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Delivery Tips

Pros & Cons Of Vaginal Versus C-section Delivery!

Dr.Usha Agarwal 88% (11ratings)
MBBS, MD - Obstetrtics & Gynaecology, DGO - Obstetrtics & Gynaecology, FCPS - Dermatology, Venereology & Leprosy
Gynaecologist, Navi Mumbai
Pros & Cons Of Vaginal Versus C-section Delivery!

When it comes to giving birth, vaginal delivery is considered to be the most natural process. However, several women nowadays opt for C-section or Cesarean section to avoid the labour pain that accompanies natural birth. If you are pregnant and weighing the pros and cons of natural and C-section delivery, here are a few things to consider.

Vaginal Delivery:
The Pros of this method of delivery are as follows: 

  1. From the psychological perspective, women who undertake a vaginal delivery have a positive birth giving experience. Women undergoing this method think they should be present in the process. 
  2. The recovery time for women opting for vaginal delivery is shorter. The mother and the baby can make skin contact right after the delivery, which enhances the bonding process.
  3. Babies who are born through vaginal delivery develop much fewer medical complications. There are fewer respiratory problems, allergies and the baby can start breastfeeding soon.

The Cons of vaginal delivery are as follows:

  1. Vaginal delivery is a stressful process for the women undergoing it and the time required cannot be predicted. Some deliveries take less time, while others may take hours.
  2. Usually, there are no cons for babies who are born via vaginal delivery. In very rare cases, brain injury can be experienced.

Cesarean Section: 
The pros of this type of delivery method are as follows:

  1. Many women choose Caesarean sections to avoid long labor hours. Planned C-section surgeries enable the mother to plan the birth. Better control is acquired over the delivery, which can be predicted properly.
  2. In case your baby is large, or if you are carrying twins, C-section is the best delivery option. 
  3. If the mother has diseases such as HIV or the mother's blood has a high viral load, C-section surgeries should be opted as the risk of the infection being passed on to the baby is decreased.

The cons of Cesarean section surgery are as follows:

  1. C-section is a major surgery and a long time is required for recovery. There may be risks of infection, but they can be prevented by caring for the surgical wound properly. C-section delays the breastfeeding process and the mother cannot have immediate contact with her baby, which can affect the bonding.
  2. Some babies, delivered through C-section may have respiratory problems. C-sections may also cause complications, such as problems with anaesthesia.

While both processes have their pros and cons, it is best to discuss with your doctor to understand which process will suit you more. Depending on your pregnancy and whether there are any complications involved, your doctor will suggest the best way possible.

1248 people found this helpful

Know More About Labor Pain!

Dr.Chitra Reddy 87% (44ratings)
Karnatak University, India, J J M M C, DAVANAGERE, JJM Medical College, Davangre(Mysore University)
Gynaecologist, Bangalore
Know More About Labor Pain!

What is Labor?
Labour and delivery are demarcated by the end of the pregnancy when a woman delivers the child or more than one child and it leaves the uterus. Normally, the gestation period for humans is somewhere around 37 weeks to 42 weeks. In most developed countries, the deliveries happen in hospitals, whereas in developing as well as underdeveloped countries, births happen at home under the supervision of traditional birth attendant, called the midwife.

Stages of Labor:
Vaginal delivery is the most common form of childbirth. Labour consists of three stages.

  • The opening and shortening of the cervix: Lasts from 12 to 19 hours
  • Coming down of the baby and its birth: 20 minutes to 2 hours
  • Expulsion of the placenta: Varies from 5 to 30 minutes

In the first stage, your abdominal muscles will begin to cramp associated with back pain. These cramps can be of durations of half a minute, about 10 minutes apart. These contractions start coming closer and become more intense as the second stage starts closing in. During the second stage, you may have to push along with the contractions to help give birth to your baby. Most babies are born head-first, although there are cases when the baby is born buttocks first or legs first. This is commonly called “breeching”. In the third stage, it recommended to cut the umbilical cord and ensure that the placenta is entirely removed from the uterus or it may cause complications later.

The onset of labor is marked by the expulsion of the amniotic fluid and then the contractions begin to set in. Most women can walk around and eat food during labor, but when the contractions start to get too painful, it is suggested to get help and have someone around during that time. It is not recommended to push during the first phase, but then it becomes essential to push from the second stage onwards. Your gynecologist will be able to tell you which stage of labor you are in by looking at the dilation of your cervix. As soon as you start to feel your contractions kicking in, you must contact your gynecologist or your birthing attendant.

1376 people found this helpful

Preconception Care - How To Ensure It?

Dr.K.S Jeyarani Kamaraj 89% (1165ratings)
MBBS, DGO -Gynecology & Obstetrics, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Preconception Care - How To Ensure It?

When a woman is expecting her child, she has a lot of responsibilities on her shoulders for the health and well-being of herself and her child. An expectant mother is recommended to follow certain rules and give up certain habits so that during the pregnancy period she and the unborn child in her womb get all the nutrients for the healthy growth of the baby. There are certain preconception cares that the expecting mother must abide by.

Some of these are explained below:

  • Giving up on bad habits: Smoking and drinking are not uncommon habits in today’s world. But when you are pregnant, it is advised that you give up these habits for some time at least. Smoking or inhalation of smoke makes it difficult for the child to breathe inside. Furthermore, if you are into substance abuse, then it is expected that you would give it up as well when you are pregnant.
  • Health Supplements: Folic acid is a must during pregnancy. This is why medical practitioners often recommend you to take folic acid pills once a day to keep your immune system strong. It also provides you with enough supplements for the production of red blood cells and provides for the much-needed iron in your body.
  • Counselling: Many times people think that counselling is needed by those who are mentally unstable or in need of immediate help. But that is not the case. Counselling is important for every expectant woman. This is primarily to calm you down as you undergo several hormonal changes. Further, if you are pregnant for the first time then it is to guide you about the complications and side effects of pregnancy.
  • Proper Immunization: There are a few vaccinations that you need to take when you are expecting. These would help in the proper development of the child, keep you away from severe diseases as well as boost your immune system. Thus, proper and timely vaccinations are a must during your pregnancy period.

Thus, these are some of the tips and rules that a pregnant woman must follow in order to make sure that she and her baby are healthy. These are often advised by the medical practitioner themselves, but on their own as well, woman takes care of these points. These are just outlined to make the woman more cautious before the birth of her child. They are good for both the mother and the baby.

1291 people found this helpful

Essentials To Have Before A Baby's Arrival!

MBBS, MS - Obstetrics & Gynaecology, Fellowship in Minimal Access Surgery, Post Graduate Diploma in Sonography (Obstetric- Gynae), Fellowship In Assisted Reproductive Technology
Gynaecologist, Jaipur
Essentials To Have Before A Baby's Arrival!

Everyone has a different idea of what a mother and baby needs in the first few days after childbirth, but some essentials cannot be skipped out on. With that in mind, here are 10 childcare essential you may need right after the delivery.

  1. Nursing pillows: A baby may be small and seem light, but carrying them can put a strain on your arms. Since babies need to be fed very often in their first few weeks, a nursing pillow is a handy thing to have around. This allows you to comfortably support your baby while feeding them.
  2. Breast pump: Though only a mother can produce breast milk, other people can feed this milk to the baby. A breast pump will allow you to express milk at a time convenient to you and store it in bottles to be fed to the baby as needed.
  3. Bottles and nipples: A set of bottles and nipples are must haves for every baby. In their first few weeks, these bottles may be used to store mother’s milk, but as the baby grows, these bottles can also be used to give the baby water.
  4. Pacifiers: A baby who wants to constantly suck on the mother’s nipples may be soothed with a pacifier. This can give the mother some time to rest.
  5. Diapers: For over a year, diapers are a must for every baby. Most mothers choose disposable diapers for their convenience though others may choose cotton wash clothes as well. For the first few weeks, a baby tends to go through 10-12 diapers a day so stock up well.
  6. Bedding: Whether you choose to share your bed with the infant or have him or her sleep in a crib, you will need at least two sets of crib sheets.
  7. Baby bath tub: In their first few days, a baby needs to only be sponged down, but as they grow, regular baths become a necessity. A baby sized bathtub will make it easier to hold the baby while keeping them safe.
  8. Sling: Carrying a baby in your arms all the time is not possible and hence it is a good idea to invest in a sling or front pack. This also keeps the baby close to your body and allows him or her to be soothed by your warmth and heartbeat.
  9. Stroller: Once a child is three months old, he or she can be made to sit upright in a stroller. This gives the mother a little free time and puts less pressure on her back.
  10. Car seat: A car seat if a must have for every baby. You could choose between rear-facing car seats or convertible car seats.
1363 people found this helpful

Types Of Delivery - Know Of Its Pros & Cons!

Dr.Vandana Makkar 89% (332ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Varanasi
Types Of Delivery - Know Of Its Pros & Cons!

When it comes to giving birth, vaginal delivery is considered to be the most natural process. However, several women nowadays opt for C-section or Cesarean section to avoid the labor pain that accompanies natural birth. If you are pregnant and weighing the pros and cons of natural and C-section delivery, here are a few things to consider.

Vaginal Delivery:
The Pros of this method of delivery are as follows:

  1. From the psychological perspective, women who undertake a vaginal delivery have a positive birth giving experience. Women undergoing this method think they should be present in the process. 
  2. The recovery time for women opting for vaginal delivery is shorter. The mother and the baby can make skin contact right after the delivery, which enhances the bonding process.
  3. Babies who are born through vaginal delivery develop much fewer medical complications. There are fewer respiratory problems, allergies and the baby can start breastfeeding soon.

The Cons of vaginal delivery are as follows:

  1. Vaginal delivery is a stressful process for the women undergoing it and the time required cannot be predicted. Some deliveries take less time, while others may take hours.
  2. Usually, there are no cons for babies who are born via vaginal delivery. In very rare cases, brain injury can be experienced.

Cesarean Section:
The pros of this type of delivery method are as follows:

  1. Many women choose Caesarean sections to avoid long labor hours. Planned C-section surgeries enable the mother to plan the birth. Better control is acquired over the delivery, which can be predicted properly.
  2. In case your baby is large, or if you are carrying twins, C-section is the best delivery option. 
  3. If the mother has diseases such as HIV or the mother's blood has a high viral load, C-section surgeries should opt as the risk of the infection being passed on to the baby is decreased.

The cons of Cesarean section surgery are as follows:

  1. C-section is a major surgery and a long time is required for recovery. There may be risks of infection, but they can be prevented by caring for the surgical wound properly. C-section delays the breastfeeding process and the mother cannot have immediate contact with her baby, which can affect the bonding.
  2. Some babies, delivered through C-section may have respiratory problems. C-sections may also cause complications, such as problems with anesthesia.

While both processes have their pros and cons, it is best to discuss with your doctor to understand which process will suit you more. Depending on your pregnancy and whether there are any complications involved, your doctor will suggest the best way possible.

1179 people found this helpful

Preterm Labor - How To Identify It?

Dr.Asha Gavade 88% (797ratings)
DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Preterm Labor - How To Identify It?

Premature labor is also known as preterm labor. This is the term given when the body gets ready for early delivery in the pregnancy. Labor is considered to be premature if it starts almost three weeks prior to the due date. Premature labor usually leads to early birth, but now this can be delayed with medical help. It is better that the baby grows inside you because there are fewer chances of problems after birth. 

Risk of Preterm Labor:

Some of the things which can increase the risk of a preterm labor are:

- Being underweight or overweight before pregnancy
- Poor prenatal care
- Use of alcohol and drugs during pregnancy
- Smoking
- Health conditions such as preeclampsia, infections, diabetes, high blood pressure and clotting disorders
- Pregnant with a bay with birth defects
- Getting pregnant through vitro fertilization
- Pregnant with multiples like twins and triplets
- Becoming pregnant soon after having a baby

Symptoms of preterm labor:

Warning signs should be heeded to stop the stop premature labor, as acting quickly can help. Consult your doctor or midwife immediately in case you have the following:

- Backache, especially in the lower back. Backache can be a constant feature or might keep coming in intervals, but does not change with a change in position.
- Contractions that take place in each 10 minutes
- A leaking feeling in the vagina or fluid leakage from the vagina
- Cramps in the lower abdomen very similar to menstrual cramps. These usually give a feeling of gas pains and come with a diarrhea
- Symptoms of flu-like vomiting, nausea and diarrhea. Must to see a doctor if the liquids cannot be tolerated for more than 8 hours
- The pressure in the vagina or pelvis increases
- Vaginal discharge increases
- There might be light bleeding from the vagina

Ways to check for Contractions

To spot and early labor one must be sure to check for the contractions. Contractions can be checked by the following:

- When the fingertips are placed on the abdomen and the uterus feels too soft or tight then these are contractions.
- Contractions if felt, should be timed and the starting time of these should be noted.
- Contractions should be stopped by changing the position and drinking some water or by walking around
- Doctor or midwife should be contacted if the contractions occur every 10 minutes and the symptoms worsen

Sometime women might experience false labor also known as Braxton Hicks contractions. These are not so strong, are erratic and stop on moving around.

8186 people found this helpful

Postpartum Hemorrhage - Know Measures To Avoid It!

Dr.Harshini.V 89% (10ratings)
MS - Obstetrics and Gynaecology, Diploma in Advanced Gynaec Laparoscopic Surgery
Gynaecologist, Bangalore
Postpartum Hemorrhage - Know Measures To Avoid It!

An expecting mother runs the risk of suffering from a range of complications during and after pregnancy. You were very wrong to think childbirth is about antenatal care and once the baby is born, the mother is safe from danger. Both C- Sections and vaginal deliveries take into account the hovering threat of impediments. Sudden problems like perineal lacerations, amniotic cavity issues, umbilical cord issues, abnormal fetal heart rate, and stalled labor might be experienced during giving birth to a child. Childbirth is again followed by another set of medical conditions. Postpartum Hemorrhage is one such condition that, if left unattended, can turn out to be fatal.

Postpartum Hemorrhage: An overview

Patients suffering from Postpartum Hemorrhage are subjected to loss of more than 500 mL of blood after delivery. In certain rare cases, women have been reported with a loss of more than 1000 mL of blood. Morbidity statistics say postpartum hemorrhage is the most common trigger to maternal morbidity in developed countries. Even after ensuring the efficacy of preventive measures to prevalent risk factors, lapses do exist. A loss of more than 1000 mL of blood can severely endanger your health. It may lead to hemodynamic instability. Treatment of Postpartum Hemorrhage should systematically concentrate on two important things; firstly, diagnosis and management of root causes resulting in a hemorrhage and secondly, dealing with hypovolemic shock along with resuscitation of obstetric hemorrhage.

Preventive Measures

An exigency situation with regard to postpartum hemorrhage can be avoided or controlled in the following ways;

1. Detecting signs of acute anemia and thus rectifying the condition before delivery.

2. Routine episiotomy should be done away with.

3. The doctor should inquire of the mother’s opinion on blood transfusions.

4. There should be frequent examinations of the person's vaginal flow and vital signs to check for slow and steady bleeding.

5. The risk of retained placenta in the third stage of labor can increase chances of postpartum hemorrhage. Active management on part of the hospital can take care of this. Regulated cord traction, early cord clamping and cutting and most basically use of a uterotonic drug soon after the delivery of the anterior shoulder can prevent a prolonged third stage thus hindering a hemorrhage from occurring.

6. Oxytocin is an advisable drug to prevent the chances of a hemorrhage. Pregnant women may or may not give their consent to its use. It has very few side- effects. Prophylactic administration of this drug is known to reduce rates of postpartum hemorrhage by forty percent.

Management: excessive blood loss after childbirth can be tackled through hysterectomy. Women who wish to remain fertile can go in for B- lynch uterine compression sutures, artery litigations, uterine packing or tamponade procedures.

1722 people found this helpful

C-Section - Why It Is Required?

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
C-Section - Why It Is Required?

When the delivery of a baby has to happen through a surgical process rather than normal childbirth, the procedure is known as a Caesarean Section or a C-section. There are many reasons why one may need to go through this surgical procedure including complications during pregnancy and childbirth. One can also plan for a C-section beforehand by talking it through with a doctor who will recommend the same in case there are any complications and risks at play during the pregnancy. Read on to know more about the procedure.

Reasons: There are many reasons why a doctor may want to go in for a C-section. If the labour is not progressing properly, then a C-section may be required in order to extract the baby. This procedure may also be used in case the baby is not getting the proper amount of oxygen which can put it in distress and lead to changes in the heartbeat. Also, if the baby is in an abnormal position like a breech position, then a C-section may be required. This procedure is also used when a woman is carrying twins or triplets. Other health concerns like high blood pressure and genital herpes or even HIV can lead to this procedure. Any mechanical obstruction like fibroids in the birth canal can also cause the doctor to resort to a C-section, while a patient who has delivered via C-section earlier may also be asked to do the same again.

Risks and complications: One has to remember that a C-section takes longer to recover from than normal childbirth and delivery would. Also, it does pose a few risks and complications that may arise during and after the procedure.

  1. Breathing issues: The babies who are born via C-section are more susceptible to a condition known transient tachypnea which is a breathing problem characterised by an abnormally fast rate of breathing in and out. Also, other respiratory distress syndromes may take over subsequently.
  2. Surgical injuries: The doctor may accidentally nick the baby’s skin during the surgical process which involves the use of sharp instruments for making the incision.
  3. Inflammation risk: The uterus may undergo inflammation which may also lead to endometriosis as well as infections of the membrane which can cause fever and foul-smelling vaginal discharge. The wound may also get infected.
  4. Bleeding: While some amount of bleeding is normal, this procedure can also lead to excessive bleeding in which case immediate medical intervention may be required. Also, the patient may suffer from blood clots inside the veins of the pelvic organs. These clots may also travel to the lungs and cause further complications.
1304 people found this helpful

Labor And Its Stages - In Detail About It!

Dr.Vandana Makkar 89% (332ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Varanasi
Labor And Its Stages - In Detail About It!

What is Labour?
Labour and delivery are demarcated by the end of the pregnancy when a woman delivers the child or more than one child and it leaves the uterus. Normally, the gestation period for humans is somewhere around 37 weeks to 42 weeks. In most developed countries, the deliveries happen in hospitals, whereas in developing as well as underdeveloped countries, births happen at home under the supervision of traditional birth attendant, called the midwife.

Stages of Labour:
Vaginal delivery is the most common form of childbirth. Labour consists of three stages

  • The opening and shortening of the cervix: Lasts from 12 to 19 hours
  • Coming down of the baby and its birth: 20 minutes to 2 hours
  • Expulsion of the placenta: Varies from 5 to 30 minutes

In the first stage, your abdominal muscles will begin to cramp associated with back pain. These cramps can be of durations of half a minute, about 10 minutes apart. These contractions start coming closer and become more intense as the second stage starts closing in. During the second stage, you may have to push along with the contractions to help give birth to your baby. Most babies are born head-first, although there are cases when the baby is born buttocks first or legs first. This is commonly called “breaching”. In the third stage, it recommended to cut the umbilical cord and ensure that the placenta is entirely removed from the uterus or it may cause complications later.

The onset of labor is marked by the expulsion of the amniotic fluid and then the contractions begin to set in. Most women can walk around and eat food during labor, but when the contractions start to get too painful, it is suggested to get help and have someone around during that time. It is not recommended to push during the first phase, but then it becomes essential to push from the second stage onwards. Your gynecologist will be able to tell you which stage of labor you are in by looking at the dilation of your cervix. As soon as you start to feel your contractions kicking in, you must contact your gynecologist or your birthing attendant.

1469 people found this helpful

7 Most Common Reasons For C-section Delivery!

Dr.Maneesha Singh 92% (146ratings)
MBBS, Diploma in Gynecology and Obstetrics
Gynaecologist, Ghaziabad
7 Most Common Reasons For C-section Delivery!

Despite what you plan, mother-to-be might have to go in for an unplanned c-section delivery. But why this happens. There are a number of reasons, lets look into it.
1. Failure to progress with labour either cervix, not dilating or the labour has stopped/slowed or the baby is not in an optimal delivery position
2. Abnormal position of the baby like breech, transverse lie
3. Fetal distress means the baby's heart rate is dipping due to inadequate oxygen supply
4. Placenta previa when the placenta lies low in the uterus and partially or completely covering uterus
5. Cord prolapse when baby's umbilical cord slips in the vagina
6. Cephalo pelvic disproportion when the pelvis is inadequate for the size of baby
7. Previous c-section delivery.

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