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The Merck Manual--Second Home Edition logo
 
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Chapter 260. Normal Labor and Delivery
Topics: Introduction | Labor | Delivery
 
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Introduction

Although each labor and delivery is different, most follow a general pattern. Therefore, an expectant mother can have a general idea of what changes will occur in her body to enable her to deliver the baby and what procedures will be followed to help her. She also has several choices to make, such as whether to have the father present and where to have the baby.

An expectant mother may want the baby's father to remain with her during labor. His encouragement and emotional support may help her relax, sometimes reducing her need for drugs to relieve pain. In addition, sharing the meaningful experience of childbirth has emotional and psychologic benefits, such as creating strong family bonds. Childbirth education classes prepare both father and mother for the entire process. On the other hand, an expectant mother may prefer privacy during labor, the father may not want to be present, or another partner may be more appropriate or supportive.

In the United States, almost all babies are born in hospitals, but some women want to have their babies at home. However, because unexpected complications can occur during or shortly after labor, most experts do not advise delivery at home. Women who prefer a homelike setting and fewer rules (for example, no limit on the number of visitors or on visiting hours) may choose birthing centers. Such centers provide an informal, personal experience of childbirth but are much safer than delivery at home. Birthing centers are part of a hospital or have an arrangement with a nearby hospital. Thus, birthing centers can provide a medical staff, emergency equipment, and full hospital facilities, if needed. If complications develop during labor, birthing centers immediately transfer the woman to the hospital.

Some hospitals have private rooms in which a woman stays from labor until discharge. These rooms are called LDRPs for labor, delivery, recovery, and postpartum (after delivery).

Regardless of the choices a woman makes, knowing what to expect helps prepare her for labor and delivery.

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