Gail Miller Ob/Gyn

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Meet Your OB/GYN Specialist

Private Practice: Since 1980 to the present
Board-Certified: American Board of Obstetrics and Gynecology
Fellowship: Infertility, Mt. Sinai Hospital, Chicago, IL
Residency: Ob/Gyn, Cook County Hospital, Chicago, IL and
Mt. Sinai Hospital, Chicago, IL
MD: University of Health Sciences Chicago Medical School
Instructor: Obstetrics and Gynecology, Christ Community Hospital,
MacNeal Memorial Hospital and Palos Community Hospital
Dr. Miller

Welcome to our health education library. The information shared below is provided to you as an educational and informational source only and is not intended to replace a medical examination or consultation, or medical advice given to you by a physician or medical professional.

Vaginal Birth: Your ExperienceEl parto vaginal: su experiencia

Vaginal Birth: Your Experience

You're almost ready for the big event-your baby's birth. Once your cervix becomes fully dilated, you can begin pushing. At this point you may have a burst of energy. The delivery itself may take a few contractions or a few hours. If your baby needs help getting out of the birth canal, your healthcare provider can assist.

Getting Ready to Push

The shortest but most intense part of labor is transition. This is when the cervix becomes fully dilated. Contractions may become even stronger. They may last 60 to 90 seconds, with almost no rest in between. This is a demanding time. And pain medications are rarely given so close to your baby's birth. Help yourself by working with your support person or labor coach. You may feel an urge to push or bear down. But do not push until your doctor or midwife tells you to.

Pushing Toward Birth

After your baby's head enters the birth canal, contractions may come less often. Pushing down with the contraction helps move your baby further into the birth canal. If you've had a cesarean in the past, your labor will be managed to help prevent tearing the scar.

Once the head and shoulders appear, your baby is ready to be born.

Your Baby's Birth

Once your baby's head passes under the pubic symphysis, your perineum starts to stretch and bulge. Soon, the top of your baby's head crowns (appears at the vaginal opening). You may have a burning feeling as this happens. Your doctor or midwife may tell you to pant. This is so you won't push too hard and tear your perineum as the baby's head and shoulders come through. (A small amount of tearing is not rare and is not a problem.) Your baby is born soon after the shoulders leave the birth canal. The umbilical cord is then cut. 

Assisted Delivery

Your baby may need extra help getting out of the birth canal. If so:

  • An episiotomy (a small incision in the perineum) may be made. This enlarges the vaginal opening and helps prevent tearing. A local anesthetic may be used to numb the area. After your baby is born, the incision is stitched closed with sutures.

  • Forceps (spoon-shaped instruments that cup the baby's head) may be used to help your baby's head through the birth canal.

  • Vacuum extraction, which uses a small suction cup attached to the baby's head, may be used to assist the birth.

After Your Baby's Birth

After the baby is born, the placenta is delivered. Mild contractions separate it from the uterus and move it into the vagina. Then you push it out. Your doctor may press on the uterus to expel blood clots. If you had an epidural anesthetic, the catheter is removed.

Support Person's Note

  • Help the mother into a pushing position. Support her body as she pushes. A semi-sitting or semi-squatting position allows gravity to assist the birth.

  • Remind her to rest between contractions.

  • Encourage her by telling her when the baby's head appears.

  • Keep in mind that you may be masked and gowned for the birth, depending on hospital policy.

Date Last Reviewed: 2005-11-17T00:00:00-07:00

Date Last Modified: 2005-11-17T00:00:00-07:00

See for yourself how we can make a difference in your health and your life. Call Dr. Gail Miller at 708.430.2020 or use our convenient Request an Appointment form.

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