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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

Bleeding In Early Pregnancy - Can It Be A Miscarriage?

MS - Obstetrics & Gynaecology, Fellowship in Fetal Medicine
Gynaecologist, Amritsar
Bleeding In Early Pregnancy - Can It Be A Miscarriage?

Numerous ladies encounter some bleeding in early pregnancy. Around one in four perceived pregnancies end in an unnatural miscarriage. Most are brought about by irregularities in the genes. Continuously tell your specialist in case you have vaginal bleeding when you are pregnant. Bleeding with pain can likewise be an indication of an ectopic pregnancy. However, it is to be taken seriously and needs dire therapeutic care. Losing a pregnancy can be hard for both the partners. In any case, most couples that encounter this will go ahead to have an effective pregnancy next time. Here are a few reasons why bleeding takes place in early pregnancy:

  1. Numerous women may have a small amount of bleeding during their missed period. Sometimes, this may also be called an implantation bleed. It happens when the prepared egg inserts itself in the mass of your womb (uterus). In such cases, it is considered harmless.
  2. The most widely recognised reason for bleeding is an early premature delivery. Miscarriage is the loss of a pregnancy at any time until the twenty- fourth week. A miscarriage after this time is known as a stillbirth.
  3. A less normal reason for bleeding during pregnancy is an ectopic pregnancy. This is a pregnancy that happens outside the womb. It happens in about one in every hundred pregnancies.
  4. Smoking increases your chances of bleeding and miscarriage.
  5. Drinking a lot of liquor can also cause the same. Drinking four units of liquor a week (one unit is a large portion of a half quart) can increase the risk of a miscarriage to four times.
  6. Using recreational medications can lead to bleeding.
  7. Have had fertility issues in the past or having taken a long time to conceive may also create such a condition.
  8. Having any complications with womb (uterus) can cause bleeding.
  9. Have certain medical conditions (for instance, systemic lupus erythematosus, antiphospholipid disorder) may also cause the same.
  10. Have diabetes that is not controllable can lead to bleeding at this time.
  11. Have specific infections like listeria and German measles (rubella) may cause bleeding during pregnancy.

You need to report any bleeding in pregnancy to your specialist. It is essential to get the right conclusion, as unsuccessful labour is not by any means the only aim of vaginal bleeding. In case that you are bleeding intensely or have serious stomach pain when you are pregnant, call an ambulance immediately.

Women with bleeding in early pregnancy need to see an obstetrician. It is important to have an ultrasound check. This is normally done by inserting a little probe inside the vagina. This helps figure out if the bleeding is happening due to:

  1. A possible miscarriage
  2. A premature delivery (no pulse is seen).
  3. Some other reason for bleeding, (for example, an ectopic pregnancy)
  4. In case that it is unclear from your ultrasound check whether the pregnancy is sound or not, then you might need to go for a repeat scan in two weeks.

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

2749 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 growth: Women 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

Preterm Labour - Should You Be Worried?

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Patna
Preterm Labour - Should You Be Worried?

When an expecting mother experiences uterine contractions and is getting ready to deliver the baby at 39 to 40 weeks, it is termed as a full-term labor. But due to several factors that can be caused by lifestyle or medical condition, the onset of labor might occur before 37 weeks of pregnancy which is termed as a preterm labor and could lead to an early birth which is not the best possible scenario for the baby. Hence, it is important to understand the factors contributing to the condition and take necessary precautions during pregnancy under the advice of your gynecologist.

Signs of Preterm labor
The typical signs of going into labor such as increased vaginal leak, cramps, and contractions are applicable in the case of early onset of labor as well. Along with this, lower back pain and pressure in the pelvic region might also be felt. Though these are all common during pregnancy and even may be closely related to Braxton Hicks contractions or false labor, it is better to report to your doctor immediately.

Diagnosing a preterm labor
During your routine prenatal checkups, if the doctor observes any change in the cervix or when you notify experiencing the symptoms of preterm labor, an initial pelvic exam will be carried out to check for dilation. This process will be repeated, and your contractions will be monitored. The doctor also would constantly monitor the baby’s heartbeat or rate. Further, the presence of a protein that is linked to preterm labor will be tested to take due care. Based on the findings, the doctor will decide whether you require immediate hospitalization or any other special care.

Should you be worried?
Preterm labor may not always be a cause for concern but in some cases, it may result in premature delivery of the baby. This premature birth can be harmful to both the baby and the mother. Further, if the baby is born premature, then the baby might be underweight, suffer from breathing problems as his or her organs are not adequately developed or face a high risk of infections as the immune system is not well developed. In severe cases, the baby might have long-term developmental disorders as well as behavioral issues.

Though there are definitely risks and complications associated with preterm birth, babies born after 32 weeks of pregnancy have a high rate of survival and in most cases, do not present any long-term complications as well. But it cannot be said the same for the infants born in or before 24 weeks.In such cases, doctors would try to delay the birthing as much as possible for the benefit of the baby. The best way to prevent preterm labor is to have a healthy lifestyle coupled with regular checkups during your pregnancy and act as per doctors’ advice.

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

2845 people found this helpful

Popular Questions & Answers

Hello Debi me blessed with a baby boy before 2 months. It was an normal delivery I would like to know that can we have have physical relationship? Will it effect baby Health? Any dis advantages? What precautions should we take? Also advice we want a gap of 3 years for next baby what are the safe methods for that other than copper-T. Please guide me properly.

MBBS, DNB (Obstetrics & Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi Yes, you can have intercourse. No disadvantages, will not affect baby. Try to avoid intercourse in the same room as baby. Good that you are thinking of contraception. The options are as follows 1) Breast feeding itself protects against pregnancy, as long as it is the only mode of feeding. Mother has to feed at least 2-3 times through the night. And she should not have gotten her periods. This can be used for 6+ months. But nor reliable once periods occur. 2) Condoms can be used. They are very effective, when used correctly and consistently. No intercourse without condoms. 3) Copper T is very safe and almost 100% effective. 4) Pills can be take. Progesterone only pills are advised to breast feeding mothers, to be taken continuously. Can be taken till baby is 9 months, and then changed to regular Contraceptive Pills. They do not affect milk quality or quantity in any way. Please be safe, and enjoy parenthood.

Can you please tell me what are tests which is performed on a new born soon after delivery and the vaccination given to the baby at the same time?

MS - Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Varanasi
General physical examinations of the new born is enough in routine case. 1.oral polio 2.bcg 3.hepatitis b these three vaccination r given within 1st week to the baby.
1 person found this helpful

Hi. I have gained 20 Kgs during and after my cesarean. My baby is now 7 months old and I am not breast feeding him need some guidance to loose weight as I am still taking iron calcium cz of my body ache. Need advise please.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Take a healthy balanced protein rich diet. Take fat and carbohydrate restricted diet, Do not take sugar laden food, junk and fried food. Take fibre rich diet and whole grains. As 7 months have passed since your caeserian you can do exercises, do brisk walking for 30 minutes daily ,also do stretching and breathing exercises.
1 person found this helpful

After my delivery I had piles which a doctor told it is fissure I want to know how it will b get cure and please suggest a good doctor to cure it it pains me alot while motions.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate Course In Ksharasutra Therapy
Ayurveda, Mumbai
Piles are treated according to their grades. You may start Arshakutharasa tabs, 2 tabs 2-3 times a day. Pilex ointment for local application. Hot sitz bath. Better if you chat with me privately on Lybrate.

Hi doctor, My wife 9 month pregnant now. This is the 3rd pregnancy for her. Before two delivery was scisserian. I want to know any possibilities for her normal delivery.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Ghaziabad
Ideally it should be planned cessarian before pain develops but if she is developing pain before schedule date visit your doctor early.

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.
Having issues? Consult a doctor for medical advice