Having your baby through vaginal delivery

Most women have their baby through vaginal birth. Vaginal birth means your uterus contracts (tightens up and then relaxes) to help push your baby out through the vagina. 

In this topic, find out about labor and childbirth. You may feel excited about having your baby but nervous about labor. Labor feels different for every woman. Learn about ways to cope with labor pain, including medicines and other methods, like breathing and relaxation

If your pregnancy is healthy, wait for labor to begin on its own. For some women, labor is slow to begin. Your provider may give you medicine to help induce (start) labor. If you’re thinking about inducing labor, find out why waiting until at least 39 weeks is so important for your baby. 

If you had a cesarean birth in a previous pregnancy, you may be able to have a vaginal birth in your next pregnancy. This is called vaginal birth after cesarean (also called VBAC). Find out more about VBAC to see if it’s an option for you.

Most common questions

What is an epidural?

An epidural is the most popular and effective kind of pain relief for labor. You get a needle with a small tube attached placed in your lower back. Medicine goes through the tube while you're in labor. It numbs your lower body so you can't feel the pain from your contractions. The medicine doesn't make you go to sleep, so you can be wide awake when your baby is born!

What is fetal-scalp blood sampling?

Fetal-scalp blood sampling is a quick test your health care provider can use to check if your baby is getting enough oxygen during labor.

During labor, your cervix dilates (opens) to let your baby out. Your cervix is the opening to the uterus that sits at the top of the vagina. In order to have fetal-scalp blood sampling, your cervix must be dilated enough that your provider can reach your baby’s head.

The test may remind you of a pelvic exam. It takes about 5 minutes. You lie on your back with your feet in stirrups. Your provider places a plastic cone in the vagina that fits up against the baby’s head. Your provider pricks your baby’s scalp and takes a small amount of blood. The blood is tested, and results are ready in a few minutes.

You may feel some pressure during the test, but it shouldn’t hurt. Your baby may have some bruising or bleeding at the spot where he’s pricked.

If you have an infection, like HIV or hepatitis C, your provider may not recommend fetal blood sampling. This is because you can pass these infections to your baby through the spot where he’s pricked.

What is oxytocin?

Oxytocin is a hormone your body makes to help start labor contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb).

Your body also makes oxytocin during breastfeeding. Oxytocin helps your uterus shrink back to its original size after giving birth.

If labor is slow to start or your contractions stall, your health care provider may give you a medicine called Pitocin. Pitocin acts like oxytocin and can help start contractions or make them stronger.

What is Pitocin?

Pitocin is a medicine that acts like oxytocin, a hormone your body makes to help start labor contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb). Health care providers often use Pitocin to:

  • Help induce labor
  • Help labor move along if your contractions slow down, or if they aren’t strong enough

You may start having labor contractions shortly after you get Pitocin. It can make your contractions very strong and lower your baby's heart rate. Your provider carefully monitors your baby's heart rate for changes and adjusts the amount of Pitocin you get, if needed.

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