Q. Can you explain the stages of labor and what to expect during each stage?
Doctor Answer is medically reviewed by SecondMedic medical review team.
While every labor experience is unique, understanding the general stages can help you know what to expect. Keep in mind that the duration and experiences can vary from person to person.
Stage 1: Dilation and Early Labor:
Onset of Contractions: Contractions become regular and more frequent. They typically last around 30-60 seconds and occur every 5-30 minutes.
Cervical Changes: The cervix begins to efface (thin out) and dilate (open up). It needs to reach about 10 centimeters for full dilation.
Mucus Plug: Some women may notice the expulsion of a mucus plug, which can be a sign that labor is approaching.
Water Breaking: In some cases, the amniotic sac may rupture, causing the "water to break." This can result in a gush or a steady trickle of fluid.
Early Labor: Contractions during this stage may be mild to moderate in intensity. Many women feel excited and anxious at this stage and might be able to continue with their daily activities.
Stage 1: Active Labor:
Contractions Intensify: Contractions become stronger, longer, and closer together, usually occurring every 3-5 minutes.
Cervical Dilation: The cervix continues to dilate from around 6 to 10 centimeters.
Focused Breathing: Breathing techniques and comfort measures become important as contractions intensify.
Hospital or Birth Center Arrival: Many healthcare providers recommend heading to the hospital or birthing center when contractions are around 5 minutes apart and lasting for about 1 minute.
Pain Management: Some women may choose pain relief options such as epidurals or nitrous oxide during active labor.
Stage 2: Transition and Second Stage:
Transition Phase: This is the most intense phase of labor. Contractions are strong, and the cervix finishes dilating. Many women experience increased discomfort, shaking, nausea, and feelings of self-doubt.
Urge to Push: As the baby's head descends into the birth canal, you may feel a strong urge to push.
Active Pushing: You'll work with your body to push during contractions. This stage can be physically demanding.
Baby's Birth: When the baby's head crowns (becomes visible at the vaginal opening), the healthcare provider guides the baby's head and shoulders out. The rest of the body follows with the next contractions.
Relief and Joy: After the baby is born, there's often a feeling of relief, joy, and awe.
Stage 3: Placental Delivery:
Placental Separation: After the baby is born, the placenta detaches from the uterine wall.
Delivery of the Placenta: You may be asked to push again, and the placenta is delivered. This stage is usually quicker and less intense than the previous stages.
Monitoring and Recovery: Healthcare providers ensure that bleeding is under control, and you'll be monitored for any potential complications.