Childbirth

Labour usually starts with contractions or the waters breaking, but its course differs from person to person. Always use the individual contact and birth plan agreed during pregnancy with your midwife or gynaecologist.

• Contractions first shorten and soften the cervix, then open it. The baby is then born, followed by the placenta.
• Call your maternity team or delivery unit if you think labour is starting, your waters break, you bleed or the baby's movements are noticeably reduced.
• Before 37 weeks of pregnancy, contractions, leaking fluid or bleeding may indicate premature labour; seek assessment immediately.
• Clear or light pink amniotic fluid is common. Report green, brown, very bloody or unpleasant-smelling fluid immediately.
• Movement, support, calm breathing, warmth and different positions may help. Also discuss in good time which medical pain relief is available and suitable.
• The baby's condition, your health and labour progress are monitored. Extra tests or an intervention are recommended only when there is a reason.
• After birth, checks include breathing, temperature, bleeding and contraction of the womb.
• Call 912 for immediate danger to life, a baby coming now without safe help, heavy bleeding, a seizure, unconsciousness or severe breathing difficulty.