Pregnancy is an exciting time, but many moms-to-be have questions about childbirth. Your physician, nurse, or midwife will explain the process and you’ll have the chance to share your concerns and questions with them. It’s important to remember that each pregnancy is different, just as each labor and delivery will be different.
We’ve compiled some frequently asked questions/comments about childbirth for your reference. You can also visit our Labor and Delivery page or speak with your Capital Women’s Care provider for other information.
How do I know if I’m in labor?
Labor is different for every woman. Some may experience Braxton Hicks – or false labor – contractions, which are perfectly normal. These are often irregular and stop when you change positions, walk, or rest. Early labor is the period during which your body prepares for the birth, including the baby settling into your pelvis, also known as lightening; effacement, or thinning of the cervix; dilation, or opening of the cervix; and water breaking.
During active labor, contractions come at regular intervals and get closer together as time passes. They will continue, even when you change positions. Timing your contractions will help determine if you’re truly in labor. Generally, active labor is when contractions occur every three to four minutes and last 45 to 60 seconds each.
When should I go to the hospital?
As your due date approaches, you and your physician should discuss the appropriate time for you to go to the hospital. We typically recommend when you’re in active labor (see above). Call your doctor if you are bleeding, you believe your water has broken, or your contractions have been strong for at least an hour and coming every five minutes.
Can I schedule a C-section?
There are cases when a C-section, or cesarean section, can be planned in advance. These include: the baby being in a breech position, the mother having an infection that could be passed to the baby during a vaginal delivery, having multiples, or the mother or baby has a condition that would worsen with a vaginal delivery.
I really want to have a natural birth, not a C-section.
Many times, babies can be delivered through the birth canal with no problem. However, there are cases when an unplanned C-section is necessary for the safety of baby and mother. For example, if the baby is too large to be delivered vaginally, if the baby or mother is in distress, or if there are placental issues, your doctor may have no choice by to perform a C-section.
What pain medication options are available during the birth?
Pain management during childbirth is a personal decision. You know your pain threshold and your body. For some women, breathing and relaxation techniques will work. Others may need regional anesthesia, such as an epidural or spinal block. Discuss the options with your doctor.
Labor and delivery can be unpredictable, so while you may have a birthing plan in mind, it’s important remain flexible and open-minded. Rest assured that your doctor, nurse, or midwife will do everything possible to assure the safety of you and your baby. Contact your Capital Women’s Care provider if you have any childbirth or pregnancy questions.
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