When you experience any of the symptoms of labour, such as pain (due to uterine contractions) that is progressively frequent and lasting longer each time, bloody discharge or leakage of amniotic fluid. You should also report to the hospital if you experience a significant decrease of fetal movement over the last 24 hours or sudden cessation of fetal movement over the last 12 hours.
You should report to the Delivery Suite located on level 2. If you are in too much pain to walk, your transport should alight you at the Women's 24-Hour Clinic at Basement 1, where our staff will assist to wheel you to the Delivery Suite.
Your outpatient appointment card and your admission form. Please remove any jewellery and valuable possessions before coming to the hospital.
Upon arrival at the Delivery Suite, you will be attended to by the doctor-on-duty, who will determine whether you are in active labour, early labour or not in labour. Based on the diagnosis, he will either admit you to the Delivery Suite / antenatal ward, or advise you to return home.
When you are admitted to the Delivery Suite, the doctor-on-duty will inform your obstetrician of your admission. Your obstetrician will see you personally as soon as he can. Meanwhile, the team at the Delivery Suite will review your progress regularly and keep your obstetrician informed
Your obstetrician will try his or her best to attend to your delivery and is committed to deliver most of the pregnant patients who have booked him or her. However, there may occasionally be situations when he or she is not able to deliver your baby personally. These reasons may be that he or she is:
In such cases, your obstetrician will try to arrange for another specialist to attend to you. Sometimes the baby may be delivered too quickly before the arrival of the obstetrician. In such a case, the nurse in the Delivery Suite will attend to your delivery first. All the nurses in the Delivery Suite are trained to perform a vaginal delivery. Upon arrival, your obstetrician will manage the 3rd stage of labour (delivery of the placenta and repair the episiotomy wound).
In most cases, we expect a vaginal delivery. There is, however, a 10% chance that you may end up delivering your baby by emergency caesarean section. The reasons may be :
Forceps is an instrument used to assist the delivery of the baby in the 2nd stage of labour. It is required when your baby fails to be delivered after prolonged pushing efforts. Sometimes it is also used when there is mal-rotation of the baby's head.
Pain relief comes in 3 forms. The doctor-on-duty will order the muscular injection of Pethidine (a painkiller) for you in the early stages of labour. In later stages of labour, the nurse will provide you with Entonox (a pain relief gas). Both methods will achieve up to 60% relief of labour pain. If you desire a more complete pain relief, the anaesthetist will give epidural anaesthesia upon request. The anaesthetist will discuss and obtain consent from you before administering the epidural
Yes, we encourage your husband to be with you so that he can provide you with the moral support.
There are a few complications that you should be aware of :