Most likely, your labour story will not be what you expect and there will be one or two things that will throw your birth plan off track. But that’s totally common!
Here, we look at the common labour complications that you might encounter, but sound scarier than they actually are.
1. Umbilical cord complications
This is when the umbilical cord is looped around baby’s neck or entangled, which might cause compression. When this happens, you can still have a normal delivery – provided the cord isn’t being compressed. Often, the cord is wrapped around the baby’s body and your gynae will not even be concerned about it!
Can it be prevented? Nope
2. Perineal lacerations (Perineum tear)
This is when there’s a tear in the perineum (the area between the vagina and anus).
There are 3 types of tear. A first-degree tear is a minor one that usually requires few or no stitches at all. A second-degree tear involved the muscles underneath and needs stitches, which will dissolve on its own during the healing process. Third and forth degree tears extend to the anal sphincter, but fortunately, is rare.
Can it be prevented? Maybe! Perineal massage and during kegal exercises throughout your pregnancy might reduce the chances of a serious perineal trauma during birth.
3. Abnormal fetal heart rate
This is when the fetal heart rate goes outside the normal range of 110 to 160 beats per minute. The main reason why the doctors and nurses monitor baby’s heart rate during labour is to detect signs of fetal distress, which usually means the baby’s supply of oxygen is compromised in some way. If detected early, they can intervene and potentially prevent complications.
If detected, your doctor will try to ease baby’s destress by putting you on an IV drip, having you change positions or making sure you have adequate oxygen levels. Your doctor’s job is to ensure that baby is born as quickly as possible, so don’t worry if you have to get an emergency c-section done – it will all be worth it!
4. Amniotic cavity issues
This is caused when too much or too little amniotic fluid or when your water bag breaks before labour at or beyond 37 weeks.
Excessive fluid is common and rarely causes problems during labour. But once your water breaks, there’s less of a cushion for the umbilical cord. If this is suspected, your doctor may insert water into the amniotic cavity. If your water breaks before you start contractions, labour will most likely begin within 24 hours.
Can this be prevented? Nope
5. Failure to progress
This is when active labour lasts for approximately 20 hours or more (if you’re a first-time mum) or 14 hours (if you’ve given birth before). This is the most common reason for a c-section.
Can it be prevented? Maybe! You can stay at home until contractions become closer apart (if your doctor gives you the go-ahead), or try changing positions - sit, lie on your side, stand up or get on your hands and knees to speed up labour.
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