Delivering a Baby
In this section, you will find helpful information on a variety of issues related to having and caring for your baby. Not all physicians or practitioners offer all of these options. Please talk with your healthcare provider to see what birthing options he or she offers. Click here for more details on creating a Birth Plan.
- Cesarean Section – Cesarean delivery, often referred to as C-section delivery or a C-section, is a surgery that is performed to deliver the baby when a vaginal birth is not possible or threatens the safety of the mother or her baby. Click here for more details.
- Family Centered Cesarean (FCC) – A planned cesarean birth focused on creating a special environment for bonding between the parents and the child in the first moments of life. Some examples include allowing the mom's free arm (with no IV) to interact with the baby, permitting the mom and her support group an unobstructed view of the birth, and immediately transferring the baby to the mother’s chest for skin-to-skin contact instead of following the normal post-cesarean procedures (such as taking the baby off to be examined, cleaned, weighed and swaddled before being introduced to the mother).
- Vaginal Birth After Cesarean (VBAC) – This refers to having a normal vaginal birth after having already had a cesarean section when delivering a previous baby. Trial of labor after C-section (TOLAC)/Vaginal birth after C-section (VBAC) IS permitted for patients with ONE OR TWO previous C-sections. Patients with three or more previous C-sections will need to schedule a C-section.
- Vaginal Twin Delivery – A vaginal delivery for a woman pregnant with twins. In the past, moms pregnant with twins were encouraged to deliver their babies via cesarean section. New research has shown that having twins via vaginal birth may be an option, although it is generally considered riskier than a cesarean section. Whether vaginal birth with twins is an option will depend on several factors, such as the size of the babies, the position of each baby and whether the twins share a placenta.
- IVs: DeKalb Medical does have as part of its regular protocol that women have IVs during labor. However, the final decision is between the doctor and the woman. Physicians are responsible for educating women on the risks associated from refusing an IV and for obtaining informed consent. If a woman does not wish to have an IV, we will NOT force it upon her.
- Eating During Labor: DeKalb Medical’s protocol is that women should not eat while in active labor. This is consistent with statements by the American College of OB-Gyn and the American Society of Anesthesiologists that solid food should be avoided in laboring patients. The oral intake of moderate amounts of clear liquids may be considered safe for uncomplicated laboring patients. Laboring patients with additional risk factors for aspiration or at increased risk for operative delivery may have further safety restriction recommendations regarding oral intake, determined on a case-by-case basis. However, should a woman choose to eat during labor, she can give informed consent. This acknowledges that she is aware of the risk to both herself and her unborn child, is going against medical advice, and relieves her providers of any liability related to her decision.
DeKalb Medical believes and supports one birth at a time. Each of our providers works individually with his/her patients to ensure each expectant mother understands potential risks and safety guidelines and how they will address them during the birthing process. It is crucial that mothers understand all risks and safety recommendations in order to make informed consent about any procedure.
Please Note: We have discontinued water birth delivery at this time as we review safety literature and guidance to determine if we may again offer water birth in a safe manner. DeKalb Medical is allowing water births for mothers with a due date of October 31, 2016 or before. A decision will be made before that October 31 date about whether DeKalb Medical will continue to offer water births.
For more information about the procedures that your physician offers, please consult your obstetrician.