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Overview

Delivery - Treatment, Procedure And Side Effects

What is the treatment?

Delivery marks the end of pregnancy for a woman who gives birth to a baby. She can deliver her child either at home under the guidance of a midwife or at a hospital. There are two types of delivery- normal and caesarean (C- section) delivery.

A normal or vaginal delivery is the process where the baby comes out through the vagina, also known as the birth canal. Psychologically, it is a more positive experience for the mother. It comes with a shorter recovery time when compared to a caesarean delivery. However, it can also become stressful as you cannot be sure of the time that will be required for the completion of the process. It can be short or a very long process, and varies with every individual.

A C- section delivery is a surgical method where the baby is delivered through incisions made in the abdomen and uterus of the mother. It can be planned beforehand if you are not ready to go for a normal delivery or develop any complications in the course of your pregnancy. There are various reasons why one opts for a C-section delivery:

  • If it is observed that the cervix is unable to open properly even if you experience strong contractions
  • The head of the baby has difficulty in passing through the birth canal
  • Changes in the heart beat of the baby or inadequate oxygen supply
  • Abnormal position of the baby
  • Any obstruction in the birth canal
  • Medical problems like high blood pressure or heart problems

C-section is often considered to be a relatively safer and simpler method, but there are chances of higher risks and complications than a normal delivery.

How is the treatment done?

A normal vaginal delivery will comprise of the following stages:

  • The first stage is where you will experience frequent contractions, which help in dilating the cervix. It could sometimes cause pain in the back or the abdomen. These contractions will come and go. You may get admitted at this time and wait for the cervix to fully open.
  • The second stage is when your cervix is opened completely. Your doctor will give you the signal to push at this stage. The force of your pushes and the contractions propel the baby through the birth canal. As the baby comes out, the doctor suctions blood, mucus and amniotic fluid from his/her mouth. The umbilical cord is then cut.
  • The third stage involves the delivery of the placenta, the organ responsible for nourishing the baby inside your womb

A caesarean delivery involves the following steps:

  • Firstly, the consent form needs to be signed. The doctors will analyze your condition and the anesthesiologist will decide on the type of anesthesia that can be used on you.
  • Your pulse, heart and blood pressure will be monitored
  • A catheter is inserted in order to keep the bladder empty, after which the anesthesia is administered into your veins
  • The abdomen is cleaned with the help of an antiseptic. In some cases, the patient has to wear the oxygen mask to ensure adequate flow of oxygen to the baby.
  • The surgeon makes an incision through the skin, into your abdomen’s wall. After that, a three or four inch incision is made in the wall of your uterus. It could be a horizontal or a vertical incision. The baby is then removed from the womb through the incision. Once the umbilical cord is cut and the placenta removed, the incisions will be closed.

Who is eligible for the treatment? (When is the treatment done?)

During pregnancy, you will realize the time for delivery has come if you experience any of the following conditions:

  • If the head of the baby comes down to the pelvis, pressing your bladder and you will feel that you need to urinate frequently. The belly looks lowered and breathing becomes easier for you. This can occur a few hours before the onset of labor.
  • A brownish discharge from the cervix
  • Loose stools occurring frequently
  • Irregular contractions that occur frequently in an interval of 10 minutes or less

Who is not eligible for the treatment?

A woman cannot get pregnant, and hence not opt for delivery in the following conditions:

  • Amenorrhea, wherein a woman does not have her regular menstrual cycles
  • After menopause
  • If the fallopian tubes are damaged or blocked
  • Endometriosis
  • Anovulation, the condition wherein the ovaries do not release any egg
  • Abnormality in the cervix or the uterus
  • Other medical conditions that may cause infertility

Are there any side effects?

The side effects of delivery that may arise could be the following:

  • Infection in the uterus or around the site of incision
  • Heavy loss of blood; in rare cases one may need a transfusion
  • Nausea, severe headache or vomiting, which is often due the anaesthesia that is administered during the surgery
  • Endometriosis, the condition where the membrane lining your uterus gets inflamed and infected
  • Blood clot in the veins of the legs or the pelvic organs
  • Bowel problems; it could be constipation or ileus (a condition where the intestine stops from functioning normally, leading to a blockage and build-up of food)
  • In some cases, the surgery can cause injury to some other organ like the bladder

What are the post-treatment guidelines?

The post treatment guidelines after a delivery for the mother would be:

  • After the surgery, you must try getting up and walk. The movement will help in speeding up your recovery as well as prevent blood clots and constipation.
  • The incision made will be monitored for detecting any infection signs
  • Take adequate rest. Try to keep everything within your reach so that you do not overwork yourself.
  • Do not try to squat and lift up anything. It is better not to lift anything that would be heavier than the baby.
  • While you are breast-feeding your infant, wear a pregnancy belt or use pillows for additional support
  • Ensure that you drink a lot of water and plenty of fluids. It helps in replacing all the fluid you lost during the delivery and breast feeding.
  • Take proper medication as prescribed by your doctor
  • Avoid sex for at least four to six weeks

How long does it take to recover?

It takes time, special care and attention to recover from a delivery, which is considered to be a major process. After the operation, a woman needs to stay 3 days in the hospital, if there are no major complications. The full recovery takes about 4 to 6 weeks.

What is the price of the treatment in India?

In India, the cost of delivery, whether normal or C-section, would range from Rs. 20,000 to Rs. 2,00,000 depending on the city and the hospital that you go to.

Are the results of the treatment permanent?

The results of a normal or a C-section delivery are permanent.

What are the alternatives to the treatment?

There are no alternatives to delivery.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: Rs. 20,000 - Rs. 2, 00,000

Popular Health Tips

Normal Delivery - What To Expect During It?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Ghaziabad
Normal Delivery - What To Expect During It?

Despite all the preparation from reading and discussions with family members and friends, there are always some things that can surprise a woman when the actual delivery happens. As the due date nears, one of the first thing to watch for is the water breaking. There would be a gushing of fluid which is clear, completely colorless and odorless. If it is green or brown, then reach for medical help immediately.

Another thing is to watch for are contractions movement of the uterus due to tightening and releasing, which indicates that the baby has begun to move down. These begin in the low back and move towards the front. Contractions that last a minute and occur every five minutes during an hour are an indication that you could be in labor. This means it is time to head to the hospital.

There would be a lot of pain and pressure during the delivery. A full-grown baby should pass through the vaginal canal, and the cervix makes way for it. Not just that, the baby has to put a good amount of pressure too to pass through this canal.

The actual labor, which is the process of complete descent of the baby can be divided into 3 stages – first, second, and third stage.

  1. The first stage has two parts to it. There is a slow, drawn-out phase that lasts for a few hours, and then there is a shorter, quicker phase, which is when most women get admitted to the hospital. The rate of progress of delivery is steady.
  2. The second stage, which lasts for about two hours, is when the cervix is minimally dilated and the mother is asked to push. The cervix is gradually dilated, and this stage lasts until after delivery is completed. Using an epidural anesthesia can prolong the duration of this phase. You could hear the doctor reel out some numbers and measurements like 4, 50, and -1. This indicates the progress of delivery and indicates how far the cervix is dilated and how far the baby has descended. This helps the team to identify and monitor progress of delivery.
  3. The third stage is from the time of delivery of the baby to the stage of extraction of the placenta. This would take about 30 minutes to be completed.
  4. Some common problems to expect include injury or tearing of the vagina or cervix, need for episiotomy, vomiting, passing of motion, anesthetic complications, etc. But what will remain later is the first sight of your baby.
  5. Delivery is a life-changing experience for a woman. No two women would have a similar experience, and each one would be unique and special as special and unique as herself. Happy delivery!

In case you have a concern or query you can always consult an expert & get answers to your questions!

4546 people found this helpful

Placenta - 10 Quick Facts About It!

DGO, MBBS
Gynaecologist, Faridabad
Placenta - 10 Quick Facts About It!

The placenta happens to be a very helpful organ. It plays a huge part during pregnancy as it keeps the infant in your womb healthy and alive. It is formed and delivered right when a woman conceives the baby and resembles the shape of a liver. The fundamental role of a placenta in pregnancy is to provide the baby with enough nourishment. It weights around one-sixth of what the baby weights. It does not have any nerve cells, nor is it under the immediate control of the brain or the spinal chord.

Consistently during the pregnancy, practically around five hundred fifty millilitres of blood gets pumped into the uterus to supply enough nourishments through the placenta for the baby. Here are some of the roles and functions a placenta has:

  1. The placenta principally tends to supply sufficient amount of nourishment to the baby. Before the blood from a mother reaches the baby, it goes through the placenta to the umbilical chord that connects the mother with her baby.
  2. Another critical function that the placenta performs is that it functions like the kidney. It filters the blood to dispense off harmful materials that may be unsafe for the developing baby’s health.
  3. The placenta additionally serves as a child's lungs and permits the supply of oxygen to the baby.
  4. The placenta brings backs the biowastes of the child to the mother’s system of circulation, which is later disposed off from her body through the urine.
  5. It protects the child from diseases by isolating the blood of the mother from the baby. In this way, it acts as a filter.
  6. Numerous hormones are delivered from the placenta in the mother’s body. They have a sufficient count of placental lactose. It guarantees enough level of glucose in the mother’s blood, which then flows to the baby.
  7. The placenta separates the food particles consumed by the mother. This enables the nourishments and nutrition to reach the baby faster.
  8. It traps the oxygen breathed by the mother, which is then diffused into the blood of the baby through the umbilical chord. It prevents the odds of the baby inhaling amniotic fluids that can be extremely harmful to them.
  9. The placenta secretes a number of female hormones like progesterone and oestrogen to stop contractions of the uterus before the child has reached the full term. It also clears the path to set up with the maternal tissues and the uterus for infant's delivery.
  10. During the phases of pregnancy, the placenta moves while the womb of the mother extends and develops. It is the basic function of the placenta to remain low in the early phases of pregnancy, yet it moves to the highest point of the womb at later phases of pregnancy to keep the cervix open for delivery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4202 people found this helpful

Different Ways Your Body Changes During Pregnancy!

DGO, MBBS
Gynaecologist, Chandigarh
Different Ways Your Body Changes During Pregnancy!

Pregnancy is an experience where a woman experiences physical, mental and emotional changes. Out of all the changes, one of the major change, a woman goes through is hormonal change. Here are few different ways your body changes during pregnancy:

  1. Increase in the blood volume: The blood and plasma of the body are increased from thirty to fifty percent because the heart at that time, is working harder and more efficiently. This results in the heart ejecting more blood and plasma for the growth of your baby. It also helps protect the mother from certain delivery risks.
  2. Growth of hip size: The pelvic bone separates from the middle because of a hormone called relaxin, which helps the uterine muscle relax and softening of the cervix. It is not a dangerous thing as opening up of the pelvis makes the delivery safer.
  3. Skin darkening: Linea nigrea is a dark line that grows down your stomach and the belly button. It is always there even before pregnancy. However, the hormones change the pigmentation in the skin to make it look more evident. Moreover, that is not the only skin darkening that takes place. Some women develop dark spots and patches on their face. These are called melasma. Applying sunscreen can help prevent these.
  4. Vaginal color: The vagina tends to change its colour. It turns blue or purple and this is known as the Chadwick sign. The vagina may also swell up because of the increased blood flow as well as discharge. Development of vulvar varicose veins is very common during pregnancy. This mainly happens due to the pressure and weight of the uterus, which results in a decrease in the blood flow from the lower part of the body.
  5. The feet grow in size: Not only does the belly grow during pregnancy but, so do the feet. During pregnancy, the foot’s arch flattens because relaxin loosens your ligaments and the extra weight tends to push down the feet. The feet become longer and wider, hence. Moreover, fluid retention may also make your feet swell.
  6. Hair growthWomen tend to go through hair growth all over the body. It can also cause the hair to become thicker. Whereas, after the birth, hair fall becomes quite frequent. However, there is no need to worry since it is the body’s way of getting back to normal. It usually happens after six months of delivery.
  7. Brain fog: About eighty percent of the women go through memory loss or impairment. Although, the cause is unknown. The sleep deprivation or feelings of stress during pregnancy are a cause behind this.
  8. Having vampire breath: The hormonal change can cause bacteria in the mouth and cause it to become inflamed. Hence, it can lead to bleeding gums and a bad breath.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4499 people found this helpful

Delivery Pain - Tips That Can Help You Manage It!

MS - Obstetrics & Gynaecology, Fellowship in Fetal Medicine
Gynaecologist, Amritsar
Delivery Pain - Tips That Can Help You Manage It!

On a pain scale of 1 to 10, delivery pain is rated as 11. It is one of the most severe forms of pain, and for women, it is almost like a second birth after coming out from delivery. With more and more advancements, attempts are being made to ensure this discomfort is managed better and the woman has a more relaxed experience through the delivery.

It is important to identify a couple of factors when going into delivery  say for example who will be there with you, where the delivery will happen, how to manage the mind and body, and if there is anything else required for a smooth delivery. Having open discussions with the doctor, close family and friends will help you prepare for it.

Read on to know some pointers.

  1. People around you: Be careful about who is around you during the crucial hours. On one hand, ensure you have your midwives, doctors and nurses around you, who are knowledgeable and know how to handle the situation, if there is a crisis. On the other hand, have only close relatives and family members who are loving and supportive.
  2. Read up on labor: With so much information available both online and offline, read up from reliable sources and know what to expect during labor. While there may be an information overload, the overall info should be good to go and keep you updated.
  3. Talk about it: Whether it is the anesthesia, the needles, the instruments, blood, or injections, talk about your fears. Whether it is the doctor or your close family member, talk out your fears and see them disappear.
  4. Be positive: Surround yourself with positive images, positive people and positive thoughts. Soothing music is another must-have in your surroundings.
  5. Be active and occupied: For many women, keeping themselves occupied does not give time to worry about the pain. Constantly being on the move and not being confined to the home also reduces chances of pain.
  6. Try yoga: With rhythmic breathing and mild yoga, there are higher chances that you will be better able to manage the labor pains. Talk to your doctor as to what you can safely do. The swaying, squatting, and bending required by yoga does a lot of good to your overall body. Women who do some form of exercise and yoga in particular have a higher chance of vaginal delivery and are able to manage pain better.
  7. Warm bathing/showers: A warm bath soothes the lower back and the abdomen and can help in speeding up labor, as it helps in contractions.
  8. Involve your partner: The gentle touches and stroking will reassure you and ensure you are better able to sail through delivery.

In case you have a concern or query you can always consult an expert & get answers to your questions!


 

2520 people found this helpful

Diet During Pregnancy - Debunking 5 Myths About It!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Diet During Pregnancy - Debunking 5 Myths About It!

The moment a woman is known to be pregnant, there is a whole list she needs to follow in terms of food what is good vs what is bad, what to eat vs what to avoid, how much to eat and so on. Almost every member in the family and friend circle would have suggestions to provide, and the woman is left completely confused. Read on to get some of this clarified.

Myth #1: Eat for two people during pregnancy: While it is definitely true that a person needs to eat more during pregnancy, it is not essential to eat for two people. The growing baby does not need a full meal. What it needs are important nutrients to develop fully including iron, calcium, folic acid, etc. The mother needs to increase her food consumption, but only by about 250 to 300 calories. There is absolutely no need to eat for two people.

Myth #2: Eating papaya can lead to miscarriage: The green or raw papaya does have latex, which has properties similar to the miscarriage-inducing drugs. They increase the amount of oxytocin and prostaglandin, which induces miscarriage. However, a fully ripe papaya eases heartburn and constipation, which are common during pregnancy.

Myth #3: Consuming saffron throughout pregnancy makes the developing baby fair-skinned: This is another myth that is deep-rooted, and the obsession with fair skin is even more deep-rooted. Most mothers would be gifted small boxes of saffron and told to add it to milk and consume, so that the baby grows up fair. This is a complete myth with no truth to it at all. The baby’s skin colour is completely determined by genetics and is not influenced by the food consumed during pregnancy.

Myth #4: Ghee during pregnancy helps in normal delivery: Ghee is believed to bring about a lot of miracles during pregnancy. Some vouch for the fact that consuming ghee aids in normal delivery and passage of the baby through the uterus. Consuming ghee also is believed to improve uterine healing post-delivery. The truth is that ghee is loaded with saturated fats and may lead to unnecessary weight gain and hence is best avoided. A small amount is definitely advisable, but it will not help in either delivery or post-partum.

Myth #5: Eating fish during pregnancy is harmful: The only reason for avoiding fish is the increased level of mercury in some of them. While fish with higher levels of mercury are to be avoided, fish with low mercury levels are okay and are in fact useful for the baby’s brain and eye development. Since this differentiation requires knowledge about fish, they are usually avoided. Talk to your nutritionist to identify what is safe and what is not.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2567 people found this helpful

Popular Questions & Answers

My wife had a blood clot after delivery, doc advised pt test ,she had inr 1.05.and today her inr is 1.51.i m confused whether she has improved or not.

MBBS, DGO
Gynaecologist, Osmanabad
Need to do cbs on cell counter to see platelet count. If it has no complaint no need to worry. If anaemia. Then may need blood transfusion.

Hi, I am 24 year old female. I was pregnant but since cervix got opened during 25 weeks I was given cervical stitches but even after that I delivered a male baby the next day. I was given anti d 1 day before delivery. But after delivery I was not given anti d injection. But now after 20 days of delivery I got anti d injection now. Will there be any complications for second baby?

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
As you recieved anti D vaccine one day before delivery there will be no problem. You can get your Indirect coombs test done before planning next pregnancy, if negative nothing to worry. In next pregnancy get cervical cercalage done at 12-14 weeks of pregnancy.

I am due this month . May have normal delivery so my Dr. suggested me laser tubectomy. Is this safe for me in far future.

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Visakhapatnam
Post delivery better go for open tubectomy ,cut will be very small. If you want to take time and decide depending on baby's health go for lap tubectomy in interval period.

Hi, My first delivery was 9 july 2016 and now I had second normal delivery with 2 stitches 2 months ago 8 july 2018, so now can I eat tomatoes and pickles etc. Or from which month I can eat everything? And what precaution should I take to avoid pregnancy again for 3 years?

Diploma Gynaecological Endoscopy, Kiel, Fellowship in Minimal Access Surgery, Paul's Hospital
Gynaecologist, Kanchipuram
Hi lybrate-user, you can very well eat anything from tomatoes to pickles, but keep your food nutritious though with veggies and eggs and keep your weight in check. Tomatoes and pickles do not have anything to do with delivery and pickles should be avoided if your bmi is in overweight category. And to avoid pregnancy for 3 years, the best method of contraception I would advise is a Copper T or a Mirena because you would not have to bother about it after insertion till the time you want a next baby.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
How to Select a Gynecologist for your Delivery
Briefing on Childbirth
Play video
Induction of Labor
Guidelines for normal delivery

Hi friends my name is Deepa Sethia. I am attached as a consultant in Gynea and Obs, Sarvodaya, Sector 8, Faridabad. Today I am going to speak on topic ways to induce labor which can be done naturally or by medications.

The natural ways of induction of labor are like,

they can be done by a simple walk to a climbing stairs.
Exercise; they can induce labor, the gravity poses pressure on the cervix and that can result in the dilation of the cervix and ultimately the delivery.
Next is the Evening Primrose oil; taking this oil orally or putting it into vagina can help in the dilation of the cervix, softening of the cervix and induction of the labor.
Next is the Acupuncture. Acupuncture is a method in where in the stimulating certain sites in the skin can result in induction of labor. Because the pressure points they induce oxytocin in the body and then that can help in induction.
Next is the nipple stimulation stimulating the nipples can result in an induction of labor.
Literature mentions the use of red raspberry leaf extract consuming this tea in Linda along with the evening with primrose oil can help in induction of labor. Then there are many medications that help in induction like oxytocin is the method by which the doctors use and in induce labor. Prostaglandin like servi prime gel is inserted into the cervix to help in induction. Then in hormonal methods are include putting a holy catheter into the cervix through the vagina and dilating the balloon end can help in induction. Induction of labor can be done either couple of weeks after the due date or it can be done three weeks prior to the due date. So the due date is an estimation of when a baby is stepping into this world.

These are the ways which are very essential for primary gravitas to know the time of the delivery.

So anything else required in this context you can contact me through lybrate or reach my clinic at Sarvodhya Health Clinic or the Gynae and Neurology Clinic, Sector 86. Thank you.
Play video
Vaginal Delivery and Birth
Here are some tips on natural birthing

Hi, I am Dr. Renu Yadav. I am a practicing obstretic in Sector 40 and my speciality includes natural birthing, high risk pregnancies, laparoscopic surgery, family planning and gynic surgeries as well. Let's talk about natural birthing.

Today natural birthing is a process in which you give birth without using any help from the medicines or without the epidural anesthesia. It's the most common way. Its I think the best way to deliver a baby without the help of medicines and it's the most beautiful thing to experience if you are pregnant. The labour goes without any kind of complication. The only idea is supporting the lady emotionally throughout the labor process yes definitely it's going to take a long time but trust me on that that it's the most beautiful thing which can happen to a woman.

Natural birthing requires a little bit of preparation as association with the doctor is must. The idea of getting natural birth should be clear in your head because it's you who has to go through it. All the other kind of medical medicines and medical anesthesia are always available for you there is no Doubt in that any point of time. If you feel that you are not prepared to go with it and if it is the pain is unbearable for you. We can always switch to the medicine modality but keeping it natural is I have experienced few deliveries with me and trust me those are the bestest deliveries which I have conducted in my lifetime as a doctor.

Natural birthing needs a preparations from the patient side like in continuous touch with your gynaec, going through some physical exercises, learning yoga during your antenatal time and doing the exercises regularly is the must for natural birthing and as the time approaches you will become more and more confident about the things that you will be able to deal with the labor on your own.

The next important thing is the breathing exercises. The breathing exercises are the must to learn if you want to go for a natural birthing especially the deep breathing exercises in which you open up yourself completely. You breathe through your mouth and breathe out through your mouth. Also is equally important the association between the patient and the doctor should be so strong that the doctor is able to understand the things without the patient even realizing it that it's needed.

Regarding any queries or questions about natural birthing you can contact me through lybrate.com.
Play video
Normal Childbirth
Normal childbirth has become very uncommon with the passing time. It, however, means the birth of a child without any form of medical intervention. It must be performed under proper observation of a specialist doctor.
Having issues? Consult a doctor for medical advice