A normal Vaginal Birth

A normal Vaginal Birth

April 12, 2019 Blog 0
Normal delivery in Lahore Pakistan


A normal vaginal birth is the birth of a baby through the vagina when the pregnant woman begins to work spontaneously at this time, that is, between 37 and 42 weeks of pregnancy. The expiration date is calculated based on the LMP or if the periods are irregular, USG is dated. It happens on its own without any help from drugs.

Signs of Delivery:

The release of the mucus plug. You can feel a bloody and sticky discharge from a vagina.

Membrane rupture Bag with waterfalls that cause the discharge of water.

Contractions: intense pain that is felt at regular intervals in the abdomen or back that radiates to the thighs with the hardening of the uterus. The contractions push the baby into the birth canal.

The duration of delivery varies with women. The first mothers have between 12 and 24 hours of work, then this can be reduced to 6-8 hours.


There are three phases.

Phase 1 – Beginning of the birth until the complete expansion of the cervix to 10 cm.

Early (latent phase) – Cervical dilatation of 0 to 3-4 cm. It takes 6-10 hours in primigravida and shorter in multigravida. The contractions will be light and irregular with a difference of 10 to 30 minutes, with a duration of 30 to 45 seconds. You can stay at home during this period and do relaxing activities such as listening to music, watching TV, taking a hot bath or walking.

Active phase – From 4 cms to full expansion 10 cm. Work is more intense and takes 3-6 hours. The contractions are more intense and frequent with a 3-5 minute difference. The pain occurs in the abdomen, back and thighs and is difficult to tolerate. The epidural takes place in this phase. You must empty your bladder, drink fluids, breathe and relax. A feeling of pressure can occur, but not the exercise until your doctor tells you to do it, because push through the dilated cervix is ​​not harmful.

Stage 2 – Complete dilation at the birth of the baby. It takes between half and two hours. The contractions are very strong and close together, the need to lower is strong. Nausea, vomiting, dyspnoea and fatigue occur. Severe pain in the vagina and perineum occurs when the baby’s head comes out. You have to breathe and keep pushing hard.

Phase 3 – Birth of the placenta. From a few minutes to half an hour. The doctor may ask you to cough or push a little before the birth of the placenta and membranes. The fatigue is complete and you can relax now.

Other types of deliveries:

  • Vaginal delivery assisted or instrumental
  • Induced workforce
  • Cesarean section
  • Preparation for normal vaginal delivery (NVD):

This is a very comprehensive topic but can be summarized

Prepare for a natural birth during your pregnancy. Every day of pregnancy in preparation for delivery. Be careful You need a very strong amount of work. It is like preparing for a marathon. Without preparation, if you suddenly go to the marathon, you will certainly lose. Similarly, you cannot expect a normal delivery without preparation. A uterus is a very strong muscle and needs to be fed well for resistance and thrust.

Nutrition is very important

Physical preparation: Exercise is not only for weight control, but also for physical and mental strength. Hiking, yoga, cone, squats must be done every day. Control your breathing, flexibility, relaxation etc.

Delivery classes: They offer education and motivation for the intense work that you will experience.

Choose the right doctor and hospital. You must make a wise decision about your delivery options. Your doctor should be able to understand your needs.

Don’t get too much weight. Work is gentle and successful for women who get the right and recommended amount of weight.

The husband’s support is very important .Mental power also helps you, not just physically.

Eat during labor Something that gives you energy and keeps you motivated. The intake of liquids is mandatory. Continue with slices of fruit, yogurt, toast, eggs, juice, tea, cookies, coconut water, etc.

The art of normal delivery disappears every day for various reasons, but still with all the information you can experience in expert hands. You, your family, your doctor, hospital, physical and mental strength, the characteristics of the baby play a role in facilitating the normal birth. So clarify your options and work on the same thing, however, if for some unavoidable reason it lands in surgery, not sad, because today both routes are safe and our main goal is a mother and a healthy baby.

Indications of a Normal Delivery.

It works spontaneously with an increase in the levels of pituitary and placental hormones.

Labor pains: The onset of labor with labor pains of approximately 8 to 14 hours.

Expansion of the cervix: The cervix should expand to approximately 8 to 10 centimeters.

If the cervix widens between 8 and 10 centimeters and retracts later, this is known as active birth. This is the first delivery phase when you enter the hospital. When it measures 10 centimeters, the baby is almost out.

Feeling the baby’s head: When the patient tries to give birth, feels the cervical expansion. The doctor places his hand in the vagina up to the cervix to feel the baby’s body parts. If everything is normal, the practitioner will find the baby’s head; otherwise, other parts will feel like the buttocks or feet, which is not normal and a cesarean section may be needed.

Thinning of the cervix: Since the baby’s head is in most cases, the doctor examines the cervix and measures the weight loss in percentages. The normal length of the cervix is ​​between 3 and 4 centimeters.

At the beginning of labor, the cervix begins to expand and thin out. The thinning is so much that it is absorbed in the lower part of the matrix. If the cervix is ​​2 cm, the dilution is approximately 50 percent.

Baby station: The bony part of the mother’s pelvis that is felt during the test is called the ischial spine. The location is determined by the baby’s station (the distance between the presenting body of the mother (usually the head) and the location of the maternal sciatic spines.

The mother should have the station for babies at 0. The station is defined as between the levels of -5 to 5, depending on the location of the spine. At level 0, the baby’s head is on the ischial spine. If the baby is at the positive level of the season, the baby would be close to giving birth.

Regular contractions: Regular contractions with the previous diagnosis mean that the mother’s work phase is active. The delivery would be within 8 to 12 hours, if not before.

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