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Baby Birth Delivery – Rosh MFM

rosh labor and delivery

Baby Birth Delivery

The moment labor begins, having a skilled and compassionate team by your side makes all the difference. At Rosh Maternal & Fetal Medicine, our physicians bring years of experience supporting women through every type of delivery. Our team takes the time to understand your preferences, your health history, and your baby’s needs. If you have questions or concerns about your upcoming delivery, call our Midtown East office or book an appointment online.

Baby Birth Delivery: What to Expect at Rosh MFM

Knowing what lies ahead can ease a great deal of anxiety around the delivery experience. A typical vaginal delivery moves through three distinct stages.

  • The first stage begins with regular contractions and ends once the cervix reaches full dilation.
  • The second stage covers the period from complete dilation through the birth of your baby.
  • The third stage begins after birth and concludes with the delivery of the placenta.

Throughout every stage, our team monitors you and your baby closely and keeps you and your family informed every step of the way.

Types of Delivery Methods Vaginal Delivery

A vaginal birth is the most common delivery method and, in uncomplicated pregnancies, the preferred approach. Labor progresses naturally through contractions. Our team manages pain, monitors progress, and steps in whenever additional support is needed.

Assisted Vaginal Delivery

Assisted vaginal delivery (also known as operative vaginal delivery) accounts for roughly 3% of all births. Two methods may be used: forceps-assisted or vacuum-assisted delivery. Our physicians consider this option when labor stalls or when the baby’s heart rate raises concern. We explain the reasoning fully before proceeding with any assisted method.

Cesarean Section

A cesarean delivery may be planned in advance or may become necessary as circumstances change during labor. Common reasons include labor that does not progress, fetal distress, breech presentation, a large baby, multiple babies, placenta complications, a maternal health condition, infection, or a previous cesarean.

Vaginal Birth After Cesarean (VBAC)

A vaginal birth after cesarean is possible for many patients, and our physicians evaluate each case individually. The main consideration is the risk of uterine rupture at the prior incision site, which is rare but requires careful monitoring. Patients with a horizontal incision along the bikini line are often good candidates for a trial of labor after cesarean (TOLAC). We review your health history, walk you through the risks and benefits, and monitor you attentively if you choose to pursue TOLAC.

How Our Team Manages Labor and Delivery

Our physicians and clinical staff maintain constant, vigilant oversight throughout every stage of labor. The areas we monitor include:

  • Baby’s heart rate
  • Baby’s station and position
  • Length of time spent in each stage of labor
  • Medications used for pain control
  • Need for augmented labor
  • Potential need for assisted vaginal delivery
  • Potential need for cesarean section

Our team explains what is happening, why certain decisions are being considered, and what your options are at every turn.

Preparing for Your Birth Experience

Preparation makes a meaningful difference in how you experience labor and delivery. At your prenatal visits, we discuss your birth preferences and address any concerns you may have. Before your due date, we review several important topics with you. These include your pain management preferences, what to expect during each stage of labor, and the signs that it is time to go to the hospital. We also explain what may happen if your birth plan needs to change. Bringing a support person can help make the delivery feel more comfortable. Packing your hospital bag early and getting to know your care team before your due date can also help you feel more prepared. Our team is available to answer questions at any stage of your pregnancy.

Meet Our Physicians

Our delivery team includes board-certified OB/GYN specialists and maternal-fetal medicine experts with extensive experience across all delivery types. Dr. Daniel Roshan, MD, FACOG, FACS, leads our practice and specializes in maternal-fetal medicine with a particular focus on high-risk pregnancies. Women travel from across the country to receive care under his guidance. Our broader team of physicians brings the same commitment to attentive, personalized care across all of our New York locations.

Why Choose Rosh Maternal & Fetal Medicine for Your Delivery?

Patients choose our practice for many reasons, and the quality of our care is consistently at the top of that list.

  • Experience across all delivery types: From routine vaginal births to high-risk cesarean deliveries, our team has the depth of experience to manage whatever your labor brings.
  • Attentive, personalized care: Every patient receives a care plan built around her specific health needs, pregnancy history, and birth preferences. No two plans look exactly the same.
  • High-risk expertise: Our maternal-fetal medicine specialists are among the most experienced in New York. Patients with complex pregnancies receive the same level of attentive care as those with uncomplicated ones.
  • Clear communication throughout labor: Our team keeps you fully informed at every stage. You will always know what is happening and why, so you can make decisions with confidence.
  • Multiple convenient locations: With five locations across New York, accessing our care team before, during, and after delivery has never been easier.

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Your Pregnancy Deserves Expert Hands

From your first contraction to the moment you meet your baby, our team is with you at every stage. Book an appointment at any of our New York locations and start preparing for your birth experience today.

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Credentials You Can Count On

Delivering your baby is one of the most significant moments of your life, and the qualifications of your care team matter enormously. Our physicians hold board certifications through the American Board of Obstetrics and Gynecology (ABOG). These certifications cover both obstetrics and gynecology and maternal-fetal medicine. Members of our team also hold fellowship designations from two of the most respected medical organizations in the United States:

  • FACOG: Fellow of the American College of Obstetricians and Gynecologists
  • FACS: Fellow of the American College of Surgeons

What Our Patients Say

Nothing motivates our team more than knowing we made a difference when it mattered most. Here is what some of our patients had to say about their delivery experience at Rosh MFM. “My delivery experience at Rosh MFM exceeded every expectation I had. The team was calm, attentive, and made sure I understood everything happening around me. I never felt alone for a single moment.” — Monica R.

“From my first prenatal visit to the delivery room, the care I received was exceptional. The doctors took every concern seriously and never made me feel rushed. I am so grateful to the entire team.” — Jasmine T.

The journey to delivery is one of the most meaningful experiences of your life, and having the right team beside you makes all the difference. At Rosh MFM, we combine clinical expertise with genuine, personalized attention. Reach out to our team today and take the next step toward a birth experience you can feel good about.

Delivery Q & A

Q.

What should you expect during delivery?

A.

Each woman’s labor and delivery experience is different, but during a normal vaginal delivery, everyone goes through the same stages. Your cervix softens and opens, your water breaks, and contractions begin. As your contractions become stronger and more frequent, you progress through three stages of labor:

  • First stage: begins with regular contractions and ends when the cervix is completely dilated
  • Second stage: begins with complete dilatation and ends with delivery of your baby
  • Third stage: begins after birth and ends with delivery of the placenta

Q.

How does your medical team manage labor and delivery?

A.

Your medical team keeps a constant and vigilant watch on every aspect of labor and delivery, while keeping you and your family actively updated and involved as you go through every stage. A few examples of the health issues monitored during delivery include:

  • Baby’s heart rate
  • Baby’s station and position
  • Length of time in each stage
  • Medications for pain control
  • Need for augmented labor
  • Need to consider assisted vaginal delivery
  • Need to consider cesarean section

Assisted vaginal delivery, or operative vaginal delivery, is only needed in about 3% of all deliveries. One of the two types — forceps-assisted and vacuum-assisted — may be considered when labor doesn’t progress or your doctor has concerns about the baby’s heart rate.

You can count on your doctor to explain what’s happening and why you may need to consider an assisted delivery or cesarean section to ensure the health of your baby.

Q.

When is a cesarean section medically necessary?

A.

Cesarean delivery can be planned, but it often becomes a choice that’s made as health concerns arise during labor. The most common medical reasons for a cesarean include:

  • Labor doesn’t progress
  • Fetal distress
  • Breech presentation
  • Large baby
  • Multiple babies
  • Placenta problems
  • Medical condition of the mother
  • Presence of infection
  • Previous C-section

Q.

Can you have a vaginal birth after a cesarean section?

A.

The primary concern about vaginal delivery after a cesarean section (VBAC) revolves around potential muscle weakness at the site of your cesarean scar. While uterine rupture is rare, there’s a chance that the previous incision may reopen under the pressure of muscle contractions during delivery.

If your incision was horizontal along the bikini line, chances are you can consider a trial of labor after cesarean (TOLAC). Your doctor at Rosh Maternal & Fetal Medicine evaluates your overall health and talks with you about the risks and benefits. TOLAC is well-planned and you’re closely monitored throughout labor for signs of problems.

Come visit your Manhattan OBGYN.