You. Your Pregnancy. Your Baby.

If the baby arrives before you reach the hospital

Delivering a baby without professional medical assistance can be extremely risky. Some mothers find that labor progresses so fast that they are forced to deliver a baby at home or in the car on the way to hospital.

If this happens to you, call immediately for professional medical attention. While you may be concerned and anxious, following a few simple rules will make sure that your baby is delivered safely. Many parents who have faced an emergency delivery find that there are rarely any complications.

What she should do

Your goal is to delay the delivery of the baby for as long as possible. When you get the urge to push, try to pant or blow as much as you can. The contractions alone are probably enough to deliver the baby if labor is moving this quickly, but you may be able to delay the delivery long enough for your midwife or ambulance to arrive.

Never hold your legs together, or let anyone else hold them together, to delay the birth. Doing so may result in your baby having brain damage.

If delivery looks inevitable, your contractions alone will be enough. Don't push with your contractions, simply pant lightly with each contraction and deliver the head slowly to avoid tearing the perineumThe part of the body between the genitalia and the anus. In the female body it is the area that extends back from the vagina to anus.Visit our comprehensive glossary for more pregnancy terms and definitions..

Prolapsed cord

Ask your birth partner to check if part of the umbilical cordA flexible structure that connects the fetus to the placenta during pregnancy. It carries blood, oxygen, nourishment and waste to the placenta. It is first formed during the fifth week of pregnancy and contains the yolk sac and body stalk.
Visit our comprehensive glossary for more pregnancy terms and definitions.
is visible bulging out of your vagina. It is a gray-blue color and shiny.

If your birth partner can see the umbilical cordA flexible structure that connects the fetus to the placenta during pregnancy. It carries blood, oxygen, nourishment and waste to the placenta. It is first formed during the fifth week of pregnancy and contains the yolk sac and body stalk.
Visit our comprehensive glossary for more pregnancy terms and definitions.
, seek medical attention right away. A prolapsed cord may restrict your baby's oxygen supply and always results in a
cesarean section unless the cervix is already fully dilatedThe opening of the cervix during labor, caused by the contractions of the uterus. The cervix dilates so that it will be large enough for the baby to pass through the birth canal during delivery.
Visit our comprehensive glossary for more pregnancy terms and definitions.
.

Until the ambulance arrives, kneel with your buttocks in the air and your head on the floor. You will need to take the pressure of your baby's head off the cervix. If the umbilical cordA flexible structure that connects the fetus to the placenta during pregnancy. It carries blood, oxygen, nourishment and waste to the placenta. It is first formed during the fifth week of pregnancy and contains the yolk sac and body stalk.
Visit our comprehensive glossary for more pregnancy terms and definitions.
is still visible, get your birth partner to cover it with a very clean, warm wet towel.

What he should do: preparation

Your first job should be to call for medical assistance, either your midwife or the hospital. Never leave the mother alone. No matter how anxious you feel, she will be experiencing greater anxiety. You must stay calm and relaxed and help build her confidence.

Remind the mother that the majority of emergency deliveries are uncomplicated and encourage her to assume a position that is comfortable. Offer her food and drinks.

You are now in charge of the delivery, so make sure other people stay out of the way. Speak calmly and softly, and turn up the heat in the birth room or the car.

If you are at home, wash your hands thoroughly with soap and warm water. Collect as many clean towels, face cloths and dish cloths as you can and place them close by. Fold one, and have it ready to place the baby on when it arrives.

Fill several bowls with warm water, and have them ready to soak the towels in so that they can be used as wipes for the baby and mother after delivery.

What he should do: delivery

The mother will know when the baby is arriving. She'll feel a stinging, burning sensation as the vagina is stretched by the baby. Remind her to pant or blow so that the vagina has time to stretch. This will help avoid tearing.

See if you can spot the top of the baby's head, what midwives call crowningThe term given to the moment when a baby's head first appears in the vagina during delivery, and does not slip back in.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. The head will probably be born in one contraction, with the rest of the body being delivered in another.

After the head is delivered, wipe both eyes from inside to outside with a soft moist towel. Run your finger gently around its neck to check if the umbilical cord is present. If so, gently place your finger underneath it and pull it over the baby's head, or create a loop so that it can be born through it.

Make sure that as you move the umbilical cordA flexible structure that connects the fetus to the placenta during pregnancy. It carries blood, oxygen, nourishment and waste to the placenta. It is first formed during the fifth week of pregnancy and contains the yolk sac and body stalk.
Visit our comprehensive glossary for more pregnancy terms and definitions.
you do not deprive the baby of oxygen. If there are membranes over the baby's face, use a fingernail to gently tear and remove them, allowing the baby to breathe.

The baby will be covered in mucusThe viscous secretions of the mucus membranes and glands. Mucus contains mucin, white blood cells, water, salts and exfoliated cells.
Visit our comprehensive glossary for more pregnancy terms and definitions.
, blood and vernix caseosaA gray-white waxy substance consisting of sebaceous gland secretions, lanugo and epithelial cells that covers the fetus during the last part of the pregnancy. It is thought to protect the skin of the baby from being submerged in the amniotic fluid as well as providing warmth and heat regulation to the undeveloped fetus.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. It will be slippery, so hold it firmly. Don't pull on the head, body or umbilical cord.

After being born, the baby should gasp, cry, then cry more fully. If it doesn't, place it across the mother's thigh or abdomen with its feet higher than its head to let any mucus drain away. Rub its back to change its blood pressure helping to bring its first breath. Talk to it lovingly, welcoming it to the world and its new home.

After it is breathing, pass the baby to the mother. You still have work to do. If the baby is feeding, nipple stimulation will release oxytocinOxytocin is a pregnancy hormone that both stimulates breast milk production and stimulates uterine contractions. Synthetic oxytocins have been created to induce labor.
Visit our comprehensive glossary for more pregnancy terms and definitions.
that will encourage the uterus to contract and expel the placentaThe placenta is a large disk shaped membrane responsible for providing nourishment to the fetus during pregnancy. It consists of three parts, the fetal part made up from the chorion membrane surrounding the fetus, the maternal part, formed from the decidua basalis layer of the uterine lining, and the intervillous space between the two plates. It is connected to the fetus by the umbilical cord and consists of tissue from both the mother and the embryo.
Its function is complex. It has been described as a simple organ that combines the functions of a kidney-dialysis machine, heart and lung machine and intravenous drip. It consists of enormous numbers of blood vessel branches that permit the exchange of nutrition and oxygen, from the mother's bloodstream to the fetus and the removal of wastes to the mother to be excreted. The placenta's remarkable quality is that it does so without the blood of the mother mixing with that of the baby.
It also is responsible for the production of vital hormones including, estrogen, progesterone, and human chorionic gonadotropin. After birth, the placenta is delivered, and is sometimes referred to as the afterbirth.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. It will also help minimize any blood loss: about two cups of blood is normal during delivery. If the baby is not hungry, ask the mother to gently massage her nipples to stimulate the oxytocin release.

Babies appear bluish-white at birth, turning pink a few minutes later as oxygen enters their bodies. Wrap both the mother and the baby in towels or blankets. The warmth of the baby is no longer present in the mother, nor is the baby any longer in the warm environment of the uterus.

Do not try to wash off the vernix caseosaA gray-white waxy substance consisting of sebaceous gland secretions, lanugo and epithelial cells that covers the fetus during the last part of the pregnancy. It is thought to protect the skin of the baby from being submerged in the amniotic fluid as well as providing warmth and heat regulation to the undeveloped fetus.
Visit our comprehensive glossary for more pregnancy terms and definitions.
covering your baby, nor should you cut or pull the umbilical cordA flexible structure that connects the fetus to the placenta during pregnancy. It carries blood, oxygen, nourishment and waste to the placenta. It is first formed during the fifth week of pregnancy and contains the yolk sac and body stalk.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. The medical help you called before the delivery will soon be arriving. If the placentaThe placenta is a large disk shaped membrane responsible for providing nourishment to the fetus during pregnancy. It consists of three parts, the fetal part made up from the chorion membrane surrounding the fetus, the maternal part, formed from the decidua basalis layer of the uterine lining, and the intervillous space between the two plates. It is connected to the fetus by the umbilical cord and consists of tissue from both the mother and the embryo.
Its function is complex. It has been described as a simple organ that combines the functions of a kidney-dialysis machine, heart and lung machine and intravenous drip. It consists of enormous numbers of blood vessel branches that permit the exchange of nutrition and oxygen, from the mother's bloodstream to the fetus and the removal of wastes to the mother to be excreted. The placenta's remarkable quality is that it does so without the blood of the mother mixing with that of the baby.
It also is responsible for the production of vital hormones including, estrogen, progesterone, and human chorionic gonadotropin. After birth, the placenta is delivered, and is sometimes referred to as the afterbirth.
Visit our comprehensive glossary for more pregnancy terms and definitions.
is delivered before they arrive, massage the mother's uterus gently in a deep circular motion about two to three inches below the navel. This helps the uterus contract and stay hard after birth to minimize the risk of hemorrhage.


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Labor & Delivery