what are the stages of labor? December 6, 2009Posted by guinever in : birth, labor, pregnancy , comments closed
Pre-labor refers to all the contractions that you have during your pregnancy the last few weeks of your pregnancy before “real” labor starts. These contractions are know as Braxton Hicks contractions. Some women don’t ever feel these contractions and that’s perfectly normal.
The first stage of labor is the part of labor where contractions open the cervix allowing your baby to be born. This opening is called dilating or dilation of the cervix. A further explanation of first stage is below.
The second stage of labor is when you feel the urge to push during contractions. When you push, you’re bring bringing the baby down and out so he can be born. The pushing stage can last anywhere from just a couple contractions to over an hour and even more. You might wonder how long it’s ok to push.
The third stage of labor is the time after the baby is born until the placenta releases from your uterus and with a final push, it is expelled. The placenta usually is born within a half hour after birth, sometimes only a few minutes, but taking an hour or more is still normal as long as you aren’t bleeding too much.
The fourth stage of labor is the first couple hours after the placenta is delivered where mom and baby are getting acquainted and the uterus continues to contract so it can shrink. Breastfeeding or just interacting with your baby causes contractions to continue, which is necessary for this involution of the uterus. Your nurse will rub your uterus and might show you how to do it. This will hurt, but is necessary to prevent unnecessary bleeding.
first stage of labor is divided into 3 parts
early first stage
Your contractions can be between 30-60 seconds long and can vary from 5 minutes to 20 minutes apart and jump around a little bit til a contraction pattern can be established. It is generally the part of your labor from 0-4 centimeters dilated. You can read more about how long it takes the cervix to get to 5 cm dilated or what does 2 cm dilated mean?
During early labor, the contractions might make you pause and stop what you’re doing, but they’re not very intense. It’s best to just ignore your labor as long as possible and try not to watch the clock. You are usually very chatty and running around doing last minute things before baby arrives in between contractions. It’s best to just go about your usual routine which could be staying in bed if labor starts in the middle of the night while your sleeping. As labor progresses, the contractions become longer and stronger and you phase into active labor. You can read more about early labor in this birth story.
During active labor, you’re no longer chatty. You are quiet in between contractions, getting ready for the next wave. You might start to vocalize or moan during the contractions. You might go lie down and get comfortable for awhile. Getting in the tub during this part of labor will help you relax and help labor to progress.
Active labor is the part of labor where medically speaking, you are from 5-8 centimeters dilated. Contractions are at least a minute long and usually fall into a consistent pattern of 3-5 minutes apart, but even this can vary and it’s normal to skip a contraction once in awhile.
This part of labor is where you have to concentrate on your contractions to get through them. This is where all your relaxation techniques that you’ve been working on come into play. It’s where you’ll probably ask for the epidural if you don’t want to go natural if you haven’t already asked for pain meds.
Transition is the part of your labor in between active labor and the pushing stage. It’s where your cervix finishes opening up and you become completely dilated so the baby can be born. For most women, transition is the shortest and most intense part of labor, but not always.
Transition is the part of labor where you have the longest, strongest contractions that are the closest together. Women usually describe transition as overwhelming. Contractions can be 90 seconds long and only 2 minutes apart, meaning you only have about 30 seconds in between them to prepare for the next contraction. This is what can make it the hardest part–there isn’t a lot of time to focus and regroup after one contraction ends before the next one begins.
Emotionally, transition is a time of self-doubt and you need verbal encouragement from your husband, nurse, doula or other support person. This is the time where women planning a drug-free free birth wonder why they ever wanted to do that, but these thoughts pass and soon you start pushing.
I hope this has answered your questions about the stages of labor. Feel free to ask a question if something is not clear or browse the website for more pregnancy and birth articles.
how long is it ok to push during labor? January 29, 2007Posted by guinever in : babies, birth, labor, pregnancy , comments closed
How long is it ok to push during labor? The answer is as long as both mother and baby are healthy, it’s alright to just keep on pushing until the baby is born. Just be patient. The second stage of labor or pushing phase can take anywhere from just a couple minutes to many hours.
From what I’ve observed, most primiparas (first time moms) take about an hour to push out their baby. But going over one or two hours is normal and acceptable. If labor seems long and the baby isn’t descending, a change of position is usually all that is needed to bring the baby down. Positions to try besides the typical hospital position of lying on back with feet in stirrups include
- squatting either on the floor or bed; a squatting bar can assist in this position
- sitting up, yet leaning back on bed, chair, or partner between contractions
- lying on side, pulling top leg back during contractions
- hands and knees
- on knees, but in an upright position
- leaning over a birth ball or chair
For more information about the second stage of labor, read this comprehensive article about pushing for first time moms at Midwifery Today.
If mom is overly exhausted or her blood pressure is rising or the baby starts showing signs of distress (the baby’s heart rate is measured with a doppler or fetal monitor), then that is the time to try to shorten the pushing stage and try to get the baby out quicker. This would include pushing a lot harder for a couple contractions, trying vacuum extraction, forceps, and eventually surgery.
Again, it doesn’t matter how long it takes for pushing as long as mom and baby continue to do alright. It’s important for the laboring woman to eat if she’s hungry, drink if she’s thirsty, and change positions if she feels like it.