Labour

Patient Information Blogs Experience Birth Your Way (The Personalized Birthing Experience at Medicsi Hospital) 25/05/2024 Experience Birth Your Way (The Personalized Birthing Experience at Medicsi Hospital) 25/05/2024 At Medicsi Hospital, we understand that the birth of a child is one of life’s most extraordinary events. That’s why we are thrilled to introduce our Personalized Birthing Experience, an innovative service designed to make the arrival of your little one as unique and special as your family. This tailored approach to childbirth is the latest innovation in obstetrics, offering expectant mothers and families the opportunity to customize their birthing experience to fit their personal desires and comfort.   What is a Personalized Birthing Experience? A personalized birthing experience allows you to have a significant role in planning and customizing how you bring your new baby into the world. This approach goes beyond the standard medical care; it encompasses aesthetic and emotional elements that transform this life-changing event into an even more memorable and intimate celebration. Benefits of a Personalized Birthing Experience The benefits of customizing your birthing experience are profound:   Emotional ComfortBeing surrounded by a setting that is calm, familiar, and reflective of your personal tastes reduces stress and anxiety, making the birthing process smoother and more enjoyable. Husband InvolvementHaving your partner actively participate, such as being present in the delivery room to cut the umbilical cord, fosters a deeper bond between parents and the newborn. Memorable MomentsEnhancing the birthing room with elements like soft music, dim lighting, and scented candles creates a serene environment that makes the experience unforgettable. Customizing Your Birth at Medicsi Hospital At Medicsi Hospital, we offer various options to personalize your childbirth:   Presence of the HusbandWe encourage the participation of your partner in the delivery room, including the cutting of the umbilical cord, to share this profound moment together. Ambiance ControlYou can choose dim lights, scented candles, and soft background music to create a soothing environment that feels more like home. Room Decoration ServicesAfter the birth, our team can decorate your room to celebrate the new arrival with style and warmth. Neonatal PhotographyCapture the first moments of your baby’s life with professional photography—a beautiful way to keep these cherished memories alive. Customized Resin PlatePreserve memories of this significant day with a customized resin plate that can include your baby’s picture, your family photo, a piece of the dried umbilical cord, the baby’s first hair, the name tag, a urine pregnancy strip, and personalized text. How to Plan Your Personalized Birthing Experience To start planning your personalized birthing experience at Medicsi Hospital, schedule a consultation with our Personalized Birthing Experience team. We’ll discuss all available options and help you design a birth plan that meets your wishes. From the moment you arrive at our facility to the joyous departure with your new baby, every step can be tailored to ensure your comfort and happiness. At Medicsi Hospital, we’re dedicated to making your childbirth experience as joyful and individual as the new life you’re about to welcome. Let us help you celebrate this monumental occasion your way, creating memories that will last a lifetime. Connect with us for a Personalized Birthing  Experience!   Dr. Zainab AliProject Director03315957580 At Medicsi Hospital, we understand that the birth of a child is one of life’s most extraordinary events. That’s why we are thrilled to introduce our Personalized Birthing Experience, an innovative service designed to make the arrival of your little one as unique and special as your family. This tailored approach to childbirth is the latest innovation in obstetrics, offering expectant mothers and families the opportunity to customize their birthing experience to fit their personal desires and comfort. What is a Personalized Birthing Experience? A personalized birthing experience allows you to have a significant role in planning and customizing how you bring your new baby into the world. This approach goes beyond the standard medical care; it encompasses aesthetic and emotional elements that transform this life-changing event into an even more memorable and intimate celebration. Benefits of a Personalized Birthing Experience The benefits of customizing your birthing experience are profound:   Emotional ComfortBeing surrounded by a setting that is calm, familiar, and reflective of your personal tastes reduces stress and anxiety, making the birthing process smoother and more enjoyable. Husband InvolvementHaving your partner actively participate, such as being present in the delivery room to cut the umbilical cord, fosters a deeper bond between parents and the newborn. Memorable MomentsEnhancing the birthing room with elements like soft music, dim lighting, and scented candles creates a serene environment that makes the experience unforgettable. Customizing Your Birth at Medicsi Hospital At Medicsi Hospital, we offer various options to personalize your childbirth:   Presence of the HusbandWe encourage the participation of your partner in the delivery room, including the cutting of the umbilical cord, to share this profound moment together. Ambiance ControlYou can choose dim lights, scented candles, and soft background music to create a soothing environment that feels more like home. Room Decoration ServicesAfter the birth, our team can decorate your room to celebrate the new arrival with style and warmth. Neonatal PhotographyCapture the first moments of your baby’s life with professional photography—a beautiful way to keep these cherished memories alive. Customized Resin PlatePreserve memories of this significant day with a customized resin plate that can include your baby’s picture, your family photo, a piece of the dried umbilical cord, the baby’s first hair, the name tag, a urine pregnancy strip, and personalized text. How to Plan Your Personalized Birthing Experience To start planning your personalized birthing experience at Medicsi Hospital, schedule a consultation with our Personalized Birthing Experience team. We’ll discuss all available options and help you design a birth plan that meets your wishes. From the moment you arrive at our facility to the joyous departure with your new baby, every step can be tailored to ensure your comfort and happiness. At Medicsi Hospital, we’re dedicated to making your childbirth experience as joyful and individual as the new life you’re

Patient Information Blogs Pain Relief Options for Delivery of a Nonviable Baby Courtesy of: Dr. Ammar Ali Shah; Consultant Anaesthesiologist, Medicsi 22/05/2024 Pain Relief Options for Delivery of a Nonviable Baby (Courtesy of: Dr. Ammar Ali Shah; Consultant Anaesthesiologist, Medicsi) 22/05/2024 Finding out about the demise of an unborn baby is always devastating news and experience. Your obstetric team shall discuss with you the possible options for delivery of the baby. Vaginal birth is considered a safer option because it incurs fewer risks to the mother and the body recovers quickly. Although some mothers find the idea of vaginal birth after the demise of the baby as distressing, it is the best option if safely possible.  During your stay at the delivery suite, your husband/relative can stay and support you while our experienced midwife will also be there to help you. Finding out about the demise of an unborn baby is always devastating news and experience. Your obstetric team shall discuss with you the possible options for delivery of the baby. Vaginal birth is considered a safer option because it incurs fewer risks to the mother and the body recovers quickly. Although some mothers find the idea of vaginal birth after the demise of the baby as distressing, it is the best option if safely possible.  During your stay at the delivery suite, your husband/relative can stay and support you while our experienced midwife will also be there to help you. Possible pain relief options that we offer. We endeavor to ensure good pain relief for you during these testing times. You can try relaxing techniques like deep breathing exercises, massage, listening to music, or Quranic verses; however, we understand that relaxing at this time is easier said than done. Based upon your general health and medical history we can advise you to give strong painkillers (opioids) or epidural. Your wishes and latest practice guidelines shall be considered before finalizing a plan for you. Strong opioids: This group of medications has a strong pain relief effect. However, they can at times make you feel dizzy and nauseated. We might also have to keep observation on your blood oxygen levels as a precaution. Some patients might feel itching as a side effect. Epidural: An epidural is the most effective methodology for pain relief. A consultant from our team of anesthetists shall use a needle to put in the epidural space in your back. The needle shall be promptly removed while a thin little pipe shall remain in place and deliver the medication during labour. The tube inserted in your back will be connected to the epidural pump for delivery of the medication. We use a combination of local anesthetics and opioids to numb the pain fibers carrying sensation from your belly and birth canal to the brain. Your safety is of utmost importance and hence the anesthesia team will take into consideration your medical history and current medications. An important and recent test needed, before we give an epidural is a complete blood picture profile. We need to see platelet count which has to be more than 80 to administer the epidural analgesia. Once the plan is finalized it takes almost 15 mins to place the epidural and it takes another 20 minutes to be fully effective. As with all interventions in medicine, there are some risks involved. Your blood pressure can come down so we will have to give you some fluids intravenously and frequent monitoring of your blood pressure. About 1 in 100 ladies may develop a headache after epidural placement that is self-limiting but sometimes may require simple treatment measures. Your legs might feel heavy during the infusion. The movement will be slightly difficult owing to the attachment with the infusion pump. A urinary catheter may need to be put in whilst you have the epidural infusion. All through the process Inshaa’Allah our experienced multidisciplinary team will be available to assist you in every respect. Possible pain relief options that we offer. We endeavor to ensure good pain relief for you during these testing times. You can try relaxing techniques like deep breathing exercises, massage, listening to music, or Quranic verses; however, we understand that relaxing at this time is easier said than done. Based upon your general health and medical history we can advise you to give strong painkillers (opioids) or epidural. Your wishes and latest practice guidelines shall be considered before finalizing a plan for you. Strong opioids: This group of medications has a strong pain relief effect. However, they can at times make you feel dizzy and nauseated. We might also have to keep observation on your blood oxygen levels as a precaution. Some patients might feel itching as a side effect. Epidural: An epidural is the most effective methodology for pain relief. A consultant from our team of anesthetists shall use a needle to put in the epidural space in your back. The needle shall be promptly removed while a thin little pipe shall remain in place and deliver the medication during labour. The tube inserted in your back will be connected to the epidural pump for delivery of the medication. We use a combination of local anesthetics and opioids to numb the pain fibers carrying sensation from your belly and birth canal to the brain. Your safety is of utmost importance and hence the anesthesia team will take into consideration your medical history and current medications. An important and recent test needed, before we give an epidural is a complete blood picture profile. We need to see platelet count which has to be more than 80 to administer the epidural analgesia. Once the plan is finalized it takes almost 15 mins to place the epidural and it takes another 20 minutes to be fully effective. As with all interventions in medicine, there are some risks involved. Your blood pressure can come down so we will have to give you some fluids intravenously and frequent monitoring of your blood pressure. About 1 in 100 ladies

Patient Information Blogs Why Your Baby At Term Might Need Care In Nursery? … 30/04/2024 The joy of having to cuddle a newborn in your arms at birth can sometimes be intercepted by the painful news that the baby needs to be kept in Neonatal Intensive Care (NICU) for one or another reason. We will be highlighting those that we commonly come across but not all as they are beyond the scope of this blog.   One of the largest categories of term babies that get admitted to the NICU are those that need respiratory (Oxygen) support for breathing problems. Some babies only need a nasal cannula but others may need a breathing tube and a ventilator. This may be due to one of the following: Persistent Pulmonary Hypertension of the newborn. Transient Tachypnoea of the Newborn  Respiratory Distress Syndrome Meconium Aspiration. Why Your Baby At Term Might Need Care In Nursery? … 30/04/2024 The joy of having to cuddle a newborn in your arms at birth can sometimes be intercepted by the painful news that the baby needs to be kept in Neonatal Intensive Care (NICU) for one or another reason. We will be highlighting those that we commonly come across but not all as they are beyond the scope of this blog.   One of the largest categories of term babies that get admitted to the NICU are those that need respiratory (Oxygen) support for breathing problems. Some babies only need a nasal cannula but others may need a breathing tube and a ventilator. This may be due to one of the following: Persistent Pulmonary Hypertension of the newborn. Transient Tachypnoea of the Newborn  Respiratory Distress Syndrome Meconium Aspiration. Intolerance to feed: Soon after birth the baby is given feed either the mother’s own or bottle feed depending on the availability. If the mother has an operation she sometimes is not able to feed so we resort to bottle feed. It goes without saying that mother feed is always highly preferred. If the baby vomits the feed out, he/she will not be transferred to the mother and will be kept under observation in the NICU.    Jaundice may be another condition due to which the baby has to be admitted to the NICU. It is a condition that occurs in babies when something called bilirubin builds up in the bloodstream. Babies with jaundice may have a yellow undertone to their skin if the bilirubin levels are high enough. To help their bodies break down bilirubin, they are treated with a phototherapy light. Blood tests are done to monitor the bilirubin levels and to see if any further treatment is needed or not. Sometimes babies undergo blood exchange transfusion to help them get rid of the bilirubin.   Term babies may be in NICU because they are having neurological symptoms (Brain or spinal cord related functions). A wide variety of neurological conditions may be the result of the labour and delivery process, a genetic condition, or a metabolic issue. The babies may present as follows: Neonatal stroke Hypoxic ischemic encephalopathy Brain injuries Hydrocephalus Myelomeningocele   Though preterm babies are more prone to infections, sometimes a baby after 37 weeks is admitted to the NICU for possible or confirmed infections. Maternal chorioamnionitis is an infection that necessitates an infant to be placed on antibiotics. Generally, the baby will be on antibiotics for several days in this condition. Mothers may carry certain infections in the vagina without any symptoms like E. Coli, Group B Streptococcus, Pseudomonas, etc. If needed mothers are tested for these infections and if they come positive, both the Obstetrics and Paeds teams are proactive and begin antibiotics for the mother prior to delivery.    There are a lot of different genetic conditions….. Some will require NICU care and some can be discharged home with the mother. Some examples of genetic conditions we may see in NICU are: Downs Syndrome Trisomy 18 Trisomy 13 Gastroschisis Omphalocoele   And many more. Sometimes the parents know about those before birth if they are picked on prenatal ultrasound. But other times, many parents will come to know about these after their baby is born. We will be highlighting those that we commonly come across but not all as they are beyond the scope of this blog. Recent Blogs edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More edit post Minimally Invasive Surgery At Medicsi Read More edit post Ensuring Your Comfort and Safety Read More

Patient Information Blogs What To Expect When You Come To Medicsi With Labour Pains … 30/04/2024 What will happen when I first arrive at the hospital? Upon arrival in the hospital when in labour, you will be managed entirely by the on-call team of doctors and nurses, who will be in communication with your Consultant over the phone. When you arrive in the emergency room, a healthcare professional (mostly a midwife) will measure your vital signs, ask a few questions about your complaints, and inform the on-call duty doctor. The doctor will perform an assessment, which will include a vaginal examination, look at the baby’s essentials, and transfer you to the relevant area for management.  Any further management will be planned by your Consultant. If you are beyond 4 cm dilatation, and pains are frequent and strong you will be admitted directly to the labour rooms. If the cervix is still in the latent phase i.e.; less than 3 cms and pains are mild and more than 5 min apart, you will be admitted to the in-patient room and the labour will be observed there. Whatever care you will be provided, will be decided by the on-call team in collaboration with your consultant. Upon admission, up-to-date (usually CBC, Clotting Profile, in addition to any more suggested by the consultant) blood tests will be done and consent for management of labour must be signed by both you and your husband (or the next of kin in exceptional circumstances only when the husband is not available). What To Expect When You Come To Medicsi With Labour Pains … 30/04/2024 What will happen when I first arrive at the hospital? Upon arrival in the hospital when in labour, you will be managed entirely by the on-call team of doctors and nurses, who will be in communication with your Consultant over the phone. When you arrive in the emergency room, a healthcare professional (mostly a midwife) will measure your vital signs, ask a few questions about your complaints, and inform the on-call duty doctor. The doctor will perform an assessment, which will include a vaginal examination, look at the baby’s essentials, and transfer you to the relevant area for management.  Any further management will be planned by your Consultant. If you are beyond 4 cm dilatation, and pains are frequent and strong you will be admitted directly to the labour rooms. If the cervix is still in the latent phase i.e.; less than 3 cms and pains are mild and more than 5 min apart, you will be admitted to the in-patient room and the labour will be observed there. Whatever care you will be provided, will be decided by the on-call team in collaboration with your consultant. Upon admission, up-to-date (usually CBC, Clotting Profile, in addition to any more suggested by the consultant) blood tests will be done and consent for management of labour must be signed by both you and your husband (or the next of kin in exceptional circumstances only when the husband is not available). How will my labour progress be monitored? The management of labour will include health monitoring of you and your baby using the following methods, which will be repeated at regular intervals. Vital signs measurement mostly on the electronic monitor Digital Vaginal examination Electronic Foetal heart monitoring through CTG (Cardiotocography) Uterine contractions are felt digitally to measure their strength and frequency as and when needed What happens if I want an epidural for pain relief during labour? Epidural is given no later than 4 cm cervical dilatation. The epidural will be provided on request unless you have a specific medical condition that prevents you from getting one. If you request pain management via epidural during your labour, it is essential that you had visited our anaesthesia team for counseling during your pregnancy. If you wish to take an epidural, please inform the duty doctor. She will prepare you for it when it's time to place the epidural.  An epidural will only be given when all safety measures have been ensured. There may be circumstances where the provision of epidural is delayed e.g.  You reach the hospital and your cervix is more than 4 cm dilated,  The platelets are less than 80,000 on the fresh CBC sample of the same day  Or if the unit is busy and the doctor is not free to administer the epidural where other emergencies are being managed. In this case, an epidural will be delayed and a re-assessment will be made once the epidural can safely be given to you. If at the time of reassessment, you are in advanced labour, we may not be able to give you an epidural as it is less likely to be effective and more likely to cause complications. Other medical conditions where it's contraindicated to give an epidural, like backbone issues, infections at the site of the epidural, etc. Who will be involved in my labour management and how will my Consultant be involved in my care? From admission till delivery/discharge, you will be managed entirely by the on-call team of doctors and nurses, who will be in communication with your consultant over the phone. Your consultant will come close to the time of delivery. In case of an emergency situation where you or your baby is facing any complications, the consultant will be there as soon as possible. Under very urgent situations or if your consultant is occupied somewhere, another consultant will come to help you in that situation.  All information regarding you, the baby, and the progress of labour is conveyed to the consultant regularly and they will be informed when you are close to delivery. Very rarely you may dilate unexpectedly quickly and your consultant may not reach you in time. The doctor accompanying you has the competence to deliver you and will do so. What interventions will be carried out during my labour? The following Interventions may be done during your labour with the consent of your consultant, and are

Patient Information Blogs Epidural Analgesia For Labour … 30/04/2024 An epidural is an injection given in your back to stop you from feeling pain in a specified part of your body. Epidural analgesia is a type of epidural commonly given for pain relief in childbirth and in some types of surgery. Epidurals can be used during Childbirth and Caesarean sections. At Medicsi we manage to give the epidurals for labour round the clock by a highly competent and professional team of anaesthesiologists.   Preparing for an Epidural:    Around 34 to 36 weeks of gestation, your obstetrician will arrange an appointment with the anaesthesiologist for epidural counselling. If you have any concerns or questions about having an epidural, discuss these with the anaesthesia doctor on the appointment.    Epidural Analgesia For Labour … 30/04/2024 An epidural is an injection given in your back to stop you from feeling pain in a specified part of your body. Epidural analgesia is a type of epidural commonly given for pain relief in childbirth and in some types of surgery. Epidurals can be used during Childbirth and Caesarean sections. At Medicsi we manage to give the epidurals for labour round the clock by a highly competent and professional team of anaesthesiologists.   Preparing for an Epidural: Around 34 to 36 weeks of gestation, your obstetrician will arrange an appointment with the anaesthesiologist for epidural counselling. If you have any concerns or questions about having an epidural, discuss these with the anaesthesia doctor on the appointment. You should visit the anaesthesiologist with your husband and in case he is not available, next of kin should accompany you on his behalf.  Do let the doctor know about any medicines you might be taking.  You may be given specific advice about eating, drinking, and medicines before the epidural.  If you decide to take an epidural during your labour, let your Obstetrician know about this. When you get admitted to the hospital in labour, kindly inform the duty doctor about your willingness to take an epidural. Epidurals in labour are given once you have regular painful contractions and your cervix is 3 to 4 cm. Once you reach this point you will be given an infusion of about 500 ml of fluids in preparation for the epidural. The on-call anaesthesiologist will come and give you the epidural. No relative is allowed to stay in the room at the time of epidural insertion.  The epidural takes about 30 min to site and it takes another 30 min to see if the effect is an optimum one.  The ease of the procedure depends on the contour of your backbone, the thickness of the skin at the lower back, and how co-operative you are at the time. How is an Epidural given? Epidurals are given by a specialist doctor called an anaesthetist. You will be awake during an epidural.  A drip will be placed in your arm so you can be given fluids while you’re having the epidural. You’ll be asked to sit down and lean forwards, or lie on your side with your knees up close to your chest. You’ll be given an injection of local anaesthesia at the site of the epidural injection. The local anaesthesia medication will numb the skin where the epidural will be inserted. A needle is used to insert a fine plastic tube called an epidural catheter into your back (spine) near the nerves that carry pain messages to your brain. The needle is then removed, leaving just the catheter in your spine. You may feel mild discomfort when the epidural needle is positioned and the catheter is inserted. The epidural can be inserted at different levels of your spine, depending on the area of your body that needs pain relief.  Pain relief medicines are then given through the catheter. These take about 20 to 30 minutes to take full effect. Your tummy and legs may feel numb while the epidural medicines are being used, and your legs may not feel as strong as usual. While the catheter remains in your back, it can be used to top up your pain relief medicines manually or using an automatic pump. This can be for several hours during childbirth. Under some circumstances the epidural cannot be offered i.e; you reach the hospital and your cervix is more than 4 cm dilated, the platelets are less than 80,000 on the fresh CBC sample of the same day, or if the unit is busy and the doctor is not free to administer the epidural. Recovering from an Epidural: When the epidural is stopped, the numbness usually lasts for a few hours before its effects begin to wear off. While the medicine wears off, you’ll probably be advised to rest in a lying or sitting position until the feeling in your legs returns. This can take a couple of hours, and you may feel a slight tingling sensation in your skin.  Tell the doctor or nurse if you feel any pain. They can give you medicines to help control it. You should pass urine within 3 hours of stopping the epidural. If you feel difficulty in passing urine, kindly inform the duty doctor.  Sometimes you need to be catheterized for a few hours before the bladder tone returns completely and the bladder starts working effectively. Do not drive for 24 hours after having an epidural. Risks and side effects of an Epidural: Epidurals are usually safe, but there’s a small risk of side effects and complications, including: Low blood pressure, which can make you feel lightheaded or nauseous Temporary loss of bladder control Itchy skin Feeling sick Headaches Nerve damage Our team will be in touch with you in case you end up with any such complications. Very rarely we might need to readmit you to medicate you for your post epidural headaches. This happens very infrequently. The chances that you can have a spinal fluid leak while siting in the epidural is close to 1.5 percent. Recent Blogs

Patient Information Blogs How The Labour May Start … 29/04/2024 It is important to familiarise yourself with the situations that may arise at term when you may have to go to the hospital. By the 36th week of pregnancy, you should get the bags ready for the baby and yourself as the labour can start any time now. You can experience one of the following situations:  You may experience some blood-stained discharge. If it's in the form of spotting you need not to worry and can stay home. This is called “show” and happens when the cervical mucus plug dislodges from the cervix in preparation for labour. The labour can start within hours to a few days. So this is a no-rush situation.  If there is more bleeding than spotting, it's wise to attend to the hospital emergency as quickly as possible. Your waters may break. This happens when the membranes burst and let the amniotic fluid leak from the cervix. This is an urgent situation and you should report to the hospital within 2 to 3 hours of this happening. Keep an eye on the baby's movements if you plan to stay at home till the pains begin. But it’s recommended that you visit in an emergency soon after the membrane rupture and the rest of labour management should be planned by your consultant. The doctor on duty in the emergency room will inform your consultant obstetrician. You may start with uterine contractions (called Pains). They could start randomly and infrequently. But you will notice that with time they will start getting closer and stronger. If you are labouring your first baby, you should leave for the hospital once these pains are 3 to 4 min apart. But if you are delivering your second or subsequent child you must go to the hospital as soon as your pains start. How The Labour May Start … 29/04/2024 It is important to familiarise yourself with the situations that may arise at term when you may have to go to the hospital. By the 36th week of pregnancy, you should get the bags ready for the baby and yourself as the labour can start any time now. You can experience one of the following situations:  You may experience some blood-stained discharge. If it's in the form of spotting you need not to worry and can stay home. This is called “show” and happens when the cervical mucus plug dislodges from the cervix in preparation for labour. The labour can start within hours to a few days. So this is a no-rush situation.  If there is more bleeding than spotting, it's wise to attend to the hospital emergency as quickly as possible. It is important to familiarise yourself with the situations that may arise at term when you may have to go to the hospital. By the 36th week of pregnancy, you should get the bags ready for the baby and yourself as the labour can start any time now. You can experience one of the following situations:  You may experience some blood-stained discharge. If it's in the form of spotting you need not to worry and can stay home. This is called “show” and happens when the cervical mucus plug dislodges from the cervix in preparation for labour. The labour can start within hours to a few days. So this is a no-rush situation.  If there is more bleeding than spotting, it's wise to attend to the hospital emergency as quickly as possible. Your waters may break. This happens when the membranes burst and let the amniotic fluid leak from the cervix. This is an urgent situation and you should report to the hospital within 2 to 3 hours of this happening. Keep an eye on the baby's movements if you plan to stay at home till the pains begin. But it’s recommended that you visit in an emergency soon after the membrane rupture and the rest of labour management should be planned by your consultant. The doctor on duty in the emergency room will inform your consultant obstetrician. You may start with uterine contractions (called Pains). They could start randomly and infrequently. But you will notice that with time they will start getting closer and stronger. If you are labouring your first baby, you should leave for the hospital once these pains are 3 to 4 min apart. But if you are delivering your second or subsequent child you must go to the hospital as soon as your pains start. Your waters may break. This happens when the membranes burst and let the amniotic fluid leak from the cervix. This is an urgent situation and you should report to the hospital within 2 to 3 hours of this happening. Keep an eye on the baby's movements if you plan to stay at home till the pains begin. But it’s recommended that you visit in an emergency soon after the membrane rupture and the rest of labour management should be planned by your consultant. The doctor on duty in the emergency room will inform your consultant obstetrician. You may start with uterine contractions (called Pains). They could start randomly and infrequently. But you will notice that with time they will start getting closer and stronger. If you are labouring your first baby, you should leave for the hospital once these pains are 3 to 4 min apart. But if you are delivering your second or subsequent child you must go to the hospital as soon as your pains start. Recent Blogs edit post Managing Your Pain 15/06/2024 Read More edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE 08/06/2024 Read More edit post Minimally Invasive Surgery At Medicsi 07/06/2024 Read More

Patient Information Blogs Reasons Why You Can End Up In A Caesarean Delivery … 28/04/2024 After having an uncomplicated and uneventful pregnancy, it is very distressing if the delivery does not come the natural way. It's disappointing and disheartening for the Patient and demoralising and discouraging for the Doctor who mostly has done all that could have been done to achieve a normal delivery.   Then there are situations where as care providers we have a high suspicion of caesarean delivery. Some of those situations include maternal morbidities like high blood pressure, liver derangements, diabetes, small for dates babies, intrauterine growth retardation, large for dates, oligohydramnios, deranged dopplers, etc. These situations often are self-explanatory and considering the risks faced by the baby or the mother, are often well accepted.   It's the initial scenario that raises many questions, from the credibility of the doctor to various blames on the hospital.   We feel it's high time we educate our “to-be mothers” so that they understand why caesarean sections can still be a reality even if everything went well during the pregnancy.  There are mainly two major reasons that even the doctor may not foresee before the labour begins. One is whether the baby's head will successfully pass through the pelvis without getting obstructed anywhere there and ultimately reach a point where it can be assisted to be delivered vaginally. Secondly, how the baby will respond to the stress of continuous uterine contractions for an average of eight to ten hours. These two are mainly the reasons why mothers end up in a caesarean section. So Failure to Progress in the first and second stage and Foetal distress are the two main reasons for unexpected emergency caesarea n sections.  Then there are other very infrequent causes of emergency caesarean sections like cord prolapse, excessive bleeding, severe hypertension, etc. The latter are uncommon and do not happen very frequently. During the labour you will be examined internally every 2 to 3 hours to assess the womb opening and descent of the foetal head. The baby’s heartbeat is continuously being monitored for signs of distress. Whenever the latter is suspected your doctor will discuss it with you in detail and every now and then will keep updating you as well. Your consultant obstetrician will discuss all the above in detail with you around the 36th week of pregnancy when she discusses labour and epidural with you. Medicsi wishes you a happy and healthy experience of childbirth. Reasons Why You Can End Up In A Caesarean Delivery … 28/04/2024 After having an uncomplicated and uneventful pregnancy, it is very distressing if the delivery does not come the natural way. It’s disappointing and disheartening for the Patient and demoralising and discouraging for the Doctor who mostly has done all that could have been done to achieve a normal delivery.   Then there are situations where as care providers we have a high suspicion of caesarean delivery. Some of those situations include maternal morbidities like high blood pressure, liver derangements, diabetes, small for dates babies, intrauterine growth retardation, large for dates, oligohydramnios, deranged dopplers, etc. These situations often are self-explanatory and considering the risks faced by the baby or the mother, are often well accepted.   It’s the initial scenario that raises many questions, from the credibility of the doctor to various blames on the hospital. We feel it’s high time we educate our “to-be mothers” so that they understand why caesarean sections can still be a reality even if everything went well during the pregnancy.    There are mainly two major reasons that even the doctor may not foresee before the labour begins. One is whether the baby’s head will successfully pass through the pelvis without getting obstructed anywhere there and ultimately reach a point where it can be assisted to be delivered vaginally. Secondly, how the baby will respond to the stress of continuous uterine contractions for an average of eight to ten hours. These two are mainly the reasons why mothers end up in a caesarean section. So Failure to Progress in the first and second stage and Foetal distress are the two main reasons for unexpected emergency caesarea n sections.    Then there are other very infrequent causes of emergency caesarean sections like cord prolapse, excessive bleeding, severe hypertension, etc. The latter are uncommon and do not happen very frequently.   During the labour you will be examined internally every 2 to 3 hours to assess the womb opening and descent of the foetal head. The baby’s heartbeat is continuously being monitored for signs of distress. Whenever the latter is suspected your doctor will discuss it with you in detail and every now and then will keep updating you as well.   Your consultant obstetrician will discuss all the above in detail with you around the 36th week of pregnancy when she discusses labour and epidural with you.   Medicsi wishes you a happy and healthy experience of childbirth. Recent Blogs edit post Managing Your Pain Read More edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More edit post Minimally Invasive Surgery At Medicsi Read More