Normal Labour Delivery Services in Ghaziabad & Noida Extension | Normal Delivery Doctor

Every delivery is as unique and individual as each mother and infant. In addition, women may have completely different experiences with each new labor and delivery. Giving birth is a life-changing event that will leave an impression on you for the rest of your life. It is a journey from womanhood to motherhood. It is a matter of great effort and courage to give birth to a child. Of course, you’ll want this to be a positive experience. Dr Shweta Mishra always motivates the females for the normal labour delivery. The recovery is faster in this procedure but sometimes, the vaginal birth can have some complications but under keen observation and proper care & technique, Dr. Shweta ensures to decrease the chances of such things. Also depending on the mother’s and the child’s situation no matter how small, the doctor will carry out the various programs &unhurried consultations to make the normal delivery stress free and anxiety free with minimal pain.

Definition:

• It is spontaneous in onset
• At term (after 37 completed weeks)
• with singleton fetus in vertex presentation
• minimally assisted vaginal delivery and
• normal maternal and neonatal outcomes

Labor may start any time after 37 weeks. In fact most women will deliver before the due date. Only a small percentage actually delivers on the due date and a few will go beyond the date.

The common symptoms of labor are

• Onset of labor pains i.e. contractions that gradually increase in amplitude and frequency.
• Passage of thick blood stained mucoid discharge.
• Breaking of the forewaters i.e. leaking of the liquor.

The common signs of labor are

• Confirmation of the above
• Dilatation of the neck of the womb i.e. cervix
• Descent of the presenting part of the fetus.

Normal labour is divided into four stages.

First stage : It is quite essential that you know what to expect at the beginning of the “real show”. You could have lower abdominal cramps or “waters leaking”.

The first stage starts with onset of regular uterine contractions and ends with full dilatation of cervix (10 cm).

First stage can be divided into:

i. Latent phase:

• It is termed when cervix is less than 3 cm dilated. Here, contractions occur at an interval of 5- to 10-minutes
• With time the contractions become stronger with shorter intervals, whereas the cervix dilates at a very slow rate

ii. Active phase:

• It starts when the cervix is 3-4 cm dilated. The cervix now dilates at a rate of 0.5-1.0 cm/hour.
• More the cervix dilates, stronger the uterine contractions get. There is an urge to push down even before the cervix if fully dilated.
• Pushing is undesirable until the cervix is fully dilated as this may lead to maternal exhaustion and unnecessary interventions later on.
• Maternal pelvic examination is done every 4 hourly to keep a check on cervical dilatation.

The first stage of labour, on an average lasts for 5 to 8 hours depending on the maternal factors like age, parity, BMI etc. However, it should not cross 18 hrs. in primigravida and 12 hrs. in multigravida. This is a red flag sign and warrants immediate intervention.

Second stage : It starts with the full dilatation of cervix i.e. 10 cm and ends with the birth of the baby.

• Contractions become stronger with shorter intervals (occur at 2- to 5-minute intervals and last 60-90 seconds).
• Fetal heart rate and contractions are measured ever 5 minutes.
• There is continuous bearing down by the mother as an effort to push out the baby. The doctor/nurse is present at all times to keep note of the degree of pain and to encourage pushing during contractions and relaxing with deep breathing in between.
• It usually lasts for about 2 hours in primigravida and 1 hour in multigravida.
• As the baby descends down, large part of the head can be seen through the cervix.
• Liberal episiotomy is given under local anaesthesia as soon as crowning is seen.
• Fetal head is born with the forehead first, followed by nose, mouth and chin. Subsequently, the shoulders, trunk and legs follow.
• The baby starts to breathe and cry as soon as it is outside.

Third stage : It lasts from the birth of the baby to the delivery of the placenta and membranes

• It usually takes up to 5 minutes, but can be longer.
• There is contraction and retraction of the uterine muscles thereby reducing the surface area of placental bed and preventing haemorrhage
• Active management of third stage of labour (AMTSL) is preferred over traditional conservative management.
• Intra-muscular injection of oxytocin 10 IU with the delivery of the anterior shoulder.
• Controlled cord traction- here slight downward and backward traction is applied on the umbilical cord after clamping and cutting it. Simultaneously, upward and forward push is given to uterine fundus to prevent inversion of uterus.
• Fundal massage- gentle massage is given to the uterine fundus till it is strongly contracted.

Fourth stage : This is the last stage of labour. Here the mother is kept under observation for 1 hour. Vitals are monitored along with amount of bleeding and uterine contraction. It is very crucial period as strict vigilance during this time can help in timely diagnosis and management of post-partum haemorrhage and significantly reduce maternal morbidity and mortality.

Throughout the natural birthing process, Dr.Shweta Mishra provides proper attention to your physical and emotional well-being. Your privacy and choice of your companions are properly regulated and unnecessary persons are avoided in your labour rooms.

Get in touch with Dr. Shweta Mishra at her Crossings Republik, Ghaziabad (Crossings Republik Clinic Location & Direction) clinic for “Best Doctor for Normal Delivery in Ghaziabad”, or either at Amrapali Icon Leisure Valley, Greater Noida West (Noida Extension Clinic Location & Direction) clinic for “Best Doctor for Normal Delivery in Noida Extension”. Also, you could make a wellness appointment at any clinic location convenient to you.