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There are three main stages of labor. The first stage, which includes early labor, active labor, and transition, is followed by the second stage, which includes pushing and delivery, and the third stage, which is the delivery of the placenta. Women going through their first delivery can expect a longer labor, usually around 15 hours. After the first delivery, a woman can expect labor averaging eight hours. Of course, since all women and deliveries are different, it can vary significantly in either direction.
Women may also experience a blood-tinged, mucous vaginal discharge known as the “bloody show.” This phase of the first stage of labor averages about eight hours, although it is hard to pinpoint an exact amount of time. Once you are in early labor, it might be a good idea to call your doctor.
The bag of waters has usually broken by this point, and there is some bloody discharge. Women may suffer from an intense urge to push at this point. This stage of labor can take only a couple of minutes up to several hours. If you’ve had other children, this stage of labor can go quite quickly.
The second stage of labor, pushing, occurs after the cervix has fully dilated. This is considered to be a slightly easier stage to handle than transition, because pushing helps. Women may try different positions to find which one works best for pushing. As the baby travels through the birth canal, there is extreme pressure on the perineum, the area between the rectum and vagina. The doctor or midwife will stretch the vagina and perineum to avoid tearing.
Once the widest part of the baby’s head is out, an event called crowning, the doctor will maneuver the baby’s head to help the shoulders make it through. Some women are able to push the baby out with a few pushes, while others work for hours. Unfortunately for some, this is the point at which an emergency cesarean must be performed if the baby cannot make it through the birth canal.
The third and final stage of labor is the delivery of the placenta. Continued, smaller contractions separate the placenta from the wall of the uterus. Just one or a few small pushes delivers the placenta, usually only taking five to 30 minutes.
After the placenta is examined to check if it is complete, the doctor and nurses monitor the uterus to make sure it is contracting properly and firming up. If there was a tear to the perineum or an episiotomy, the doctor or midwife will sew it up. Many women feel euphoric and relieved at this stage, because the pain of childbirth is behind them and they have their new baby in their arms.
@Kat919 - That stinks! That's why I didn't even have cervical checks. They can't really tell you when you're going into labor and I knew that if I wasn't dilated, I would get discouraged, and if I was, I would get impatient.
The lactation consultant who taught the breastfeeding class I took when I was pregnant talked about the "fourth stage of labor." You actually keep having some contractions as your uterus tightens back up. She said that breastfeeding right away would help this stage along. (That's actually how I knew my baby had latched on correctly--I suddenly felt myself sort of seize up!)
Don't let them fool you about the early stages of labor. They say active labor begins at 3 or 4 centimeters, but some unlucky people walk around at that level for weeks! I was one of them. If I had showed up at the hospital, they would have admitted me and then I guess they probably would have put me on Pitocin, because I wasn't having any contractions (at least not that I could feel). It was so hard to be patient and wait for labor to start knowing I was so close! When I finally did go into labor, though, I got lucky and had a relatively short first stage because I was already so far along.
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