Normal Delivery & Caesarean Section

Despite employing natural pain management techniques, labour pain remains a significant challenge. It is important for both you and your support person to be well-prepared to manage and address it effectively.

The first stage of labour begins with the onset of contractions and concludes when the cervix is fully dilated and effaced. The second stage starts once the cervix is fully dilated and ends with the birth of the baby. The third stage begins immediately after the baby is delivered and concludes with the expulsion of the placenta.

Vaginal delivery involves giving birth through the vagina or birth canal. It is the most preferred and common method of delivery due to its relatively low risk in most cases. Typically, vaginal deliveries occur between the 37th and 42nd weeks of pregnancy.

Following delivery, the doctor or midwife typically repairs any perineal tear with stitches. These stitches are designed to dissolve on their own within 1 to 2 weeks, eliminating the need for removal. It is normal to find small pieces of the dissolvable stitches on your sanitary pad or toilet paper during this time.

Postpartum vaginal bleeding is a normal occurrence following childbirth. Initially, this bleeding will be quite heavy, similar to a menstrual period, and will gradually transition to a brownish colour. This bleeding typically continues for about six weeks, gradually diminishing in volume until it ceases.

Initially, the incision may bleed significantly; however, applying pressure and using stitches will generally control the bleeding. The stitches are expected to heal within one month after delivery.

You may be glad to learn that following a vaginal birth, you can take a tub bath within the first week of postpartum recovery, provided your doctor approves. However, it’s important to note that bathing should be avoided immediately after childbirth.

Signs that delivery is approaching include dilation and other changes in the cervix, as well as Braxton Hicks contractions. You might experience aches, pains, and looser joints, along with gastrointestinal issues. Other indicators are the baby “dropping” into the pelvis (lightening), a strong urge to prepare your home (nesting instincts), the onset of genuine contractions, and persistent pain in your belly and lower back.

The procedure typically lasts between 30 and 60 minutes. During the operation, the surgeon will make incisions in your abdomen and uterus, each approximately 10 centimetres long. Your baby will then be delivered through these incisions.

With each subsequent C-section, the risks of developing placenta previa and placenta accreta, where the placenta adheres abnormally to the uterine wall, increase. Additionally, women who attempt a vaginal delivery in a future pregnancy face a higher risk of uterine rupture along the previous scar line.

If you schedule a C-section and your due date shifts by one or two weeks, there is a risk that your baby may be born prematurely. Preterm infants, born before 37 weeks, often face more health challenges both at birth and later in life compared to those born at full term. Therefore, it is crucial to wait until at least 39 weeks for a scheduled C-section to minimise these risks.

There are three main types of C-sections: elective, unplanned, and emergency. Elective C-sections are scheduled in advance when there are concerns about the safety of a vaginal delivery. In contrast, emergency C-sections are carried out when complications arise during labour.

Refrain from driving, lifting heavy objects, engaging in sexual activity, or performing strenuous household chores like vacuuming until you feel ready. You will likely need assistance with handling your baby’s car seat and lifting the pram. Additionally, consult your insurance company to determine when you will be covered for driving following a C-section.

Typically, you will be able to start consuming a light diet approximately 8 hours after your C-section.

The uterus is closed using two sutures that begin at each end of the incision. The first stitch is placed slightly medial to the anatomical corner of the wound. The same suture thread is then used to create 2–4 additional continuous stitches, with the ends of the thread being secured with knots.

Initially, your incision will be slightly raised and pinker than the surrounding skin, and it may appear somewhat swollen. Pain typically diminishes after 2 to 3 days, though the area may remain tender for up to 3 weeks or longer. Most women require pain medication for the first few days to two weeks following the procedure.

It is crucial to begin walking around within 24 hours after surgery. This activity can alleviate gas pain, promote bowel movements, and reduce the risk of blood clots. Gentle exercises, such as deep breathing, can be started a few days after the C-section. Try taking 2 or 3 slow, deep breaths every half-hour to aid your recovery.

Some swelling following a C-section is normal and can be attributed to the IV fluids administered during surgery and hormonal changes after pregnancy. This swelling typically diminishes within a week. Increasing your activity level by walking and moving around can help your body eliminate the excess fluid more efficiently.

If you are awake during your C-section, you will have the opportunity to see and hold your baby shortly after their birth.