Labor

And how's mom doing?

Phase I (Early Labor): If this is your first birth, you’ll finally understand just how fake Braxton-Hick contractions really are. Real labor contractions are going to be notably more intense, more painful, and come in waves of 3-4 every ten minutes--each one lasting up to 60 seconds. For you anxious impatient types, try to avoid the stopwatch tedium of recording every contraction and do something more entertaining like watch AOD reruns said, at the beginning of early labor you’re best bet is to ride the contractions out in the comfort of your home. Realistically speaking, the contractions won’t be so frequent or painful that you won’t be able to putter around the house, watch a movie, or even take a warm bath to relax for the upcoming birth. Early labor can last up to eight hours for a first birth. As we’ve mentioned before, the amniotic sac may naturally break at this point. If this happens, go ahead and get your stuff together and head to the birth center even if your contractions haven’t started. If your water doesn’t break on its own, you can head to the birth center when your contractions are occurring every five minutes for over an hour (at this point they can last up to 90 seconds apiece). You might want to check your rate periodically to see if it’s increased overall, and then get your stuff and head to the hospital.

Phase II (Active Labor): When the cervix is dilated to 10 cm, your baby is usually descended somewhat into your pelvis and may be accompanied by feelings of rectal pressure similar to the feeling you have before a bowel movement. At this point it’s not unusual to feel nauseous (even to the point of vomiting), although many women don’t. On the other hand, there are plenty of cases where the mother is fully dilated but the baby won’t descend until much later in the labor-process. Although the typical course of action is bearing down (when the baby has descended) and pushing through the contractions to move your child through the birth canal, your uterus is also slowly pushing your baby downwards, so take it slowly and don’t strain too much. If it is your first birth, your baby will probably descend more slowly. It is still quite common to coach the mother to push and bear down as much as possible during this time, but there is no reason to believe that this is necessarily a better approach than waiting until you feel the spontaneous urge to bear down, which will happen eventually. Still, keep in mind: if you opt for an epidural, the loss of pelvic sensation will prohibit this option and instead require that you receive explicit coaching during the pushing process.

Phase III (Expelling the placenta): Within a half hour (but usually only a few minutes) after delivery, the placenta (also known as “afterbirth”) will also find its way out of your body. Expelling the entire afterbirth is important because any remaining pieces can cause bleeding and infection later on (early breastfeeding actually promotes complete afterbirth ejection).