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


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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