Impelled delivery occurs when the baby is born into the intact amniotic sac, that is, when the sac does not burst and the baby is born into the sac with the entire amniotic fluid.
Although very rare, this type of delivery is more common in cesarean sections, but it can also happen in normal delivery when the baby is premature, because the size of the amniotic bag is smaller and, therefore, the baby and the bag, pass easily through the canal vaginal with less chance of rupture before or during labor, as it happens naturally in the vast majority of cases.
Emptied delivery does not pose any risk to the baby or the mother and, in many cases, can even help protect the baby from any infection that the mother may pass.
Advantages of impelled birth
Emptied delivery does not pose risks for the baby or the mother, but it can bring advantages such as:
- Protect the premature baby: when the baby is premature, the amniotic sac can help protect against the trauma of childbirth, preventing fractures or bruises; Avoid HIV transmission: in the case of HIV positive mothers, this type of delivery avoids contact with blood during birth, reducing the chances of transmission of the disease.
Although it can bring some advantages for the baby, this type of delivery is difficult to be scheduled, happening almost always, spontaneously and naturally.
What happens after delivery
As long as the baby is inside the amniotic sac, it continues to receive all nutrients and oxygen through the umbilical cord, with no risk to its survival. However, it needs to be removed from the bag so that the doctor can assess whether it is healthy.
Unlike normal delivery, where the baby passes through the birth canal "squeezed" and the amniotic fluid, which the baby ingested and aspirated during pregnancy, comes out naturally allowing the baby to breathe, in this case the doctor uses a thin tube to aspirate the liquid from inside the baby's nose and lungs, as in a cesarean section.
Then, when the baby comes out in a puff, the doctor makes a small incision in the amniotic bag to remove it and allow it to breathe normally.
How to schedule this type of delivery
This type of delivery is difficult to be scheduled, occurring in most cases, naturally in 1 in every 80 thousand births. However, when the pregnant woman is HIV positive, the doctor can schedule a cesarean section to remove the baby before 38 weeks and, during delivery, tries to remove the baby without breaking the amniotic sac, so that there is as little contact as possible with the infected blood. of the mother.
Find out more about how to deliver a woman infected with AIDS to protect the baby.
