidance you will be supported through an informed decision making process with a consultant midwife through referral to a birth options appointment and/or a consultant obstetrician as appropriate.

We will listen, discuss options for compromise and offer support in your birth choice.

Please read the Royal College of Obstetricians and Gynaecologists’ information leaflet on choosing to have a caesarean section

Please also read our guidance on choosing Cesarean Births.

Vaginal birth after caesarean section (VBAC)

Vaginal Birth after Caesarean (VBAC) is the term used when a woman gives birth vaginally, having had a caesarean birth in the past. Vaginal birth includes birth assisted by forceps or ventouse.

If you have had a baby by caesarean, it does not necessarily mean that future babies need to be born this way. 

Most women can safely have a vaginal birth known as vaginal birth after caesarean (VBAC). Our maternity professionals will discuss this with you and you may need extra monitoring in labour, or be advised to have another caesarean, depending on what is the safest option for you and your baby. 

For more information, please look at the Royal College of Obstetricians and Gynaecologists leaflet.

To access the Vaginal Birth After Caesarean Section (VBAC) Discussion & Record Form, please click here.

Oxytocin

Oxytocin is a natural hormone that manages key aspects of the female reproductive systems
and it is used to start or strengthen contractions to continue (augment) labour and to
control bleeding after the birth of your baby.

For more information, please read our patient information leaflet on Oxytocin by clicking this link.

Perineal health in pregnancy, birth and beyond

During vaginal birth, it is very common to experience a graze or tear of the labia or, more frequently, the perineum, which is the area between your vagina and anus. For most, these tears are minor and heal quickly.

To understand the types of tears that can occur during childbirth, the risks to tearing and recovery, please read our perineal health leaflet here.

Have you downloaded our Mum & Baby and eRedbook apps?

Our Mum & Baby app supports your journey with us through your pregnancy, birth and life with your baby – download it today!

eRedbook is an NHS-approved app that allows you to keep a secure digital record of your child’s health and development – download and register today!