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Labour & Delivery
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1 Centimeter Dilation – What Does It Mean for Your Labor
As you progress in your pregnancy and reach the final stage of your third trimester, you may want to know the signs and symptoms that you are in labor and ready to deliver! Being 1 centimeter dilated means your body is prepping for childbirth. Your doctor can start examining your cervix somewhere close to 37 weeks of pregnancy to check for dilation and effacement at regular intervals. However, with just 1 cm dilation, it cannot be said for sure when the actual labor will start. Read the following article to understand what 1-centimetre dilation, or the size of a Cheerio dilation during pregnancy, means and indicates!
What Is 1 Cm Dilation?
During the last trimester of pregnancy, from 37 weeks and 42 weeks of pregnancy, the cervix undergoes dilation and effacement to help the baby pass through the birth canal (1). Dilation of the cervix happens to assist the baby to move from the uterus through the vaginal canal. If your cervix is 1 cm dilated, this means it has started thinning and is ready to open for your baby’s movement through the birth canal. 10 cm is when your cervix is fully dilated and your are ready for labour (2). However, 1 cm dilation cannot be taken as an indication of your baby’s birth but can be taken as one of the signs that your body is preparing for birth. Some women may dilate for up to 4 cm until they enter the active stage of labor or deliver their baby.
Every woman may experience labour differently, and while some can be 3 cm dilated and 70 per cent effaced and still may not go into labour for weeks and then may suddenly go into labour, on the other hand, some may not dilate until they are into active labour.
When Does Labour Start After Getting 1 Cm Dilated?
If you are wondering that you are 1 cm dilated at 37 weeks, how much longer until labour? Well, the actual time that you may take from being 1 cm dilated to actually entering active labour may vary from one woman to another. Women who have given birth before may sometimes dilate days or weeks before actual labour begins. However, for the women who are first-time mommies, dilation may happen just before they are ready to deliver. Therefore, dilation in isolation cannot be considered a sign of labour until it is accompanied by other signs or symptoms of labour.
However, if you are 1 cm dilated at 38 weeks and want to know how to speed up labour, you can ask the doctor for tips!
What Are the Other Signs of Labour?
Here are some other signs of labour that you should look out for:
1. Contractions
Contractions are the tightening and releasing of the muscles around your uterus. It is common for pregnant women to experience such contractions or even Braxton Hicks, throughout their pregnancy. The time between two contractions is key in determining labour.
2. Loss of Mucus Plug
The mucus plug seals the cervical opening when pregnancy begins. This plug will break and fall out as dilation progresses. This plug may look like discharge and indicates that the woman is days or weeks away from giving birth.
3. Water Breaking
When labour is about to begin, the membrane around the baby breaks and falls out. It can result in a sudden gush of liquid or just a slight trickle. If this is followed by cramps or contractions, you may be going into labour.
4. Lightening
Lightening is when the body shifts the baby closer to the cervix to prepare for labour. This can occur anytime before labour.
What Does 1 Cm Dilated and 50 Effaced Mean?
As you progress in your final trimester and closer to delivery, your uterus will get lower and lower; this will make your cervix become shorter and thinner, or in other words, your cervix will become effaced (3). Effacement is measured in per cent by your doctor, where 0 per cent means not all effaced and 50 per cent means halfway. 100 per cent means you are ready to deliver your baby. As you keep getting effaced, the cervix will disappear and will blend with the uterus, also known as ripening or thinning.
If you are 1 cm dilated or are 50 per cent effaced, this means that your body has started getting ready for labour and delivery (4). At this stage, your cervix not only starts opening up but also thinning, so that the baby can move easily from the uterus through the birth canal.
1 Cm Dilation in Early Pregnancy
In a healthy or normal pregnancy, the cervix remains tightly closed until you enter the later stage of the third trimester. As this happens, your baby drops in your pelvis, and your cervix starts opening and preparing for labor. However, in some cases, dilation may occur early in pregnancy (sometimes around 20 weeks of pregnancy), this may happen due to a condition known as an incompetent cervix. As per the American Pregnancy Association, this condition can occur due to a number of reasons, such as congenital abnormalities, damage during earlier births, abortion, etc. If your doctor suspects any such condition, your doctor may advise certain measures such as cerclage (the cervix is stitched) to prevent premature labor or to prevent abortion or pregnancy loss (5).
However, this is a very rare occurrence and is seen in around 1 to 2 per cent of cases only. But if you are 1 cm dilated at 36 weeks or before and experiencing signs of labor, you should get in touch with your doctor.
Should You Call a Doctor at 1 Cm Dilation?
Well, in most cases, there is no need to call your doctor if you are only 1 cm dilated, until or unless you experience any of the following:
If there is any fluid leaking
If you experience any kind of bleeding
If you experience any kind of pressure in your pelvic region, frequent contractions, or other such signs (before 36 weeks of pregnancy)
If you have any signs of bloody discharge or you lose your mucus plug (post 37 weeks of pregnancy)
If you experience contractions that are 3 to 4 minutes apart
FAQs
1. Is cervical dilation painful?
Natural cervical dilation is a unique experience for different women. In fact, some women don’t even realise that their dilation has started until they see the bloody show or lose their mucus plug. On the other hand, intense contractions can start as the cervix starts dilating for some women. That said, it is a unique experience and can vary from person to person.
2. How long does it take for the cervix to dilate from 1 to 10 cm?
The duration of cervical dilation varies from woman to woman. The duration basically depends on a lot of key factors, such as the baby’s position, frequency and intensity of contractions, and the mother’s health. It is common for first-time mothers to take longer to get their cervix dilated, on average, 6 to 12 hours for 1 to 10 cm dilation, whereas women with subsequent pregnancies are quicker with cervix dilation, usually taking 5 to 12 hours.
3. What happens when you are dilated by 2, 3 and 6 cm?
At 2 cm of dilation, you may go into labor in hours or stay at 2 cm dilation for days. It does not indicate active labor. At 3 cm of dilation, you are just entering active labour. This is the longest part of labour as your cervix needs to reach 6 cm of dilation. It can take anywhere from 8-12 hours for this to happen. Once you reach about 6 cm of dilation, you are considered to be in active labor. Your contractions will become more regular, more painful, and will last longer.
4. What does 60, 70 and 80 per cent effaced mean?
Effacement is when your cervix becomes shorter, softer, and thinner in preparation for your baby’s birth. The percentage of effacement indicates that your cervix is that percentage effaced. It also indicates how close you are to being able to start pushing.
If you are 1 cm dilated, this means your body is prepping up for your munchkin’s arrival! However, you may not know when you will actually go into labor. You should stay calm, be in touch with the doctor, and keep a tab on your symptoms.
Also Read:
Guide to Speed up Labour
Cervix Dilation during Child Birth
Importance of Cervical Length while Pregnant
Read more
Transition Phase of Labor – Signs and Ways To Deal With It
Embarking on the journey of childbirth is a profound and transformative experience for expectant mothers. The transition phase of labour, often regarded as one of the most intense parts of childbirth, marks a significant turning point in this journey. This phase, typically the final stage before the arrival of your little one, can be both physically and emotionally challenging. Understanding its signs and learning effective coping methods is crucial for a more positive and empowered birthing experience. In this article, we will delve into the depths of the transition phase, offering insights, guidance, and compassionate support to help you navigate this pivotal time with confidence and grace.
What Is Transition in Labour?
The transition phase of labour is a critical, intense stage in childbirth, marking the final stretch of the first stage. It involves the cervix dilating from 7 to 10 cm, preparing the body for delivery. This phase is known for its powerful, frequent contractions, which are often challenging for the expectant mother both physically and emotionally (1).
Why Is This Phase of Labour Challenging?
Transitional labour, the phase just before childbirth, is often considered the most challenging part of the labour process. This phase is particularly demanding due to its intense physical and emotional aspects. Physically, the contractions during transitional labour are the most powerful and closest together, occurring typically every two to three minutes and lasting up to 90 seconds each (2). These contractions are more frequent, prolonged, and more intense, leading to significant discomfort and pain.
Emotionally, this phase can be overwhelming for many women. The sheer intensity of the contractions, combined with fatigue from the earlier stages of labour, can lead to feelings of anxiety and irritability. This emotional rollercoaster is a natural response to the physical strain and the anticipation of the impending birth.
Moreover, transitional labour marks a critical point where the body undergoes significant changes to allow for the baby’s passage. This rapid progression can be daunting as the body and mind struggle to keep pace with these changes.
Signs of Transition in Labour
As an expectant mother approaches the transition phase of labour, certain signs become evident. These emotional and physical signs signal that the body is preparing for the final stage of childbirth.
Emotional Signs
During the transition phase of labour, several emotional signs can manifest, reflecting the intense nature of this stage:
Overwhelming Feelings: Women often feel overwhelmed by the intensity of the contractions and the imminent arrival of their baby.
Irritability and Mood Swings: The physical strain can lead to irritability and sudden mood changes.
Anxiety and Fear: Feelings of anxiety or fear about the birthing process and the baby’s well-being are common.
Doubt and Uncertainty: Some women may express doubt about their ability to continue or cope with the pain.
Intense Focus: A heightened focus on contractions and the labour process, sometimes blocking out external stimuli.
Emotional Release: Crying or expressing emotions more freely as a release of tension and anticipation.
Physical Signs
Several key physical signs also mark the transition phase:
Stronger, More Frequent Contractions: Contractions are typically at their peak frequency, duration, and intensity.
Increased Discomfort and Pain: The intensity of contractions can lead to significant discomfort or pain, often described as the most challenging part of labour.
Nausea and Vomiting: Many women experience nausea or even vomiting during this stage.
Shaking or Trembling: A physical response to intense contractions and hormonal changes can cause shaking or trembling.
Pressure in the Lower Back and Pelvis: As the baby descends, pressure in the lower back and pelvic area increases (5).
Urge to Push: A natural urge to push, although it might be advised to wait until full dilation (6).
Changes in Breathing Pattern: Breathing can become more rapid or shallow due to the intensity of contractions.
How Long Does Transition Labour Last?
Transition labour, while being the most intense part of childbirth, is typically also the shortest. The duration of this phase can vary significantly among different women and even from one pregnancy to another for the same woman. On average, transition labour lasts anywhere from 15 minutes to several hours (3).
This phase may take longer for first-time mothers, often lasting up to three hours. However, for women who have given birth previously, the duration of transition labour can be significantly shorter, sometimes lasting only a few minutes. It’s important to remember that these time frames are approximate and can differ widely based on individual circumstances and the unique progression of each labour.
How You Can Deal With Transition Labour?
Managing the transition stage of labour effectively can significantly impact your childbirth experience. Here are several strategies to cope with the intense transition labour contractions and the emotional challenges of this phase:
1. Breathing Techniques
Deep, controlled breathing can help manage the pain of transition labour contractions. Focusing on your breath distracts you from the discomfort and helps you maintain a sense of calm (7).
2. Movement and Positioning
Changing positions or moving around can alleviate some discomfort. Whether it’s walking, swaying, or rocking, movement can be a powerful tool in dealing with the intensity of contractions.
3. Utilise Support
A supportive partner, doula, or healthcare provider can provide immense emotional and physical support. They can offer words of encouragement and physical assistance and help you stay focused and calm.
4. Visualisation and Relaxation
Visualising a peaceful scene or imagining the process of meeting your baby can be soothing. Relaxation techniques such as meditation or calming music can also be beneficial.
5. Hydrotherapy
Whether in a shower or a birthing pool, water use can provide significant pain relief. The warmth and buoyancy of the water can be soothing and help ease the intensity of the contractions (4).
6. Acceptance and Mindset
Embracing the process and understanding that each contraction brings you closer to meeting your baby can be empowering. A positive mindset can significantly impact your ability to cope with the demands of the transition stage of labour.
What Should Your Partner Do During Transition Phase of Labour?
A partner’s role becomes crucial during the transition phase of labour. Expectant mothers require immense support, both emotionally and physically. A partner’s understanding, patience, and proactive involvement can significantly ease the intensity of this phase, making the experience more manageable and comforting for the mother (9).
1. Provide Emotional Support
Continuous emotional support through encouraging words and a calm presence can greatly reassure the mother (8).
2. Assist With Comfort Measures
Help with comfort measures like massage, applying heat or cold packs, or helping the mother maintain her preferred labour positions.
3. Advocate for Her Needs
Communicate with healthcare providers to ensure the mother’s preferences and needs are respected and met during labour.
4. Maintain a Calm Environment
Keeping the environment calm, whether by controlling the lighting, playing soothing music, or managing visitors, can help maintain a peaceful space for labour.
5. Help With Breathing Techniques
Guide or remind the mother about breathing techniques, which can be crucial in managing pain and anxiety during intense contractions.
6. Offer Physical Support
Provide physical support during contractions, such as holding her hand, supporting her in different positions, or applying back pressure.
7. Stay Patient and Positive
Patience and a positive attitude, especially when the mother is overwhelmed, can be incredibly beneficial.
FAQs
1. Why is the transitional phase painful?
The transitional phase is painful due to intense contractions for rapid cervical dilation and the baby’s movement into the birth canal, coupled with physical and emotional exhaustion.
2. What are the stages of labour transition?
The stages of labour transition include the cervix dilating from 7 to 10 cm and contractions reaching their peak intensity, frequency, and duration.
Though challenging, the transition phase of labour is a pivotal part of the childbirth process. Embracing this journey with knowledge, support, and a positive mindset paves the way for a rewarding and memorable birthing experience.
References/Resources:
1. The stages of labour; Tommy’s; https://www.tommys.org/pregnancy-information/giving-birth/stages-labour
2. Overview of Labor; Stanford Medicine Children’s Health; https://www.stanfordchildrens.org/en/topic/default?id=overview-of-labor-90-P02896
3. Stages of labor; March of Dimes; https://www.marchofdimes.org/find-support/topics/birth/stages-labor
4. Stages of labour; The Women’s; https://www.thewomens.org.au/health-information/pregnancy-and-birth/labour-birth/stages-of-labour
5. Giving birth – first stage of labour; Pregnancy, Birth and Baby; https://www.pregnancybirthbaby.org.au/giving-birth-first-stage-of-labour#transition
6. The Stages of Labor and Ways to Cope; Texas Health Resources; https://www.texashealth.org/areyouawellbeing/Womens-Health/The-Stages-of-Labor-and-Ways-to-Cope; March 2022
7. Dealing With Pain During Childbirth; Nemours KidsHealth; https://kidshealth.org/en/parents/childbirth-pain.html
8. Tips for Your Labor Partner; Sutter Health; https://www.sutterhealth.org/health/labor-delivery/labor-stages-suggestions
9. Hoffmann. L, Hilger. N, Riolino. E, Lenz. A, Banse. R; Partner support and relationship quality as potential resources for childbirth and the transition to parenthood; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261844/
Also Read:
How to Reduce Labour Pains
Labour During Second Pregnancy
Stages of Labour During a Vaginal Childbirth
Read more
Water Breaking: Causes, Signs, and What to Do
Every pregnancy journey is different, and so is every woman’s experience of labour and delivery. One moment that often creates both curiosity and anxiety for moms-to-be is “water breaking during pregnancy.” While movies usually show it as a dramatic gush of water, in reality, it can happen in many different ways — sometimes suddenly, sometimes as a slow trickle. Naturally, this can leave many women feeling confused or unsure about what to expect. The good news is that understanding the signs, causes, and what to do when your water breaks can help you feel calmer and more prepared for labour. In this article, we’ll answer all your common questions about water breaking and pregnancy, so keep reading and stay informed.
What Is Water Breaking?
Your baby is cushioned and protected in your womb is a fluid-filled amniotic sac. When this amniotic sac tears, amniotic fluid will leak through your cervix and vagina. This is called water breaking, which usually happens during late pregnancy. Water breaking is a sign that you are in early labour, or may be in labour soon (1).
When Does a Pregnant Woman’s Water Break?
Water breaking occurs during the first or the second stage of labour in most women (2). It happens due to the contractions that take place during this period. In one in ten women, water breaks before any signs of labour, sometimes even before contractions. In very rare cases, water may break in the 37th week of pregnancy (3).
If you are long overdue, then your doctor will offer to break your water to induce labour. Soon after your water breaks, you may observe that your contractions become stronger and more intense by the minute. Hence, it is important that as soon as your water breaks, you must get in touch with the doctor immediately.
How Can You Tell if Your Water Breaks?
Sometimes, it can be difficult to tell whether your water has broken or if it is simply normal pregnancy discharge or urine leakage. Here are a few common signs can help you understand if your body is preparing for labour (1) (4).
A Sudden Gush of Fluid: One of the most noticeable signs is a sudden release of fluid from the vagina that you cannot control.
A Continuous Trickle: In some cases, the fluid may leak slowly over time instead of coming out all at once.
Clear or Pale-Coloured Fluid: Amniotic fluid is usually clear or slightly pale in colour and may feel watery rather than sticky.
Mild Cramping or Contractions: Some women may also experience contractions, pressure, or cramping soon after their water breaks.
What Are the Causes of Water Breaking During Pregnancy?
A pregnant woman’s water breaks when the baby is ready to come out. It is a sign that she is soon to go into labour. In very rare cases, a premature rupture of membranes (PROM) is the cause for water breaking. This usually happens during the 37th week of pregnancy. The causes for it could be any or all of the following (3) (4):
A history of premature water breaking in previous pregnancy
Smoking or using drugs during pregnancy
Short cervical length
Poor nutrition during pregnancy
Being underweight
Inflammation of foetal membranes
Vaginal bleeding during second or third trimester
What Happens When Your Water Breaks and What Does It Feel Like?
The water breaking experience differs from woman to woman. While some feel a little fluid trickling down their legs, others may experience a gush of odourless and colourless amniotic fluid flowing out of their system (4). It all depends on where the bag has torn, and whether the baby has engaged and is ready for labour. There is close to 600 ml of water or amniotic fluid inside you by the end of the pregnancy, and your body continues to make water even during labour (5). So, you may continue to leak well after your water has broken.
Many moms worry that their water may break while they are out shopping, at a restaurant, or anywhere outside their homes. Don’t worry too much about this possibility, and carry a maternity pad from the 37th week of your pregnancy. Avoid using a tampon or a sanitary napkin.
What Is Fore Water and Hind Water?
As your baby starts moving downwards to prepare for its birth, your baby’s head descends closer to your cervical opening. Your amniotic fluid hence gets divided roughly into the water present in front of your baby’s head and that present towards your baby’s feet, known as fore water and hind water respectively (6).
There is no difference between fore and hind water, and it doesn’t matter which of the water breaks first.
How to Determine It’s Water Breaking and Not Pee or Discharge?
Differentiating between pee and amniotic fluid can be a little tricky. Amniotic fluid is clear, odourless fluid which is of a pale straw colour, and may be a little bloodstained in the beginning. Smell it, and you will know whether it is urine or amniotic fluid (5).
Vaginal discharge, on the other hand, is thin, white mucus, which is quite similar to what you see before a menstrual period. It’s heavier than amniotic fluid, and hence can easily be differentiated from it.
When Does Labour Start After Water Breaks?
One obvious question that may lurk in the minds of expecting moms is, how long after the water breaks does labour start? In most cases, labour is followed by the breaking of the amniotic sac. In very rare cases is there a delay, and mostly if you experience a premature rupture of membrane. In these cases, the doctor may induce labour, because the longer it takes for labour to start after water break, the higher are the chances of you and your baby contracting an infection.
What Happens if You Don’t Have Contractions After Water Breaking?
As mentioned before, contractions should follow soon after the water breaks. If you are not already in labour, then you may feel the first contraction 12 hours after the amniotic fluid starts trickling down your legs; in some cases, the contractions may start after 24 hours (1). In the meantime, be assured that you will not run out of amniotic fluid, as your body continues to produce amniotic fluid till you deliver the baby.
An instance of the water breaking with no contractions is very rare. However, if you take longer than 24 hours to go into labour, the doctor may decide to induce labour to save you and your baby from any probable infection due to the ruptured amniotic sac (2).
What Happens if Your Water Breaks Early?
If your water breaks before the 37th week of pregnancy, then it is called preterm or premature rupture of membranes (PROM). This may lead to a few complications like maternal and foetal infection, placenta abruption (which takes place when the placenta peels away from the inner wall of the uterus way before delivery), and infection or problems with the umbilical cord. There is also an elevated risk of complications due to premature birth (7).
If you are 34 weeks pregnant at the time of PROM, the doctor may suggest an early delivery. If you are between 24 to 34 weeks pregnant, then the doctor will try to delay the delivery by putting you on antibiotics. That way, the baby will get some more time to develop inside you. You will also be given an injection of potent steroids (corticosteroids) to speed up the development of your baby’s lungs.
Whatever the scenario may be, speak to your doctor and ask all your questions about PROM, and how it will affect you and the baby.
What if Your Water Breaks and You Don’t Want Induction?
If you choose not to have induction after your water breaks, then you will have to be kept under strict observation.
Firstly, your doctor or midwife will have to check your baby’s heart rate and movement every 24 hours till you actually go into labour.
The doctor will keep a close watch on your temperature.
The doctor will look for any change in the smell or colour of the amniotic fluid.
In this scenario, your doctor or midwife will advise you to have the delivery in the hospital, as it may turn out to be risky.
In case you get an infection during that phase, antibiotics will be fed into your veins through a fine tube by your doctor, and you will be advised to get labour induced in order to safeguard you and your baby from any other infection.
What Are the Risks of Not Being Induced After 48 Hours?
If you refuse to induce labour even after 48 hours of your water breaking, then you are risking the health of both you and your child. The wider the time lapse between your water breaking and the baby’s birth, the higher the chances of you and your baby getting an infection. If you avoid inducing labour even after 48 hours, then your baby may have to stay in special care once born, as a precautionary measure. Hence, stay calm, weigh the pros and cons, seek your doctor’s advice, and choose what’s right for the baby and for you.
When to Seek a Doctor’s Help
It is advisable to inform your doctor soon after you observe water breaking signs and symptoms, just to be on the safe side. Other circumstances when you must call your doctor without any delay are (1) (4):
If you observe that the fluid is green and brown, which means that your baby had a bowel movement in the uterus.
You are in the 37th week of or pregnancy or even less, and you feel the slow leak between your legs.
If you feel like something is sticking out of your vagina, like a loop or umbilical cord. This only happens in cases of PROM (the baby is breech or preterm), and the umbilical cord gets swept into the cervix or even the vagina.
As soon as you call the doctor, a water break test will be conducted. If it turns out to be a false alarm, you will be sent back home.
FAQs
1. Can water breaking happen before labour?
Yes, amniotic rupture can happen prematurely before labour, but only in very rare cases. In such a case, it can happen anytime during or after the 37th week of pregnancy. But, in most cases, it will not be a surprise, and you may already be in the hospital ready to deliver your baby.
2. What happens if your water doesn’t break on its own?
If you go into labour, your cervix is thinned and dilated, and the baby’s head is already pushing through the pelvis, then your doctor may use amniotomy to start or increase labour contractions. In this technique, a thin plastic hook will be used to make an opening in the amniotic sac, which will cause the amniotic fluid to flow out (8).
3. What can you do if your water breaks during pregnancy?
If you suspect that your waters have broken, you need to contact your doctor. You may be required to go to the hospital for an examination. The doctor may also need to take a call on how your labour should progress.
4. Is water breaking painful?
Water breaking itself is usually not painful. However, some women may feel pressure, discomfort, or contractions soon afterwards (2).
5. Can a baby still move after the water breaks?
Yes, babies can still move after the water breaks. However, you should continue monitoring your baby’s movements and inform your doctor if you notice reduced activity.
When you are pregnant, it’s always important to stay calm and focused. Panic can have undesirable and unwanted side effects. Thus, always reach out to your doctor or midwife for help, and calmly think about the health of you and your child while making any decision.
Also Read:
Overdue Pregnancy
Leaking Amniotic Fluid
Watery Discharge during Pregnancy
Symptoms of Water Breaking in Pregnancy
Read more
Artificial Rupture of Membranes (Amniotomy) in Pregnancy
When it’s time for your baby to arrive, your body will give you different signs to let you know that you’re ready for labour. One such sign is water breaking, or the rupturing of the amniotic sac.
However, the last stage of pregnancy may not be easy for all women, and you may find yourself asking a doctor to induce labour. Your doctor may consider artificially rupturing the sac in order to speed up labour. This method is known as amniotomy or ARM (Artificial Rupture of Membranes).
This procedure is used in several hospitals. Read on to learn when doctors may consider this procedure, whether there are any associated risks involved, and more.
What Is Meant By Amniotomy?
Amniotomy or artificial rupture of membranes is a procedure that is performed to rupture or break the water sac of a pregnant woman (1). This water sac or amniotic fluid is the liquid that protects and surrounds the baby in the pregnant woman’s uterus for nine months and as it breaks it releases hormones, which helps in sending signals to the brain for beginning or intensifying the labour (2). Approximately 10 per cent of pregnant women experience this phenomenon naturally, however, in some cases, the doctor or midwife may recommend doing it artificially, for the labour to progress. In simple words, amniotomy definition can be summed as ‘artificial rupturing of the amniotic sac’.
When Is Artificial Rupture of Membranes Performed?
Before amniotomy is considered as an option, your doctor will assess how much your cervix has opened up or dilated, how thin has the cervix is (effacement), how low the baby is in your cervix (fetal station) and various other such factors (3). After assessing all such factors, the doctor will calculate the likelihood of the procedure being successful. Some doctors may do so by Bishop’s score (or cervix score which is done to check if labour induction will be required) for amniotomy, where points are assigned to dilation, effacement, fetal station, consistency and position and based on the points the decision to conduct or not to conduct the procedure is taken (4).
Why Is Amniotomy Performed?
Here are some reasons when your doctor may consider inducing labour via amniotomy (5).
1. To Start Labor
Artificial rupturing of the membrane is a great way of inducing or starting the labour, especially if the cervix is favourable too.
2. For Augmentation of Labor
Amniotomy is a great way of speeding up the labour. But that may not be feasible in all cases, however, it may reduce the chances cesarean delivery.
3. For Foetal Monitoring
Amniotomy can be performed if your baby is in need of close fetal monitoring. This is usually done in cases when the labour is prolonged or it’s a high-risk delivery.
Is Amniotomy Painful?
Amniotomy is usually not considered painful, although it may feel uncomfortable for some women. During the procedure, the doctor or midwife uses a small sterile instrument to make a tiny opening in the amniotic sac so that the fluid can drain out. Since the sac itself does not contain nerves, the rupture is generally painless.
However, you may feel:
Mild discomfort during the vaginal examination
Pressure in the pelvic area
Warm fluid flowing out once the water breaks
How Long Can the Procedure Take?
An amniotomy is a quick procedure and usually takes only a few minutes to perform. The actual rupturing of the membrane often takes less than a minute, though preparation and examination may take a little longer.
Other Procedures That Can Be Performed Along With Amniotomy
Here are some other procedures that can be performed along with amniotomy:
1. IV Oxytocin Drip
An IV oxytocin drip is a medication used for uterine contractions (6).
2. Cervical Ripening
Your doctor will perform this technique for softening and dilating the cervix. This will prepare the cervix for vaginal delivery (7).
3. Stimulating the Nipples
This procedure will help the body release natural oxytocin, which will be beneficial in stimulating contractions (8).
4. Stripping the Membrane
This procedure involves gently separating the amniotic sac from the uterus, which helps the body to release hormones to start the contractions.
Healthcare Providers Who Perform the Artificial Rupture of Membranes
Here are some healthcare providers that can perform amniotomy:
1. Midwives
These are the healthcare providers who offer prenatal, labour, and delivery care. However, certified professional midwives or CPM or Certified nurse-midwives CNM are the ones who usually perform amniotomy in some cases.
2. Family Medicine Doctor
These are the healthcare providers that provide help and assistance to adults, children and also may provide assistance during labour and childbirth.
3. OB/GYN Obstetrician/ Gynecologists
These are the healthcare providers who specialise in health care issues of women, pregnancy, labour, and childbirth.
Amniotomy vs Membrane Sweep
Amniotomy and a membrane sweep are both procedures used to encourage labour, but they work differently. A membrane sweep is a less invasive method in which a doctor or midwife gently separates the membranes around the baby from the cervix during a vaginal examination to help stimulate natural labour (9). An amniotomy, on the other hand, involves deliberately breaking the amniotic sac using a sterile instrument to induce or speed up labour. While a membrane sweep can be done during a routine prenatal visit, an amniotomy is usually performed in a hospital setting once labour induction is planned or labour has already begun.
Tips to Prepare for Amniotomy
Here are a few artificial rupture of membranes guidelines to help you prepare better:
Start taking any medication that may be prescribed by your healthcare practitioner.
Talk to your doctor in detail about your medical history, which includes telling about any OTC medications, vitamins, herbal medicines, etc. that you may be taking.
Talk to your doctor about any decrease in fetal movement, vaginal discharge, contractions, cramps, bleeding, etc.
Questions to Ask Doctor About Amniotomy
Apart from helping your doctor by preparing for the procedure, you may also ask some questions that may help ease your worries:
Why is this procedure considered and whether or not are there any other options that you may consider?
How long after amniotomy does labour usually progress?
Will I be prescribed any medicines before and after the procedure?
What will happen when the sac gets ruptured?
Are there any risks for my baby or me, in case I do not go in for the procedure?
Procedure of Amniotomy
A controlled artificial rupture of membranes is performed in the labour room and usually takes only a few minutes. Here is how the procedure is generally performed (1):
You will be made to lie down on your back with your legs parted and bend.
Your healthcare provider will use amniotomy equipment that includes a small hook or a gloved finger with a hook on its head, which will be inserted through your vagina and cervix to reach the uterus.
This hook will pull the sac until it ruptures it.
You will feel water coming out from your vagina.
Your healthcare provider may check the fluid for any traces of meconium or fetal stool.
If required, a device will be attached to monitor your baby’s heartbeat.
What to Expect After the Procedure
Your health practitioner and the care team will take the utmost care while performing the procedure as your comfort is of utmost importance. You are likely to wonder how will you feel after artificial rupturing of membranes. Well, you will feel warm down there as warm water will flow down from your vagina. You may also feel some pain in your lower back and may experience pain similar to that of menstrual cramps. It is normal to feel a slight discomfort in your cervix because of the amniotomy hook but pain during amniotomy is unusual. You should talk to your healthcare provider about the same.
You may notice that your contractions may become more intense after the procedure. If your contractions become intense, it’s a sign that amniotomy was successful. You can follow breathing techniques that you may have learned in your childbirth classes. If contractions intensify and you are unable to bear the pain, you can talk to your healthcare provider for pain-relieving options.
Risks and Complications of Artificial Rupture of the Membranes
Although amniotomy is generally considered safe, it is important to understand the possible amniotomy complications. Here are some risks that may arise after amniotomy (10):
It may lead to vaginal bleeding.
It may cause injury to the baby.
It may cause infection to the mother or the baby.
It may lead to umbilical cord prolapse, which may cut off the baby’s blood supply and lead to emergency cesarean delivery.
It may lead to foetal distress.
If the baby’s head is not fixed in the cervix, this procedure may sometimes lead to fetal malposition and thus cause complications in delivery.
How to Lower These Risks
Here are some effective ways of reducing the chances of any risks:
Inform your doctor about any increase in pain or bleeding that you may register.
Take prescribed medicines as suggested.
Talk to your care team about the extent and type of your contractions that you may be experiencing.
Follow a healthy diet and exercise as suggested by your healthcare team.
Make sure that you get all the required prenatal care.
When Amniotomy Should Not Be Performed
Amniotomy is a fairly safe procedure, however, it may not be an ideal choice for intensifying or starting labour for all women. Your doctor may be able to establish the same during your second or third-trimester ultrasound scan or while performing a vaginal exam that this procedure may not be a safe bet for you. Here are some instances that your doctor may advise against this procedure:
1. If Baby’s Head Is Not Fixed
In case the baby’s head is in zero station or floating, this means that it is not fixed or engaged in the cervix. Under such a situation, your doctor may advise you against this procedure.
2. If the Baby Is in the Breech Position
If the baby is in a breech position that includes brow presentation or face presentation or in any other such malpresentation, your doctor may not recommend the procedure.
3. Vasa Previa
Vasa Previa is a condition when the blood vessels from the umbilical cord or placenta pass over the cervix beneath the foetus. This condition is usually detected during the routine ultrasound scans. In the case of vasa previa, the doctor may advise against amniotomy (11).
What Happens if Amniotomy Doesn’t Work?
In some cases, an amniotomy may not be enough to start or speed up labour effectively. If contractions do not become stronger or labour does not progress after the procedure, the doctor may recommend additional methods to induce labour. These may include medications such as oxytocin to stimulate contractions or other cervical ripening techniques.
Your healthcare team will continue to monitor both you and your baby closely to ensure everything remains safe. If labour still does not progress or if there are signs of distress, a Caesarean delivery may sometimes be considered (12). The outcome can vary depending on the mother’s condition, the baby’s health, and how the body responds to induction methods.
FAQs
1. Can amniotomy increase the chances of a C-section?
Amniotomy itself does not always increase the chances of a C-section, especially when labour progresses normally after the procedure. In many cases, it is performed to help speed up labour and support vaginal delivery. However, if complications arise, such as fetal distress, infection, or failure of labour to progress, a Caesarean section may become necessary.
2. Is amniotomy safe for all pregnancies?
Amniotomy is not considered suitable for all pregnancies. Doctors usually recommend the procedure only when they believe it is safe and beneficial for both the mother and the baby. It may not be advised in certain situations, such as placenta previa, abnormal fetal position, active infections, or when the baby’s head is not properly engaged in the pelvis.
3. Can amniotomy be done more than once?
No, amniotomy can only be performed once because the amniotic sac cannot be resealed after it has been ruptured. Once the water is broken, labour is expected to continue under medical supervision.
Amniotomy or artificial rupturing of membranes, like other medical procedures, has its own set of pros and cons. It is important that you discuss the drawbacks and benefits with your doctor before you consider this procedure to bring on (or to speed up) the labour.
Also Read:
Failed Induction of Labour
Low Amniotic Fluid while Pregnant
Baby Born with Amniotic Sac
Ways to Increase and Decrease Amniotic Fluid during Pregnancy
Read more
Aromatherapy in Pregnancy and Labour – Benefits & Risks
Being pregnant is all about being happy. And why not? You are growing a little human inside you who is soon going to be a part of your life. While the feeling of becoming a mother is magical, the physical part of it can often be painful. Swollen feet and an achy back are common problems associated with being pregnant. Many mommies-to-be are resorting to aromatherapy to treat their physical discomfort. However, is aromatherapy safe for pregnant women? What are the essential oils that they can use? Here, we will take a look at the risks and benefits of aromatherapy for pregnant women.
What Is Aromatherapy?
Aromatherapy uses essential oils derived from flowers and herbs and claims to have a positive effect on physical and psychological well-being. These oils are usually highly concentrated and have therapeutic chemicals. Essential oils have a pleasant smell and are rejuvenating.
Scientists are not sure how aromatherapy works. It is thought that these essential oils send some kind of chemical messages to that part of the brain that affects mood and feelings. You either have to breathe in the aroma of the oils or massage them onto your body (1).
Benefits of Aromatherapy in Pregnancy
There are quite a few benefits of aromatherapy for pregnant women. Some of them include:
1. Relief From Morning Sickness
Aromatherapy can help reduce morning sickness during the first trimester. So, if you are feeling sick during pregnancy, you can take the help of aromatherapy. Aromatherapy for pregnancy nausea is often recommended. Lemon oil and mint oil are the two options you have.
2. Soothes Pregnancy Discomfort
Pregnancy comes with a lot of side effects, and aromatherapy has helped many women soothe these side effects. You can use neroli for heartburn or use sweet orange for constipation. Citrus oils like lemon oils are refreshing and known to energise. If you are having trouble sleeping, lavender may help. You can massage these oils onto your skin, add these to your bath water, or use a diffuser or oil burner.
3. Helps You Relax
Spas and massages are very relaxing, and there is no denying that fact. In the same way, an aromatherapy massage during pregnancy can be very relaxing. It can help reduce stress and ease tension. You can use any sweet-smelling oil for this purpose. An aromatherapy massage during pregnancy can help women feel less anxious (2).
How to Use Aromatherapy in Pregnancy?
It is always better to first test a small quantity on the skin to see if there is any reaction or allergy. Make sure to talk to your gynaecologist as well. Keep your pets out of the room as essential oils can have a fatal reaction on cats and dogs.
1. Mix and Use
Regardless of the essential oil you use, make sure to mix it with a base oil first when using it for massaging. Sweet almond and grapeseed oils are two base oils that you can use. Undiluted essential oils in high concentration can be toxic. Also, do not ingest essential oils, as they are highly concentrated and could be harmful to the baby when ingested (3).
2. Using a Vaporiser
A vaporiser with an essential oil should not be used for a long time. Ensure the room is properly ventilated and do not keep the vaporiser on for more than 15 mins in an hour. Otherwise, the scent can become overpowering and cause nausea.
3. Choosing the Right Essential Oil
Do not use any essential oil that you do not know about. This can cause more harm than good for your pregnancy. Do research on which oils are beneficial for you.
Which Aromatherapy Oils Are Safe While Pregnant?
While you may be tempted to choose the oil on the basis of how good it smells, we would like you to pause there a bit. Aromatherapy for pregnant women demands caution. Not all aromatherapy oils are safe and suitable for pregnancy due to their potency and other factors. Below are some safe ones you can try.
1. Use Lavender Oil for Relaxation
Lavender is considered to be the queen of essential oils. It has a sweet and soft odour that calms even a racing mind. Lavender oil is known to ease pain during surgery, making it a great option for women who have undergone a C-section. You can use lavender oil with your body wash or soap.
2. Boost Your Mood Using Citrus Oil
Beat pregnancy and postpartum blues using citrus oils like lemon, lime and mandarin. They are refreshing and energising. These oils are known to have anti-bacterial and anti-fungal properties. Citrus oils not only boost your mood but also boost the immune system. Eating a lot of citrus fruits offers a lot of health benefits and is a great way to supply vitamin C to your system.
Some of the other pregnancy aromatherapy oils that you can use are (4):
Neroli to reduce anxiety and blood pressure
Roman and German chamomile to help calm, soothe, and relax
Ylang-ylang reduces stress and insomnia
Jasmine for reducing pain and anxiety
Rose reduces anxiety
Bergamot citrus reduces pain during labour and eases anxiety
Tangerine
Lemongrass offers a calming effect
Frankincense reduces nervous tension and hyperventilation
Peppermint helps with nausea and sickness during labour
Geranium reduces fear and promotes relaxation
Lemon calms and relaxes
Lime provides a refreshing aroma
Mandarin helps ease stress and tension in labour
What Are the Risks of Using Aromatherapy While Pregnant?
Not all oils are safe for use in pregnancy. Some essential oils carry the risk of skin irritation or allergic reactions. If you have a history of reactions to topical products or have atopic dermatitis, you are more likely to have a bad reaction to aromatherapy using essential oils.
Some may affect your unborn baby and how your uterus works. Essential oils like rosemary, peppermint, juniper, sage, oregano, and thyme should also be avoided. These trigger uterine contractions, something you would want to avoid while being in labour.
The following are the essential oils that pose a risk of causing an allergic reaction or skin irritation (5):
Jasmine oil
Chamomile oil
Lemongrass oil
Bergamot oil
Ylang-ylang oil
Cinnamon bark oil
Oregano oil
However, it is important that you use the right oils in the right way. Never use essential oils in concentrated form, as they can lead to skin allergies and severe skin reactions.
Check with your doctor if aromatherapy is safe for you if you have diabetes, high blood pressure, epilepsy, or allergies.
Precautions to Be Taken While Using Aromatherapy in Pregnancy?
One important precaution that you need to take is to research the essential oil you are planning to use. Talk to your doctor as well, as your doctor will know your medical history. Essential oils, when used properly, can help reduce stress and soothe the mind. Also, make sure you are buying good-quality essential oils from reputable dealers.
How Does Aromatherapy Help in Labour?
Yes, aromatherapy for labour pain is known to be helpful (6). If your midwife cannot help with aromatherapy, you can simply add a few drops of essential oil to a vaporiser or a damp flannel. You can also ask your partner to give you a back, foot or hand massage. Since there are mixed reviews from experts when it comes to aromatherapy and labour, it is best advised to consult a doctor before trying one specifically for labour or childbirth.
You can use aromatherapy even if you are in labour and more than 37 weeks into pregnancy. While many women have claimed that aromatherapy helps reduce pain while in labour, a lot of research is still required to know this for sure.
How to Use Aromatherapy in Labour?
If you are planning to use aromatherapy during labour and birth, then it is important that you become familiar with the oil you are planning to use. Its scent should be something you like and not something that is bothersome.
Your senses get heightened during labour, so you should not be doing anything to further invigorate your senses. If you have not used essential oils before, then consider talking to experts. You can also visit a speciality store to find an oil that makes you feel good and soothes your senses.
Here is how you can use aromatherapy in labour:
Mix four ounces of water with 1-2 drops of essential oil and make a spritzer. Pour the mixture into a small water sprayer and store in a fridge until your labour. If you are allowed to bathe during labour, then add this mixture to your bathtub for a relaxing experience. You can also spray this in the birthing room and fill the room with a refreshing aroma.
Take a washcloth or a cotton handkerchief. Fold and sew up three of its sides. Fill halfway with dried lavender leaves and rice. Sew the other side. Set this in an ice chest and freeze it by placing it in a plastic bag. Keeping this plastic bag over the eyes will be relaxing.
Take a square piece of muslin fabric and fill it with dried herbs and rolled oats. Pull the corners and tie with a ribbon or string. Now rub it on your feet, tummy and back for a calming effect.
Take a small bowl of warm water and add a few drops of aromatherapy oils for labour and birth. Keep it at one corner of your room.
Which Aromatherapy Oils Are More Beneficial for Labour?
Certain essential oils are good for labour. They help reduce anxiety and fear, boost contractions and ease the pain.
Some aromatherapy oils for labour are clary sage, Roman chamomile, ginger, lemongrass, frankincense, mandarin and lavender.
Do not add essential oils to your birth pool. Using an electric diffuser or oil burner will suffice.
FAQs
1. Is aromatherapy safe during pregnancy?
Some essential oils may be used safely during pregnancy when properly diluted, but others should be avoided. Always consult a healthcare professional before use.
2. Which essential oils are commonly used during labour?
Lavender and chamomile are often used for relaxation, although evidence on effectiveness varies.
3. Can aromatherapy help reduce labour anxiety?
Some studies suggest aromatherapy may promote relaxation and improve comfort during labour, though results differ among individuals.
4. Are there any risks associated with aromatherapy during pregnancy?
Yes. Certain oils may trigger allergic reactions, headaches, skin irritation, or uterine contractions if used improperly.
5. What precautions should pregnant women take when using essential oils?
Use diluted products, ensure proper ventilation, avoid ingesting oils, and seek medical advice before starting aromatherapy.
6. Does aromatherapy help with childbirth?
Yes, aromatherapy for childbirth can be a possible option, but it is critical to consult with your doctor before trying it. Gentle massages using certain essential oils, such as lavender, rose, or jasmine, can help relieve maternal anxiety, promote relaxation, and reduce perceived labour pain. (7)
You can use essential oils at home yourself or consider taking the help of an aromatherapist. Do not forget to tell her that you are pregnant. Also, make sure to hire the services of an experienced one. Aromatherapy can provide relief to you from several side effects of pregnancy, such as back pain, swollen feet, and nausea. Choose a fragrance that is appealing to you, as that is the only way to get the benefits associated with aromatherapy.
Most importantly, do not forget to consult your doctor before using any of the essential oils.
Also Read:
Is Acupuncture Safe to Induce Labour?
How Does Tea Help to Induce Labour?
How Does Reflexology Help Induce Labour?
Read more
How Can Husband Help or Support During Labour?
Many men are eager to know how they can help their wives during labour. There was a time when men used to stand out of the delivery room when their wives were in labour, but it’s a passé now. Today, many husbands want to know how they can contribute to the journey and support their wives through it as well. If you are soon-to-be a dad and want to support your wife during labour, here’s how you can.
How Can Husband Know His Wife’s Labour Has Started?
While you’d be more than excited to help your wife through the entire process of delivery, vigilance is important in knowing when you need to spring into action. It all begins from understanding the labour has commenced, and your help is needed.
1. By Being Prepared to Be an Active Member of the Process
While the woman is busy focusing on the contractions and keeping the baby safe, it would be a huge help from the husband to take care of the rest actively. Right from keeping the hospital bag filled and ready to go, to keeping a backup vehicle in place to take her to the hospital, maintaining a power bank to keep your phone charged, you ought to be ready for it all.
2. By Gathering the Right Information and Knowledge
To be well prepared for your wife’s labour, it is best to get acquainted with the entire process from the internet or even from your wife’s doctor. The initial stage of the labour is where the signs begin to emerge, the pains begin and delivery is imminent. The final stage is where the mother actively begins to make efforts in birthing the child, which can end in a few minutes or last for many hours.
3. By Being Patient and Accepting the Fact That Labour Can Stretch Longer That Usual
The duration of labour is different for each woman, so you have to be prepared for it. Your wife can experience labour pain for longer than usual, so the best you can do is be patient and support her throughout the process.
4. By Keeping a Lookout for the Duration of Contractions
Everyone from doctors to midwives make use of the time gap that lasts between consecutive contractions. These contractions usually continue for half a minute or so, and tend to repeat regularly. It is best to reach the hospital earlier than expected so that your doctor can prepare in time for the delivery.
5. By Learning to Distinguish Between Actual Labour and False Signs
There are certain contractions where the body is simply testing whether it is ready for delivering the child. Termed as Braxton Hicks contractions, these tend to fade away once the woman changes her body posture. If the contractions are combined with the breaking of water, cramps and repetitive pains at a specific frequency, that indicates labour for sure. And you need to be prepared to support your wife.
Ways to Help Your Wife Through Labour
Figuring out what you should pack for labour and delivery is a tough one for most husbands. Your wife needs assistance before she goes into labour, through the actual delivery, as well as a lot of care and support after childbirth has completed. So, here’s how you can help her throughout the process.
1. Before Labour
The right way to help your wife begins even before the labour has begun. Once you know the pregnancy is approaching its full term, it is time to pull up your socks. Here’s what you need to do:
Prepare a Birth Plan Together
Putting together a proper birth plan and rehearsing it can alleviate any anxious feelings or nervousness about the delivery. Plan everything, right from the route to be taken for the hospital to any medical decisions that might have to be taken such as an emergency caesarean or so. Your doctor can help you with those as well.
Keep All Supplies Ready and Good to Go
You will need many items for your wife, the baby, and yourself since you’ll be staying with her, too. For the mother-to-be, it is best to pack comfortable clothes, maternity bras, basic toiletries and essentials, some rejuvenating drinks, warm weather wear and a few fragrances or music to keep her relaxed.
The baby would require diapers, nappies, blankets and some basic clothes to keep him/her comfortable. Keep some essentials for yourself as well, and carry a camera to capture those beautiful moments. For longer stays, you can carry a book as well.
Attend Birthing Classes With Your Wife
Attending birth classes with your wife can help you understand what will happen during labour and how you support your wife during that time. Getting acquainted with the process of childbirth can reduce your own fears and make you look at it from a better perspective. If that seems difficult for you, looking at online sources or a conversation of your doctor could be beneficial, too.
2. During Labour
When labour sets in, your wife will need every ounce of strength and support to see it through. Make sure you do your best to keep her safe and strong.
Know When to Step Back
This might seem counter-intuitive but the best thing you can do is leave the delivery in the hands of the doctors and nurses there. Your insistence of being with her during the delivery could be a distraction for the medical personnel or might be against their policies. Therefore, it is best to adhere to the norms and stay available if you are needed. If your wife needs you, you can check with the doctor and be there to support her.
Memorize The SUPPORT Acronym
The rush of delivery can leave you clueless with what you might need to do. In those times, fall back to SUPPORT, which stands for:
S – support emotionally
U – urinate every hour, okay help your wife visit the bathroom frequently
P – position adjustment
P – persistent encouragement
O – out of bed is better than in it
R – relax
T – touch and massage gently
Time the Contractions
With your wife in pain and attempting to calm her contractions, you could help her in timing them. This can not only keep you engaged and allow supporting your wife but help the doctors by giving them the necessary information, too.
Stay Calm
Stay calm so that you can help your wife be calm as well. Your anxiety can only make her even more stressful. So stay calm and help her with everything.
3. After Labour
Following the childbirth, you need to not only care for your wife but also the newborn baby.
Take Time to Rest and Rejuvenate
You have been busy all this while. So take a break when you can so that you can be in a better position to care for the baby and your wife.
Share Responsibilities
Your wife will breastfeed the baby and will need time to recover. Therefore, look after the child and any other duties while she rests, parenting the little one together.
Keep Your Wife’s Spirits High
Postpartum depression is real and your wife may suddenly find herself sad and irritated after childbirth. Help her through it and bring any extreme matters to the doctor’s attention.
Don’t Forget to Celebrate
Your baby is finally here! Don’t let that beautiful news drown in the numerous responsibilities. Take some time out to smile together and look at the baby with love.
Going through some essential labour support tips for dads can help you be in a better position to be there with your wife during the entire journey. A child needs both the father and mother to grow and be a part of the family. So be there for your wife and baby, right from the start!
Also Read: Unexpected Things That Happen during Labour
Read more
10 Things You Should Know About C-Sections
While vaginal delivery is the most preferred choice for all pregnant women, it might not always be the route taken during labour. A C-section or caesarean delivery often harbours fear, curiosity, and misunderstanding. You might have even wondered if a C-section is an easier or painless option as compared to vaginal delivery. While you have plenty to know about a C-section, from videos to books, there’s always a slew of things you might not be aware of. Since a C-section is a type of surgery, we’ve asked our experts to share some unexpected truths and inside information about a C-section delivery and recovery.
But let’s look at some basics first!
What Is a C-section?
A C-section or caesarean delivery is a surgical procedure that is required when vaginal delivery is not possible or can’t be done safely, or when the health and safety of the mother and the baby is compromised. During a C-section, the baby is delivered through the incisions made on the abdominal wall and uterus of the pregnant woman (1).
When Would You Need a C-Section?
Women usually require a C-section if there are chances of complications occurring during labour in a vaginal delivery. A C-section can be planned, in which your doctor can suggest a suitable date according to your pregnancy progress. In case of medical concern, doctors might require to do an emergency C-section, which is performed when there’s a health risk to the baby or the mother, such as if the baby is in distress, the baby is in an unusual position, there’s an issue with the progress of labour, and more (2) (3).
Although a C-section is a relatively safe procedure, there are some possible complications that could arise after the procedure is done, such as infections, increased risk of respiratory distress for your baby, or complications with future pregnancies (4). It is important to know all the pros and cons before the procedure.
Things People Don’t Know About Caesarean Deliveries
Here are some things to take note of when you are about to undergo a C-section.
1. Postpartum Bleeding Will Occur Even With a C-section
Although you are going with a C-section and not a vaginal delivery, you should expect postpartum bleeding as the uterus cleans itself after the placenta is removed. It’s totally normal (5). Nonetheless, the bleeding after a C-section will be a bit less compared to that after a vaginal delivery. Do expect bleeding for several weeks, during which the colour of the blood could range from dark red to brown to yellow to white (6).
2. Post-Op Care
After the C-section, you’ll be provided post-op care and will be monitored in the recovery room for a few hours. Your caesarean will not hurt because of the anaesthesia, but you may feel a bit of a tugging sensation. You can expect to have a catheter in place until the anaesthesia subsides and you feel normal sensation in your legs to access the toilet safely. C-section recovery pain is normal but manageable with doctor-prescribed oral painkillers and anti-inflammatory medication. A support belt is also recommended after a C-section, as the abdominal muscles need support as they recover.
3. Pack That Hospital Bag Early
When you’re in the third trimester, pack that bag so you’re not scrambling. Think: nursing bras, comfy clothes, high-waisted undies, maternity pads, toiletries, and maybe a good book. For baby: diapers, wipes, swaddles, a couple of cotton onesies, a beanie/cotton cap and mittens, etc.
4. Skin-to-skin Contact With the Baby
Regardless of not giving birth vaginally, mothers can have skin-to-skin contact or kangaroo care with their babies to provide infants with necessary warmth and comfort.
5. Breastfeeding After a C-Section
If you have had an unplanned C-section delivery, your doctor may allow you more rest and recovery and be less likely to encourage you to breastfeed right after delivery. Rest assured, your C-section does not hinder your ability to breastfeed. Since a C-section is a major surgery, abdominal incision, limited mobility, and pain can add to breastfeeding difficulties (7). You may want to try favourable positions, like football hold, side-lying position, or laid-back position, for breastfeeding better (8).
If your doctor recommends more time to relax and formula feed your baby, look for one with synbiotics, which is a combination of prebiotics and probiotics.
6. What Are Synbiotics, Anyway?
Babies born via C-section don’t get exposed to the good bacteria in the vaginal canal, which can delay the growth of healthy gut microbes like Bifidobacterium and Bacteroidota (9). This might make them more prone to things like asthma, obesity, or allergies down the road (10).
Giving them synbiotics early on (especially if you’re formula-feeding) can help their gut get back on track by feeding and restoring good bacteria (11) (12).
You can look for baby formula that includes synbiotics, and additionally contains vitamins C & D, calcium, DHA and other nutrients to support healthy growth in babies up to 6 months.
7. You Might Get the Shakes and Shivers
Spinal anaesthesia (which numbs the lower half of your body) is common during a C-section, and it can make you shake or shiver uncontrollably. It’s weird but totally normal. It’s just your body reacting to the meds and temperature drop. It goes away soon after. (13). The shakes will come off as a light shiver and eventually subside as the anaesthesia wears off.
8. Worried About The Scar? Don’t be!
The incision is usually horizontal, right above your pubic area. For the first 6 weeks, just keep it clean and dry—don’t put anything on it unless your doctor says so. Incisions and stitches nowadays are a lot neater than they used to be, so it might fade with time (and a good scar cream). Either way, it is a reminder of one of the sweetest days of your life.
9. Postpartum Depression
Yes, postpartum depression or postpartum blues are real. Persistent sadness, lack of bonding with the baby, severe mood swings, and overwhelming fatigue are some symptoms of postpartum depression. The pain associated with a C-section, hormonal changes, and sleep deprivation can accelerate the chances of postpartum depression. Getting professional help, joining support groups, and talking to loved ones or professionals can help you deal with your emotional state.
10. You May Feel Swollen and Have Gas Pains
Swelling around the C-section incision, legs, arms, and hands is commonly seen after a caesarean delivery due to fluid retention and hormonal shifts in the body occurring right after birth. Postpartum swelling, also known as oedema, is normal and gradually wears off. Keep yourself hydrated, wear compression socks, and keep your feet elevated to reduce swelling.
The first few days after a C-section are indeed the most challenging, as the body goes through intense physical, emotional, and hormonal shifts. Preparing and educating yourself well, listening to your body, and accepting help when needed can help make the recovery process more manageable. Remember that every person’s pregnancy and postpartum journey is unique. Discuss any symptoms and discomfort with your doctor to make sure you’re doing what you can to make recovery smoother!
References/Resources:
1. Cleveland Clinic – C-Section
2. Mayo Clinic – C-section
3. Tommy’s – C-sections (caesareans) – everything you need to know
4. BetterHealth Channel – Caesarean section
5. Tommy’s – Bleeding after a c-section (caesarean): what to expect
6. Cleveland Clinic – Lochia
7. American Academy of Pediatrics – Breastfeeding After Cesarean (C-Section) Delivery
8. HSE – Breastfeeding after a caesarean section
9. European Journal of Clinical Nutrition – Restoration of gut microbiota with a specific synbiotic-containing infant formula in healthy Chinese infants born by cesarean section
10. Danone Research & Innovation – Supplementation of a unique synbiotics supports healthy gut development in C-section delivered infants
11. PubMe Central – Clinical outcomes following pre-, pro- and synbiotic supplementation after caesarean birth or antibiotic exposure in the first week of life in term born infants: A systematic review of the literature
12. PubMed Central – The Impact of Probiotics, Prebiotics, and Synbiotics during Pregnancy or Lactation on the Intestinal Microbiota of Children Born by Cesarean Section: A Systematic Review
13. BMC Anesthesiology – Postspinal anesthesia shivering in lower abdominal and lower limb surgeries: a randomized controlled comparison between paracetamol and dexamethasone
Also Read:
Diet After C Section Delivery
Massage After C-section Delivery
Recovering After a C-Section Delivery
C-Section Delivery – What Are the Benefits and Risks?
Read more
Impact of Birth Method on Long-Term Immunity: C-Section vs. Vaginal Delivery
As parents, we want to do everything possible to give our babies the best start in life. We think about feeding, sleep, and care, but one thing we don’t always realise is that the way a baby is born can also affect their immune system. Surprising, right? When a baby is born, the focus is often on the first cry, tiny fingers, and the joy in the room.
But little do most people know the method of delivery can have a lasting impact on the baby’s health. The way your baby enters the world plays a bigger role in their immunity than many might think. Keep reading to find out how the birth method affects your baby’s immune system and how you can support them in the best way possible.
Vaginal vs. C-Section Delivery
During a vaginal birth, babies pass through the birth canal and pick up beneficial bacteria from their mother (1). These friendly microbes start building the baby’s gut microbiome; a community of bacteria that helps with digestion, nutrient absorption, and, most importantly, training the immune system (2).
Breastfeeding adds another layer of support. Breastmilk contains prebiotics, which are special fibres that feed the good bacteria in the baby’s gut, helping them grow strong and multiply (3).
Together, this early exposure and nutrition helps to shape a baby’s natural defences from day one.
However, babies born via C-section enter the world without passing through the birth canal. That means they do not come in contact with the first natural bacteria’s present in the mother vagina (4). Instead, their early gut bacteria may be similar to the bacteria present in the the hospital, which can sometimes mean less good quality bacteria in the gut.
This difference doesn’t mean anything is “wrong”; but it may influence how the immune system matures.
Why the Gut Microbiome Matters for Immunity?
Inside all of us is something called the gut microbiome, a collection of bacteria that lives in our intestines. These bacteria help us digest food, protect us from infections, and strengthen our immune system (2) (5).
For babies, the gut microbiome starts forming even before birth. A strong and healthy microbiome helps build a stronger immune system and may even reduce the risk of allergies, asthma, and other illnesses later in life.
How C-Sections May Affect Immunity?
Babies born by C-section may have a slower start in building their gut bacteria, and that might affect how their immune system develops. Some studies suggest that babies born via C-section may have a slightly higher risk of developing allergies, asthma, and possibly infections early in life (6).
But this isn’t something to stress about. We can support their gut and immune health through smart nutrition, especially with Synbiotics.
How Do We Support the Infants Born via C-Section?
In such cases, breastmilk plays a key role. It provides not just key nutrients like fats, proteins, carbohydrates, vitamins and minerals, but also good bacteria (probiotics) and food for those good bacteria (prebiotics) which help to build gut health and also boost immunity. This is especially important for babies born via C-section. Breastmilk, is naturally rich in Synbiotics and together, they create a healthy gut environment for the baby, making digestion easier and helping the body fight infections better. Research shows that including Synbiotics in a baby’s diet at the right time can support their overall health, by boosting their immune system.
What Are Synbiotics?
Synbiotics are a powerful combination of probiotics (the good bacteria) and prebiotics (the food that helps them thrive). When taken together, they work in harmony to support a healthy gut and a strong immune system (7). For babies born via C-section, Synbiotics can help bring their gut microbiome closer to that of babies born through vaginal delivery (8).
Specific Synbiotic combinations help mimic the benefits of naturally available bacteria. These Synbiotics can be especially helpful for babies born via C-section or those with sensitive digestive systems.
While Synbiotics aren’t a replacement for the natural process of birth, they can be a valuable way to help bridge the gap, giving your baby’s immune system the support it needs during those early, important months. If your baby was born through C-section, you might want to ask your doctor about how and when to introduce Synbiotics for better gut health and build strong immunity.
Well, not every parent can choose how their baby is born, and that’s completely okay. What matters is how we support them after birth. With the right nutrition, care, and a little help from science, your baby’s immune system can grow stronger every day.
References/Resources
1. American Museum of Natural History – Building Your Microbiome from Birth
2. Cleveland Clinic – Gut Microbiome
3. PubMed Central – The Prebiotic and Probiotic Properties of Human Milk: Implications for Infant Immune Development and Pediatric Asthma
4. National Library of Medicine – Vaginal Delivery
5. Harvard T. H. Chan School of Public Health – The Microbiome
6. PubMed Central – The infant microbiome development: mom matters
7. PubMed Central – Synbiotics: a technological approach in food applications
8. PubMed Central – Clinical outcomes following pre-, pro- and synbiotic supplementation after caesarean birth or antibiotic exposure in the first week of life in term born infants: A systematic review of the literature
Read more
12 Prayers for Safe Labor and Delivery
Welcoming a new life into the world is both a deeply emotional and sacred journey. It’s filled with excitement, nervous anticipation, and above all, the hope for a safe and healthy delivery. For many expectant mothers and their families, turning to prayer during this time offers immense peace and strength. Whether you’re preparing to welcome your first baby or you’re supporting a loved one during labor, heartfelt words directed to God can bring calm amidst the storm of contractions and uncertainty.
This article offers prayers for labor and delivery that speak to courage, safety, and the miracle of new life. From short affirmations to deeper spiritual pleas, each prayer is crafted with warmth, simplicity, and genuine faith. If you’re looking to connect with the divine during this intimate season, these prayers can guide your heart and help you feel less alone.
Prayer for Peace and Calm in Labor and Delivery
During labor, it’s easy to feel overwhelmed or anxious. In those moments, quieting the heart and turning to God can bring comfort. These simple and gentle prayers offer peace and calm as you go through one of the most powerful experiences of life.
1. Prayer for Calm in the Hospital Room
Lord
Let this room be filled with your peace
Take away fear and replace it with quiet strength
Help me trust that I am safe in your care
2. Prayer for a Steady Heart and Mind
God
I know this is a big moment
But help my heart stay steady and my mind clear
Let each breath remind me you are near
3. Prayer for Childbirth Delivery With Peace
Dear Father
Thank you for this precious child
As I prepare for childbirth delivery
Wrap me in your calm and keep fear far from me
Prayer for Strength During Labor and Delivery
Labor can feel long and exhausting, both physically and emotionally. In those hours when strength feels low turning to God for help can give you the power to keep going. These prayers are here to lift your spirit and remind you that you are not alone.
1. Prayer for Physical Strength
Lord
Give my body the strength it needs to bring this baby into the world
Help my muscles work as they should and give me energy when I feel tired
Let me feel your support in every moment
2. Prayer for Inner Courage
Dear God
Labor feels hard but I know you are with me
Fill my heart with courage and my thoughts with peace
Let me keep going one moment at a time
3. Prayers for Labor With Endurance
Father
You know how much I need your help right now
These are my prayers for labor when I feel weak
Stay with me and carry me through every wave of pain
Prayers for a Healthy and Safe Pregnancy
A healthy pregnancy is something every mother hopes and prays for. During these months of waiting, every little moment matters. These simple prayers are made to ask for safety, peace, and God’s gentle hand through the entire journey.
1. Prayer for Protection Over the Baby
Lord
Please watch over this child growing inside me
Keep this baby safe and healthy through every stage
Let each day bring us closer to holding them in our arms
2. Prayer for the Mother’s Wellbeing
Dear God
Take care of my body and mind through this pregnancy
Give me strength for each day and peace for each night
This is my prayer for mother in labor and every step before it
3. Prayer for a Smooth Pregnancy Journey
Father
Guide me with your light through this path
Keep sickness and fear far from me
Help me feel your calm in both small and big moments
Prayers for a Safe Delivery and a Healthy Newborn
As the time for delivery comes closer, many hearts are full of hope and concern. These prayers are meant to bring comfort and ask for a gentle birth and a strong, healthy baby. Each one is filled with love and faith in God’s care.
1. Prayer for a Smooth and Safe Birth
Dear Lord
Please make this delivery smooth and without harm
Let the baby arrive safely and the mother recover well
Be near during every moment and bring peace to all involved
2. Prayer for a Woman in Labor and Her Child
God
This is my prayer for a woman in labor who needs your strength
Help her body do what it was made to do
Keep her and the baby safe under your loving care
3. Prayer for a Healthy Newborn
Father in Heaven
Thank you for the gift of new life
Bless this baby with good health from the first breath
Let every heartbeat and movement be full of life and promise
FAQs
1. Can I say these prayers out loud during labor?
Yes, you can say these prayers out loud in your own words or even silently in your heart. There is no perfect way to pra;y just speak from your soul and trust that it reaches God
2. Do I need to follow a religion to say these prayers
No, these prayers are for anyone who believes in love, hope, or a higher power. You do not need to belong to any religion to speak to them with faith.
3. How can partners or family members use these prayers
Partners or family can quietly read these prayers or speak them with the mother during labor it brings a sense of calm connection and shared strength.
4. Is there a specific prayer for a woman in labor I should use?
There is no single prayer for a woman in labor; just choose the one that brings comfort and feels right for the moment, and speak it from the heart.
Bringing a child into the world is a powerful and emotional journey. It is a time when many turn to faith for comfort and strength. Simple prayers can bring peace to both the mind and body. Whether you are an expecting mother or someone supporting her, these words can be a source of calm. Each prayer is a reminder that you are not alone. There is beauty in inviting God into this sacred moment. From early labor to delivery your faith can carry you through. Use these prayers as your own or as a guide to speak from the heart. Trust that every word is heard and every hope is held with love.
Also Read:
Preparing for Labour and Delivery
Complications during Labour and Delivery
Effective & Safe Exercises for Easy Labour & Delivery
Read more
Questions to Ask a Doula That Will Help You to Hire the Right One
Hiring a doula is a significant decision for expectant parents, as they provide invaluable support during pregnancy, childbirth, and the postpartum period. A doula is a trained professional who offers emotional, physical, and informational assistance to women and their partners before, during, and after childbirth. The word “doula” comes from the Greek language, meaning “a woman who serves.” In this article, we will explore the role of a doula, the benefits of having one, and provide a comprehensive list of questions to ask when interviewing potential doulas. These questions will help you find the right doula who aligns with your needs and preferences, ensuring a positive birth experience.
What Is a Doula?
A doula is a trained birth professional who offers continuous support to expectant parents throughout the childbirth process. Unlike midwives or doctors, doulas do not provide medical care but instead focus on the emotional, physical, and informational needs of the mother and her partner. Their role is to empower and advocate for the birthing person, providing personalized care and guidance.
Benefits of Having a Doula
Having a doula by your side during pregnancy, labor, and the postpartum period can have numerous advantages. Here are some of the key benefits:
Emotional Support: Doulas offer unwavering emotional support, ensuring you feel heard, validated, and understood during the entire journey.
Continuous Presence: Doulas provide continuous support during labor, ensuring someone is by your side throughout the process, regardless of its duration.
Advocacy: Doulas act as advocates for the birthing person, ensuring their preferences and wishes are respected and communicated effectively to healthcare providers.
Reduced Intervention Rates: Research has shown that having a doula present during labor and delivery can lead to lower rates of medical interventions, such as cesarean sections and epidurals.
Improved Birth Satisfaction: Doulas help create a positive birth experience by providing reassurance, comfort measures, and coping techniques tailored to your needs.
Partner Involvement: Doulas support both the birthing person and their partner, helping the partner feel confident and involved in the process.
Postpartum Assistance: Doulas provide valuable support in the postpartum phase, aiding with breastfeeding, newborn care, and supporting emotional adjustments.
Information and Education: Doulas provide evidence-based information and resources, empowering you to make informed decisions about your birth plan.
Doula Interview Questions to Ask
Wondering how to interview a doula? When interviewing potential doulas, it’s important to ask specific questions to ensure they are the right fit for you. Here are some essential questions to ask a doula in an interview:
1. Questions Related to Style/Personality/Approach
When interviewing a doula, ask these questions about their comforting techniques, communication style, and philosophy to gauge if it aligns with your preferences:
How would you describe your doula style or approach?
What is your philosophy regarding childbirth and the role of a doula?
How do you provide emotional support during labor and birth?
What techniques or comfort measures do you use to help manage pain and promote relaxation?
How do you involve the partner during the labor and birth process?
Can you share an example of a challenging birth situation you’ve encountered and how you handled it?
Are you comfortable working alongside medical professionals and respecting their roles?
How do you ensure cultural sensitivity and inclusivity in your doula practice?
What is your availability leading up to the birth and during labor?
Are you open to assisting with birth plans that include medical interventions if necessary?
2. Questions to Ask About Experience and Training
Ask the following questions to ensure they possess the necessary skills and knowledge for a positive birthing experience:
How many births have you attended as a doula?
What types of births have you attended (e.g., hospital, home, birth center)?
Do you have experience supporting births with specific circumstances or medical conditions?
Are you certified as a doula? If so, which organization provided your certification?
What other relevant training or certifications do you have?
Do you have liability insurance?
Can you provide references from previous clients?
Are you part of a doula network or have a backup doula in case of emergencies?
How do you stay updated on current childbirth practices and research?
Have you had any personal experiences with birth that have influenced your doula practice?
3. Questions About Money
Ask the following questions to discuss fees, payment plans, and any additional costs upfront to avoid misunderstandings later:
What is your fee structure, and what does it include?
Are there any additional costs, such as travel expenses or extra services?
Do you offer payment plans or sliding scale fees based on financial circumstances?
Are you available for a postpartum visit, and is it included in the fee?
What is your refund policy if circumstances change or the birth plan alters?
Are there any expenses that are not covered by your fee but should be anticipated?
4. Questions About Logistics
Addressing logistical aspects ensures a smooth and organized collaboration leading up to and during the birth, and asking these questions will help you immensely.
How do you typically communicate with clients (phone, email, text, etc.)?
What is your preferred method of contact during labor?
Will you help create a birth plan, and how involved can I be in the process?
Do you provide any educational materials or resources for childbirth preparation?
How do you handle overlapping births or being on call for multiple clients?
Will you assist with breastfeeding support and newborn care after birth?
Do you offer any postpartum follow-up or support?
5. Questions to Ask Yourself to Get the Process Started
These self-reflective questions will guide you in selecting a doula whose approach aligns with your unique expectations.
How important is it for me to have a doula present during labor and birth?
What specific qualities or skills am I looking for in a doula?
How do I envision the role of a doula during the childbirth process?
What are my expectations regarding emotional support and advocacy?
Am I comfortable with different birthing styles or approaches?
Do I prefer a doula who has experience with specific birthing circumstances or medical conditions?
What is my budget for hiring a doula, and am I open to negotiation or payment plans?
How involved do I want to be in creating my birth plan, and do I want the doula’s guidance?
Am I seeking a doula who provides postpartum support as well?
Are there any specific cultural or personal preferences I would like my doula to respect?
How important is it for me to have a doula who is available for continuous support during labor?
Do I feel comfortable with the doula’s personality and communication style?
Does the doula have a positive track record, including references and client testimonials?
Am I open to a doula who may have a different approach or philosophy from my own?
How do I envision the doula’s role in supporting my partner or other family members during labor?
So, this is a comprehensive list when it comes to what to ask a doula in an interview. By asking these comprehensive questions, you can gain a deeper understanding of each doula’s expertise, approach, and compatibility with your preferences. Take the time to evaluate their responses and trust your instincts when choosing the right doula to accompany you on your childbirth journey. Remember, a supportive and knowledgeable doula can make a world of difference in achieving a positive birth experience and smooth transition into parenthood.
Also Read:
Doula Vs Midwife
Postpartum Doula
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Bishop Score For Labour Induction
You will come across this term ‘Bishop Score’ when you are nearing your delivery date. This technique was developed by Dr Edward Bishop in the year 1960, hence the name Bishop Score. A bishop score for labour induction helps the doctor to understand your labour progression and whether or not you are the perfect candidate for induction. Read on to know more about your bishop score during pregnancy.
What Is Bishop Score?
Bishop Score is a system used by medical professionals to determine how soon you can go into your labour. It helps them to decide whether a labour induction is required and, if required, whether or not it will result in normal vaginal birth.
The Bishop score is based on a number of factors, including the ripeness of your cervix and the position of your baby. Each of these factors is given points, and it is summed up to provide you with an overall score.
Factors on Which Bishop Score Is Calculated
The below-mentioned factors will be considered while calculating the bishop score:
1. Position of the Cervix
The position of the cervix is determined to know whether it is pointing forward or backwards. When you are nearing your labour, the cervix, along with the head and uterus, moves forward as the baby descends into the pelvis.
2. Consistency of the Cervix
The consistency of the cervix is checked to know whether your cervix appears soft or firm. The cervix becomes soft just before labour. It generally tends to appear softer in the case of women who have had vaginal childbirth before.
3. Dilation of your Cervix
Dilation of your cervix refers to how much your cervix is open. The doctor measures how far your cervix is opened in centimetres; the more open it is, the better.
4. Effacement of the Cervix
When it comes to calculating your bishop score based on the cervix, effacement of the cervix refers to how thin your cervix is. Generally, the cervix is about 3 centimetres long, and it slowly becomes thinner as the labour progresses.
5. Fetal Station
The fetal station shows how far the baby’s head has reached into the vaginal canal. The baby’s head progresses into the birth canal as the labour progresses and becomes visible during the labour.
What Do Bishop Scores Mean?
The doctor calculates your bishop score after performing a physical exam and an ultrasound. A digital exam is conducted to examine the cervix, and an ultrasound will reveal the location of your baby’s head. The interpretation of the bishop score is mentioned below:
A bishop score of 8 or more means it is a good score, and your labour is about to happen soon. Even an induction will have a higher chance of success for you.
If the score is somewhere between 6 and 7, then it is unlikely that your labour will be starting soon. It indicates that your body is not prepared, and induction may or may not be successful.
A score of 5 or below indicates an unripe cervix, and it is highly unlikely that your labour will start anytime soon. An induction attempt may not be successful.
Is Bishop Score Accurate?
Bishop score is considered to be very accurate in determining the labour progression and preparation for childbirth. If you have a high bishop score, your doctor may recommend an induction, especially if your pregnancy is past the estimated due date. Meanwhile, a low Bishop score will indicate that the success of induction will be highly unlikely. In such cases, you can either decide to wait to see if the labour starts naturally or opt for a caesarean. Your obstetrician/gynaecologist will discuss your options with you and help you take the decision that’s safe for you and your baby.
An accurately calculated bishop score will help you and your doctor understand the progression of your labour. The score may help the doctor to know whether you have a good chance of vaginal delivery or not. If your Bishop score is low, then after discussing it with your doctor, you may decide to wait or go for caesarean delivery or assisted delivery.
References/Resources:
1. Faltin-Traub. EF, Boulvain. M, Faltin. DL, Extermann. P, Irion. O; Reliability of the Bishop score before labour induction at term; Eur J Obstet Gynecol Reprod Biol; PubMed; https://www.ncbi.nlm.nih.gov/pubmed/14746954, February 2004
2. Inducing Labour – NICE Guideline [NG207]; National Institute for Health and Clinical Excellence; https://www.nice.org.uk/guidance/ng207/chapter/Recommendations#methods-for-induction-of-labour, November 2021
3. Wing. DA, et al.; Factors affecting the likelihood of successful induction after intravaginal misoprostol application for cervical ripening and labor induction; ncbi.nlm.nih.gov/pubmed/12066104, June 2002
4. National Collaborating Centre for Women’s and Children’s Health (UK); Induction of Labour. London: RCOG Press; (NICE Clinical Guidelines, No. 70.) 1, Introduction; https://www.ncbi.nlm.nih.gov/books/NBK53621/, July 2008
5. NCCWCH. 2008. Induction of labour. National Collaborating Centre for Women’s and Children’s Health, Clinical guideline. London: RCOG Press. www.nice.org.uk
6. Induction of labor: Appendix 8, Bishop score; National Collaborating Centre for Women’s and Children’s Health; NCBI; ncbi.nlm.nih.gov/books/NBK53614/, 2008
7. Laughton. SK, Zhang. J, Troendle. J, et al.; Using a simplified Bishop score to predict vaginal delivery; Obstet Gynecol; 117(4):805-11; https://pubmed.ncbi.nlm.nih.gov/21383643/, April 2011
Also Read:
Is Vomiting during Labour Beneficial
Using Reflexology for Inducing Labour
Acupuncture Usage for Inducing Labour
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Top 12 Comfortable Hairstyles for Labour and Delivery
When you upload your first family picture on Facebook, all eyes will be on your newborn and then on you. The fact is that you will seem stunning to everyone else. While you may be sweaty and exhausted from labour, others will undoubtedly notice your delight and pride. However, if you want your hair to contribute to your new mom’s glow in your first postpartum images with the baby, you may want to select a hairdo that can go the distance. Are you stuck without any ideas? Continue reading to learn about natural hairstyles that work for a range of hair types. These easy hairstyles for labour and delivery will make you feel like a million bucks!
Short Hairstyles for Labour and Delivery
Short hairstyles can be a practical and stylish choice for labour and delivery. They are easy to manage, less likely to get tangled, and can stay out of your face during contractions. Here are some new and existing hairstyles that are perfect for short hair during childbirth:
1. Pixie Cut
If you currently have short hair or have always wanted to cut it short, pregnancy may be an excellent time to do it. In addition to the fact that it will most likely still look fantastic if hair gets wet or sweaty, it will most likely be extremely easy to style, and it will remain out of your face during labour; there are many more advantages to this cut. Short haircuts have the disadvantage of requiring more upkeep and, as a result, more visits to the salon than longer ones. However, after the baby is born, you may not devote the necessary time to it, and growing out a shortcut may be very inconvenient and time-consuming.
2. Cropped Bob
A cropped bob is another great short hairstyle for labour. It’s low-maintenance, chic, and can be styled quickly. This cut allows you to keep your hair off your neck, which can help you stay cool during labour. Additionally, the cropped bob can be easily refreshed with a bit of water or styling spray, making it a practical choice for the unpredictable nature of labour. The versatility of this cut also means it can be worn sleek and straight or with a bit of wave for added texture. Overall, the cropped bob is both fashionable and functional for new moms.
3. Shag Cut
A shag cut adds texture and volume to short hair, making it look stylish without much effort. It’s easy to manage and can be left to air dry, which is convenient during labour and delivery. The layered nature of the shag cut also means it can be easily tousled for a casual, effortless look. This style is particularly forgiving if you don’t have time for meticulous styling, as its inherent messiness is part of its charm. Additionally, a shag cut can help mask the appearance of greasy hair, which can be a plus during the physically demanding labour process.
Medium Length Hairstyles for Giving Birth
Medium-length hair offers versatility and can be styled in various ways to keep it out of your face during labour. Here are some new and existing hairstyles that work well for medium-length hair:
1. Braids or Twists
Braids for labour and delivery will help your hair throughout labour and delivery and may result in a look that lasts. If you’re capable of braiding or twisting your hair, this may be an excellent early labour project—something to keep you busy when your contractions haven’t started yet. If you have your hair braided professionally, you may be able to plan something a few weeks before your due date to ensure that you enter early parenthood feeling confident about your hair. Like a pixie cut, braiding or twisting your hair may help keep it out of your face during labour and delivery. One downside of this design is the difficulty in scheduling it correctly if you have it professionally done—you may go into labour before your appointment, or it could fall apart before your baby chooses to make their arrival.
2. Half-Up Bun
The half-up bun is a stylish and practical choice for medium-length hair. It keeps your hair out of your face while allowing some of it to flow freely. This style is quick to do and can be easily adjusted as needed. The half-up bun also provides the balance of feeling put-together without being overly formal, making it a comfortable choice for labour. This hairstyle can also be accessorized with clips or bands to add a personal touch. Furthermore, it allows you to keep some volume and movement in your hair, making you feel less restricted.
3. Low Ponytail
A low ponytail is simple yet effective for keeping your hair tidy during labour. It prevents hair from falling into your face and can be quickly done or undone as needed. This style is particularly useful because it can be easily refreshed throughout the labour process, requiring only a hair tie. Additionally, a low ponytail is comfortable to lie down with, which is beneficial for rest periods during labour. You can also make it more secure with bobby pins or hair spray to ensure it stays in place for longer periods.
Labour and Delivery Hairstyles for Long Hairs
Long hair can be beautiful but challenging to manage during labour. Here are some new and existing best hairstyles that will keep long hair under control during childbirth:
1. Pulled Back Hair
You may want to start labour with your hair down if you have long hair; however, you could get really angry if it gets in your face. Some important items to be included in your birth bag so that you have the option of pulling your hair back are hair ties, a brush or comb, and bobby pins or clips to gather wayward hairs. A lovely scarf knotted around your head may help elevate the swiftly pulled-back appearance, so consider tossing one of those into your purse along with your hair tie.
2. Blowout or Curly Styled
After the baby is delivered, the phrase “blowout” will take on a new, diaper-related connotation, and styling your hair is probably not the ideal hair strategy for labour. However, if you’re planning a planned C-section or surgical delivery, a blowout or meticulously styling your curly hair may be a smart choice for your hair during labour since you’re far less likely to be sweaty or damp.
3. High Bun
A high bun is an excellent choice for long hair during labour. It keeps your hair completely off your neck and face, which can help you stay cool and comfortable. It’s also less likely to get tangled. The high bun is easy to secure with hair ties and bobby pins, ensuring it stays put during the physical activity of labour. Additionally, it can be done quickly, making it a great option if you need to get your hair up in a hurry. For added comfort, you can loosen it slightly to avoid any tightness or pulling. This style also transitions well into the postpartum period, keeping your hair manageable while you care for your newborn.
4. Wrap
Pregnant women who like to keep their hair straight throughout labour and delivery may do so by wrapping their hair around their heads and wrapping it in a satin scarf. Non-stop use of the scarf will hold the hair in place and absorb any sweat that collects around the hairline. Being able to dress your hair in a beautiful, functional manner may help you feel at ease during and after your labour and delivery. What matters is that no matter what style you pick, realize that nothing can rival that radiant new mom’s glow!
5. Bead Extensions
For women with any hair type, extensions may be a perfect hairdo for labour and delivery since they are a sweat-proof solution to get a sleek, stylish, and straight look without the danger of frizz. When you use micro bead extensions, your hair is put on top of and underneath the individual hair extensions, and it may be easily integrated into the extensions after you give birth to your child. This is a glamorous alternative worth considering for ladies who want their hair to seem thicker and longer with the aid of extensions—and who don’t mind spending several hours in a salon to get the look. It takes time to get the desired effect, but the ultimate result is well worth it.
6. Low Ponytail
A low-braided ponytail is a practical and stylish option for long hair during labour. It keeps the hair secured and out of your face while also being comfortable to lie down with. This style can be done tightly to ensure it stays in place or more loosely for a relaxed look. Additionally, a braided ponytail can easily transition into other styles postpartum, making it a versatile choice.
Things to Keep in Mind While Choosing Hairstyles for Labour and Delivery
Labour and delivery can be a physically demanding and sweaty event, so you’ll want to pick a hairstyle that can handle it. Your hair might get wet from sweat, body fluids, and water during labour, so choose a style that won’t get ruined easily. Here are some tips to help you pick the perfect hairstyle for labour and delivery:
1. Comfort and Practicality
Make sure your hairstyle is comfortable and practical. Labour is intense, so you don’t want your hair to make things harder. Go for styles that keep your hair out of your face and aren’t too tight. Simple options like ponytails, buns, or braids are comfy and easy to manage.
2. Ease of Maintenance
Pick a hairstyle that’s easy to maintain. You don’t want to worry about fixing your hair all the time. Choose styles that stay in place without much fuss. A low ponytail or high bun can be secured with a hair tie and will stay put for hours. If you go for braids or twists, make sure they’re done securely so they don’t come undone.
3. Keeping Your Hair Clean
Labor can be messy, so choose a hairstyle that helps keep your hair clean. Updos like buns and ponytails keep your hair off your neck and face, so it’s less likely to get wet or dirty. Using a headscarf or headband can help absorb sweat and keep your hair in place. Braiding your hair can also keep it neat and prevent it from getting tangled.
4. Postpartum Considerations
Think about what happens after labour when choosing your hairstyle. After delivery, you’ll be busy with your newborn and might not have time to fuss with your hair. Choose a style that’s easy to manage during the postpartum period. Simple styles like a low ponytail or high bun can keep you looking and feeling good without much effort.
5. Personal Preference and Confidence
Choose a hairstyle that makes you feel good and confident. Labour is a big deal, and feeling good about your hair can boost your mood and confidence. Whether you like a sleek ponytail, a stylish bun, or braids, pick a style that suits you and makes you feel your best.
FAQs
1. Can I use hair accessories like clips and headbands during labour?
Yes, you can definitely use hair accessories like clips and headbands during labour. They can help keep your hair out of your face and add a touch of style. Just make sure they are comfortable and not too tight, as you’ll want to avoid any additional discomfort. Soft fabric headbands or simple clips can be great choices.
2. Is it a good idea to get my hair professionally styled before going into labour?
Getting your hair professionally styled before labour can be a nice treat, especially if you opt for something low-maintenance like braids or twists that can last several days. However, labour is unpredictable, and there’s always a chance you might go into labour before your appointment or the style could get messy during the process. If you do decide to get a professional style, choose something durable and easy to manage.
3. How can I ensure my hairstyle lasts through the entire labour process?
To ensure your hairstyle lasts through labour, opt for secure styles like tight braids, buns, or ponytails. Use strong hair ties, bobby pins, and a bit of hairspray to keep everything in place. Bringing extra hair ties and clips in your hospital bag can help if you need to redo your hair at any point. Additionally, consider using a headscarf or bandana to help keep your hair contained and absorb sweat.
Your body undergoes several changes throughout pregnancy, even before your baby bulge becomes noticeable. Hormone imbalance may affect not just your mood and appetite but also your hair. However, each woman is unique, and although one woman may have drier hair, another may have more oily hair. Changes in your hair’s moisture content, curl pattern, or texture may make it difficult to depend on pre-pregnancy styles. Even if you’ve managed to keep your hair up and away from your face for most of your pregnancy, an attractive, comfy, and functional hairdo will be all the more vital on the day of delivery.
Also Read:
Checklist before Baby Arrives
Dressing for Labor and Delivery
Preparing for Labor and Delivery
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IV Fluids During Labor – Important Things to Know
Giving birth and its experience differ from person to person – firstly, because your bodies are different, and secondly, because of the place and hospital you give birth in. In some hospitals, it’s a standard practice to put you on routine IV during labor, while some inject it only when the need arises.
IVs should not be administered without need. It is because an IV might turn out to be an intervention during labor. So, if the expecting mother doesn’t need an IV, it can lead to unnecessary complications.
To put everything in simple words, let us discuss everything around it. It will help you understand the pros and cons behind it. Also, you will be able to say NO in case you feel there is no need to put an IV in your scenario. Let’s get started!
What Is an IV?
The acronym IV stands for ‘intravenous. So, the IV or the intravenous line is a plastic catheter inserted in your vein (either in hand or lower arm) to pass a medication or fluid as and when required.
A woman in labor can be given an IV before, after, or during delivery. It is optional and depends on the doctor and the patient’s condition. So, let us now discuss how crucial or irrelevant the IV during childbirth is.
When Is an IV Needed?
Labor pain involves putting extreme pressure. Women also experience severe menstrual cramps during labor. So, it is a tough job to push out a baby.
And to perform this hard work, it is crucial to keep yourself hydrated. Some hospitals do not allow the expecting mother to eat or drink during pregnancy. In such cases, IV comes into the picture.
Other reasons where an IV is required, irrelevant of the type of delivery (vaginal or C-section) are:
You are required to be given antibiotics or IV pain meds during labor.
You require an epidural.
You will have a C-section delivery.
You have high-risk complications already.
In case you develop complications before or during labor, and you need medication for it.
You require Pitocin.
When Is IV Not Needed?
An IV is not required when it is given on the name of the routine protocol in labor. Some hospitals do not allow the expecting mother to eat or drink anything through the mouth. In such a scenario, the doctor says, ‘we are giving it to keep you hydrated during labor.’ Labor pains can go on for several hours. Ideally, if you have no complicated medical history and have a normal labor, and are allowed to eat and drink (as labor can be long) as needed, you will not need an IV.
Conclusively, if the reason for putting an IV is not listed in the previous paragraph, then IV is put only as a routine procedure that can be avoided.
What Are the Risks of Taking an IV?
Unnecessary hydration can pose certain risks to your body. Here are some side effects:
1. Edema
It is the swelling of the various body parts due to excessive fluid retention. The prescribed limit for IV fluids during labor is 100 to 200 ml/hour. So supposedly, if a woman goes into 15 hours of labor, it amounts to 1.5-3 liters of fluid. It can cause painful swelling in various parts of the body, including the breasts. The body already has to lose excessive fluid that got accumulated during the pregnancy term. So, hydrating beyond the limit can cause complications that last for days.
2. Challenges in Breastfeeding
Due to swelling in the breasts, the newborn will find it difficult to latch for a feed. It might also make breastfeeding a painful procedure for the mother. Due to latching difficulty, there is no proper stimulation for milk production, as is the case with a proper latch. It might force you to start using formula milk, and in turn, as the demand goes down, the body starts reducing the milk formation. In such a case, the edema makes pumping difficult even when the newbie mother tries to pump.
3. Restricted Movement
Your hand inserted with a plastic catheter might change your birthing story. It can restrict your movement in the labor room. Also, successful delivery is a result of correct hormone production in your body. If you don’t feel comfortable and safe during the birthing process, it affects your hormones too. Active labor is always beneficial, in which case, an IV can make your movements restricted. Your hand might become difficult and sore due to elongated hours of IV. This will, in turn, affect the labor.
4. Significant Weight Loss of the Newborn
It is quite evident that whatever a mother consumes during pregnancy is absorbed by the child as well. So, when the mother is injected with IV fluid, the child absorbs that too. This retained fluid poses for a dramatic weight loss in the child after delivery.
Alternatives to IV
If the reason for inserting an IV line is hydration, you can ask the doctor to eat and drink instead, on-demand. This will keep you hydrated. If the reason is administering painkillers through IV, then there are some non-medicinal ways to do the same. These days some classes train you to cope with the pain.
Keep in mind that it’s your body, and you can speak to your doctor or caregiver the way you want to give birth. Communication is the key, and the doctor will do the best for you and your child.
It will help if you trust your doctor by all means. Discuss your birth plans beforehand. Some hospitals have IV administration as a non-negotiable medication. Check with your hospital for policies related to birthing well in advance. And if putting an IV is necessary in your case, ask the caregiver to put it in your forearm. Forearm IVs are easy to move and cause lesser irritation. Have a happy birthing story!
Also Read:
Foetal Station in Labor
Entonox during Labor
Usage of Oxytocin in Labor
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What Is Cervical Lip & How It Affects Childbirth
When a woman is giving birth, her labor can be affected because of a cervical lip. This means that the edge of her cervix, usually the anterior edge, does not fully dilate during the contractions. A cervical lip in labor is usually a result of the uneven dilation of the cervix in an elliptical rather than circular manner. It may be caused by an unfavourable position of the baby in the uterus. However, one can overcome it by trying different things like waiting for some time before pushing, changing positions, hydrotherapy, or manual reduction. You can also take some precautions like avoiding vaginal examinations during labor and not letting the baby’s pushing be interfered with. Follow your body’s instincts, and you may find that your body will resolve an issue independently. Make sure that you always feel comfortable and follow your medical aid’s advice properly.
What Is Cervical Lip?
The cervix is situated at the top of the vagina and is a part of the uterus. However, it is made up of a different kind of tissue and is present in the bottom portion of the uterus, extending to the top of the vagina. During labor, the muscles in the uterus begin to contract, shortening and pulling up the cervix. As the contractions progress, they become thin, and the cervix dilates fully. As the cervix dilates, the baby rotates and descends through the pelvis. Upon dilation, the cervix gets pulled up evenly. Sometimes, a portion of the cervix, usually the anterior lip of the cervix, will not get pulled up, leading to the cervical lip. The anterior lip of the cervix is the one closer to the pubic bone and prevents the baby from passing through. Therefore, the cervical lip occurs when the cervix gets caught up between the pelvis and the baby’s head, obstructing the birth.
Causes of Cervical Lip
There is no definitive reason for the cause of cervical lip. However, there are many theories about its actual causes, some of which include:
Anatomy – Experts believe that cervical lip is common among most women because of their anatomy. The dilation of the cervix happens in an elliptical manner and not evenly in a circular manner, from the back to the front. When labor begins, the cervix points towards the back of the vagina, and dilation continues; it opens forward. Therefore, the end of the cervix is moved aside and becomes the anterior, i.e. the front part. This anterior lip usually goes unnoticed unless the woman has a cervical exam. If the cervical lip happens on the posterior lip, it is nearly impossible to detect.
Position of the baby’s head – The baby moves through the pelvis during dilation. If the baby enters the pelvic brim with its back in line with the mother’s belly, the cervix will dilate in a circle. If the baby enters the pelvic brim with its back in line with the mother’s back, it will create an uneven cervix. Some women believe that the cervical lip is caused by the uneven exertion of pressure from the baby’s head.
Pushing too early – Some believe that pushing the baby too soon can cause cervical lip. During labor, the woman has to push the baby out of her dilated cervix, and the pushing sensation comes when the baby’s head pushes on certain nerves on the pelvic floor. Therefore, pushing is not related to the dilation of the cervix. However, if the woman pushes before the cervix is fully dilated, it may lead to a cervical lip. This is why when she begins to feel the pushing sensation, the doctor will check how far her cervix has dilated so that she can avoid causing damage to her cervix by pushing early. However, there is no conclusive evidence for the same.
How Can It Affect Childbirth?
A cervical lip can hijack the pregnancy as it prevents the baby from being pushed out without obstruction. The first stage of labor is the dilation of the cervix. The first stage is complete when the cervix is fully dilated, and the second stage, which is the pushing stage, can begin. This is referred to as the active stage. Both stages last a certain amount of time, and when the body doesn’t progress in these stages, intervention is required. First, a cervical or vaginal examination is conducted, and if a cervical lip during labor is observed, the woman will usually be asked to stop pushing for some time. Otherwise, it could cause cervical lip complications. This can be painful as she has to fight against her body’s instinct to push. She may be given medication or assisted in the birth, ranging from a vacuum to a C-section.
Remedies
There are many courses of action to be taken if you have a cervical lip during labor:
1. Wait before pushing
Patience is necessary, and sometimes, your doctor, midwife or doula will ask you to wait to see if the cervical lip resolves itself. Sometimes, the lip is caused by the baby’s head being in the wrong position, and once it moves into a better position, the labor will resume. You should also let the cervix dilate fully before you start pushing, even if you get the pushing sensation and you want to relieve yourself from the painful contractions.
2. Change Positions
Change your position into something that will take pressure off your cervix or rotate the baby if it is in an unfavorable position. You can go on your hands and knees, lean forward, bring your knees to your chest or lie on your side. These positions will also help your baby rotate into a more optimal position for the birth.
3. Hydrotherapy
A tub of water can help you feel more relaxed and weightless. Floating on your back reduces pressure from the cervix. This will help relieve you of pain while you wait for the cervix to dilate. Some hospitals make use of pools during labor as they don’t have tubs. You can even use a shower, but it is not as relaxing as a pool or a tub.
4. Pushing
It is extremely painful to fight the body’s urge to push, and if you find your body pushing spontaneously, you will not be able to stop it. In such a case, please give in to your body’s urge to push, as fighting it will only cause more pain, and then there will be a need for interventions. If you find that there is a painful sensation above your pubic bone each time you have a contraction, it means that the cervical lip is being nipped against the bone, and you can take a position that will relieve pressure off of your cervix or apply pressure to the area above your pubic bone.
5. Walking
Taking long strides when you are having contractions can help shift the cervical lip. However, this can be extremely painful, so it is better to take assistance from someone while walking. If you cannot walk, lift each foot one by one, stamp it down, and then squat.
6. Manual Aid
Sometimes, the above-mentioned options can take too long, and the pain may be too severe to cope with. You can then ask the doctor to remove the lip manually. The doctor can conduct a vaginal examination and then forcibly move the cervix over the baby’s head so that it can come down more easily. It will take more than just one contraction for the baby to come down, but your doctor or midwife can coach your pushing efforts. While this is quite painful, it is effective and quick.
FAQs
1. Can a baby’s position in the womb cause a cervical lip?
Although it’s a common notion that a baby’s position in the pelvis causes a cervical lip, cervical dilation happens because the muscles at the top of the uterus shorten and pull back, which thins and opens the cervix. It is important to know that the baby’s head does not directly cause dilation; its position, however, can affect the shape of the cervical opening.
2. Can pushing early be the reason for a cervical lip?
Many people believe that women need to work hard when pushing during labor actively. Most healthcare experts suggest that when you feel the ‘urge to push,’ your cervix is fully dilated and ready for delivery. However, the sensation of pushing is triggered by the baby’s head pressing on certain pelvic floor nerves, known as Ferguson’s reflex, which doesn’t necessarily indicate full cervical dilation.
If the cervix is not fully dilated or the lip of cervix seems to appear, the pregnant woman is advised to stop pushing in order to avoid any damage to her cervix.
The cervical lip is fairly common and can be extremely painful. However, there are numerous ways to cope with the pain, and once the lip is gone, labor will progress in a normal manner. Sometimes, labor may even proceed despite the lip being present. Just be patient and follow your doctor’s or midwife’s advice carefully.
Also Read:
Cervical Mucus in Pregnancy
Cervical Incompetence when Pregnant
Cervical Insufficiency during Pregnancy
Does Cervical Length Matter during Pregnancy
Cervix & Cervical Position in Early Pregnancy
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Sheehan's Syndrome (Excessive Bleeding During Childbirth)
Sheehan’s syndrome is a medical condition that affects women who lose an excessive amount of blood during childbirth or have low blood pressure during and after labour, which can deprive their body of oxygen. The lack of oxygen that causes damage to their pituitary gland is known as Sheehan’s syndrome. Its treatment includes blood tests, scans, and hormone replacement therapy!
What Is Sheehan Syndrome?
Named after British pathologist Harold Leeming Sheehan, who first explained this disorder in 1937, Sheehan’s syndrome (SS) is also known as postpartum hypopituitarism. He explained that it develops due to ischemic pituitary necrosis as a result of uterine haemorrhage. This loss of blood following the delivery of a baby causes tissue death in the pituitary gland, resulting in almost a third of such cases. As the blood pressure dips during or after labour, the pituitary gland gets starved of blood and the required oxygen to function properly. The pituitary gland or the ‘master gland’ is located at the base of the brain and forms a part of the endocrine system. It secretes certain hormones that affect other organs like the kidneys, thyroid, and uterus.
As this gland grows bigger to almost double its size during pregnancy, it is more vulnerable to injury or sometimes called ‘shock’ during childbirth. If the pituitary gland cells are damaged or die (necrosis), the number of hormones produced by it may decrease, giving rise to hypopituitarism. In such a case, conditions such as single pituitary hormone insufficiency or total hypopituitarism can be noticed. Similarly, thyroid and adrenal glands even lose their ability to release enough hormones, and the functions of these affected organs also decline. Hence, Sheehan’s Syndrome during pregnancy is thought to be one the most common cause of hypopituitarism in pregnant women.
Causes and Risk Factors
The destruction of cells of the anterior pituitary gland due to oxygen starvation, mainly at the time of childbirth, is considered the leading cause of Sheehan’s syndrome. The presence of disseminated intravascular coagulation also appears to be a factor in the development of this condition. As the pituitary gland regulates the rest of your endocrine system, it is responsible for signalling other glands to hike up or lessen the production of the hormones that control vital processes like fertility, blood pressure, metabolism, breast milk production, among others. Hence if the pituitary gland fails to produce any of these hormones, they can cause different types of problems throughout the body. The pituitary gland consists of two lobes, the anterior lobe and the posterior lobe. The hormones produced by the anterior lobe that are affected by Sheehan’s syndrome are:
1. Prolactin
Prolactin hormone stimulates the production of breast milk.
2. Growth Hormone
This hormone regulates the growth of most cells in the body, including bone growth, and is responsible for maintaining muscle mass.
3. Thyroid-stimulating Hormone
This hormone stimulates the thyroid to produce the thyroxine and triiodothyronine hormones.
4. Follicle-stimulating Hormone and Luteinizing Hormones
These gonadotropin hormones regulate the functions of the ovaries for sexual reproduction.
5. Adrenocorticotropic Hormone
This hormone regulates the production of glucocorticoids like cortisol or stress hormone by the adrenal cortex.
6. Luteinizing Hormone (LH)
In women, LH stimulates estrogen that is responsible for ovulation.
Risk Factors
Any condition that increases the risk of haemorrhage or severe bleeding, or low blood pressure at the time of childbirth can increase the risk of Sheehan’s syndrome. The main risks are to women who are pregnant with multiple babies or have placental disorders like placenta accreta or placenta previa.
Symptoms of Sheehan’s Syndrome
The symptoms of Sheehan’s syndrome may vary from one person to the other and may not be detected early. In rarer and much more serious cases, the symptoms manifest themselves right after a child’s birth. Some of the common symptoms are:
Dry skin
Early ageing
Fatigue
Loss of axillary and pubic hair
Wrinkles around the lips and the eyes
Constipation
Irregular menstruation or oligomenorrhea
Thinning of the vaginal lining
Weak muscle strength
Weight gain/weight loss
Loss of pigmentation
Decreased libido (lack of interest in sex)
Constipation
Hot flashes
Insulin sensitivity
Inability to resume menstruation (amenorrhea)
Low blood pressure
Reduced breasts size
Tachycardia or irregular or fast heartbeat
Inability to lactate (milk is not produced, and the mother is not able to breastfeed)
Diabetes insipidus (kidneys produce an abnormal amount of urine)
Complications
Since pituitary hormones control many aspects of our metabolism, Sheehan’s syndrome can cause complications that include:
Irregularities in the menstrual cycle
Adrenal crisis (adrenal glands release very less amount of the hormone cortisol)
Unintended weight loss
Low blood pressure
The most serious complication is the adrenal crisis, which usually occurs when our body is under extreme stress like surgery or any serious illness. During this time, adrenal glands produce too little of a powerful stress hormone (cortisol). This sudden and life-threatening state can further lead to extremely low blood pressure, coma, shock, or even death.
Diagnosis of Sheehan’s Syndrome
Diagnosing Sheehan’s syndrome can be difficult as most of its symptoms overlap with other conditions. A diagnosis of Sheehan’s syndrome is usually made through Sheehan syndrome lab tests, when a woman has symptoms of hypopituitarism and medical history of abnormal bleeding during childbirth. Diagnosis of Sheehan’s syndrome is mostly done by:
1. Medical History
It’s important to inform your doctor about any complications during childbirth, no matter how long ago you gave birth. Whether you faced any lactation problem or failed to begin menstruating after delivery which are the two key signs of Sheehan’s syndrome.
2. Blood Tests
Blood tests can be done for chronic cases to detect the levels of the pituitary gland or other hormones.
3. Pituitary Hormone Stimulation Test
Stimulation testing of the pituitary hormones involves injecting hormones and running repeated blood tests to determine the response of the pituitary glands. This test is typically done by endocrinologists who specialize in hormonal disorders.
4. Imaging Tests
Imaging tests, such as an MRI scan or CT scan, can check the size of your pituitary gland and look for other possible reasons for your symptoms, such as a pituitary tumour which is the primary cause of hypopituitarism and its attendant symptoms.
Treatment
Lifelong hormone replacement therapy is used to treat Sheehan’s syndrome just as regular hypopituitarism. In such a case, the hormone levels in the patient are evaluated to determine if a patient needs hormone replacement therapy, as this varies from one person to the other.
1. Estrogen and Progesterone
The doctor cannot evaluate these hormone levels until the age of menopause if they are still needed. In cases of removal of the uterus (hysterectomy), only estrogen will be prescribed, and a combination of estrogen and progesterone (if you still have your uterus) is given. Oral contraceptives are one of the common ways these hormones are replaced.
2. Thyroxine
Thyroxin is administered to replace the thyroid hormone. Levothyroxine is usually given to boost deficient thyroid hormone levels.
3. Cortisones Like Prednisone and Hydrocortisone
Corticosteroids are given to replace adrenocorticotropic hormones (ACTH).
4. Growth Hormone (GH)
The improvement of muscle to fat ratio, body mass index, and lowering of cholesterol levels can also make you feel better but may include joint pain and fluid retention.
Can It Be Prevented?
It is important to consult a doctor immediately if you have Sheehan’s syndrome as living with Sheehan’s syndrome untreated can be life-threatening. Hormone replacement therapies form the main basis of treatment as they are quite successful. For women who have Sheehan’s syndrome but wish to conceive, they should discuss their fertility options extensively with their gynaecologist or even consult a reproductive endocrinologist who specializes in fertility. Effective measures for the primary prevention of Sheehan’s can also be perinatal monitoring, prevention of pregnancy-related complications, maternal awareness about Sheehan’s syndrome and risk factors causing it, and post-puerperal follow-up.
With the development of science and improvements in obstetric practices, the frequency of Sheehan’s syndrome is certainly on the decline worldwide as it has become less common among women. But if you are affected by this condition, you must speak to your doctor and start with the treatment immediately!
Also Read:
Ways to Prepare for Childbirth
Interventions during Childbirth
How to Cope from Prodromal Labour
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Uterine Tachysystole During Pregnancy – Risks and Treatment
When you’re pregnant, you can’t wait for the moment to meet your little one. In your last leg of pregnancy, you might worry about contractions, but also wait for it with the hope that they dilate your cervix enough to allow the baby to descend to the birth canal.
But contractions are quite tricky; they might make you wonder if they are a sign of false labor or real labor. Furthermore, if you have too many contractions, you will want to know if that’s normal or not. Let’s understand what happens when a woman has abnormal or excessive contractions, also referred to as uterine tachysystole.
What Is Uterine Tachysystole?
Here is the tachysystole definition. Normally, contractions during labor may last for 60-90 seconds. The term uterine ‘tachysystole’ was adopted in 2013 to describe the condition where one experiences around 5 contractions in a span of 10 minutes when in labor. It is the condition where a woman in labor experiences excessively frequent or intense contractions.
It commonly occurs in situations where certain labor-stimulating medication such as oxytocin is given. The medication may provide the woman with the hormone oxytocin, which stimulates the contractions in the uterus during labor. Oxytocin is thus vital to labor and delivery, and it may be administered in its synthetic form. However, an adverse reaction or incorrect dosage can lead to uterine tachysystole.
Tachysystole can cause severe pain and discomfort to the mother, have effects on the umbilical cord and affect the child’s health. Due to tachysystole, the child will not receive the necessary supply of oxygen from the placenta, interfering with the development of the baby in a healthy manner (1).
How Common Is Tachysystole?
The research on uterine tachysystole is fairly limited. However, it is a commonly observed condition. As per the research paper of the American College of Obstetricians and Gynecologists, among 50,335 deliveries, 7,567 instances of uterine tachysystole were observed (2). Tachysystole usually occurs in women who have been administered labor stimulating medication.
Causes of Tachysystole While Pregnant
While there is no conclusive research to determine the causes of uterine tachysystole, it is believed that there are certain factors that increase the likeliness of the condition. These conditions are (3):
Using labor-stimulating medication like misoprostol or oxytocin. Studies have shown that the use of oxytocin increases the chances of experiencing uterine tachysystole by two times.
Using epidural to manage pain during labor.
Induction of labor through medication causes tachysystole uterus because labor stimulants tend to make the contractions longer and more frequent. Incorrect administration of these medicines can result in tachysystole.
Hypertension
Preeclampsia
Risks and Complications
Uterine tachysystole is not inherently dangerous, but it poses several risks to the health of the baby if it is not managed properly, causing significant birth injuries. It has been associated with fetal heart rate issues, reduced fetal oxygenation, placental abruption, and the increased likelihood of having to stay in the neonatal intensive care unit.
1. Changes in Fetal Heart Rate and Oxygen Supply
As per the report published in the American Journal of Obstetrics and Gynaecology, uterine tachysystole heart rate issues in the fetus are common, but they don’t necessarily indicate an adverse outcome for the baby. The umbilical cord is the source of oxygen and blood for the baby, and during tachysystole contractions, this flow tends to reduce or stop. The period between contractions is therefore important to keep the flow going. When the contractions become excessively frequent and intense, there is not enough time for the placenta to relax, reducing oxygen supply to the fetus and decelerating its heart rate. The supply of oxygen is critical to the baby’s life, and tachysystole may result in asphyxia leading to brain injury, hypoxic-ischemic encephalopathy, or seizure disorders. The baby may also suffer from fetal acidosis, which means that the acid levels in the brain increase, causing brain injuries like cerebral palsy.
2. Uterine Rupture
A severe case of uterine tachysystole can result in a uterine rupture. This means that the fetus may be expelled from the womb into the mother’s abdomen, posing severe risks to the life of the baby and its mother. Uterine rupture can result in severe blood loss and its related complications for the mother. And for the baby, it will hinder oxygen supply and cause asphyxia, cerebral palsy, hypoxic-ischemic encephalopathy, fetal acidosis, or other such complications.
3. C-Section Birth
As per a study published in the Journal of Maternal-Fetal & Neonatal Medicine, it was found that due to the heart rate issues that the fetus has to face during uterine tachysystole, a woman’s chances of having a C-section birth may increase (4). This also means that their baby will be in need of being placed in the neonatal intensive care unit.
How Is Uterine Tachysystole Diagnosed?
Uterine tachysystole is diagnosed by tracking contractions and checking the baby’s heart rate during labor. Doctors look for:
Too many contractions – More than five in 10 minutes (measured over 30 minutes).
Long contractions – A single squeeze lasting two minutes or longer.
Too little rest between contractions – Normal-length contractions happening less than a minute apart.
Doctors check for this problem in two ways: First, they use monitors on the mom’s belly or sometimes a small tube inside to watch the contractions. At the same time, they keep an eye on the baby’s heartbeat to spot any signs the baby might be in trouble – like not getting enough oxygen or having blood that’s too acidic.
How Is Tachysystole Treated?
Uterine tachysystole should be managed and treated in an effective manner to prevent any life-altering critical consequences to the mother or baby.
If labor-stimulating medication is being used, the medical practitioner should ensure that they closely monitor the condition of the fetus so that they can identify any complications as and when they arrive. They should monitor the oxygen levels, hydration, changes in positions, and even consider medical intervention where necessary.
If a woman has previously suffered from tachysystole or has been experiencing excessively frequent contractions, her medical records should be examined so that the best course of action can be determined.
If the mother begins to show signs of tachysystole, the administration of labor-inducing drugs should be stopped immediately. The medical practitioner should not wait till the baby also begins to exhibit symptoms.
The woman should change her position with support and lie in a lateral position. Provide the mother with sufficient oxygen and increase her dosage of IV fluids if necessary.
If there has been a uterine rupture and a C-section delivery is necessary, medications for fetal resuscitation should be administered to prevent any permanent damage to the fetus.
FAQs
1. Can uterine tachysystole occur without labor-inducing drugs?
Yes, while it’s most common with medications like Pitocin or Cytotec, uterine tachysystole can also happen during spontaneous labor. Factors like maternal dehydration, preeclampsia, or fetal distress (e.g., from abnormal positioning) can trigger excessive contractions even without induction drugs.
2. Does uterine tachysystole always harm the baby?
Not always. While it can lead to oxygen deprivation (hypoxia) and complications like cerebral palsy, studies show that tachysystole early in labor (remote from delivery) may not always cause adverse outcomes. Harm depends on duration, fetal resilience, and whether medical teams intervene quickly.
3. Why might doctors continue Pitocin despite tachysystole?
In some cases, they may lower the dose rather than stop it entirely, especially if labor progress is critical. However, failing to adjust or discontinue it when fetal distress appears could be considered negligence.
Uterine tachysystole can be detrimental to the health of the mother and the life of the baby if it is not managed adequately. The impact that it has on the fetus is critical and life-altering, and therefore, it must be diagnosed and treated in time.
Also Read:
Heartburn in Pregnancy
Irritable Uterus During Pregnancy
Irritable Bowel Syndrome (IBS) While Pregnant
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What Is a Doula? Their Role, Benefits, and How to Hire the Right One
Like many expecting women, you probably would have planned your labour and birth with great detail. While no labour is smooth sailing, what makes it a more positive experience is to have trusted people who can meet your emotional, physical, and informational needs when you are in the middle of it. It could be anyone – your partner, family member, or even a friend. A growing trend lately is to hire doula services to help with labour. Doulas are a part of the birthing team present with you as your support throughout the whole process. This article explains who a doula is, what she does, and how to hire one.
What Is a Doula?
Doula is a Greek word that means “a woman who serves.” Doulas have been part of childbirth around the world for centuries, and in the modern day, they are trained and certified birth coaches who play the role of the “mother of an expectant mother.” There are different types of doulas, such as birth, postpartum, and antepartum doulas, who provide various services, ranging from emotional to physical support (1).
The main role of doulas is to give you continuous support, comfort, and encouragement during pregnancy, labour, and after childbirth (2). Unlike your OB/GYN or midwife, they do not possess any medical training. A doula’s purpose is to be a comforting, soothing voice that guides you through breathing exercises and relaxation techniques, along with advice on labour positions, and more. Doulas can also act as a mediator between you and the hospital staff, and can patiently explain the medical procedures and what comes with them (3).
Your doula will visit you before your due date and tell you the process of labour and delivery in order to ease your anxiety and make you more comfortable with what is to be expected. She can also offer a number of non-medical pain management methods such as massages, reflexology, aromatherapy, and chants. She will try to find the right combinations that work for you and help you prepare for the big day.
Types of Doulas
Doulas specialise in a number of areas, such as:
1. Labour/Birth Doula
The birth doula is a doula’s traditional role. She stays with the mother during labour and supports her through childbirth. First, she will meet the pregnant mother or the couple several times before childbirth to understand the mother’s expectations, preferences, and goals. She will be available to assist when the mother goes into labour. Some birth doulas also work with hospitals, and only join during labour if the mother requests a doula. Birth doulas normally maintain close contact with the family in the days following the birth, and even visit the family once a week or two (4).
2. Postpartum Doula
The postpartum doula has the job of supporting the new mother and her family in the first few weeks after the baby is born. The job might sometimes be done by the birth doula as well, who wishes to continue helping the mother after childbirth. If working exclusively as postpartum doulas, they will be called and put on standby when the baby is born. Upon arrival, a doula’s duties will involve assistance with breastfeeding, emotional support for the mother, physical help such as preparation of meals, child care, laundry, housekeeping, running errands, and looking after older kids.
3. Antepartum Doula
Antepartum doulas are a bit more specialised and help pregnant women with high-risk pregnancies. They provide emotional and physical support to these women who are undergoing a difficult pregnancy, and help them become comfortable with their condition. The doulas also help in preparing the mothers mentally for their birthing experience, so they won’t be too anxious as the days get closer. They also offer plenty of knowledge and information about what to expect, as well as positive reinforcement. Some of them even transition into birth doulas during labour and postpartum care.
4. Sibling Doula
The sibling doula stays with the older children of the mother who is going to give birth, and looks after them when the parents are busy. She may also be experienced in childbirth, and helps children understand what their mother is going through, and puts them at ease if they are tense or worried. She will also prepare them for the new baby’s arrival and what to expect, along with the changes that are about to happen in the family, in the most comfortable manner. The sibling doula will meet with the family a few weeks prior to the due date to get to know the children and become comfortable with them. She will remain with the siblings throughout the childbirth, and may even handle their transportation and care when the parents are unavailable.
5. Bereavement Doula
A bereavement doula is tasked with comforting mothers who are anticipating or experiencing a loss of pregnancy, such as a miscarriage, a stillbirth, or a terminal diagnosis during pregnancy. They are responsible for providing informational, physical, and emotional support, both as a friend and a mentor, to help them cope with their journey of loss. The support might continue throughout pregnancy, birth, and after the loss.
What Are the Benefits of Having a Doula?
Doulas offer a lot of benefits for mothers and families who are expecting a child (5).
1. They are professional labour assistants.
Doulas visit prior to the due date to get to know the mother and their family so they can build a rapport and a bond with them. They offer information and guidance during the last few weeks before delivery, and are always available when needed. During labour, they will be by the mother’s side to explain the procedures and steps, which the other staff may not have time for. They also give massages, emotional reassurance, and assistance throughout all phases of childbirth.
2. They provide continuous support during labour and delivery.
The primary role of the doula is to provide support to the mother during labour and delivery, so that her experience is not stressful. It has been seen that the presence of doulas decreases the need for pain medications, the length of labour, and negative experiences during childbirth. Research suggests that pregnant women who have support during labour and birth are less likely to have a cesarean section, an assisted birth, or longer labour.
3. They provide support for the whole family.
Doulas are trained to be emotional and physical supports for the whole family. They stay with older children and take care of housekeeping to assist the family before and after the delivery. They will work at their best to ensure that the new birth is not stressful for the whole family.
Roles and Responsibilities of a Doula
It’s important to understand that, unlike doctors and trained midwives who have years of medical training, doulas do not perform medical procedures of any kind. So, what does a doula do? Their role is to make the space feel safe for the woman in labour and help her cope with the stress of childbirth. They could also be monitoring who enters the room, and giving assurance to the mother with her presence. Doulas are also of tremendous help to young first-time mothers, or those who have no family to guide them through the labour and delivery process. They can offer information and simple but highly helpful tips to make up for the lack of guidance and support for mothers without a family.
Training and Certification
Since they do not perform any medical procedures, doulas don’t need to have a certification. However, a certified birth doula with many hours of training and practical experience can offer a better sense of security to women. One of the most popularly known certifications for doulas is given by DONA International, which offers practical, hands-on training for doulas.
Questions to Ask a Doula
Before hiring a doula, you can have an interview round to understand her competence and compatibility with your family. Here are a few questions that you can ask her:
How many births have you assisted?
Are you certified by a well-known organisation? If so, may I see the certification?
What is your philosophy of childbirth and motherhood?
Why did you decide to become a doula?
How would you describe your style, and how is it similar or different from others?
Do you attend at-home births along with hospitals? Are there any centres you don’t go to?
How does your pricing work? What happens if I am taken to an emergency C-section, and labour support is no longer required?
Do you meet with me prior to the birth and stay afterwards to continue your services?
Do you have any reviews, and is it possible to speak to any references you may have?
How to Find the Right Doula
The best way to find a doula is through referrals or word of mouth. You could look at high-rated agencies that offer doula training and services. What’s more essential is that you have good chemistry with the doula, as it can be counterproductive to hire a trained doula with whom you have no chemistry or good energy. Start around the third trimester to give yourself ample time to search for one, and start with those candidates who have a similar approach and philosophy as you do. You can look for training, certifications, experience, availability, services offered, fees, and conversational compatibility while selecting a doula (6).
Have clear expectations about the types of services you need, and where to draw the line and interview the prospects on the same lines. If you see any major red flags, such as strong opinions about the philosophy of childbirth or a history of conflict with health centres, those are the ones you should reject.
How Much Do Doula Services Cost?
The cost of a doula can vary depending on the region and can range from $800 to $2,500. The average is about $1,200 around the country. Doula prices are variable. Some of them have a flat price, while others charge by the hour. While having a doula is an extra expense you will incur, many insurance companies cover the costs as part of the plan. Call their benefits department to learn more. You will probably have to pay them first, and then submit a claim for reimbursement.
FAQs
1. What are the disadvantages of having a doula?
Along with benefits, the Cleveland Clinic lists some limitations to having a doula, such as (7):
Doula services are not cheap. Not many insurances cover doula services, so it is essential to check with the insurance provider.
Sometimes, the compatibility with the doula might be difficult to achieve as the values and principles might be different between the pregnant woman and the doula.
Many hospitals or birth centres do not allow more than one person in the delivery room. Choosing the right person to be in the room between the doula and the partner can be difficult.
2. What is the difference between a doula and a midwife?
A midwife is a medically trained professional who is qualified to deliver babies during low-risk births. They can prescribe medications but cannot perform surgeries, like C-sections.
A doula is not a medically trained professional, cannot prescribe medication, and cannot provide treatment. They are more of a trained birthing companion who takes care of the physical and emotional needs of the pregnant woman (8).
3. Can doulas deliver babies?
No, doulas cannot deliver babies or provide treatment during pregnancy or delivery. They can only provide support during birth.
4. Does insurance cover doula benefits?
The cost of a double is not usually covered in insurance. When taking one, you may check with your insurance provider to make any adjustments or if they offer one.
Doulas are birth support coaches and are present to help you with your labour and delivery. They do not have medical training and cannot suggest or impose their views on the process. There are different types of doulas who perform a range of tasks, starting with looking after older siblings and helping with the baby during the first few weeks of delivery. Do your research well if you are looking for a doula, and hire one who feels like the best fit for you and your needs. All the best!
Also Read:
Labour & Delivery Stages
Midwives Brew to Induce Labour
Who Should You Hire: Doula or Midwife?
Who Is Right for You, Ob-Gyn or Midwife?
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Obestetrician vs. Midwife – Who is Right for You
Many to-be moms may often be confused whether they should consult an obstetrician or a midwife. Both professionals are well-versed in prenatal care and offer similar services. Albeit, they may offer different philosophies and advice about labour and birth. In some situations, one may well be working with both an obstetrician and midwife.
It is important to find a prenatal provider that gives you the right service along with making you feel comfortable and being involved throughout your pregnancy. Everyone is involved in working for a pregnant woman to make childbirth a smooth and safe experience.
What is the Difference Between Ob-Gyns and Midwives?
You are looking for a trusted and reliable medical professional to help navigate through your pregnancy with a lot of care and compassion. It is a personal choice and decision to choose between a midwife or an ob-gyn.
1. Qualifications and Certifications
An obstetrician and gynaecologist care for women during the pregnancy and deliver the baby, too. They have to complete four years of medical school followed by a four-year residency program and a three-year fellowship. Certified midwives possess a master’s or doctorate degrees in nursing. They also hold a board certificate in midwifery. They work as part of the health care team ( obstetrician, gynaecologist, and health care centre) to meet the needs of pregnancy. Some midwives complete their bachelor’s degree, work as registered nurses, and then go back to school for a two or three year’s master’s degree in midwifery. Both obstetricians and midwives are licensed and regulated by the states in which they practice.
2. Services
Midwives deliver babies in a hospital and birth centres. They work closely with the health care team to work out a care plan if needed. Many midwives also offer consultation services after childbirth, annual check-ups, birth control, and menopause care. Midwives use technology and are comfortable with it but mostly rely on their clinical experiences to guide them to childbirth.
Obstetricians manage high-risk pregnancies and any complications that arise during the course of pregnancy and labour. If you have had an obstetrical history or any other medical conditions, an obstetrician will be able to help with any issues or complications. Obstetricians deliver babies in hospitals and perform caesareans ( C-sections). Obstetricians use interventions like episiotomies, epidurals, and instruments like ventrose and forceps
3. Cost and Payment
The midwife vs OBGyn cost is covered by health insurance covers. The cost or payment is dependent on where you deliver and what type of delivery you have. There are different levels of coverage provided with different covers. C-sections and vaginal deliveries entail different costs and it is best to check with your insurance provider about the cost involved with respect to choosing an obstetrician and midwife.
Obstetrician vs. Midwife – How to Know Whom to Choose
Most people say that choosing between a certified nurse-midwife vs OBGyn boils down to what you need. If you are struggling with making a decision, there are some major aspects that need to be considered when choosing between a midwife or obstetrician.
1. What is Your Priority- Vaginal Birth or C-Section?
Midwives, as professionals, support vaginal birth. Obstetricians perform C- sections and rarely perform vaginal deliveries. It is important to check with the obstetrician about the rate and philosophy behind C-sections. You should also make sure that your health care provider supports vaginal birth.
2. Are You Looking for a Caregiver to Be With You During Labour?
Nurses and midwives offer a lot of labour support. They tend to spend more time with patients than physicians, as physicians get called to so many different places. If you have a doula (trained staff to support you through labour and delivery), then this may not be of high importance to you.
3. How Do You Intend to Manage Labour Pain?
Midwives are not trained to offer pain management techniques, and many patients ask for them during labour. This necessitates intervention by an obstetrician. Midwives usually offer alternative pain management techniques like acupressure, showers, massage, birthing ball, or homoeopathy. If you need quick relief from pain, then an obstetrician is the right person for you.
4. Protocol at the Hospital
Midwives do not expect women in labour to be lying down with IV tubes running through their veins. They encourage patients to move around and monitor the patient intermittently. Obstetrician gynaecologists, on the other hand, may keep their patients on bed rest with an IV hooked to a foetal monitor, and continuously monitor their progress. It is important to check with the hospital about the policies for childbirth to match your expectations.
5. What Kind of Support Are You Looking for Post-Delivery?
Midwives offer a lot of postnatal support in the form of nutrition, exercise, emotional support, and changes that accompany becoming a parent. So, if you are looking for additional support, then you can choose who you want.
6. What is the Risk Level of Your Pregnancy?
Are you are a high-risk of developing complications because of a previous delivery or other medical complications? Medical conditions like diabetes or multiple births would require the expert services of an obstetrician. Some midwives manage high-risk patients and work with obstetricians to deliver a baby. Who will finally deliver the baby depends on your medical circumstances.
7. Gut Instinct
Ultimately, your gut instinct will not fail you. You know your body the best, your medical condition, and your comfort level. It would help to meet different doctors, midwives, and health care centres to gather as much information as you can, and then make a decision based on where you feel safe and supported.
Is Hiring a Midwife a Good Option for Your Second Baby?
Many mothers think that if they have had a C-section the first time around, they may need an obstetrician the second time too. But it is not always so. A midwife could be a good option for your second child, even if a C-section has been recommended. Midwives will not perform the surgery but do have an expert to advise you and support you through the process. A vaginal delivery can be possible after a C-section and it is worth having a discussion with your midwife or obstetrician about the possibility. Vaginal birth after C-section is a decision that is often dictated by the hospital. Midwives can make a decision about home births.
An obstetrician can be involved in a high-risk pregnancy or if there are any medical issues. In case there is an emergency and a C-section is needed, you can be at ease because you are in the hands of a trusted surgeon. Midwives are fully able to handle a low-risk pregnancy. Midwives are a great option for women who are looking for a holistic approach to pregnancy and want services from start to finish. Even if you are in a high-risk pregnancy arena, you can still consult a midwife as they have a wealth of information to offer. They can offer various kinds of advice for medical intervention.
The pros and cons of choosing midwives or obstetricians are existent in terms of prenatal care, labour, and delivery. There is no right or wrong choice. It all depends on one’s specific circumstances, comfort level and expectations. As in the case with any medical decision, it is important to do your research, talk to providers or insurance companies, and finally rely on your gut instinct to make the decision.
Also Read:
Difference Between Doula Vs Midwife
How Can Husband Support Wife during Labour & Childbirth
Labor & Delivery Stages
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First Meeting With My Bundle of Joy In This Tough Situation
Its Saturday 8th of august and we have an appointment with our gynaecologist for a regular checkup. I am in my 38th week of pregnancy. The doctor checked the heartbeat of the baby. He told me everything is normal and asked me to come back after seven days for another regular checkup. That day I was not feeling well; despite the stomach and backache, we travelled 10km for the checkup. When I came back home, we had lunch, and I fell asleep. When I woke up, it was already 7 pm.
I freshened up, and we all had dinner. The pain triggered after taking a walk, so I returned to bed, and around 12 am. My labour pain had started. Due to the pandemic, there was a shortage of beds in the hospital. We waited until 6 am and then rushed to the hospital. Within 2 hours, I delivered a cute little baby boy.
However, the hospital allowed only one person with the patient there. I felt discomfort as only my mother was with me; my father and my husband waited outside the hospital in the rain. The very next day, the doctor discharges us from the hospital.
But I faced problems breastfeeding. Despite the rainy season and due to the pandemic, the hospitals were allowing only limited patients. Still, we went to the doctor when my baby was only 15 days old. It was very tough to take the baby to the hospital because I wasn’t giving formula milk to the baby, so we had to take him along. The best thing was my husband is with me in every situation. After all of this, when my husband and I saw our bundle of joy, we forgot all the problems and thought whatever we have gone through in this situation, everything is worth it.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her.
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Who Should Be in the Delivery Room – Tips to Decide
Finally, the time for your baby’s arrival is here! Apart from planning things like your hospital bag, favourite pillow, soothing music, you will also have to take some other important decisions, which can include decisions like- who should be with you in the delivery room, your partner, your best friend, your sister, your mother or someone else! Well, it may appear to be an easy decision but you may have to put in some serious thought into it, and this article shares important tips on making this utterly important decision. Read on to know more!
How Many People Can You Have in the Delivery Room – Factors to Consider
Before you make the decision of who should be with you in the delivery room, here are some important factors that need consideration:
Rules and Regulations of the Hospital
Most hospitals have visitor rules during delivery, which means restricting the number of people in the delivery room. Usually, hospitals allow three people (along with the mommy-to-be). However, the rule does not apply to all the hospitals. Some hospitals may allow just two people in the room and some may simply leave this decision on the doctor in-charge. Well, the idea is to give enough room to the doctor and the delivery team to move freely in the room. Therefore, it is best to check the hospital rules and regulations on the same to avoid any embarrassment later.
Discuss With Your Husband and Make a List of People
After checking with the hospital about the number of people that are allowed in the delivery room, you should discuss and talk about your preferences with your husband. You both can come up with a list of people who can be in the labour room with you. If you wish to have more people to be with you during the process, you can have them turn by turn and share your incredible birthing journey with them. However, make sure you discuss your plan with your delivery team to avoid any confusion during the changeovers.
In Case of Caesarean Delivery
If you have a planned c-section or the doctor decides to go in for an emergency caesarean delivery, only your partner or one person may be allowed inside the operation theatre along with the medical team. For a planned c-section, you can decide in advance about who can with you in the operation theatre. However, in an unlikely event of an emergency c-section, it will be a great idea to plan in advance about who can accompany you for the delivery of your baby.
Need of People at Different Stages of Labor
If you are planning on sharing your birthing experiencing with more of your loved ones, you can plan to have different people at different stages of your labour. On the other hand, you can simply plan to have different people at different stages because you may feel more comfortable with your mother or sister during the initial stages of labour and your partner in the later stage. If this is what you plan to do, you should discuss the same with the people involved in the decision. It will not be a sane thing to do to make such decisions in the delivery room. Also, you can convey your decision to the delivery team to avoid any ambiguity or confusion during the change over the phase or on seeing new faces in the delivery room.
Need for a Doula
You can also include an outsider with expertise in childbirth, such as a doula. Though a doula is not a professional, she can be someone who can provide you with emotional and physical assistance throughout the birthing process. She can help in communicating with the nurse or doctor, addressing opinions of different people in the birthing room, answering your queries, and providing you with other kinds of birthing support that usually family members or friends may not be able to provide. It is important that you check with your doctor whether a doula can accompany you in the delivery room, as some hospitals may have restrictions regarding allowing a doula inside the delivery room. You should also check whether or not your insurance plan covers the fees for a doula as in absence of any such provision, you will have to bear the cost. Also, hiring a doula can actually prove to be fruitful in your delivery journey, as a few studies state that these kinds of assistants in the delivery room may not only decrease the chances of using pain medicines and lower the labour hours, but also lower the chances of a caesarean delivery.
Children and Small Kids
Most mothers want to make the birth of their baby a family affair and may want to include their other kids in the birthing process of the new member of the family. While kids may not be excluded from being in the delivery room, if the child is too young, it will be a good idea to orient the child about the entire process beforehand and also prepare the child mentally, in case any kind of emergency situation that arises. If you are thinking of adding your child into the list of people who can be present with you in the delivery room, you should bring it up with your nurse or doctor and, in most cases, they will be happy to accommodate your request.
Birth Photographer
In today’s digital age, people wish to seal each and every special moment of their lives in photographs. If you too are planning on hiring someone to capture the miracle of childbirth for you, make sure you choose someone who is a professional in taking birthing pictures. This is because someone who knows his job properly and has done it before knows that he needs to maintain a safe distance at all times and take proper measures to not disturb the delivery staff during the process or otherwise. Having a photographer in the delivery room has to be a deliberate decision because he will be replacing one of the family members. Also, you should make sure that you should share this information well in advance with your delivery staff.
After Delivery Recovery Needs
You will also have to share your post-delivery recovery needs with your family. It is comforting to have family members during labour and delivery; however, this may not hold true after you deliver. If you have a vaginal or normal delivery then you may be comfortable meeting people by the end of the day or after a few hours but this may not be the case in a caesarean delivery. You may not want people in your room after a c-section for a couple of days. Whatever decisions you make regarding this, it is important that the same are discussed with your partner and other family members. Making such decisions in advance will help you in focusing on a more important aspect of your life and that will be your newborn baby.
What if You Change Your Mind at the Last Minute About Who Should Accompany You in the Labor Room?
Sometimes people in the delivery room may drive you nuts or simply make you feel uncomfortable, well, that is unlikely but it may happen in some cases! If this kind of situation arises, you have all the right to change who can be with you at that moment and you certainly don’t want someone who is driving you crazy. It may become a bit rude for you to get that person out of the room, however, you can always sneak your request to your nurse or your doctor. You just need to explain it to them that you do not want them in the room and they will be happy to assist you!
No matter who you plan on keeping by your side in the delivery room, it is important that you are comfortable with that person. You want your birthing process to be a memorable experience for you for all the good reasons and, thus, make sure you make a well thought off decision regarding who all should be your delivery room buddies.
A baby’s birth is not something that goes as per plan and your baby may come prior to or later than the due date! It will be a good idea to keep a contingency plan handy, which means that you have a plan B ready!
Also Read:
Hospital Bag for Childbirth
Effective Tips to Prepare for Childbirth
Delivery-Day Preparation for Dads-to-be
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