Breathe and try to relax. If you're planning on using breathing exercises, start as soon as the contractions become too strong to talk through. Ask the nurse or doula for suggestions. Do whatever makes you feel more comfortable and if something isn't working, stop.
Drink and eat, as recommended. You might be offered light, clear beverages or ice chips to replace fluid and keep your mouth moist. Request an epidural, if you want one. An epidural can be given as soon as you feel you need it and you'll probably want to ask for it before things get too intense since the procedure takes some time and it can take about 30 minutes after it's inserted before it starts to work.
Your practitioner may suggest other tactics to ease your discomfort first, like sitting in water before you start pushing, getting a massage, or changing positions. If you do want an epidural, your anesthesiologist will get an IV going. Be prepared for other interventions as necessary. ACOG guidelines call for fewer or delayed labor interventions in low-risk women who are progressing normally through labor. Use the toilet periodically.
Continue to urinate regularly: A full bladder can slow down your progress. During the third and final phase of labor, called transitional labor, your cervix will dilate to 10 centimeters as you experience strong contractions about every two to three minutes, though it can vary. Very strong and painful contractions. Because they're spaced only about two or three minutes apart, it may seem like you barely get to relax before the next contraction begins.
Full dilation. Your cervix will dilate from about 7 to 8 centimeters up to the final 10 centimeters — when it will be time to deliver your baby. Bloody show will increase, as capillaries in the cervix rupture.
Pressure in your back and abdomen. General discomfort. You may feel sweaty, chilled, shaky or achy. One or both legs may be completely numb if you've had an epidural. And you may have other forms of discomfort too, though you may not experience any of these symptoms. Fatigue and drowsiness. This last phase of labor can be physically demanding and draining, but it can also be exhilarating.
You may feel impatient — or elated. Hang in there! Resist the urge to push. Pushing before dilation is complete could cause your cervix to swell, which can postpone delivery. If you feel the urge to push, ask your practitioner or doula for guidance. Try to relax between contractions with slow, deep, rhythmic breathing.
Speak up. Ask for an epidural, if you want one. Your birth team will tell you when it's no longer possible to have one. Be prepared to wait some more. Keep your eye on the prize. That bundle of joy will soon be in your arms! Some moms may begin to experience early labor symptoms such as dilation and effacement days or even weeks before labor starts in earnest, while others may only have noticeable early labor contractions for two to six hours.
Active labor may last anywhere from about two to 24 hours though the average is two to three-and-a-half hours , while transitional labor can last anywhere from 15 minutes to about three hours. At a certain point, your practitioner may rely on interventions to get things going or speed things up. How many times you've given birth.
The position of your baby. Having certain complications or other issues. The three phases of labor are the first part of a larger picture: The three stages of childbirth.
Pushing and delivering your baby. Most women push for 30 minutes to an hour, although the pushing stage may last for a few hours — at which point your practitioner will reassess whether other interventions are necessary. For some women labour can be quick but, for most women, it involves a latent phase which can last for quite a few hours, or even several days, before active labour is established. Labour and birth do not follow a set pattern, as every pregnant woman is unique and will have her own individual way of labouring.
In the latent phase, contractions, or surges, may be irregular and often sporadic, as they work to prepare your body to labour and birth your baby. Staying at home in your own comfortable and relaxed environment will enable the levels of the hormone oxytocin to increase oxytocin is needed for contractions. Coping strategies can be invaluable when you experience a long latent phase, as they can help you and your birth partner s to get through what can often be a tiring and emotional stage of labour.
Being active and upright during labour is often talked about, but there must also be an emphasis on balancing activity with rest. Your body cannot work effectively during labour if it is tired and depleted of energy.
Remember that much of your resting may not be in the form of a long sleep but in shorter spells, where you may just rest your eyes and try to relax in between irregular contractions. Resting - It is important to recharge your batteries, no matter how short the rest or nap is.
So, make sure your birth partner s know to encourage you to take regular breaks from being upright and active. Nesting - If it means using all the cushions and pillows in the house to get comfortable, do it! Build yourself a comfortable nest where you are able to relax. Massage - Birth partners and doulas are essential for providing massage and pressure for you.
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