According to WHO, over the past five years, the number of natural childbirth increased by 3%. According to the physicians, the positive dynamics is associated with an increased women's awareness on the risks of cesarean section. Without sound medical indications, the pregnant women less frequently insist on optional surgery.
Natural (or physiological) childbirth occurs without the use of drug stimulation. The main tasks of physicians in this case are reduced to monitoring the course of labor, risk assessment and ensuring the woman’s safety.
In modern clinics, the labor management program consists of three phases:
- Prenatal. The initial consultation of the pregnant is carried out 2 weeks before delivery. Obstetrician-gynecologist reviews the patient's medical history, performs her examination and prescribes a set of required tests (complete and biochemical blood counts, urinalysis, ultrasound of the fetus). The physician continues observation until the birth of the baby.
- Labor. Upon labor commencement, the woman is admitted to the delivery room, where a team of professionals assists her. Anesthesia is used at the discretion of the obstetrician or at the birthing mother’s request. According to the contract, the patient’s husband or any other close relative may be present in the delivery room.
- Postpartum. Immediately after birth, the baby is placed on the mother's abdomen, and then transmitted to the hands of the obstetrician, who washes and dresses him/her. In the absence of complications, the baby and the mother are transferred to a private room.
Postpartum hospital stay lasts 5 days. All this time, the patient’s condition is monitored by various professionals. The child is examined by the pediatrician.
A control pelvic examination is performed before discharge. The women is provided with recommendations, that will help her to adapt to a new state more quickly. During the next 3 weeks, she regularly visits the clinics obstetrician.