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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

Hypertension - How It Can Affect Your Baby?

Dr. Yuthika Bajpai Sharma 86% (31 ratings)
MBBS, MD - Obstetrics & Gynaecology
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Hypertension - How It Can Affect Your Baby?
Blood pressure is the thrust exerted by the blood against the artery walls or blood vessels. A certain count of blood pressure is necessary for blood circulation, but anything excessive may prove to be trouble. A reading above the count considered normal; 140/90 (mmHg) may induce symptoms, such as short breath, severe headaches, nosebleeds and anxiety. Any sort of hypertension during pregnancy can take a toll on the baby. 1. Preeclampsia is a condition wherein, the blood pressure peeks high after 20 weeks of conception accompanied by traces of protein in urine and functional disorders in a few organs. 2. Hypertension might often result in the delivery of an underdeveloped (abnormally small size) baby. 3. High blood pressure might also give rise to a complication wherein, one might have to go for Caesarian section rather than a normal vaginal delivery. 4. The placenta detaches itself from the uterine wall much prior to the delivery. 5. Preeclampsia escalates one s risks of suffering from heart disorders or other cardiovascular diseases. 6. It restricts the blood flow to the placenta (an organ nourishing the baby), thus cutting off adequate supply of oxygen and nutrients to the fetus. Signs and symptoms: 1. Excessive protein content in urine 2. Impaired liver functioning 3. Low urine levels 4. Nausea or vomiting 5. Intense pain and tenderness in the upper abdomen 6. Problems in eyesight such as double vision or temporary loss of vision, light sensitivity and blurriness. 7. Abnormal swelling 8. Persistent and a severe headache Treatment: Medications do meddle with pregnancy. However, certain medications are considered safe to be used for keeping blood pressure levels under control. These include Angiotensin Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARBs) and Renin Inhibitors. However, do consult a doctor to get your dosage administered accurately.
2 people found this helpful

A Guide to Postpartum Recovery & Newborn Care!

Dr. Amit Patil 90% (136 ratings)
Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
A Guide to Postpartum Recovery & Newborn Care!
Postpartum is the period after one's labour and delivery. Pregnancy and postpartum are a time when a woman's body changes to a great extent in order to first accommodate the baby and then go through labour and delivery. A vaginal delivery can have many implications when it comes to the postpartum. The same goes for a Caesarean Section or C Section as well. Let us find out what your postpartum care routine should include. Vaginal Soreness: Deal with vaginal soreness with the help of stool softeners and pain relievers, as prescribed by your gynaecologist. You should also make hygiene a priority at this time. Use a wash cloth and warm water to clean the area every time you urinate. Also, you can use an ice pack if the wound is particularly painful. Discharge: Vaginal discharge in the postpartum period is called lochia, and it usually carries on for a few weeks after the baby is born. You must use a sanitary napkin during this period and clean up regularly. If your bleeding or discharge is accompanied by fever, then you should contact your gynaecologist immediately. C-Section Wound: In case there is redness and swelling in the wound, accompanied by symptoms like pain and foul smelling discharge from the vagina, you will need to get in touch with your doctor immediately so that he or she can check for possibility of infections. Movement: After a C-Section, you will need to take as much rest as possible so that the wound heals properly. This includes avoiding making too many trips up and down the stairs as well. It would be a good idea to have a family member or partner around who can help as well. Gentle walks after a week or two are usually recommended for the body to come back to normal gradually. Kegels: Do kegels or contracting exercises for the strength of the pelvic floor to return, especially after a vaginal delivery. This will help in alleviating pain and burning sensation during urination at this time. Nutrition: Take special care to eat nutritious and home cooked food, especially if you are breast feeding. This will also help in the healing of the vaginal or C Section wound. Also, a high fibre diet will help in better bowel movements which will lessen the pain while visiting the bathroom. Taking care of your body in postpartum is a matter of bringing it back to normal gradually even as you deal with the side effects of delivery. Ensure that you are in touch with your doctor.

Prenatal, Antenatal And Postnatal Care - An Intro!

Dr. Bhavna Mehta 91% (36 ratings)
DGO, MBBS
Gynaecologist, Chennai
Prenatal, Antenatal And Postnatal Care - An Intro!
There are three stages of caring for an expecting mother: prenatal, intranatal, postnatal care. This is essential to ensure smooth pregnancy and labour and to keep the mother healthy after giving birth. This care is a combined effort between the doctor and the expectant couple. Here are a few things to keep in mind if you are expecting an addition to your family. Prenatal care from the moment you realize that you are pregnant, a woman must start taking extra care of her body. This reduces the risks in your pregnancy and at the time of labour. But even before planning a pregnancy, it is important that couples should consult with the doctor, in order to avoid any complications in future. Thus you should ensure that regular check up not just during the pregnancy, but also before the pregnancy is equally important, so that your doctor can rule out complications arising due to factors, such as Thalassemia, Thyroid, Blood Sugar and PCOS, etc. The main objectives of prenatal care are: To maintain the health of the mother Detect high risk cases Foresee complications and find ways to prevent them Reduce anxiety associated with delivery Thus, an important part of prenatal care is to visit your gynaecologist regularly. These visits will be scheduled according to your age and stage of pregnancy. A few other points to keep in mind are: Stop smoking and stay away from passive smoking as well Stop drinking alcohol Take folic acid supplements and multivitamins Avoid contact with toxic chemicals like insecticides etc. Ensure your vaccination is up to date Avoid X-rays Do not start or stop any medication without informing your doctor first Eat healthy food and drink plenty of water Exercise regularly for half an hour daily Get plenty of rest Avoid stress Educate yourself about childbirth Intranatal care refers to care given to the mother and baby at the time of delivery. The main objectives here are: Cleanliness Smooth delivery without injuring mother or baby Preventing complications Delivery resuscitation for the baby There are a number of ways to deliver a baby and whatever you choose, you must ensure the presence of a doctor at your side, while delivering a baby. Your doctor will determine the position of the fetus and help you through your delivery. Postnatal care is essential for 6-8 weeks after the baby is born. During this period, the mother goes through a number of physical and emotional changes and thus requires rest, nutrition and vaginal care. The main objectives here are: Prevent postpartum complications Restore mother to optimal health Ensure problem free breastfeeding Sharing responsibility is essential for the health of the mother, after delivery. Get as much sleep as possible and pay attention to what you eat. Do not try and lose your pregnancy weight instantly. Schedule a checkup with your doctor six weeks after delivery to ensure your vagina has healed properly. Additionally abstain from intercourse at this time. With proper care, every stage of your pregnancy can be a beautiful experience.

Know More About Delivery

Dr. Swati Sinha 85% (10 ratings)
MBBS, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Play video
Hi, I am Dr Rinku Sengupta from Sita Ram Bhartiya Institute and I am working as an Obstetrics and consultant gynaecologist from last 22 years. Today, I am going to tell you that how to select the best gynaecologist for the delivery? Before you select a doctor for your delivery, you should be aware that most women can give birth naturally, without any difficulty. As women's body is designed to give birth. All you need is a good family and a nursing support. A doctor needs to be standby as sometimes some interventions like caesarian sections may need to be done in 1in10 births. The doctor which you choose should inherently believe in the philosophy of naturalness of a child birth and should have a reputation of low caesarian sections. Also, the doctor which you choose should have a good team of nursing professionals to give good labour support and a team of Obstetrician who can give each other a cover in an emergency hour. Also, you should be encouraged by your doctor to attend child birth education classes so you are advised about not gaining excessive weight. And you and your partner are confidently prepared for labour without fear. Thank you.

First trimester pregnancy: What to expect!

Dr. Apoorva Pallam Reddy 92% (185 ratings)
MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
First trimester pregnancy: What to expect!
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first trimester guide. Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well. Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments. Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor. Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay. Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too. The other activities during the first trimester include taking pre natal appointments and choosing and interacting with your caregiver who will also be a support after you have had the baby.

Popular Questions & Answers

My wife have discharge from tomorrow morning and not have high labour pain Little pain is there is it possible she have normal delivery.

Dr. Neelam Nath 92% (6658 ratings)
Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
yes discharge does occur indicating that labor process can start any time. labor needs to be monitored by increasing intensity of pains and simultaneously opening of mouth of uterus. some medicines help augment labor and make normal delivery possible but only discharge cannot ensure that the delivery will be normal
1 person found this helpful

Hi, I am 1.5 months postpartum. I had a normal delivery with forceps. I had stitches for which I was applying metrogyl. The pain in stitches had gone but has come back since 1 week. I am having a lot of pain in the list stitch again. I am taking EXACT Mr. everyday now. Please suggest.

Dr. Supriya Kabra 88% (414 ratings)
BHMS
Homeopath, Ghaziabad
Take staphysagria 200 5pills Every 2 hr Reduce the frequency if pain subsided Apply arnica mother tincture over the wound If it doesn't give relief please talk to your gyenacologist as clinical examination is must.

Health Quizzes

Exercising During Pregnancy- Is It safe?

Dr. Rita Bakshi 93% (2841 ratings)
MBBS, DGO, MD, Fellowship in Gynae Oncology
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Starting an exercise regimen during pregnancy is not advisable. True or False. Take this quiz to know now!
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