Vaginal birth and caesarean birth
A vaginal birth is usually the safest way for your baby to be born. But sometimes health problems or pregnancy complications might make a caesarean the safest option for giving birth.
Even if you’re planning a vaginal birth, it’s good to find out about giving birth via caesarean. You might need a planned caesarean for medical reasons like placenta praevia. Unplanned (emergency) caesareans can happen when there are problems in pregnancy or during labour.
Our article on vaginal birth and caesarean birth can help you compare the two types of birth. And it’s worth knowing that women who’ve had a caesarean birth are usually physically able to try a vaginal birth after caesarean (VBAC) next time around.
If you’re wondering about your options for giving birth, it’s always good to talk with your midwife or doctor about your health, your baby’s health and what might be best for you.
Your due date
A baby born after 37 weeks is described as ‘term’. A premature baby is one born before this – that is, at 36 weeks and 6 days or earlier.
If you’re worried that you might be in labour but you’re not yet due to have your baby, call your midwife, doctor or hospital as soon as possible.
If you’ve reached your due date and haven’t gone into labour yet, don’t worry. Very few babies are born on their actual due dates.
If you haven’t had your baby by 41 weeks, you’ll have more frequent checks to make sure your baby is healthy. Your doctor or midwife will talk about options for when your baby is overdue.
Before labour starts, you might experience:
- a show
- your waters breaking either in a slow leak or a big gush – phone the hospital or let your midwife know
- more pressure as baby’s head shifts lower in your uterus and into the pelvis
- more Braxton Hicks contractions
- cramping in your lower pelvis, a bit like period pain.
You might be in labour if:
- you feel
labour contractions that last for a minute or more
- the contractions are coming at regular intervals
- the contractions are getting stronger, longer and more frequent.
If you have one or more of the signs above, call your midwife, doctor or hospital straight away.
If you’re having your baby in a hospital, the midwives will let you know when to come in. If you’re having a homebirth, your midwife will come to your home.
Stages of labour
Once labour starts, it has three stages.
First stage of labour
In this stage of labour, your contractions get stronger, longer, more frequent and often more painful.
These contractions help to soften your cervix so that it starts to dilate. When your cervix is dilated to about 4-5 cm, you’re in established labour. Your midwife might do internal examinations to see whether your cervix is dilating.
Most women in established labour move on to the second stage of labour within about 12 hours. But this can vary, and it can often take longer in a first pregnancy.
Second stage of labour
This stage starts when your cervix is fully dilated at about 10 cm. Your midwife might do an internal examination to check. This stage of labour generally involves pushing to help with birthing your baby
In this stage, your contractions will usually be longer and further apart. You’ll feel the urge to push. The midwives will encourage you to go with your body’s urge to push with each contraction and rest in between. Each push helps move your baby down the birth canal. Towards the end, you’ll be able to feel your baby’s head at the opening of your vagina. You might need to ease off on your pushing, so your baby’s head and body can come out gently.
If all goes well, you or your midwife can lift baby up onto your chest as soon as baby is born. You can meet your baby, have skin-to-skin contact, and start breastfeeding.
This stage usually takes up to two hours. It can be tiring and intense, so do what you need to do to stay strong and be comfortable. Your midwife or doctor will be with you constantly during this stage. And you can also draw on the support of your birth partner and other support people.
Third stage of labour
This is after your baby is born. It’s when the placenta comes out. You might have an injection to help with delivering the placenta. You’ll also still feel some contractions but they won’t be as intense as the earlier contractions.
Skin-to-skin contact is great for you and your baby. It calms and soothes baby, and helps them to breastfeed well. It also helps you bond with your baby. If you and your baby are both well, it's good to have skin-to-skin contact for an hour or more soon after birth.
After birth, a doctor or midwife will check that you and your baby are both well. They’ll also give your baby an Apgar score, and cut the umbilical cord when it’s appropriate. Once your baby has fed and you’re ready for a shower, the midwife will weigh, measure and carefully examine baby and give baby vitamin K and hepatitis B injections (with your permission).
If you give birth at a hospital or birth centre, you’ll most likely be transferred to the postnatal ward a few hours after the birth. If you and your baby go home within 24 hours of birth or sooner, your baby will have newborn screening tests at home or at the hospital.
If you have a homebirth, your midwives will stay at your home for several hours after the birth then come back again to check on you and your baby within 12-24 hours. If there are health concerns for you or your baby, the midwives will arrange to transfer you and baby to a hospital.