Labor and Delivery

Removing the Mystery from the Marathon

The final weeks of pregnancy are defined by an exhausting mix of physical discomfort and intense psychological anticipation. You dissect every twinge and cramp, wondering, "Is this it? Is it happening now?"

The vast majority of the terror surrounding labor comes simply from a fear of the unknown. At MomDoc, our goal is to completely demystify the delivery process. We want you walking into labor and delivery feeling prepared, informed, and quietly confident that your medical team is ready for you.

Here is exactly what you need to know about navigating the end of your pregnancy.

Recognizing True Labor

Your body has likely been practicing for weeks using Braxton-Hicks contractions. "True" labor is entirely different. In true labor, the uterine muscle contracts at regular, ever-tightening intervals to physically dilate your cervix.

According to ACOG guidelines, you should not wait to see what happens. Call MomDoc Triage immediately at 480-821-3601 if you experience the following:

• The 5-1-1 Rule: Your contractions are exactly 5 minutes apart, lasting for 1 minute, for at least 1 hour.
• Your Water Breaks: A sudden gush or a continuous, uncontrollable trickle of fluid. (Note the time and the color of the fluid).
• Vaginal Bleeding: Any bright red bleeding that is heavier than mild spotting.
• Decreased Fetal Movement: If your baby is not meeting the standard 10 movements in 2 hours.

(Note: Losing your "mucus plug"—a thick, jelly-like discharge—simply means your cervix is softening. Unless it is accompanied by the signs above, you do not need to call the doctor for a lost mucus plug).

Crucial Exception: If you are less than 37 weeks pregnant and experience any regular contractions or fluid leakage, call us immediately. This may be preterm labor.

Arriving at the Hospital

Because you pre-registered during your third trimester, you will bypass the main admitting office and head straight to the Labor and Delivery Triage unit.

Once you are placed in a triage room, a labor nurse will:

1. Check your vital signs and review your prenatal records.
2. Place external monitors on your abdomen to track your contractions and the baby's continuous heart rate.
3. Perform a pelvic exam to check your cervical dilation.

If you are in active labor, you will be admitted to your private delivery room.

Your Options in the Delivery Room

We believe in supporting your specific birth plan while maintaining absolute clinical safety. Once admitted, several things happen simultaneously:

• IV Access: An IV or Heplock will be placed in your hand or arm for hydration and rapid medication access if an emergency arises.
• Pain Management: This is your decision. Whether you want an unmedicated delivery, IV pain medications to take the edge off, or a highly effective Epidural block to eliminate lower body pain, your anesthesiology and MomDoc team will facilitate it.
• Labor Augmentation: If your labor stalls or your water has been broken for many hours without progress, your provider may discuss using Pitocin (a synthetic hormone) to safely restart or strengthen your contractions.

Cesarean Deliveries (C-Sections)

Approximately one-third of babies in the US are born via Cesarean section. Sometimes they are scheduled in advance (due to a prior C-section, breech presentation, or placenta previa), and sometimes they become a medical necessity during active labor if the baby's heart rate drops or labor completely fails to progress.

If you require a C-section, you are in the hands of elite surgical specialists. MomDoc providers perform these procedures seamlessly to ensure the absolute safety of you and your child. A C-section is a major abdominal surgery; your partner will be permitted in the operating room with you, and recovery will require a longer hospital stay.

The Journey Home

The hours immediately following birth are a blur of adrenaline, exhaustion, and overwhelming emotion.

Before you are discharged, the hospital staff will ensure you can walk, use the restroom, and manage your pain. Your baby's pediatrician will perform a final checkout.

When you strap your baby into their properly installed car seat and drive home, remember that MomDoc's care continues. We will see you for your postpartum visit to check your physical healing, screen for postpartum depression, and ensure you are adapting safely to your new reality. You are never alone in this process.