First Application and Admission to Hospital
When you apply to the hospital, your doctor will first examine you and determine if the birth has really started. The onset of labor can only be understood by vaginal examination (manual examination), not by ultrasound. With the help of vaginal examination, the dilation of the cervix, water breaking, and the bleeding are checked and if it is decided that the birth has started, the patient is transferred to the delivery room. If the delivery has not started yet, which means there is no opening in the cervix, no water breaking, no bleeding and no abnormality in the ultrasound and NST examination of the baby, the mother is sent back to her house again. However, it is recommended for the mother to come back to the hospital when the pain increases or when her water breaks. Of course, it is also important how many weeks you are pregnant, and this is done before the admission. Ultrasound is done to determine how many weeks you are pregnant, and sometimes the reports and analyzes of the ultrasound you have entered before are also examined. For this reason, take them with you when you go to the hospital for childbirth. According to these calculations, if the delivery time of the baby is decided to be premature, the patient is not sent to the delivery room; she is sent to a separate ward for drug treatment in order to stop the pain. If the time of delivery has arrived or even if it is early but the delivery process is very advanced and impossible to stop, the patient is transferred to the delivery room.
If there is a condition that requires caesarean section, the patient is taken to the service rooms for preoperative preparations and examinations. After the preparation of the surgery is complete, the patient is taken to the operating room at the time of surgery and a cesarean section is performed. After cesarean section, the patient is taken to the service room. In the service room, the follow up of the patient is around 1-2 days and during that time, she breastfeeds her baby. Information is given about breastfeeding and baby care. If there are no complications, mother and the baby are discharged in 1-2 days. After 1 week, they are advised to come back to the hospital for controls and the mother is given a prescription for home use.
Birth Room and Normal Birth
If the cervix thinning and opening of the patient is completed (9-10 cm), she is taken to the delivery room for birth. However, in some hospitals, the bed in the labor room is adjusted to become a delivery table, and the birth is done here. Meanwhile, the baby’s hair is close enough to be seen from the outside. The mother lies in her maternity table with her legs the same way like in the gynecological examination. She is then covered with sheets. Area close to the outside of the vagina is cleaned with antiseptic solution. To get the baby’s head closer to the vagina opening, the mother is told to hold her breath when the pain comes and push. In the meantime, when the baby’s head approaches the outside, the doctor or midwife will perform the episiotomy if necessary. Before this incision is made, the region is anesthetized by local anesthesia and the mother does not feel the incision. After the cut, the doctor or midwife pulls the baby’s head out, then the shoulders, the abdomen and the legs come out. The baby is now completely born when he/she is suspended upside down in the air. The mother sees the baby for the first time at that moment. Newborn baby’s skin color is not like other babies, it is normal for him/her to have a little purplish color. On the baby’s skin there is a slippery substance called vernix. In the meantime, an assistant nurse cuts the baby’s umbilical cord and takes it for cleaning and dressing.