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Expert Q&A:
Is there anything non-medical I can do to induce labor?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


For centuries women have tried to induce their labors with such "natural" methods as eating hot spicy foods, taking castor oil, or giving themselves enemas.

Answer


For centuries women have tried to induce their labors with such "natural" methods as eating hot spicy foods, taking castor oil, or giving themselves enemas. Unfortunately, none of these "folk remedies," often passed from one generation to the next, are likely to start labor unless the woman's body is ready for labor to begin. Labor is triggered by a shift in several pregnancy hormones. The cervix needs to be soft (ripe), thin (effaced), and ready to open (dilate). Unless these factors are in place, no amount of walking will cause labor to begin. Having sexual intercourse can help initiate labor if the things mentioned above have occurred, because the male seminal fluid contains prostaglandins that stimulate uterine contractions. And when the woman experiences an orgasm her uterus contracts as well. So patience is the key. Mother Nature knows when the time is best for your baby to make an entrance!

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