As the baby matures in the womb and the gestational age nears completion towards 40 weeks, it is the time for baby to step out in the world.
Usually, by the beginning or within the first 15 days of 9th month, the changes start happening in the lower part of the uterus to facilitate a vaginal delivery.
After extensive research, several delivery methods have been modulated in an attempt to transfer woman towards a safe motherhood. If the baby presents by head-first, it comes down into the mother’ bones, and mothers’ tissues open up gradually. The baby can very well deliver normally (vaginally).
Sometimes, the baby presents by other body parts except head or by head in a different way, where normal delivery is not possible. If the bones of mother’s passage are found to be narrow, morel likely the baby has an umbilical cord around its neck – or during pains,the baby becomes uncomfortable and passes stool; in such case, a cesarean delivery becomes necessary. There are several other conditions, which need the baby to be delivered by cesarean – should consult the doctor for more information.
Cesareans, in modern times, are performed either – elective even before the labour pains start, in conditions like blood pressure and such problems in mother due to pregnancy – or in emergency, when it becomes unsafe for either the mother or the baby; if farther waiting is done during labour pains.
In normal delivery, a cut is given down on the lower muscles to ease out the passage of the baby without bruising or damaging the mother’s musculature, which is called an ‘Episiotomy’. It is then closed ‘layer by layer’, so that the mother’s tissues are brought back to their normal positions. This prevents loosening of vagina and any accidental injury to the urinary and stool areas.
Sometimes, in the end of labour process, the baby comes ‘quite’ low down in the mother’s body, but cannot come further down either due to a narrower lower bones or a lack of the mother’s force to push out of the baby due to tiredness. In this case, it is possible that the baby is delivered by the instruments like ‘forceps’ or ‘vacuum’ – both are scientific and safe.
Whatever the delivery methods are, we sensibly monitor and take care of both the mother and baby elaborately before, during and after delivery.