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Normal & Instrumental Delivery

The process of giving birth to a child is called delivery or labour. A Vaginal delivery or a Caesarean section are two ways to deliver a baby. Many major health organisations recommend that a newborn be placed on the mother’s chest as soon as possible after birth, regardless of whether it was delivered vaginally or via C-section. Skin-to-skin contact is therefore available for both the mother and baby.  

At CARE Hospitals, we recognise that every woman has specific healthcare needs. Our team comprises highly skilled healthcare specialists with extensive training and experience in women’s healthcare. In addition to well woman care and obstetrics, we also offer minimally invasive gynaecological surgery for the satisfaction of our patients.

CARE Hospitals provide a range of services tailored to each woman’s needs, including diagnosis and treatment. We can assist you in achieving the best possible outcome and quality of life by listening carefully, understanding your problems, and finding a suitable solution after a thorough diagnosis. We are sure that we will cater to all your needs and provide you with the most comprehensive and safe solution with our experienced team, state-of-the-art laboratory capabilities, and state-of-the-art infrastructure. We will recommend treatment options after careful examination, and we can even consult with experts in other fields including urogynaecology, gynaecological oncology, and reproductive endocrinology, if necessary, to ensure you receive the best multidisciplinary treatment.

Normal Delivery:

The term “normal delivery” refers to a mother giving birth to her baby naturally without intervention from a medical professional.

The stages of normal delivery

  • First stage

Labour and effacement of the cervix

During the first stage of normal delivery, contractions dilate, soften, and stretch the cervix to make it easier for the baby to be delivered. A woman’s first delivery can take up to 13 hours, and subsequent deliveries can take up to 7-8 hours.

The first stage is divided into three parts:

  • Early labour: 

As contractions occur every 3 to 5 minutes, the mother becomes aware of them. During pregnancy, the cervix can dilate up to 4 centimetres. Mothers can give birth at home during early labour. However, they should inform the doctor.

  • Active labour: 

When contractions become stronger and more frequent, the mother enters the active phase. Approximately every 3-4 minutes, they last about a minute each. The cervix expands by 7 centimetres. The woman must be taken to the hospital for delivery. During this stage, the woman’s water breaks. Contractions then intensify.

  • The transition phase:

At about 10 centimetres, the cervix is at its fullest dilation and is the most painful phase. There are painful, strong contractions every 2-3 minutes, and each lasts 60-90 seconds.

  • Second Stage

Pushing and birth of the baby

Following the complete dilation of the cervix, this stage begins. The baby is being pushed through the birth canal headfirst by intense contractions. With every contraction, the mother is expected to push, and she may become highly fatigued as a result. While the baby is pushing its way out, she may also experience severe pain at the vaginal opening. If the doctor decides to do an episiotomy at this stage, he can widen the opening of the vaginal canal so the baby can be delivered easily. In order for the baby to finally be born, the mother must continue to push.

  • Third Stage

Placenta Is Pushed Out

The entire placenta is expelled through the vaginal canal during this final stage of normal delivery called the ‘afterbirth’. The placenta is typically delivered within 10 minutes to 30 minutes of the baby’s birth. Massage of the lower abdomen may assist in the delivery process.

The benefits of normal delivery

Vaginal delivery has the following benefits:

  • Lowers the risk of infection for both mother and child.
  • Recovery is quicker for the mother and she stays in the hospital for a shorter amount of time (24-48 hours rather than 3 days to a week after a caesarean).
  • A baby's immune system is boosted by the natural bacteria and microbes contained in the vagina, which come from the mother to the child, getting them ready for life out of the womb.
  • Labour contractions help prepare the baby’s lungs for breathing, so the baby is less likely to develop respiratory problems
  • During delivery, a number of natural mothering hormones are released. These hormones stimulate lactation.

Instrumental Delivery:

Forceps or a ventouse suction cup are used during an assisted birth also known as an instrumental delivery.

A ventouse or forceps IS only be used when necessary for the well-being of you and your baby. Women who have given birth to a baby naturally are less likely to undergo assisted delivery.

What happens during a forceps or ventouse delivery?

You should talk with your obstetrician about the reasons for choosing assisted birth, as well as the instruments and procedures to be used. Prior to the procedure, you will have to give your consent.

In the absence of an epidural, you will usually receive a local anaesthetic to numb your vagina and the skin between your vagina and anus (perineum).

The obstetrician may move you to an operating room if the need arises for a caesarean section. A small cut (episiotomy) is likely to be required to increase the vaginal opening. If there is a tear or cut, stitches will be applied to repair it. It may be possible to deliver the baby on your tummy and still allow your birth partner to cut the cord, depending on the circumstances.

Ventouse

The suction cup is attached to the baby’s head by a ventouse. The suction device is attached to a soft or hard plastic/metal cup by a tube. The cup fits securely onto your baby’s head. The obstetrician gently pulls to assist in the delivery of your baby during a contraction.

Forceps delivery may be more appropriate if you are giving birth at less than 36 weeks pregnant and you require assisted birth. At this point in your pregnancy, you are less likely to damage your baby’s head with forceps since it is softer.

Forceps

It resembles large spoons or tongs but is made of smooth metal. It is curved so it fits around the baby’s head. Your baby’s head is carefully positioned around the forceps, which are linked at the handles. While you are pushing and having a contraction, an obstetrician gently pulls your baby out.

Different forceps are available. Many of these machines are specifically designed to allow the baby to be born in the proper position, such as if your baby is lying facing upwards (occiput-posterior position) or on one side (occipital-lateral position).

Frequently Asked Questions

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