Prostate Restored
Prostate Restored
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Second Stage or Active Labor The second stage is the most painful stage of labor. The baby passes through the cervix, through the pelvis and birth canal, and out through the vaginal opening. On average, it takes one to three hours from the time that the cervix becomes fully dilated to the birth of the baby.
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Read More »You may know that you are getting close to labor if your due date is approaching, your baby has moved into the vertex position, or your doctor has noticed your cervix beginning to dilate. Signs that you are going into labor include feeling regular contractions and pain in the belly and lower back. You may experience some contractions before going into true labor—the difference is that contractions that signal labor are regular and get stronger. Additionally, you may see a “bloody show,” a bloody mucous discharge. Your water may also break. Your “water breaking” is when the amniotic sac that surrounds the baby in the womb ruptures. When this happens, you will notice a watery discharge or sensation. The first stage of labor, also called early labor, is by far the longest. It begins at the onset of labor and continues until the cervix is fully dilated. Cervical dilation is critical—the cervix is an extremely narrow passageway between the uterus and vagina that needs to stretch and thin to allow the baby to fit through. For reference, the cervix needs to grow from one inch, the size of a small grape, to ten inches, the size of a grapefruit, during this stage. So this is easily the longest stage of delivery. This early stage is divided into two phases, the latent and the active phases. It usually takes around 20 hours from start to finish for first-time mothers. The latent phase of labor lasts anywhere from five to twenty hours or more and is complete when the cervix is dilated to about 4 centimeters. Cervical dilation is measured by feeling the cervical opening with two fingers. Contractions are mild, and pain is minimal during this phase. Most mothers stay home during the latent phase, as it is the longest phase and medical attention is not usually needed. The active phase of labor lasts an average of two to eight hours during which time contractions become stronger and more rhythmic, signaling that it’s time to go to the hospital. Throughout the active phase, the cervix becomes fully dilated to 10 centimeters and the baby’s head descends into the pelvis.
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Read More »Unfortunately, labor gets more and more painful as the cervix nears complete dilation. Widening from 6 centimeters to 10 centimeters, called the transition phase, can be especially difficult because it often happens within an hour. Pain management methods like epidurals and pain medications may be used from the active phase onward. Doctors and nurses in the delivery unit closely monitor fetal heart rate and cervical dilation during the first stage of labor. This is so that they can intervene if the baby becomes distressed or the labor is not progressing. If the amniotic sac has not ruptured, doctors may perform an amniotomy to rupture the membrane. The second stage, also called active labor, is the pushing stage of labor. The second stage is the most painful stage of labor. The baby passes through the cervix, through the pelvis and birth canal, and out through the vaginal opening. On average, it takes one to three hours from the time that the cervix becomes fully dilated to the birth of the baby. Because the baby’s head has moved from the uterus to the birth canal, uterine contractions must be replaced by the mother pushing herself (which is a big reason why stage two is the most painful stage of labor). Midwives, doulas, and family members may be especially important during active labor to help coach the mother through the hard work of pushing. During the second stage, doctors watch carefully for signs of complications affecting either the mother or child. They closely monitor the baby’s heart rate and position to make sure that he or she is not in distress or stuck. The third stage consists of the delivery of the placenta, also known as afterbirth. The duration of the third stage is short. Usually, it takes only a few minutes for the placenta to follow the baby. While waiting for the placenta, doctors continue to check on the health of the baby and mother, including the baby’s heart rate and vital signs. If the placenta is not delivered, it must be surgically removed to prevent serious health complications.
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