Although the obstetrician is responsible for overseeing the entire process of childbirth, you don’t have to be always present.
Obstetrician, midwife, anesthesiologist, auxiliary nurse, pediatrician… Delivery requires the presence of several professionals, although not all births are equal nor need the same amount of staff. If you are in the final stage of your pregnancy, safe that you want to know who are the professionals that you will see when you go to give light, and what is its role in the birth of your baby. Although we must bear in mind that they may vary depending on the country and, in Spain, in the autonomous community where the hospital is located, since each has its own protocols, and they will also depend on whether the Centre to which you go is public or private.
It is the physician responsible for overseeing the whole process, but does not have to be always present. After entering obstetric emergency, you will be responsible for completing the medical history of your pregnancy – which you should take with you-, perform you a physical examination general and other genital, which inspect you the vulva, the vagina and perineum to assess whether you are actually giving birth, as well as length, consistency and dilation of the cervix; fetal presentation; If you’ve broken waters through an amnioscopy, and characteristics of your pelvis. It will also make you an abdominal ultrasound, to know what height is the uterus and fetal heart rate.
Starting from there, the presence of an obstetrician will be only required to:
- Assess the occurrence of alterations in fetal cardiografico registry.
- If labor does not progress, indicated the administration of oxytocin or other procedure.
- Extract the fetus using forceps, ventouse or spatulas.
- Perform a c-section.
In the case of university hospitals, it is possible to be present from beginning to end resident gynecologist. The same happens in private hospitals: normally the same gynecologist who has also followed the pregnancy attends childbirth.
The midwife is the indicated professional for a normal delivery, and you can consult the doubts you have.
According to the World Health Organization, the midwife is the indicated professional for a normal delivery. You will receive after you have been admitted to the Medical Center, will make you sign the mandatory forms, and you installed in room expansion, which will monitor your progression through vaginal touches it deems necessary, and fetal well-being and uterine dynamics with corresponding cardiotocograficos external and internal records. Also be assessed if you have to break waters, and will put you a route that will be used to administer antibiotics or oxytocin if you need them.
The matron is also another primary function: responsible for giving encouragement, advice, support, and clear all your doubts if you had them. In addition, if you ask for it, it will tell you how to relax and breathe to make you feel better.
The task of the matron in the delivery room
Once dilation (10 cm), and if all goes well, you will move to the delivery room (although in some cases is now all in the same place), where the same midwife will tell you when and how to push, and perform you an episiotomy if it so deems it appropriate. It will then extract to your baby, that you put up, and pinzará, and will cut the umbilical cord. Then review the birth canal, and close with points possible cutting or tearing.
His work has not yet completed: finish the pregnancy, comes the phase of childbirth, in which occurs the release and expulsion of the placenta, which will carefully review to make sure that it is whole, as well as the membranes.
Already in the recovery room, where you’ll stay for a couple of hours after the birth, the midwife will explain you how to put your baby to the breast and review your evolution.
The anesthesiologist is responsible for administering anesthesia epidural.
In addition to the obstetrician and the midwifery, there are other professionals with an important role in care delivery, such as the anaesthetist, the neonatologist, infants, auxiliary nurses for nurses and caretakers.
If you apply it the day you go to give birth, the anesthesiologist will be the professional in charge of administering to epidural analgesia when you’ve dilated three centimeters, by introducing between two vertebrae of the epidural space of a catheter that is going by injecting small doses or continues an infusion of local anesthetic. Once placed, reviewed their correct administration and effectiveness if so requested by the matron.
If it’s a c-section, the anaesthetist will also be present in the operating room. You will come to see how you are in the recovery room.
The neonatologist / nurse infants
It requires the presence of the neonatologist in the delivery room where immediate attention is needed to the newborn, as when a c-section, is if it’s a premature birth, etc.
If not so, infants nurse will take care of your little, weigh it and measured, evaluated through Apgar Test your general State of health, discarded major malformations, dry it, and will suck the secretions of the nose and mouth, it will put a colirio-antibiotico in your eyes, take a sample of the cord to determine your blood group and other tests , and identify it. After putting a CAP, a diaper and a t-shirt or body, will deliver it.
They help in what required them, both the matron and the gynecologist. The nursing assistants are in charge of your clothes and provide you a Nightgown, bring the thermometer, placed the material in the delivery room…
They are in charge of your transport, emergency service of obstetrics, the expansion to the delivery room, and the recovery room to the room where you’ll be uploaded until they give you the high.
The father of the creature
Of all the people you’ll see revoleteando to your around the day of delivery, a minimum of five or six different coveralls, there will be one, this itself chosen by you, whose role will also be essential: the future father. Their presence will bring you tranquillity, support and help when it comes to request the presence of a professional if necessary and was not in the room at that moment. In addition, during the expansion phase, applicable junto a ti breathing techniques that you’ve learned in classes to childbirth. The more involved can also give a little relief to mother massaging her lower back or abdomen.
Already in the delivery room, their minds will be welcome to help you to push and take breath properly. And, of course, you can share the excitement of the magical moment before your baby and get it into arms together.