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  • Goce Delchev 85/a – Shtip
  • contact@organdziski.com
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Emergency number: 078 393 757
032 / 393-757

A spontaneous delivery

The delivery room in our hospital is outfitted with a multifunctional delivery bed that allows the expecting mum to change positions during the giving birth process. If you choose the spontaneous delivery option, you will get the options for a painless delivery (spinal or epidural anesthesia) or completely natural delivery without medications. Should any complications arise, you would be duly informed about their nature and the need to take medication or have an intervention to deal with the complications.

Upon admission, in the pre-delivery room or the delivery room, the most important thing is the good cooperation of the pregnant patient and the obstetrician. The patient should closely follow the instructions given by the obstetrician regarding the rhythm of inhaling and exhaling and other important pointers. The moment the pregnant patient is taken into the delivery room, we would say that the process of giving birth has begun.

After the baby is born, the mother would be taken into one of the rooms on the ward. Every room in our hospital is a single-bed bedroom with a private bathroom, internet and a TV. You would be regularly monitored during your stay, but we do not only pay attention to your healing and medical condition, we offer advice and help with breastfeeding.

Basic facts about a normal delivery

  • A delivery or childbirth is considered the period from having regular uterine contractions until the expulsion of the placenta.
  • Giving birth is different for every woman and it can even be different for the same woman with every childbirth she might have
  • Being informed about the phases of the delivery process will let you know what to expect and how to be best prepared.

How do I know if the normal childbirth process has begun?

  • The contractions will appear in regular intervals and will become more frequent
  • There is a leakage of the amniotic fluid or there is blood spotting
  • There is a dull pain in pelvis or the lower part of the abdomen

The delivery i.e. childbirth is a process with 4 phases:

  • Phase 1: Cervical dilatation
  • Phase 2: Giving birth
  • Phase 3: Expulsion of the amniotic sac
  • Phase 4: Postpartum monitoring

This first phase is the longest. The contractions in this phase get stronger and they keep opening the cervix allowing the fetus to drop into the pelvic area and the birth canal. The period of cervical dilatation is divided into a latent and active subphase. The latent phase starts from the moment the patient has regular contractions up until the period of the cervix being open 3-5 cm in diameter. In this phase:

  • You could feel occasional moderate contractions every 5 to 15 minutes lasting 45 to 60 seconds.
  • You could see brown or reddish stains, but if it is heavy hemorrhage, you should see your doctor immediately.
  • The active phase starts when the contractions are regular and in short intervals and when the cervix is at least 3-5 cm open. In this phase it is time to go to the delivery hospital

If you have arrived in the delivery room prior to the active phase, you might be told to return home and come again during the active phase.

The second stage of the childbirth is the stage where the baby is born. This phase usually lasts for 1-2 hours. The cervix is completely dilatated and you start pushing to ‘push’ the baby out. Your doctor and obstetrician will be there to explain when to breathe in, when to hold your breath and to push. At this point the doctor and obstetrician will decide whether it is necessary to do episiotomy (a small cut to the perineum in order to make your vaginal opening larger for childbirth and to prevent tearing of the perineum).

In stage 3, the placenta that has provided the growth of the baby has to be pushed out of the mother’s body. This is the shortest phase and it usually takes place 5-30 minutes after the partum. You would again feel contractions but these are shorter, duller contractions and the obstetrician will tell you when to push or will help this expulsion process, which should not be particularly unpleasant.

In the last stage is, the patient stays in the delivery room for 2 hours to observe her condition after childbirth, monitoring certain vital parameters. After this period, you would be transferred into one of the VIP rooms.

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