Complications during childbirth

Complications during childbirth are not very common and in addition most of them can be solved immediately. Still, it may be nice to know more about it. In this blog you can read which complications you may have during delivery and how these are dealt with.

What can go wrong during childbirth?

The birth of a baby remains a small miracle. A lot of things can go wrong during pregnancy, but complications can also occur during childbirth that are only discovered during the delivery. The doctors will then take action on the spot. These complications during childbirth are:

  • Deviations of the birth canal:

    The birth canal has a different shape so that the baby can not easily pass through. This can be caused by too close pelvis, constipation (blocked intestines) or full bladder. Approach: emergency Cesarean section.

  • Septum of umbilical cord:

    The umbilical cord comes out earlier than the baby, so there is a risk that the umbilical cord gets trapped. This way the blood supply to the baby can be cut off. The probability that this happens is 1 in 1000. Approach: caesarean section.

  • Umbilical cord around the neck:

    During the birth it can happen that the umbilical cord is around the neck of the baby. In most cases this has no serious consequences. The doctor or midwife will then slide the umbilical cord over the baby's head. This occurs in 1 in 4 deliveries.

  • Shoulder Dystocia:

    This means that the shoulder continues to hook behind the pubic bone. This complication during delivery often occurs in larger babies. Especially during very laborious deliveries. During the birth a shoulder remains behind the pubic bone. The result is that the baby can not breathe because the chest is compressed. Approach: Caesarean section or art redemption.

  • Fetal distress:

    Fetal distress means that the baby does not get enough oxygen. There are various actions that can be performed. For example, change the location, replenish the amniotic fluid with water or take the baby with a vacuum or forceps. This complication during childbirth is not very common.

  • Complications during delivery: Fruit water embolism:

    This complication is pretty serious, but is very rare. Fruit water embolism means that there is amniotic fluid in the mother's blood. The amniotic fluid is then transported to the lungs, after which the arteries in the lungs narrow. This leads to a faster or irregular heartbeat, shock and in the worst case cardiac arrest. The doctor will take urgent action.

  • Different location of the baby:

    In the most favorable case, your baby is lying down with the head down and the face to the mother's back. But it can happen that your child lies with the head above and the buttocks below (breech) or transverse (transverse position). If your baby is in these attitudes, complications can occur during childbirth. For this reason, the midwife keeps a close watch on your baby's position during the last weeks of the pregnancy.
    Approach: advance the baby, natural delivery, caesarean section or art redemption.

Complications after delivery

Even after the birth it can happen that not everything goes as planned. Fortunately, these birth complications do not occur very often. We have collected the most common childbirth complications after delivery for you.

  • Heavy blood loss after childbirth

    Every woman has a blood loss after giving birth. On average, this is half a liter. Blood loss is caused by the placenta that has come loose, leaving a wound. Normally the contractions of the uterus ensure that the blood vessels that have opened are closed. But when the uterus is insufficiently contracted, violent bleeding occurs. In this case, the new mother loses more than 1 liter of blood. Other causes are a piece of placenta that remains or the tearing of the vagina or cervix. Approach:

    • Massaging the uterus to stimulate contractions.
    • Infusion with oxytocin.
    • Injections with prostaglandins when other methods do not work.
  • Instruction of the uterus

    Upon bulging of the uterus (very rare) it falls inside out to the cervix or even outside the vagina. Approach: the doctor will push the uterus back.

Checks after delivery

Your baby will be checked immediately after delivery. With a test it is checked whether your baby has passed through the delivery (apgar score). Think of checking the breathing, heart rate, muscle tone, reflexes and color of your baby.

  • Checks for mommy

    You too will be checked immediately. In this way it is checked whether the placenta has come out completely and if necessary you will be attached (if you are cut). Your temperature is also measured and they keep a close eye on the blood loss after delivery.

Complications baby after delivery

In addition to complications during childbirth, complications can also occur for your baby. In rare cases the baby does not breathe after birth, while he or she was completely healthy before giving birth. Your baby will then immediately be resuscitated. In another blog we discuss more complications of the baby after delivery.

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