Welcome To-Be- Parents

(c)Dr Nupur Gupta

Normal Delivery Vs Caesarean:Which is better?

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Mode of Delivery

Normal Vs Caesarean

Its not about choice….

Its about right decision

at right time

(c)Dr Nupur Gupta

Know your Caregivers Dr Nupur Gupta, Unit Head, Consultant Obs & Gyn

Dr Monika Chaudhary, Associate Consultant

Mrs Meenakshi Saxena, Lactation Counsellor

Dr Manjiri Deshpande, Child Birth Educator

Dr Seema Rekha, Consultant Emotional Health

(c)Dr Nupur Gupta

Holistic Approach

• Informed participant

• Natural labour progression

• Better decision making

• Feel empowered

• Benefits & risk of childbirth

options

• Improves your understanding

about labour & childbirth

(c)Dr Nupur Gupta

Your mind wanders?

• What about Caesarean section?

• What about Induction of labour?

• What about pain ?

• How does my body work during childbirth?

• What factors influence the progress of childbirth?

• How can I best prepare for pregnancy & childbirth?

• How can I arrange the best birth support?

(c)Dr Nupur Gupta

What are the modes of delivery?

• Normal Vaginal

• Instrumental vaginal

• Caesarean

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Vaginal

• Normal

• Instrumental (vacuum or forceps)

Signs of Labor

- Labor pain

- Leaking

- Show

Stages of Labour- First- Second- Third

(c)Dr Nupur Gupta

Vaginal Delivery (Pros)

• Faster recovery

• Lesser bleeding

• Breastfeeding within 2 hrs

• Resumption of diet

• Duration of hosp stay 48hrs

• Postpartum depression –less

• Cost –cheaper

• Future fertility – better

(c)Dr Nupur Gupta

Vaginal Delivery (Cons)

• Perineal tear,

• Haematoma,

• Incontinence

• Uterine prolapse

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When to consult?

• Abdominal pain with

discomfort

• Diarrhea

• Vaginal bleeding or excessive

show

• Leaking or sudden gush of

water

• Decreased fetal movements

True vs False Labour

True Labour

• Contractions – stronger, longer

• Regular

• Walking or change of position makes it stronger

• Begin at Back & move forward

False Labour

• Contractions –same strength,

• Irregular

• No change with walking

• Felt high in front

PAIN RELIEF IN LABOUR

• Emotional Support

• Proper hydration

• IV medications

• Epidural

• Breathing

• Massage

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What can go wrong?

• Power

- Poor contractions

- Poor bearing down

• Passenger

- Big baby, malposition

- or presentation

• Passage

- Small pelvis

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Caesarean

• Surgical procedure

• Delivery of baby

through incision on

abdomen and uterus

• Needs anesthesia

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Indications for Caesarean

• Fetal distress

• Failure to progress

• Abnormal presentation

• Low lying placenta

• Contracted bony pelvis

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Caesarean Section (Cons)

• Slow but steady recovery

• More blood loss

• Breastfeeding up to 12 hrs

• Hospital stay 2-3 days and costly

• More chances of post partum depression

(c)Dr Nupur Gupta

Caesarean section (Cons)

• Fear of anesthesia

• Expensive

• Chance of repeat caesarean

• Pain, urinary infection, adhesions, spinal headache

(c)Dr Nupur Gupta

Fetal Outcome

Normal Delivery

• Come out when ready

• Balanced immune

system

• Respiratory problems

less

Caesarean

• Planned or

emergency birth

• Less birth trauma

• Respiratory

problems more

(c)Dr Nupur Gupta

Vaginal birth after Caesarean

• Up to 70%

• Instrumental delivery

• Continuous CTG

• Facility for immediate

caesarean is mandatory

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Caesarean Delivery on Maternal Request?

• Give a choice to mothers?

• Controversial

• Mother’s right ?

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Cord Around the Neck?

• 6 to 36%

• 50% resolve before delivery

• Doppler

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What If I Don’t Make It To The Hospital On Time?

• Duration of labour

• Plenty of time

• Identify signs of labour

Don’t Worry We are there for you

(c)Dr Nupur Gupta

Take Home Message

• Though vaginal delivery is safe,

sometimes C-section is beneficial for

both mother and baby.

• Whatever the mode of delivery the

ultimate outcome must be safe

mother and safe baby.

(c)Dr Nupur Gupta

Happy Family Moments

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Joy of Motherhood

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Grateful clients

(c)Dr Nupur Gupta

Why should you choose at Paras Hospital?

• Experience- Trained & Professional Team of Experts

• Expertise – can manage complicated cases• Multidisciplinary team approach• Blood bank facility• State-of-the-art level III Neonatal Intensive

Care Unit (NICU) • Competitive pricing

• Evidence based approach to treatment

(c)Dr Nupur Gupta

(c)Dr Nupur Gupta

NEONATAL UNIT - ICU

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Thank You