The ideal position for your baby to be born is for the baby to assume the head down position. Very good position for vaginal birth
In the cephalic presentation, your baby is head down, chin tucked to chest, and baby facing their mother’s back.
During birth the babies head has the largest circumference and so once it comes out first the rest of the body easily follows
A scan will be done to confirm the baby’s presentation before your due date
Also Know there are other presentations like breech etc. Vaginal delivery may be possible with that depending on your circumstance and the skill of the birth team
Always cooperate with your health Team-for the best outcome.
Episiotomy is a cut given in the perineum when a woman has crowned during labor to make baby come out easily and also to prevent possible tears or complications. It’s not a routine. Should only be done when it’s very necessary with a woman’s concern.
Healing will depend on the degree of tear and also the care given to the wound
With no infection or complications, it should heal fast. Some can heal within two weeks. Others can take a month to six weeks
If you realise it’s gapping, having offensive discharges, Stiches coming out, bleeding and too painful, you should report back for further examination
Remember the Stiches will be absorbed and should not ne coming out. Most episiotomies use the absorbable Stiches unless your doctor stated other wise
Also take your nutrition, Selfcare and Exercise serious to help heal faster.
This is to some extent expected. The baby puts on most of its weight in the third trimester. This weight puts pressure on the perineum . It can be painful since it’s stretching and the nerves there are sensitive
To reduce the pain and discomfort you feel in your perineum, don’t assume one position for a long time. Change your position frequently. It helps a lot.
If the pain in the vagina or perineum is extreme, report to the hospital for further investigations .
It’s not a routine. It has to be done only when it’s extremely necessary.
It’s done when the baby’s head has crowned.
If the doctor or midwife anticipates that the woman will have a bad tear or she needs more space for the delivery process she may give you an episiotomy
It’s also done with the woman’s consent
A pain relief can also be given be for you are cut.
Cooperate with your doctor for the best outcome
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A first time mum, my pregnancy journey was a smooth one, no severe symptoms, I do everything normally, no cravings nor vomiting, I go about my activities normally. I have never miss my drugs or ANC and I do ask questions anytime I go for ANCto the extend that one sonographer ask if I have been n doing chew and pour
because I ask so much questions thanks to midwife sally and team. This Journey is a whole lot as it involved physical, spiritual and emotional struggle. I remembered one Monday Morning I was going to buy waakye when I met a lady passing by, she called me I went close to her and what she said was(madam the baby in your womb will die if you don’t take care) eish Jesus where from this, this early morning all what I said was my baby shall live to declare the work of God, and I remembered psalm 71, I became more prayerful. At 36 weeks I changed to a bigger facility even though it wasn’t too close to my house, was ask to donate blood and other things which I gladly did because the class has given ideas about all those things,
Two weeks to my EDD I join the advocacy class organized by midwife Sally, I was encouraged so I advocated for myself at work and I stayed home to fully prepare and wait for my baby. 39 weeks no sign my gynecologist did a membrane sweeping for me but no show baby was just enjoying all the food I eat, I walk a lot, did perineal massage, dancing too. At 40 still no show, membrane sweeping was done again cervix was still closed, I became worried, extremely tired, I called midwife Sally and she advised me. My gynae told me I will be induced at 41 if still no show. I packed and went to the hospital for the induction, @ 10 I was given the first dose of cytotec orally for contraction to initiate, contraction started alright but cervix was closed. At 4 pm second dose was given I was enduring the pain cervix was still closed after SV.
At 11 pm third dose was inserted, pain was unbearable, my tears all dried up so I ask for pain relief, I was given but still was in pain. I opted for CS because I wasn’t able to bear the pain anymore even though baby was fine but cervix was still closed. One midwife came to me and encouraged and gave me hope to pray more. 7 am they came to check and still cervix closed,17 hours and cervix was not even 1 cm opened
eiii God I know you are a miracle working God, I kept hoping and God being so good at 8 am they came to check again and I was 6cm opened!!!! (like Eii what God can not do does not exist,)was enduring the pain, I was checked around 9 am and I was 9cm woow, midwives came in around 9:40 and I was 10 cm opened I was asked to now push for my little angle, on my fourth push that was around 10:10 my bundle of joy arrived (9:45 – 10:10am)weighing 3.5. 24 hours of contraction but it was worth it. All praise to Baba God I prayed, listen to all the advice from midwife Sally and team and the class members God bless you all
Alhamdullilah, and a very big Thank you to all the Midwives on the page and all the Midwives of Madina . I am a follower of this humble page, I read a learnt from this page. My journey was a smooth one, no nausea ,no vomiting. At 32 weeks months I had issues with my eye so I had to an early maternity leave from work. At 36 weeks, I kept praying labor should set in latest by 38 weeks. I prayed so much but God’s time is the best.
I started feeling some waist pains on 18th April. The following morning around 10 am contractions began and i started recording it. It was very severe so I endured and went about doing my chores and did some exercises afterwards, around 6am the following day I saw the blood show. I called my midwife and she suggested I wait till the contractions become unbearable then I report to the hospital. Surprisingly the contractions stopped till later that evening then my water broke. As I learnt on this page about the possibilities of an infection after the water breaks, I hurriedly reported to hospital but when I was checked I was only 1 cm, I was hospitalized and then they infused some antibiotics. The contractions were on and off, I was restricted from exercises or doing anything vigorous as the water kept ozing out. On Thursday 21st April, I began feeling pains in the chest I did a scan and was told the baby was alright and the water around him was adequate it’s his butts that is pressing my chest eeeiii.
I was checked around 2 pm and was 4 cm eeeeiii after all the pains I was enduring. Well to shorten the long story, I was given a drop which I believe had some kind of drug in it to fasten the contractions because at some point I got tired , whenever I was down, l remembered your words of encouragement. At some point I disconnected the drip because I was shivering
. There was blood everywhere and was from my hand.
Around 4:40 am on 22/4/25, I called the nurse on duty to come and check how much I have dilated because at that point I was really getting tired and breathing in and out during contractions wasn’t helping. She felt reluctant at first because I wasn’t shouting like the rest of the women in the ward, she was surprised when she checked and I was fully dilated. I was very happy also, I was asked to push around 5 am and I did 3× all that came was poo
, eeii another wahala. They cleaned me up, and after the 2nd push my baby boy was out. I actually gave birth on the estimated due date : 22/4/25, baby weighed 3.5kg no episiotomy, no tear. And am a first time mum. I was able to go through this because I read a lot and followed almost all the advice you gave on this page.
They check the fetal heartbeat at every prenatal visit to monitor the baby’s health and development. Here’s why it’s important:
Confirmation of viability: Hearing a heartbeat confirms the fetus is alive.
Detecting distress: Abnormalities in the heart rate may indicate fetal distress or complications.
Tracking development: As the pregnancy progresses, the heart rate pattern changes slightly, and regular checks help ensure it’s within a healthy range.
Reassurance: For both doctors and parents, it’s a simple and non-invasive way to know things are on track.
