Normal Delivery in Delhi
Support for vaginal birth, with caesarean kept for genuine indications.
What normal delivery involves
Vaginal delivery, where it is safe, brings faster recovery, shorter hospital stay and fewer complications in subsequent pregnancies. India's caesarean rate in private hospitals is far above what medical need explains.
Dr. Tiwari's approach is to prepare for vaginal birth actively — good antenatal care, realistic expectations, adequate pain relief and patience in labour — and to move to caesarean when there is a clear reason, not for convenience.
Who this is for
- Uncomplicated singleton pregnancy with the baby head-down
- Women who want to avoid an unnecessary caesarean
- Selected vaginal birth after one previous caesarean
- Preparation and birth planning from the third trimester
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Birth preparation
Discussion of pain relief, labour positions, support person and your preferences, in advance.
Labour
Continuous fetal monitoring with mobility encouraged in early labour.
Pain relief
Epidural available and discussed beforehand rather than in the middle of a contraction.
Delivery and immediate care
Delayed cord clamping and skin-to-skin contact where the condition of mother and baby allow.
Your results, in writing
Whatever the outcome of normal delivery, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A VBAC that was supported rather than discouraged
30, Kalkaji · one previous caesarean · wanting vaginal birth
What she came in with
Her first baby had been delivered by caesarean for breech presentation. She wanted a vaginal birth this time and had been told at two hospitals that a repeat caesarean was 'safer' without further discussion.
What the workup showed
A single previous lower-segment caesarean, a non-recurring indication, a cephalic presentation, an estimated fetal weight of 3.2 kg, and spontaneous onset expected. Her VBAC success probability was around 75% — a good candidate by any criterion.
What we did
A documented birth plan from 34 weeks, continuous fetal monitoring in labour, early epidural to allow comfort without masking scar pain, no induction with prostaglandins, and a clear threshold for moving to caesarean.
Outcome
Spontaneous labour at 40+2, an eight-hour first stage, and a vaginal delivery of a 3.3 kg baby with no complications. She went home the next day.
The point of this case
VBAC is reasonable in carefully selected women and succeeds around two-thirds to three-quarters of the time. It needs a doctor willing to be patient, which is the part that is actually in short supply.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Caesarean reserved for genuine indication
Your own consultant attends the delivery
Birth plan discussed and recorded antenatally
VBAC supported in appropriately selected women
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about normal delivery
Can I have a normal delivery after a caesarean?
Often, yes. VBAC is reasonable after one previous lower segment caesarean with no recurring indication, with success rates around 60–70% in suitable women.
Will I be induced if I go past my due date?
Induction is usually offered between 41 and 42 weeks, and earlier if there is a medical reason. It is discussed rather than imposed.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.