One of the most important moments in a woman’s life is the birth of her child. It is a unique and emotional experience for both parents. While the idea of childbirth can sometimes feel frightening or cause anxiety, with the right preparation and support from your obstetrician and midwife, it can become a truly unforgettable and positive experience.
What is Normal Vaginal Delivery?
A normal (vaginal) delivery typically begins naturally between the 37th and 41st week of pregnancy. The process happens in three stages:
- Dilation Stage — The cervix opens (dilates) to allow the baby to pass through.
- Expulsion Stage — The baby moves down the birth canal and is born.
- Afterbirth Stage — The placenta is delivered.
The length of labor varies for each woman. For first-time mothers, labor usually lasts 12 to 14 hours on average.
Signs that labor has begun include:
- The appearance of blood-tinged mucus from the vagina (called the “bloody show”).
- Painful, regular uterine contractions that become stronger, longer, and more frequent over time.
- Rupture of the amniotic sac, known as the “water breaking” — a clear sign that labor is underway.
Cesarean Section (C-section)
Sometimes, a vaginal delivery might pose risks to the baby or mother, and a cesarean section (C-section) is recommended to ensure safety.
When Is a C-section Necessary?
According to the International Federation of Gynecology and Obstetrics (FIGO), common reasons for a C-section include:
- The baby is not in the correct position (e.g., breech — feet first, face presentation, or transverse lie).
- Twin or multiple pregnancies with higher risk of complications.
- Sudden bleeding before or during labor.
- Maternal age over 40, increasing delivery risks.
- Previous cesarean delivery.
- Recent surgery to remove uterine fibroids (myomectomy).
- The baby is small for gestational age (low birth weight).
- Maternal health conditions such as diabetes, genital herpes, or hypertension.
Note: In many cases, a vaginal birth after cesarean (VBAC) is possible if the mother meets specific medical criteria and there are no contraindications.