Vaginal Birth with a Private Obstetrician in Melbourne: What to Expect with Dr Stephen Cole
If you’re thinking about a vaginal birth in Melbourne and want personalised, medically-informed support, I’m here to guide you. Together, we’ll plan a birth that’s safe, empowering, and one you’ll remember for all the right reasons.
Giving birth is one of the most incredible experiences of your life, but I know it can also feel daunting. Understanding what happens during a vaginal birth helps you feel more prepared and in control. My aim is to guide and support you every step of the way — from planning your birth to those first precious days at home with your baby.
What a Vaginal Birth Actually Is .....
A vaginal birth is your baby being born through your birth canal. It’s a beautifully coordinated process involving your uterus, cervix, pelvis, and hormones. When everything goes smoothly, it usually means faster recovery, fewer complications than a caesarean, and an easier start to breastfeeding and bonding.
Side note: Most women prefer this route if it’s safe — but there are always exceptions, and that’s why we talk through your options early in pregnancy.
The Stages of Labour — Step by Step
Early Labour (Latent Phase)
This can be as short as a few hours or as long as a few days. This is the gentle beginning. Your uterus starts contracting and your cervix softens and opens, usually up to about 4 cm. Contractions feel like mild to moderate period pain and can be irregular. Your baby starts moving lower into the pelvis, usually head-first.
You might notice your heart rate increases a little, or feel more alert or restless — that’s your body’s hormones, like oxytocin and adrenaline, getting you ready.
Side note: Feeling a mix of excitement and nerves is completely normal. Early labour can last a while, so try to rest, eat, and stay hydrated.
At this stage, I’ll check your cervix, keep an eye on your baby’s heartbeat, and make sure you’re comfortable.
First Stage
Once your cervix hits about 4 cm, contractions become longer, stronger, and more regular. Your baby rotates and descends through the pelvis. It can feel intense, and that’s normal — your body is doing exactly what it’s designed to do.
I encourage you to move around, change positions, use a birthing ball, or try upright positions — anything that helps your baby descend and keeps you as comfortable as possible.
We monitor your baby’s heart rate and your vitals throughout. Pain relief options are available, whether that’s an epidural, nitrous oxide, or natural methods like breathing techniques, water immersion, massage, and TENS. You’ll have continuous support from me, your midwife, and anyone you choose to bring along.
Side note: It’s common for women to change their pain relief preferences during labour — and that’s absolutely fine.
Pushing and Birth
When your cervix is fully dilated, you’ll feel the urge to push. This stage can feel overwhelming, but it’s also one of the most empowering parts. Your pelvic floor stretches as your baby passes through, and crowning happens when the widest part of your baby’s head starts to appear.
I guide your positioning to reduce the chance of tearing, and episiotomies are only done if truly necessary. We continue monitoring your baby and you, making sure you’re both safe.
Side note: Most women are amazed at what their body can do when supported properly — trust yourself, and let your team guide you.
Delivery of the Placenta (Third Stage)
After your baby is in your arms, your uterus continues to contract to deliver the placenta. I check it’s complete and may gently massage your uterus to reduce bleeding.
Side note: This part is usually quick and gentle, and gives you time to enjoy those first skin-to-skin moments with your baby.
At this point, it’s all about bonding, skin-to-skin contact, and helping you start breastfeeding if that’s your plan.
Pain Relief Options
Every labour is different, and your choice of pain relief is personal. Some women find an epidural invaluable, others prefer gas, and some use only natural techniques.
Side note: Whatever method you choose, the goal is your comfort and safety. You don’t have to “tough it out” if pain becomes overwhelming.
My approach is to discuss all options with you, answer every question, and ensure you feel confident and supported.
Why Private Obstetric Care Helps
Delivering at private hospitals like Frances Perry House, St Vincent’s Private, or Epworth Freemasons means you have continuity of care — I’m with you throughout pregnancy, birth, and postnatal recovery.
We can plan your preferences in advance, including positions, interventions, and pain relief. Private care also means you get personalised support for those first few days and weeks at home, including home visits, pelvic floor physiotherapy, lactation guidance, and midwifery support.
Side note: Knowing your team, and having the same obstetrician throughout, really helps reduce anxiety and makes the experience more positive.
Making Birth a Positive, Memorable Experience
My aim is for your vaginal birth to be safe, supported, and empowering. That includes:
Listening to your preferences and prioritising them
Continuous emotional and physical support during labour
Immediate care for your baby to help with feeding and bonding
Postnatal home visits and follow-up for up to six weeks to support recovery and confidence
Side note: It’s normal to feel anxious, even if you’ve read everything and attended classes. You’re not alone — we’re here to walk you through every stage, answer your questions, and reassure you as things progress.
Book a consultation today and start planning your ideal birth experience.