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There are many ways to have pain relief and your midwife can help you choose which is best for you. It is a good idea to have at least one trusted friend or member of your family with you during labour. It may happen sometime before labour starts but shows your body is getting ready to have the baby. If you do not, your hospital doctor will talk about starting your labour for you - inducing your labour. The softening process may be quite slow and it may be several hours until you're in what midwives call 'established labour'. If you go to hospital before labour is established, it may be better to go home than spend hours there unnecessarily.
As the contractions become more painful you can use relaxation and breathing techniques to cope. They will ask you to pant or puff a couple of quick short breaths, blowing out through your mouth. This is so that your baby's head can be born slowly and gently, giving the skin and muscles around your vagina time to stretch without tearing.

Sometimes, to avoid a tear or to speed up delivery, the midwife or doctor will inject local anaesthetic and make a cut. If you have more than one maternity unit locally, you may want to visit them before you make a choice. If they are assessed as being low risk for complications and live close to their local hospital, this may be possible. Your midwife will transfer you to hospital if they are unhappy at any time; that is, they are concerned for you or your baby.
It may be available just for pain relief early in labour, or sometimes women may deliver in it. It makes you feel light-headed and will just provide enough pain relief to help you through the worst of the contraction. Some hospitals have a 'walking epidural' sevice but most women will not be able to walk when they have an epidural.
Their gut is also not fully developed and they may need to be fed through their veins (blood vessels) instead of the normal route.
The pessary is given in the hospital ward and you are taken to labour ward, when your labour has started.

If your waters have broken and a better monitoring of the heartbeat is needed, the probe can be attached to the baby's head. It gives a better recording because it is directly attached to the baby and doesn't have to go through your tummy wall. A forceps delivery involves metal instruments (a bit like salad spoons) being placed around the baby's head. If their number is not there, you could phone the labour ward where you are due to deliver.
You will need them after your delivery, as it is usual to bleed for about two week afterwards. If they are worried by any aspect of your pregnancy or labour they will ask an obstetrician to see you.
There are many factors that can prevent a normal delivery and you can do nothing to change most of them.

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