Pregnancy and Birth › Childbirth
Childbirth
Birth is a stage of pregnancy rather than its conclusion. A good experience of birth begins with knowing what to expect, understanding the options and feeling that decisions are being made together.
How the mode of birth is decided
The choice between vaginal birth and caesarean section does not rest on a single criterion. The position and estimated weight of the baby, the site of the placenta, previous operations, the mother's health and the course of the pregnancy are all considered together.
Where it is medically indicated, caesarean section is a life-saving operation; where it is not, it carries the risks of any operation. The decision is therefore made separately for each pregnancy.
Signs of labour
- Regular contractions that become more frequent and stronger
- Waters breaking — attend even if the amount is small
- A blood-stained mucous discharge (a "show")
- Persistent pain radiating to the back and pelvis
When to go to hospital
- When contractions come every 5 minutes
- When the waters break — even without contractions
- If there is bleeding
- If the baby's movements reduce
- With severe headache, blurred vision or sudden swelling
After the birth
- Skin-to-skin contact and early breastfeeding are encouraged in the first hours
- Blood loss is monitored closely on the first day
- Care of any stitches and pain relief are explained
- Breastfeeding support is one of the most decisive parts of this period
- Early mobilisation reduces the risk of clots
The postnatal check
A review appointment takes place about 6 weeks after birth: recovery, bleeding pattern, breastfeeding, mood and contraception are all considered together.
Low mood after birth is common and usually settles on its own; but if it lasts longer than two weeks, deepens, or makes it harder to bond with the baby, that is not a weakness but a treatable condition and should be talked about.
