What Should You Do When Labor Doesn’t Go as Planned?

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Operate RoomIt is good to have a labor plan. You should have one, and your partner or husband should know everything on it. You should give it to your obstetrician and to the nurses at the hospital when you get there. Hopefully, everything will go according to plan.

What if it doesn’t? You have to be ready for a change in plans if circumstances dictate a change. How could that happen? There could be some unanticipated reason your doctor can’t get there. Maybe he or she has an emergency of their own; maybe your labor goes quickly and the doctor is stuck in traffic. Maybe you have gone to visit someone a couple of hours away, having been told you won’t go into labor anytime soon, and you go into labor which comes on so quickly you can’t get home. If it is your first baby, you usually have plenty of time to get to the hospital, but there are some women whose first labor is remarkably short, and either they don’t get to the hospital or the doctor doesn’t get there on time.

Even stranger things could happen, and have happened to women in labor. There could be an earthquake, tornado, or hurricane, depending where you live. When fate or Mother Nature deals you a hand you were not anticipating, you have to be flexible. Try and get whatever help you can to make your labor and delivery what you want as much as possible.

Then there are medical problems, either yours or the baby’s, which mandate a change in your plans. All women want a healthy baby, along with a delivery that is normal without complications. Most of the time, that is what happens.

If you have significant medical problems, such as diabetes or high blood pressure, or if you have asthma that is hard to control, you need a doctor that is comfortable managing high risk pregnancies. Often an obstetrician will work with a family practitioner or internist to help with your medical problems. Not every doctor is experienced enough to do this. If you have an unusual medical problem, you may be referred to a large teaching hospital or tertiary care facility, where the doctors have the most experience managing difficult pregnancies. This may limit the choices of where you give birth and how you give birth.

You can develop illnesses during pregnancy, or conditions you already have can get worse. A worsening medical condition can be a risk to the baby, as well as to you. If your life is in danger, or if your body is not able to provide the baby with everything needed through the placenta, sometimes the only solution is to deliver the baby as soon as possible.

If you go into premature labor, your doctor will probably try and stop or delay it if it is a long way from your due date. If labor can’t be stopped, there are medications you will be given to help the baby. Very premature infants need to be cared for in a Neonatal ICU (NICU), usually level III. If there is any reason that your doctor thinks you are at risk for preterm labor, he will recommend a hospital with the capability to take care of the baby. This may mean a different hospital than your first choice.

If there is a suspected problem with the baby, the same type of care may be needed. This could be because of something seen on a sonogram or discovered by amniocentesis. It can also be because you are having twins, or any multiple births.

In any situation where the mother or baby is at risk, achieving a good outcome has to be placed as a higher priority than your original birth plan. You can try and keep elements of it intact, but you should understand from the beginning that a plan is not a contract.

There is another way in which labor plans may change. You may change your mind. If this is your first pregnancy, you may discover that you don’t want what you thought you wanted. This is often true of pain medication. If you are overwhelmed by pain and want an epidural, for example, you should be able to ask for one. In this case, you should not be disappointed in yourself. You should give yourself the room to change your mind.

Hopefully you have picked an obstetrician who you like, and who knows what you want. He or she should only make changes that are absolutely necessary or that you request. Again, if you have found the right doctor for you, you should have faith in his or her judgment, and be willing to go along with a change in plans if it will get you what you want most, as healthy a baby as possible.

What do you think? What Should You Do When Labor Doesn’t Go as Planned?

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  1. Avatar of Daniela Daniela says:

    I don’t really have a birth plan, all I know is I obviously really don’t want to have a c-section. That is my biggest fear, that something will go wrong and I’ll have to have an emergency c-section. I really want to be able to have this baby vaginally, but in the end I know as long as the baby is healthy and safe we will be happy.

  2. Avatar of MARIA MARIA says:

    im not nerves about going into labor but I am about complications I really want a natural birth for my first child but my husband says to get the epidural if pain is too much ………. does any one know of any techniques that I can use during pain

  3. Avatar of joyce joyce says:

    I am always worried that something is going to happen. My husband and I have already discussed almost every possible scenario just in case so he knows what to do.

  4. Avatar of ProudMomma ProudMomma says:

    I have been zoo nervous lately. The information in this article was very helpful. I just have to understand and have faith that it will all work out.

  5. Avatar of KEIYONDA KEIYONDA says:

    I HOPE AND PRAY IT ALL GOES WELL. EVEN IF I HAVE TO HAVE SURGERY AS LONG AS MY BABY IS HEALTHY AND I MAKE IT THROUGH I WILL BE OK.

  6. Avatar of Flo Flo says:

    I think I am going to play it by ear, I want to deliver vaginally, but if for some reason complications occur or I don’t dialate, then I will leave it up to my OB as I trust her judgement.

  7. Avatar of gfeld gfeld says:

    So hard to plan everything to go right because many factors involved in having it all go smoothly.

  8. Avatar of ana says:

    hi my name is ana and I wanted to ask yall something. im due in extacly three weeks and I was told by my obgyn.. that if my water didn’t break by that day they were going to have t induce me! im pretty scared because I don’t know if that hurts more than regular contractions. but I wanted to ask yall is inducing hurtful and dangerous?

  9. praying for a natural birth, and no complications

  10. Avatar of Harmony Harmony says:

    I’m currently on bed rest due to preterm labor. This was definitely not part of the plan, but knowing that I can give her a lifetime of hugs and kisses, even if labor hasn’t gone according to plan, it makes it worth the next few weeks of bed rest.

  11. We had to have a C-section instead of a natural birth. I really wanted to have a natural birth but the babies heart beat wasn’t normal.

  12. Avatar of Marilyn Marilyn says:

    I hope I don’t have a preemie baby.

  13. Avatar of verochka31 verochka31 says:

    scheduled c-section due to the fact that I am small boned and my pelvis bones do not open up for delivery……………..going on my fifth c-section. not bad at all………………….easier on me and my body. recover fast and easy…………

  14. Avatar of sathyaa sathyaa says:

    I am going to have a induced labor at my 38 weeks due to my GB.. Have to stay calm and strong..postive attitude helps

  15. Avatar of katherine katherine says:

    I jave a premature baby n he had to stay in the nicu

  16. Avatar of IvyVillani IvyVillani says:

    I still need to pick a pediatrician and luckily, im seeing a midwife who is only five monutes from where we live and where my boyfriend works…However, I still haven’t really written anything down for a plan…

  17. I saw a few women in labor, some went by quick, some took days. If the progress is not satisfactory with the doctor, he will handle it, he is the expert. I remember that, when in a lot of pain, I get distraught, and I am not going to get calm, so they will have to do something.

  18. Avatar of melissa melissa says:

    This is very good advice for bring prepared.

  19. Avatar of ErinF ErinF says:

    It helps to have a doula present to support and advocate for you, as well.

  20. Avatar of Anber Anber says:

    I hope all go as planned. This is my first baby and I am really worried now that I am 35 weeks pregnant.

  21. Avatar of Marie Marie says:

    GREAT ADVICE..it has happened to me with my first pregnancy..MY PLAN WAS TO HAVE MY BABY NATURAL BUT I ENDED UP WITH A C-SECTION….I WAS MORE WORRIED ABOUT MY BABY HEALTH AND HER GETTING OUT SAFELY WITHOUT ANY COMPLICATION THEN ANYTHING ELSE…but it all worked out..just expect the unexpected..lol

  22. Avatar of hiral hiral says:

    I hope all is well…Do not afraid it’s god’s gift and he will take care of all……………………..

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