Vaginal birth: your questions answered

The questions I am asked most often about vaginal delivery — benefits, risks, how long it takes, and going home.

Illustration accompanying an article on vaginal birth

Quick answer

Is a vaginal birth safer than a caesarean?

For most women a vaginal birth carries fewer complications and a shorter recovery than a caesarean section, and it is the most common route of delivery. The main risk is tearing of the vaginal or perineal tissue, which is usually minor. Which delivery is right for you depends on your preferences and how your pregnancy progresses, and the decision is made together.

These are the questions I am asked most often about vaginal delivery, in roughly the order they come up.

What is a vaginal delivery?

A delivery where the baby is born through the birth canal, rather than through an incision in the abdomen.

What are the benefits?

It is the most common route of delivery. For most women it carries fewer complications and a shorter recovery than a caesarean section. Which route is right for you depends on your own circumstances.

What are the risks?

Tearing of the vaginal or perineal tissue is the main one, and it is usually minor. Bleeding and infection can occur but are uncommon.

How do I prepare?

Attend childbirth classes, have a birth plan, and bring your questions and concerns to your appointments rather than saving them up. There is no such thing as a question too small.

Who decides the type of delivery?

You and I do, together. The final decision depends on your preferences and on how your pregnancy is progressing — and it can change as the pregnancy goes on.

How long does it take?

Anywhere from a few hours to a couple of days. Your health, the baby’s position and the progress of labour all affect it, which is why nobody can give you a firm number in advance.

What happens during it?

Contractions dilate the cervix and push the baby down. The baby’s heartbeat and the progress of labour are monitored throughout. Pain relief options, including an epidural, are available and discussed with you.

When can I go home?

Usually the next day, with most women back to ordinary activity within a week or two.

Planning a pregnancy or already expecting? Arrange an appointment.