Natural or induced labor: key differences
Choosing between a natural or an induced labor can generate many doubts, especially when the probable date of delivery is approaching. Although both lead to the same outcome—the birth of the baby—the paths can be very different in terms of process, duration, medical interventions, and emotional experience. In this MilkyNest article, we explain the key differences between the two options, based on the latest scientific evidence, to help you make informed decisions with your healthcare team.
What is natural childbirth?
Natural childbirth is considered to be one that begins spontaneously, without medical intervention to initiate labor, and that takes place without medication or unnecessary invasive procedures. It does not mean "without medical assistance", but rather that the physiological process of the body is respected, allowing it to advance on its own.
According to the World Health Organization (WHO), natural childbirth is a safe and healthy way to give birth for most women, and it can bring benefits such as a faster recovery, lower risk of cesarean section, and greater satisfaction with the birth experience
What is induced labor?
Induced labor is labor in which medical or mechanical methods are used to artificially initiate labor. It can be induced by the administration of synthetic oxytocin, prostaglandins, or techniques such as membrane peeling or artificial rupture of the water.
Induction is usually indicated when there are risks to the mother or baby in continuing the pregnancy, such as hypertension, gestational diabetes, or prolonged pregnancy (beyond week 41). (American College of Obstetricians and Gynecologists, 2023).
The important thing is always to have the right medical care
Key Differences Between Natural and Induced Labor
Although both end with the birth of the baby, there are important differences:
"Induction of labor may be beneficial in specific medical settings, but it should not be performed for convenience or routine without a clear indication."
- Onset of labor: In the natural, the body begins on its own; in the induced case, it is activated with drugs or techniques.
- Medical interventions: Induction typically requires continuous monitoring, increased use of analgesia, and in some cases, higher rates of instrumental delivery or cesarean section
- Duration and pace: An induced labor may progress faster, but it may also feel more intense or abrupt, especially if the cervix is not yet favorable.
- Emotional experience: Many women value natural childbirth for its sense of control and connection to the process. Others feel safer with medical planning.
- recovery: Natural births, without unnecessary interventions, usually involve fewer postpartum complications.
When is it recommended to induce labor?
Not all pregnancies need to be induced. Some common medical indications include:
- Pregnancy that exceeds 41 or 42 weeks
- Premature rupture of membranes without onset of labor
- Maternal diseases such as preeclampsia or diabetes
- Intrauterine growth restriction
- Fetal risks detected in monitoring
Important
How to Make the Right Choice
Every woman, every pregnancy, and every birth is unique. It is essential to talk openly with your midwife or gynecologist to:
- Assess the real risks and benefits in your case
- Listen to your wishes and expectations
- Plan ahead, but leave room for physiology
- Feeling accompanied and empowered in the decision
Evidence suggests that continuous accompaniment during childbirth, especially by a trusted doula or professional, significantly reduces the use of unnecessary interventions and improves the birth experience (Hodnett et al., Cochrane, 2013).