When a woman’s labor is started artificially, it’s considered an induction — whether elective or medically indicated. When a woman’s labor starts on its own, but for one reason or another is put on Pitocin to strengthen the contractions, it’s considered an augmentation of labor. But what is it called when a woman’s water breaks but contractions don’t start immediately, and she goes to the hospital and is put on Pitocin? Is it an induction or augmentation?
My first pregnancy, my water broke about half an hour before contractions set in; one of my sisters had rupture of membranes followed by no labor for 18 hours, at which point she went to the hospital for… an induction, or augmentation?
Usually, when a woman’s water breaks before labor begins, contractions are not far behind; but sometimes, some time passes before it happens. I think of stories I’ve read of women who have had “high leaks” or even a full “water breaking”, but either the tear resealed itself, or the baby was so premature that even with ROM, it was better for him to stay in utero than to be born (as long as the mom didn’t have an infection or any other medical reason for the baby to be born then). Most of the time, however, either the baby needs to be born early, or the woman is at term or close enough to term that the doctors want to start or speed up labor, out of fear of infection.