Most of us approach labor with a certain amount of apprehension. Labor is certainly a physiological process but also partly instinctive. Giving birth is an intensively emotional experience, as well. This is what one mother said about her birth experience:
“Every woman should experience childbirth. It is a painful pleasure. There is no other feeling like it on earth. It is frightening but exciting – it is a magical experience. IT is the most unforgettable experience of my life.”
Giving birth will probably be one of the most moving experiences of your life, also. Since labor is truly unique and personal, every woman will describe her birth experience differently. However, three very specific stages will occur. Knowing about theses stages and phases now will give you and your partner a reference point in the hours before you meet your long-awaited baby.
The First Stage: Stage one labor progresses though three phases, from early labor to active labor to transitional (or advanced) labor. Rhythmic contractions begin and increase in strength and frequency. The contractions are helping the cervix to efface (or thin out) and dilate (open). Your cervix dilates to 10 centimeters in width, which will allow the baby to pass through.
Early Phase: Early labor begins with mild contractions. They may be mildly crampy to a bit uncomfortable. They may be 15-20 minutes apart and gradually become more frequent until they are 5 minutes apart. You may have a pinkish vaginal discharge called “bloody show”.
Active phase: Contractions become more intense and last about 45 seconds as your cervix dilates from 4-8 centimeters. Your amniotic sac (your “water”) will probably break or be ruptured by your care giver. As this stage draws to a close, contractions become more frequent and last longer.
Transition phase: Contractions occur every 2-3 minutes and last 60-90 seconds. These contractions are very intense and you may feel nauseated, have chills, sweats, or shakes. This may be the shortest phase of labor. Remember, you’re almost there!
The Second Stage: Delivery. This stage of labor is referred to as the pushing stage. It often takes less than an hour, but may last up to three hours. Contractions are further apart and usually less painful. You may have uncontrollable urges to bear down. The baby moves through the birth canal until the head begins to crown at the opening of your vagina. You will feel exhausted, relieved, excited or a whole range of emotions as your baby emerges into our world. Enjoy the moment as you baby is placed on your abdomen and examined by the delivery team.
The Third Stage: Delivery of the Placenta. With a few light, final contractions, the placenta emerges. You may be physically exhausted but eager to see and hold your baby. The American Academy of Pediatrics recommends breastfeeding your baby in the first hour after birth. This will contract your uterus and reduce the risk of bleeding. Your baby gets the first colostrums in your breast and a boost to the immune system.
Relax – You labored, you pushed, you did it!
Note: There are plenty of unpredictables in the course of labor. Keep in mind that labor is usually just one day in your life. You will learn all about options and ways to manage pain by attending a childbirth education class.