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Labour and delivery

What happens when labour starts, and the choices you have.

Reviewed by

Dr. Jigna Jasoliya
GMC Reg. G/25348 · Updated August 2026

Most of what people fear about labour is not knowing what will happen next. This page sets out the sequence, the choices you have at each point, and when to come in.

When to come in

Come in when contractions are regular and about five minutes apart, if your waters break, if there is bleeding, or if the baby's movements change. If you are not sure, call — nobody minds, and it is far better than waiting at home wondering.

The phone is answered through the night.

Pain relief

There are several options and they work in different ways: moving about and breathing, injections, and an epidural. We will go through what each one does, what it does not do, and its trade-offs during your antenatal visits, so the decision is not being made for the first time in labour.

We do not describe any birth as painless. That word is used a great deal in advertising and it is not honest.

Caesarean

Sometimes a caesarean is planned in advance for a clear reason, and sometimes it becomes the right decision during labour. Either way it will be explained to you at the time, with the reason, and your consent taken properly rather than as a formality.

What it costs

Labour and delivery — charges
ItemCostNotes
Normal delivery package₹15,000Room, delivery and the routine postnatal stay.
Caesarean package₹50,000Theatre, anaesthesia and the postnatal stay.
Additional newborn care, if neededQuoted at the timeBilled only if it is actually used.

Charges at Pearl Women's Super Speciality Hospital and IVF/ICSI Center as of September 2026. You are told what anything costs before it is done, and nothing is billed that you have not agreed to.

Questions we are asked most

Can my husband be with me?

Yes. Bring whoever you want with you — we will tell you if there is any reason someone cannot be in the room at a particular moment.

What should I pack?

Your reports and ID, clothes for you and the baby, and anything that will make a long day easier. We will give you a written list at around 34 weeks.

How long will I stay?

It depends on the birth and on how you and the baby are. We will give you a realistic answer during your antenatal visits rather than a number that sounds good.

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