Vaginal Delivery
Vaginal Delivery
Preterm delivery
• A preterm delivery occurs when the baby is born early, between 20 and 36 weeks
of pregnancy
• Delivery that's more than 3 weeks before the due date is a risk for the baby,
because lungs and other organs may not be fully developed
• Despite medical advances in the care of preterm babies, their lives are at risk and
they may have breathing and other health complications
Postdate delivery
• These are medical procedures used if labor slows or stops, or if the mother's
condition requires delivery. Think of induction as encouraging labor, and
augmentation as a means to boost labor
• Induction uses a hormone called oxytocin to encourage contractions. Oxytocin is
a hormone your body makes, and the doctor will give you a synthetic form of the
hormone through an intravenous infusion. It will make contractions stronger and
speed up labor
• The doctor may manually break your water to start or speed up labor
• A gel or suppository of hormone-like substances that cause contractions may also
be applied to the cervix
• If you are scheduled to deliver before 39 weeks gestational age, be sure to talk to
your physician about the risk and benefits to both you and your baby. Research
has shown that babies born before 39 weeks gestational age without a medical
reason for early delivery are at an increased risk of complications. Common
complications include breathing problems, low blood sugar and the need for the
neonatal intensive care unit (NICU)
Episiotomy
• This is a small cut made in the perineum – the skin between the vagina and
rectum
• The cut widens the vaginal opening for delivery and prevents the skin from
tearing
• Though not a routine procedure, episiotomies are often done for first-time births,
because the mother's muscles may not have stretched enough to allow the baby's
head to pass through
• The mother will receive a local anesthesia to prevent pain from the procedure
• Apply ice packs to the area in the first 12 to 24 hours after birth to reduce
swelling
• These procedures are used when the baby is not moving down the birth canal as it
should
• Forceps look like a pair of tongs or spoons; one tong is placed on either side of
the baby's head
• Vacuum extraction places a small cup on top of the baby's head and gentle suction
is used
• When forceps or vacuum extraction are used by experienced health care
professionals, there is little risk to the mother and baby
• The baby may have some minor swelling or bruising from either procedure, but
this goes away within a few days of delivery
Vaginal Birth
"Vaginal birth" is the term used to describe any delivery of the baby through the vagina
(versus a c-section delivery). The baby typically comes through head first.
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