Beyond the Due Date: Navigating Obstetric Induction with Eastern and Western Approaches.

(Organ names in Chinese medicine differ from Western medicine’s understanding).​

Obstetric induction is a medical procedure used to initiate labor when the pregnancy has gone beyond the due date or when there are medical concerns for the mother or fetus. In Western medicine, there are several methods of induction, including artificial rupture of membranes, oxytocin infusion, and prostaglandin administration. Each method has its own risks and benefits, and a doctor will carefully consider the patient’s medical history and current status before recommending a particular method.

Traditional Chinese medicine (TCM) may assist significantly with obstetric induction and is based on the balance of Qi, the vital energy that flows through the body, and the concept of Blood, which refers to the body’s overall health and nourishment. When it is time to induce and the presenting mother is past her due date, and with the consensus of the western obstetrician, women may attempt natural induction with Chinese Medicine prior to having to go through the western Medical induction. Chinese medicine’s approach is a gentle and natural approach to induction and may prove to be very effective to encourage a more natural induction. Done early enough the Chinese Medicine process may suffice, there is ample time to fall back on the more powerful inductive methods of western Medicine should the Chinese Medicine approach not be sufficient.

The following are some of the TCM perspectives on obstetric induction.

Five Elements: TCM uses the Five Elements theory to understand the relationship between the body’s organs and their corresponding elements (Wood, Fire, Earth, Metal, and Water). For example, the Wood element corresponds to the Liver and Gallbladder organs and is associated with the season of spring. In obstetric induction, TCM practitioners focus on the Water element, which corresponds to the Kidneys and Bladder organs and is associated with the season of winter. The Water element is important for promoting relaxation and softening the cervix, which can help initiate labor.

Channel Therapy: TCM practitioners also use channel therapy to manage obstetric induction. Channels are pathways in the body through which Qi flows, and they are associated with specific organs and bodily functions. In obstetric induction, the Kidney channel is the most important, as it governs the process of labor and delivery. By stimulating specific points along the Kidney channel, TCM practitioners can help promote the natural onset of labor.

Qi and Blood: The balance of Qi and Blood is essential for a healthy pregnancy and delivery. In TCM, Qi is responsible for movement and energy, while Blood is responsible for nourishment and growth. During pregnancy, the Qi and Blood of the mother and fetus become intertwined, and any imbalance can lead to complications such as a difficult labor or postpartum hemorrhage. TCM practitioners use acupuncture, herbal medicine, and dietary therapy to regulate the balance of Qi and Blood and promote a healthy delivery.

Latent Pathogen Approach: TCM practitioners also use the latent pathogen approach to manage obstetric induction. Latent pathogens are dormant pathogens that can be activated by stress, illness, or other factors. In obstetric induction, TCM practitioners may focus on clearing latent pathogens from the mother’s body, as they can interfere with the natural onset of labor.

Again, it is essential to have your obstetrician and GP involved in every step along the way through your pregnancy. Should induction be required in your case, it is important to discuss all options with your obstetrician. TCM practitioners may help support the natural onset of labor and minimize the need for medical intervention, this may be the best option for you initially, should the process be succesful for you a medical induction may bevcome unecessary. .

According to TCM, induction should only be considered if it is medically necessary, as it can disrupt the natural process of childbirth and lead to potential complications. TCM offers a variety of approaches to help stimulate labor naturally, including acupuncture, acupressure, and herbal medicine.

​Acupuncture involves the insertion of thin needles into specific points on the body, which can help to regulate the flow of Qi and stimulate contractions. Acupressure is a similar technique, but instead of needles, pressure is applied to specific points using the fingers or other tools. Certain herbal remedies, such as red raspberry leaf tea and black cohosh, have also been traditionally used to promote labor.

In addition, TCM emphasizes the importance of a woman’s overall health and well-being leading up to childbirth, as this can help to ensure a smooth and efficient labor. This may include dietary changes, exercise, and stress-reduction techniques such as meditation or Qi Gong.

While TCM does not offer a cure or treatment for obstetric induction, it provides a complementary approach to managing the symptoms and potential complications associated with the procedure. By promoting overall health and well-being, TCM can help to support a healthy and natural childbirth experience.

In conclusion, obstetric induction is a medical procedure that is at times necessary to ensure the health and safety of both mother and baby. However, it is important to carefully consider the potential risks and benefits before undergoing the procedure. TCM offers a complementary, safe and effective induction in many circumstances, emphasizing the importance of overall health and well-being, and a natural methods in stimulating labor. Your chinese medicine practitioner works in parallel with the timing set out by your obstetrician, it may be timely to attempt acupuncture induction ahead of the scheduled induction date. Should that not yield the desired result, a western medical iduction can then be utilized.​


Lyerly, A. D., Little, M. O., & Faden, R. R. (2007). The second stage: ethical and legal concerns in traditional and emerging labor and delivery practices. International Journal of Gynecology & Obstetrics, 96(3), 222-228.

Betts, D. (2006). The Essential Guide to Acupuncture in Pregnancy & Childbirth. Hove, UK: The Journal of Chinese Medicine Ltd.

Smith, C. A., & Crowther, C. A. (2004). Acupuncture for induction of labour. Cochrane Database of Systematic Reviews, (1), CD002962.

Cheung, N. F., & Cheung, J. Y. (2008). Chinese herbal medicine for induction of labour. Cochrane Database of Systematic Reviews, (2), CD005123.

Flaws, B. (2014). Obstetrics and gynecology in Chinese medicine. London, UK: Elsevier Health Sciences.

Cochrane, S., & Smith, C. A. (2016). Acupuncture and women’s health: An overview of the role of acupuncture and its clinical management in women’s reproductive health. International journal of women’s health, 8, 31–42. doi: 10.2147/IJWH.S85975

Guo, J., & Chung, T. K. (2015). Acupuncture in obstetrics and gynecology. Journal of traditional and complementary medicine, 5(3), 127-130. doi: 10.1016/j.jtcme.2015.04.002

Hollander, M. H., van der Vlugt, M. J., & Lentz, G. M. (2010). Effect of acupuncture on the induction of labor. Journal of midwifery & women’s health, 55(5), 416-423. doi: 10.1016/j.jmwh.2010.02.017

Huang, R., Li, S., Yu, X., & Wang, J. (2018). Acupuncture in cervical ripening and induction of labor at term–a randomized controlled trial. Acupuncture in Medicine, 36(5), 296-302. doi: 10.1136/acupmed-2017-011431

Lev, E., & Jitkritsadakul, O. (2015). Acupuncture and acupressure in labor. Journal of complementary & integrative medicine, 12(1), 1-3. doi: 10.1515/jcim-2014-0033

Zhu, J., Arsovska, B., & Kozovska, K. (2017). Acupuncture and herbal medicine for labor induction: A literature review. Traditional Medicine Research, 2(5), 212-220.

Smith, C. A., Armour, M., Zhu, X., Li, X., & Betts, D. (2018). Acupuncture for induction of labour. Cochrane Database of Systematic Reviews, (8), CD002962.

Peng, J., Zhong, B., & Huang, Y. (2019). Clinical study of acupuncture combined with Chinese herbal medicine for the induction of labor in late-term pregnancy. Journal of Traditional Chinese Medicine, 39(3), 355-361.