The miracle of giving birth

miracleDepartment Clinical Training Center, UMCG

Supervisors: Marco A.C. Versluis, MD PhD, Dennis Beekhuis, MD

In general childbirth, also called labour, is an unique event showing the miracle and power of nature. Although, in itself, it is a physiological event, child birth is one of the most fascinating aspects of medicine, which is mostly dealing with pathophysiological processes.

Childbirth is the culmination of the gestation and pregnancy period with the expulsion of one or more newborn babies from a women’s uterus into a completely different environment. At that particular moment, being disconnected from the mother’s circulation by cutting the umbilical cord, the newborn is facing a very serious and complicated adaptation of his own circulation to the onset of his own respiratory system.

The process of a normal vaginal human childbirth is categorised into four stages.
Stage 1: The onset of birth is initiated by a metabolic change in the infant which causes the release of the hormones needed for uterine contractions.Miracle 2
Stage 2: The process of shortening and dilatation of the uterine cervix is caused by uterine contractions. This process facilitates the head of the infant entering into the birth canal.
Stage 3: The continuation of uterine contractions with the help of the mothers pressing is pushing the baby through the birth canal into the baby’s new world.
Stage 4: The delivery of the placenta. The expulsion of the placenta mostly starts spontaneously about twenty minutes after the occlusion and the cutting of the umbilical cord.

During this workshop more details will be given on monitoring labour, pain control and problems that may happen before and during delivery including the therapeutic possibilities if these problems occur. You are also given the opportunity to deliver a baby on a manikin, simulating the real situation.