Labor & Newborn Guide
Everything you need to know about preparing for labor, hospital procedures, delivery methods, and caring for your newborn in those precious first weeks.
Labor & Delivery Journey
From the first contraction to welcoming your little one.
When Water Breaks & Early Labor
What to do when your water breaks and how to handle early labor symptoms at home.
What to Do When Water Breaks
- Note the time it happened (T-A-C-O: Time, Amount, Color, Odor).
- Call your doctor or midwife to inform them.
- Put on a maternity pad (do not use tampons).
- Keep track of your contractions, noting their frequency and intensity.
- Stay calm and rest if you can. Hydrate and eat light snacks if recommended.
Early Labor Signs
- Mild to moderate contractions lasting 30-45 seconds, irregular or every 5-20 minutes.
- Loss of the mucus plug or a 'bloody show'.
- Backache or pelvic pressure.
- Mild cramps similar to menstrual cramps.
What to Do When Water Breaks
- Note the time it happened (T-A-C-O: Time, Amount, Color, Odor).
- Call your doctor or midwife to inform them.
- Put on a maternity pad (do not use tampons).
- Keep track of your contractions, noting their frequency and intensity.
- Stay calm and rest if you can. Hydrate and eat light snacks if recommended.
Early Labor Signs
- Mild to moderate contractions lasting 30-45 seconds, irregular or every 5-20 minutes.
- Loss of the mucus plug or a 'bloody show'.
- Backache or pelvic pressure.
- Mild cramps similar to menstrual cramps.
Arriving at the Hospital
What happens from admission to settling into your labor room.
Admission Process
- Check in at the maternity ward or triage area.
- A nurse will check your vitals, monitor the baby's heart rate, and assess your contractions.
- A cervical exam may be performed to see how far you have dilated.
- Review of your birth plan and medical history.
Settling In
- You will be moved to a labor and delivery room.
- An IV may be placed for fluids or medication if needed.
- Continuous or intermittent fetal monitoring will begin.
Options for Pain Relief
Medical and natural methods to manage labor pain.
Medical Pain Relief
- Epidural: Forms a block in the lower spine to numb the lower half of your body.
- Spinal Block: Often used for C-sections, offers quick, temporary relief.
- Nitrous Oxide (Laughing Gas): Helps take the edge off contractions and reduces anxiety.
- IV Medications: Narcotics to lessen pain, though they may make you dizzy.
Natural Pain Management
- Breathing techniques and meditation.
- Massage, counter-pressure on the back, and warm compresses.
- Hydrotherapy (laboring in a tub or shower).
- Changing positions, walking, or using a birthing ball.
Prolonged Labor
What happens if labor stalls or takes too long.
Causes of Stalled Labor
- The baby is in an unexpected position.
- Contractions weaken or space out.
- Emotional stress or exhaustion.
Interventions
- Pitocin: A synthetic hormone to induce or strengthen contractions.
- Amniotomy (Breaking the bag of waters manually).
- Changing positions or walking to help the baby move down.
- Resting, sometimes assisted by an epidural to allow your body to relax and dilate.
Methods of Delivery
Vaginal births, assisted deliveries, and C-sections.
Vaginal Delivery
- The most common method; involves the active pushing stage.
- May include a small episiotomy or natural tearing (which will be stitched afterward).
Assisted Vaginal Delivery
- Forceps: Tweezers-like instruments used to gently guide the baby's head.
- Vacuum Extraction: A small suction cup applied to the baby's head to help them out during a contraction.
Cesarean Section (C-Section)
- Surgical delivery of the baby through an incision in the abdomen and uterus.
- Can be planned (elective) or emergency (if labor stalls or baby is in distress).
- Requires a longer recovery period than a vaginal birth.
Newborn Care & Development
A guide to your baby's growth, feeding, and first few weeks at home.
Weekly Growth & Development
What to expect regarding weight, height, vision, and cognitive growth.
Weight & Height
- It is normal for babies to lose up to 10% of their birth weight in the first few days.
- They usually regain their birth weight by 2 weeks of age.
- Expect a weight gain of about 5-7 ounces (140-200g) per week for the first few months.
- Expect them to grow about 1 inch (2.5 cm) per month.
Vision & Senses
- At birth, vision is blurry. They can see objects best from 8-12 inches away (perfect for feeding).
- By 1 month, they can focus briefly on passing objects and prefer high-contrast patterns.
- Hearing is fully developed; they often startle at loud noises and calm to familiar voices.
Weight & Height
- It is normal for babies to lose up to 10% of their birth weight in the first few days.
- They usually regain their birth weight by 2 weeks of age.
- Expect a weight gain of about 5-7 ounces (140-200g) per week for the first few months.
- Expect them to grow about 1 inch (2.5 cm) per month.
Vision & Senses
- At birth, vision is blurry. They can see objects best from 8-12 inches away (perfect for feeding).
- By 1 month, they can focus briefly on passing objects and prefer high-contrast patterns.
- Hearing is fully developed; they often startle at loud noises and calm to familiar voices.
Soothing Your Baby
Techniques to calm down a fussy newborn.
The 5 S's Technique
- Swaddling: Recreates the snug environment of the womb.
- Side/Stomach position: Holding them on their side or stomach (always place on back for sleep).
- Shushing: Creating white noise to mimic the loud sounds of the womb.
- Swinging: Gentle, rhythmic motion like rocking or swaying.
- Sucking: Offering a pacifier or clean finger to satisfy their soothing reflex.
Other Methods
- Skin-to-skin contact to regulate their temperature and heart rate.
- A warm bath or a gentle baby massage.
- Going for a walk outside or a drive in the car.
Feeding, Burping, & Colic Relief
Handling feeding schedules and relieving infant gas.
Feeding & Burping
- Newborns feed every 2-3 hours. Watch for hunger cues: rooting, lip smacking, or sucking hands.
- Always burp midway through and after a feeding.
- Over-the-shoulder or sitting-up positions work great for burping. Gently pat the back.
Relieving Gas & Colic
- Bicycle Legs: Lay baby on their back and gently cycle their legs toward their tummy.
- Tummy Time: Supervised tummy time while awake can help massage gas out.
- Gas Drops: Consult your pediatrician about simethicone drops or probiotics.
- If nursing, assess if certain foods in your diet correspond to increased fussiness.
Baby Sleep Sounds
Gentle white noise, rain, and rhythmic sounds to help your baby drift off to sleep.
Dream Baby Noise (YouTube)
- Curated collection of high-quality sleep sounds at @dreambabynoise.
- Featured: Deep Rain, Ocean Waves, Fan Noise, and Womb Ambience.
- 1-8 hour long videos perfect for overnight sleep or naps.
Medical Disclaimer: This guide is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
