This document provides information from Dr. Nupur Gupta about modes of delivery and childbirth options. It discusses the differences between normal vaginal delivery and caesarean section, including pros and cons of each. It also outlines signs of labor, stages of labor, pain relief options, potential complications, fetal outcomes, and vaginal birth after caesarean. The take home message is that while vaginal delivery is usually safe, sometimes a c-section is beneficial for the mother and baby's health, and the ultimate goal is a safe delivery for both.

1. Welcome To-Be- Parents
(c)Dr Nupur Gupta

2. Normal Delivery Vs Caesarean:
Which is better?
For queries, contact Hema on 07503306123 To register, SMS “ANC” to 8826007338

3. Mode of Delivery
Normal Vs Caesarean
Its not about choice….
Its about right decision
at right time
(c)Dr Nupur Gupta

4. 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

5. 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

6. 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

7. What are the modes of delivery?
• Normal Vaginal
• Instrumental vaginal
• Caesarean
(c)Dr Nupur Gupta

8. Vaginal
• Normal
• Instrumental (vacuum or forceps)
Signs of Labor
- Labor pain
- Leaking
- Show
Stages of Labour
- First
- Second
- Third
(c)Dr Nupur Gupta

9. 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

10. Vaginal Delivery (Cons)
• Perineal tear,
• Haematoma,
• Incontinence
• Uterine prolapse
(c)Dr Nupur Gupta

11. When to consult?
• Abdominal pain with
discomfort
• Diarrhea
• Vaginal bleeding or excessive
show
• Leaking or sudden gush of
water
• Decreased fetal movements

12. 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

13. PAIN RELIEF IN LABOUR
• Emotional Support
• Proper hydration
• IV medications
• Epidural
• Breathing
• Massage
(c)Dr Nupur Gupta

14. What can go wrong?
• Power
- Poor contractions
- Poor bearing down
• Passenger
- Big baby, malposition
- or presentation
• Passage
- Small pelvis
(c)Dr Nupur Gupta

15. Caesarean
• Surgical procedure
• Delivery of baby
through incision on
abdomen and uterus
• Needs anesthesia
(c)Dr Nupur Gupta

16. Indications for Caesarean
• Fetal distress
• Failure to progress
• Abnormal presentation
• Low lying placenta
• Contracted bony pelvis
(c)Dr Nupur Gupta

17. 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

18. Caesarean section (Cons)
• Fear of anesthesia
• Expensive
• Chance of repeat caesarean
• Pain, urinary infection,
adhesions, spinal headache
(c)Dr Nupur Gupta

19. 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

20. Vaginal birth after Caesarean
• Up to 70%
• Instrumental delivery
• Continuous CTG
• Facility for immediate
caesarean is mandatory
(c)Dr Nupur Gupta

21. Caesarean Delivery on Maternal
Request?
• Give a choice to mothers?
• Controversial
• Mother’s right ?
(c)Dr Nupur Gupta

22. Cord Around the Neck?
• 6 to 36%
• 50% resolve before delivery
• Doppler
(c)Dr Nupur Gupta

23. 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

24. 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

25. Happy Family Moments
(c)Dr Nupur Gupta

26. Joy of Motherhood
(c)Dr Nupur Gupta

27. Grateful clients
(c)Dr Nupur Gupta

28. 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

29. NEONATAL UNIT - ICU
(c)Dr Nupur Gupta

30. Thank You
(c)Dr Nupur Gupta