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At the moment, you may or may not have any preferences. You may want to go with the flow, or you may be sure about a few things. It is helpful to understand what to expect and reflect on how you feel.
Labour is unpredictable and every birth is unique. While it is hard to plan every detail, discussing options and preferences helps you feel prepared. If situations change, your doctor or midwife will recommend the safest course of action for you and your baby.
“Every birth will unfold with its own uniqueness. You have the power in this journey to make it a positive experience and emerge as a strong and confident mother.”
Decide who will be with you during labour. Labour is an intimate process and works best in a calm, private environment. Choose one person who makes you feel completely comfortable.
Comfort and privacy enhance labour hormones. Dim lighting, soothing sounds, positive images and aromatic oils can help relaxation.
Walking and changing positions can help labour progress. Birthing balls, chairs, mats and cushions may be used. Movement may be restricted if extra monitoring is required.
Monitoring ensures both mother and baby are coping well. Baby’s heart rate and the mother’s vitals are checked regularly. Additional monitoring may be used if required.
Relaxation, massage, breathing techniques, hot or cold compresses, warm showers and birth pools can help manage labour pain.
Options include Entonox gas, IV pain relief such as Pethidine or Fentanyl, Tramadol injections and epidural anaesthesia.
Most low-risk mothers deliver naturally. Sometimes medical interventions are needed to help labour progress or ensure safety. Being informed helps you cope better if interventions are required.
The perineum is the area of skin and muscle between the vagina and the anus. An episiotomy is a small cut made by the doctor or midwife in this area to enlarge the vaginal opening during birth.
At our centre, episiotomy is not done routinely. A restricted and selective approach is followed. It may be recommended only when medically necessary—for example, if the baby’s heart rate is abnormal, if delivery needs to be expedited, or if instruments are required to assist the birth.
Our aim is always to support a safe birth while protecting the mother’s tissues as much as possible.
An assisted birth involves the use of special instruments to help deliver the baby’s head:
Assisted birth may be advised if:
These decisions are made carefully and only when needed, with your safety and your baby’s wellbeing as the priority.
Labour usually begins naturally, but in some situations your doctor may recommend induction (starting labour artificially) if continuing the pregnancy poses a risk to the mother or baby. Augmentation is done when labour has started but contractions need to be strengthened.
Methods include:
Your doctor will explain the reason, method, and process clearly before proceeding.
You may choose different options for pain relief during labour:
Your comfort, preferences, and safety guide pain relief choices.
Most low-risk mothers give birth naturally without medical intervention. However, sometimes labour doesn’t progress as planned, and medical support may be needed. Being informed and discussing possibilities in advance helps you feel more confident if interventions become necessary.
Flexibility and trust are key—birth is unpredictable, and preparedness brings strength.
These methods support natural coping and may be combined with medical options.
If you have attended childbirth classes, you may already be familiar with techniques such as breathing, relaxation, and movement. Depending on your condition, you are encouraged to use all safe comfort measures available to you.
Choosing a birth companion is an important decision. This could be your partner, a close family member, or a doula. Labour is an intimate process, and having someone you trust can be comforting. To maintain privacy and reduce stress, it is often best to limit support persons to one person with whom you feel completely at ease.
A calm, supportive presence helps labour hormones work effectively.
A peaceful environment supports labour. Dim lighting, soothing music, positive imagery, and calming scents can promote relaxation and progress.
You are encouraged to move freely—walk, change positions, and use aids such as birthing balls, stools, mats, and cushions. Some monitoring situations may require temporary movement restrictions.
Routine practices such as enemas or shaving are not routinely recommended and are done only if medically indicated.
You are encouraged to follow your body’s natural urge to push and choose positions that feel comfortable. If needed, gentle guidance will be provided. You may request a mirror to view the crowning and birth of your baby if you wish.
Water birth can be a gentle and calming option for suitable mothers. The baby is born under water and begins breathing once exposed to air. Safety is assessed by the midwife or doctor before and during use of the birthing pool.
These practices promote bonding, recovery, and a healthy start.
A caesarean section is a surgical procedure in which the baby is delivered through an incision in the abdomen and uterus. It may be planned or done as an emergency if vaginal birth is not safe.
Your partner is encouraged to be present unless an emergency requires otherwise. Regional anaesthesia is usually used, allowing you to remain awake.
Your baby is brought to you as soon as possible after birth, with skin-to-skin contact and breastfeeding initiated early—even in the operating theatre.
Even when birth takes an unexpected path, bonding and support remain central to your experience.
