Dr. K. Shilpi Reddy

HOD & Sr. Consultant Obstetrician & Gynaecologist,

High-Risk Pregnancy Care, Minimal Invasive Surgeon (Mini Lap, Laparoscopy, Robotic Team)

“Child birth without medication or any intervention”

Normal delivery without

  1. Pain medication
  2. Medical intervention/Augmentation.
  3. Fetal monitoring
  4. Forceps/ ventose 
  5. Episiotomies
  1. Without pain medication, women rely on
  • Relaxation techniques             
  • Motivation counselling
  • Controlled breathing               
  • Hot water bath
  • Massages, pressure points     
  • Heating pad/ice pad
  • Exercises and activities           
  • Dirthing ball

 Without medical intervention/Augmentation.

  • speeding up / slowing down of labour is not possible 

 Risk of – fetal distress

  • PPK
  • Perineal tears
  • Para urethral tears
  • Rectal tears
  • Prolonged labour

Low risk pregnancies can be given a trial for natural birthing and fetal monitoring.

High risk pregnancy to avoid natural birthing

1. Older than 35

2. Alcohol & drug use during pregnancy

3. W/o Diabetes, pre-eclampsia blood clotting disorders

4. Twin gestation

5. IUGR

6. Placenta previa, accrete

What to expect

  • Labour start spontaneously
  • Progress without medical intervention
  • Fetal heart monitoring as and when necessary.
  • No speed up of labour.

What if you change your mind.

Option – Epidural – starts relieve 20 minutes

  • Spinal block  
  • Pudendal block 
  • Episiotomies.

Recovery of natural birth.

  • 6 to 8 week    – much faster
  • Ice packs
  • Sitz bath.

Post delivery complications

  • Heavy bleeding
  • Fever
  • Painful urination
  • Abdominal pain.

How to prepare for natural birthing

Select prior right health care provides

                             |

               Decide a birth plan

                             |

                        Eat well

                             |

                        Keep fit

                             |

                     Prenatal yoga

                             |

                     Lamaze claves

                             |

                     the Stay mobile

                             |

At term consult the health care provides about the possibility of natural birthing and risk involved if any.

*(All pregnancies have to be counselled differently)

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