When a baby arrives before the mother reaches hospital, there are

usually few complications although the situation can be frightening and

stressful. There are three stages in labour: first, the birth canal

stretches and the uterus contracts every few minutes in preparation for

pushing the baby out. This usually lasts for at least 12 hours for a first

baby, but only 2 to 3 hours for a subsequent baby. Second, the baby

is born; third, the placenta is delivered.

Certain complications in childbirth occurs. Babies are usually born head

first. If the baby has turned around inside the womb, it may arrive in

another position. Without any pressure from the baby's head, the

process will be longer and is more complicated. The person will usually

need medical help.

In breech position, the baby emerges buttocks first, which can delay

the second stage of labour. Doctors must warn the mother to stop

pushing at this stage. Do not puff hard to make the contractions

ineffective. If the baby's buttocks and trunk are delivered before help

arrives, do not try to help the head out because brain damage could

occur. Keep the baby warmly wrapped, half in and out of the birth

canal, to avoid the risk of cold air on the chest stimulating breathing

before the head is free.

In case of head invisibility, sometimes a foot, arm or the baby's face will

arrive first. If the top of the head cannot be seen, always try to slow

down the birth process.