That unique feeling of the first look and touch of your baby, is now possible in our maternity, that is only private owned maternity in Serbia

The development of medicine and anesthesia, enabled the pain free labor under the regional anesthesia. When we are speaking in the terms of safety, we have to emphasize that both procedures are considered as very safe. Also, it is very important to have faith in the Team that conducts labor and to cooperate with them. The magnificent moment of giving birth in our hospital won’t be a solitary experience, During the whole procedure the Team will be by your side, that will wish to your baby a safe and warm welcome to this planet.

The vaginal delivery

The vaginal birth is the most wanted option of the delivery, and there are three stages that woman goes when she gives birth vaginally. The length of the delivery varies according to a number of factors, such as whether or not it's your first pregnancy, the size of your baby and its position in your womb.

 

The first phase – phase of dilatation

When your baby is ready to start the life outside your womb, the balance of hormones changes and makes your cervix (the neck of your womb) become softer and shorter. The hormones will also cause the contraction that you will start to feel in the meantime. In this period of the labour the contractions happen occasionally and painless. The muscles in your womb tense and relax becoming shorter so that your cervix stretches and opens. Contractions feel like a wave. They start gently and gradually build, becoming intense and then easing off. It may take some time for the contractions to become regular but they will gradually get stronger and closer together. At the very beginning of the labour you may experience contractions on every 15-30 minutes, and after a while, they become more intense and stronger and occurring on every 2-3 minutes. The length of the contraction is individual for every woman but usually they lasts form 10-14 seconds.

When you have a contraction, you will feel a build-up of tension across your abdomen and pain in your back and possibly also between your thighs and low down in your pelvis. You may also find that your waters break. This is a normal part of labour. The first phase lasts until you are fully dialated which is approximately about 10 cm, and this dilatation will enable your baby to descend in the birth canal. For women having their first baby, labour lasts on average for about 8 hours, for the ones that previously has labour it lasts to six hours. During this phase of the delivery, the babies hart beat are measured and controlled with cardiotocography (CTG apparatus that you have already known in the last weeks of your pregnancy), and the doctor will examine you on every two hours or more often if necessary. On this examination the doctor assesses the rate of the dilatation, wheather the contraction has normal intensity, does the baby descend in birth canal has nice rhythm and is it needed to stimylate the delivery by addmiting some of the medications. If the doctor thinks that is necessary to stimylate labour they will give medications that will enable the dilatation of the uterus. The second phase begins when you are fully dialated and when the baby’s head is in the birth canal.

 

The second phase – the expulsion

The second stage of labour is when you give birth to your baby. As contrast to first phase this one lasts lot shorter. As the baby's head gets lower, you will eventually feel a strong urge to push and this helps the baby to be born. This is a unique feeling which your body does of its own accord. In this phase the coordination with midwife is essential for safe delivery. In the period between the contractions, that is longer in this phase of the delivery, you should relax and gather strength for upcoming contractions. As you push, your baby moves further down through your pelvis until his or her head stays at the entrance to your vagina between contractions. Usually, the head is born first followed by the shoulders and the rest of the body. In this point just before your baby is pushed out the doctor may suggest the episiothomy. When the baby is out, this phase of the delivery ends.

 

The third phase – the placenta
This is when the placenta and membranes that held your baby in the womb are passed out of your body. You can let this happen naturally or you can be given a medicine to help the process. In the most cases placenta comes out naturally, after it is push out from the uterus. If this is not happening the doctor manually takes out the placenta under the general anesthesy. Your midwife or doctor can help the third stage to progress more quickly and safely.

 

The fourth phase – the chemostasy
In the last phase of the labour the doctor will monitor the bleeding from your uterus. This phase of bleed control lasts about two hours, and during this time you will relax under the constant supervision of the doctor. When the attending physician assests that the bleeding is stable, you will be transferred into the room where your baby is waiting for you. Soon after you are relaxed the first breastfeeding will start.

The pain related to vaginal birth
All women cope differently with labour. There are a number of other methods of pain relief that you can try if you don't wish to use medicines, such as massage, the relaxion techiniques, changing of position etc. One of the way of pain management is the admitting of regional anesthesia. This medication completely blocks any feeling of pain. If you have an epidural, your second stage of labour may take longer because you won't feel the urge to push. It may also make moving around more difficult because you have less feeling in your back and legs.