Pushing the head out is usually the toughest part of the delivery. She may feel burning and tearing as the vagina opens to allow the head passage. Many doctors perform an episiotomy at this point. Many experts consider this unnecessary. Be sure you consult with your physician to determine its necessity.
Some women report painful sexual intercourse as a result of an episiotomy.
Depending on your hospital, the baby will hopefully be wiped off and placed next to the mother. The skin to skin contact helps bond the two of them and maintains the baby's temperature. During these last few contractions which seem minor compared to what she just went through, the placenta will be passed out of her body and the uterus will naturally contract against the blood vessels left bare by the discharged placenta as a way of controlling the bleeding. It's unlikely she will notice this stage much since the baby will be next to her and all your attention will be on her and the newest member of your family. Possible Complications Roughly five percent of babies born do not present themselves head first during the delivery process.