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Introduction to Complications of Labor and Delivery

By

Julie S. Moldenhauer

, MD, Children's Hospital of Philadelphia

Last full review/revision Jul 2021| Content last modified Jul 2021
Click here for the Professional Version

Usually, labor and delivery Overview of Labor and Delivery Although each labor and delivery is different, most follow a general pattern. Therefore, an expectant mother can have a general idea of what changes will occur in her body to enable her to deliver... read more occur without any problems. Serious problems are relatively rare, and most can be anticipated and treated effectively. However, problems sometimes develop suddenly and unexpectedly. Regular visits to a doctor or certified nurse midwife during pregnancy make anticipation of problems possible and improve the chances of having a healthy baby and safe delivery.

Problems may involve

Placenta accreta may be discovered during pregnancy or only after delivery.

Most problems are obvious before labor begins. Such problems include

Some problems develop or become obvious during labor or delivery. Such problems include

When complications develop, alternatives to spontaneous labor and vaginal delivery may be needed. They include

Some problems occur immediately after delivery of the fetus, around the time the placenta is delivered. They include

Timing of Labor and Delivery

No more than 10% of women deliver on their specified due date (usually estimated to be about 40 weeks of pregnancy). About 50% of women deliver within 1 week (before or after), and almost 90% deliver within 2 weeks of the due date.

Did You Know...

  • Only about 10% of women deliver their baby on their due date.

Labor may start

In such cases, the health or life of the fetus may be endangered.

Labor may be early or late because the woman or fetus has a medical problem or the fetus is in an abnormal position.

Determining the length of pregnancy can be difficult because the precise date of conception often cannot be determined. Early in pregnancy, an ultrasound examination, which is safe and painless, can help determine the length of pregnancy. In mid to late pregnancy, ultrasound examinations are less reliable in determining the length of pregnancy.

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Test your knowledge
Postpartum Depression
Postpartum depression is a feeling of extreme sadness and related psychologic disturbances after delivery of a baby. Although it is common to feel sad or miserable within 3 days of delivery (the baby blues), these feelings usually go away within 2 weeks. Postpartum depression is a more serious mood change. Women in which of the following groups are at increased risk for this condition?
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