Pregnancy is an exciting journey filled with questions, especially for first-time moms. While prenatal care often takes center stage, understanding what to expect during labor, delivery and the early days of recovery is just as important.
Dr. Mary Reid, an OB-GYN at the Detroit Medical Center (DMC), shared important insights to help expecting mothers feel informed and confident as they prepare to welcome their baby.
Knowing when it’s time to head to the hospital
As your due date approaches, you might wonder, “How will I know when it’s time?”
“Talking about what to expect when labor begins is an important part of the prenatal visits for my patients once they begin their third trimester,” Reid said. “Every patient and every pregnancy is a little different.”
In early labor, most patients can stay home and manage contractions with support. But when contractions grow stronger, last longer and come closer together -- or if you need pain management -- it’s likely time to go to the hospital.
Certain warning signs require immediate medical attention, even if you’re unsure you’re in labor:
- Vaginal bleeding
- Decreased fetal movement
- Symptoms of preeclampsia, such as headache, vision changes, upper abdominal pain or swelling in the hands and face
Reid encourages patients to stay in close contact with their care team: “Know how to reach your doctor for questions about when to come to the hospital; we can help you make that decision.”
Understanding labor induction
Labor doesn’t always follow a set timeline. Sometimes, your provider may recommend inducing labor to ensure a safe delivery.
“There are many reasons why your doctor might recommend moving toward delivery, which can mean an induction of labor — the process of getting your body to have contractions that will cause the cervix to dilate or open up,” Reid said.
Induction can involve different medications and procedures. Each mother’s experience varies, and the process can take time.
“I like to say induction is a dynamic process,” Reid said. “Your labor and delivery team is always weighing the risks and benefits of each intervention at that specific time.”
She added that your provider should always explain their thought process behind any decisions.
Planning for vaginal delivery -- and preparing for the unexpected
Most women plan for a vaginal delivery, but it’s helpful to understand what might happen if a cesarean section (C-section) becomes necessary.
“Our goal is always a safe delivery for both mom and baby,” Reid said. “While a C-section may not be part of your plan, it can be helpful to ask what to expect should it be needed during your labor.”
Ask your provider about what a C-section involves, including anesthesia, recovery time and hospital stay length.
“Giving birth often happens without complications, but as an OB-GYN, my job is to understand complications can arise quickly and unexpectedly,” Reid said. “As much as I can help you to feel prepared, heard and understood, we create an environment of safety for your whole family.”
Knowing what to expect can ease anxiety and help you feel more prepared, no matter how your delivery unfolds.
Pelvic floor therapy: supporting labor and recovery
More patients are asking about pelvic floor therapy — and for good reason.
“Knowledge of pelvic floor therapy can make a big impact on a variety of conditions, including labor and postpartum recovery,” Reid said.
This can include perineal massages at home starting around 34 weeks, as well as postpartum exercises to support healing.
Reid recommends consulting pelvic floor therapists, who are specialized physical therapists helping with issues like urinary incontinence, pelvic pain or recovery from significant vaginal tearing.
What to expect after deliver: the “fourth trimester”
The postpartum period is often overlooked but is a time of major physical and emotional adjustment.
“Consider the postpartum period as the ‘fourth trimester,’” Reid said. “There are many physical changes that will happen after delivery and it’s important to note that complications can still happen.”
Keep these key points in mind:
- Postpartum recovery isn’t just one visit at six weeks. Many new parents need earlier or more frequent care.
- Mood changes are common and typically resolve within two weeks.
- If you experience intense or lasting symptoms of depression or anxiety, reach out to your OB-GYN.
- Health conditions that developed during pregnancy, such as high blood pressure or diabetes, need continued monitoring.
“It’s an exciting time but keep your health and wellness a priority as you build your new family,” Reid said.
Finding support
Labor and delivery might feel overwhelming, but with the right information and a supportive care team, you can feel confident every step of the way.
To learn more about the three birthing centers at the Detroit Medical Center, or to get a referral to an OB-GYN, visit DMC.org/Mom.