Sometimes during labour things don’t go according to ‘plan’. There may be birth complications and a need for some kind of assisted birth. This may be because baby is getting tired and distressed and needs to be born quickly, or sometimes no matter how hard mum is working and pushing, she may need some extra help. There can also be circumstances that require baby to born more quickly.
Whatever the reason, your caregiver or obstetrician will assess the need and level of intervention required.
What Types Of Interventions Are Used?
A ventouse (also known as a vacuum) is generally the first level of intervention used. This is a suction device that is placed over the crown of baby’s head and utilising the force of the contraction, mums effort in pushing and the pulling of the vacuum, baby is born.
If a vacuum is unable to be used, for instance if baby is higher up in the vaginal canal or in a position not conducive to using a vacuum, then forceps will be used. The forceps are gently placed one at a time into the vagina on either side of baby’s head and cheeks, and with the force of the contraction, pushing effort by mum, the obstetrician will gently ease the baby out. Unfortunately, sometimes an episiotomy may have to be performed which is a cut at the perineum, at the time of the head crowning, to allow for more room for the head to be born.
Even if all efforts have been used to achieve a natural birth, sometimes there are circumstances that require a caesarean section. This can be an emergency or non-emergency caesarean section. Your midwife and doctor will keep you both informed and reassured. Your baby may be in distress, dilatation may not be happening and occasionally all efforts to push just don’t result in a vaginal birth. The most important factor in all of this is that there is a safe outcome for mum and baby. Often if this happens it is a good idea to debrief with your midwife and doctor at a later stage to find out exactly what happened so that you can understand why.
How Often Do Birth Complications Occur?
Birth complications occur more often than you may think. However, the most important thing to reiterate is that there is a safe outcome for mum and babe. When you engage your caregiver you are placing your trust in their knowledge and expertise. So my advice is to educate yourself as thoroughly as possible, over the course of your pregnancy. You can do this by watching our labour and birth video, reading books and talking to friends and family who have experienced labour and birth. Having a warm and open communication channel between you and your caregiver is also extremely important. You develop an amazing and trusting relationship with them over the course of your pregnancy.
Most women are fertile two weeks before their period starts. However, breastfeeding can delay the return of periods, making it hard for women to know with any confidence when their ‘fertile window’ may be. This is why some women conceive again before their periods have come back.
An epidural is an anaesthetic procedure, where a local anaesthetic is injected into the epidural space near the spinal cord. An epidural anaesthetic numbs the nerves so pain cannot be felt in certain areas of the body.
An epidural during labour helps to block pain signals from contractions. If birth intervention is needed, e.g., caesarean or forceps, an epidural is a common form of anaesthetic.