Labour & Birthing
What is Birthing?
Birthing, also called labour or parturition, is the act or process of giving birth to offspring. Every woman’s labour is different, even from first pregnancy to the next.
Process of Birthing
The process of normal child birth is categorised into 3 stages of labour:
First Stage of Labour and Birthing
This stage commences with dilation and thinning of your cervix to allow your baby to reach the end of the birth canal. This stage is usually the longest part of the labour and is further divided into early labour and active labour.
- Early labour: In early labour, your cervix dilates and you experience mild-to-moderate contractions lasting for 30 to 90 seconds. A thick, stringy, blood-tinged liquid may discharge through the vagina. The duration of early labour is unpredictable, but can be longer for a first delivery and shorter for subsequent deliveries.
- Active labour: During active labour your cervix dilates more rapidly and the contractions are stronger, closer together and may last longer. The transition phase is considered as the last part of active labour.
Second Stage of Labour and Birthing
This stage is the birth of your baby and usually lasts from a few minutes up to several hours depending on your position and your baby’s. During this stage, your cervix is fully dilated, uterine contractions become more frequent and you feel a strong urge to push.
With each contraction, you may be encouraged to push to speed up the process. You may be asked to withhold some pushes to help prevent tears in the vaginal tissues. After your baby’s head emerges, the airway will be cleared and the umbilical cord is clamped and cut. The rest of your baby’s body is delivered soon after the head.
Third Stage of Labour and Birthing
During this stage, the placenta, an organ connecting the uterine wall and the foetus, is expelled. Gentle uterine massage may help to release the placenta. The placenta should be intact and any remaining parts within the uterus should be removed to prevent bleeding and infection.
Complications of Birthing
The complications of the birthing process include:
Weak contractions: Weak contractions can exhaust and cause foetal distress. Foetal distress occurs when there is lack of oxygen. Improper or weak contractions may be caused by rigid or oedematous cervix.
Passage obstruction: Difficult labour may occur when the birth passage is obstructed by tumours, cysts, fractures and physiological changes such as degenerative joint disease.
Abnormal presentation of the foetus: Abnormal position of the foetus could be either upside down or breech (buttocks down) position. In face presentation, your baby’s face is leading with the neck in extension. In shoulder presentation, the shoulder, arm or trunk may present first. This type of presentation is more common in multiple pregnancies.
Other Forms of Birthing
Apart from vaginal delivery, you have to undergo one of the below modes of delivering your baby in cases of complications:
Forceps delivery: In this type of delivery, forceps are used to grasp the foetal head. Use of improper forceps technique can result in injury to the foetus.
Caesarean section: It is a surgical procedure of delivering a baby though an incision in the lower abdomen. Caesarean section is indicated during foetal distress, maternal (mother) distress, abnormal position of the foetus and narrow birth passage.