Pregnancy brings endless advice from friends, family, and the internet—but what really matters when it’s time to give birth? On Live in the D, Dr. Mary Reid, an OB-GYN with the Detroit Medical Center (DMC), shared a simple, doctor-approved checklist to guide moms through labor, delivery, and the weeks that follow.
✅ Know the Signs of Labor
Early labor can often be managed at home, but there are clear cues it’s time to head to the hospital:
- Contractions that are stronger, longer, and closer together
- Water breaking or need for pain management
- Warning symptoms such as vaginal bleeding, decreased fetal movement, or signs of preeclampsia (headache, blurry vision, upper abdominal pain, or swelling in the hands or face)
Doctor’s Tip: “When contractions get stronger and closer together, or if your water breaks, it’s probably time to come in,” said Dr. Reid.
✅ When Induction Is Recommended
Labor doesn’t always start on its own. Doctors may recommend induction—using medication or procedures to start contractions and help the cervix open.
- Induction can take time, so expect updates on risks, benefits, and progress.
- Your care team should explain every step along the way.
✅ Talk C-Sections Before You Need One
Even if a surgical birth isn’t in your plan, discuss it early to reduce stress if plans change. Ask about:
- Anesthesia options
- Length of hospital stay
- Recovery expectations
“Birth often happens without complications,” Dr. Reid said, “but complications can arise quickly and unexpectedly.”
✅ Care for Your Pelvic Floor
Pelvic floor health is getting well-deserved attention.
- Start perineal massage around 34 weeks to help prepare for delivery.
- Consider postpartum pelvic floor exercises to reduce incontinence or pain.
- A pelvic floor physical therapist can help with recovery from severe tears or painful sex.
✅ Don’t Skip the “Fourth Trimester”
Postpartum care is more than a single six-week checkup.
- Schedule earlier and ongoing follow-ups, especially if you had preeclampsia or notice mood changes.
- Watch for lingering physical changes or complications and report them quickly.
📍 Get Connected
For referrals or information about DMC’s three birthing centers, visit dmc.org/mom. To watch the full segment, click on the video above.