Stages of Labor


The first stage of labor is the longest and involves three phases, early, active and transition. Early labor is the onset of labor until the cervix is dilated to 3 cm. Active labor continues from 3 cm until the cervix is dilated to 7 cm and transition continues from 7 cm until the cervix is fully dilated at 10 cm.

The second stage is often divided into a passive phase, an active phase, and the actual birth of the baby. The passive waiting phase of the second stage of labor is a period of rest, sometimes called “laboring down” when the baby rotates and descends toward the pelvic floor. The passive phase happens when the mother is fully dilated but waiting for the urge to push. It is important to wait for the active phase before starting to push or pushing can cause an anterior lip to develop.

The active pushing phase is when the baby’s head is on the pelvic floor and the mother pushes spontaneously. Essentially the mother cannot not push. A lot of mothers prefer active pushing over dilation because they feel like actively involved and they can feel their baby descend. It can take a lot of effort. Pushing can last two or three hours. If can be helpful to put chin to chest, curl around the abdomen, and grab legs behind the knees. Ultimately listen, your body knows what to do!

Once burning or the ring of fire is felt, avoid pushing and instead use horse lips and let the tissues expand. Waiting this short time protects the perineum and can prevent tearing. Sometimes extremely high levels of adrenaline can trigger the fetal ejection reflex. This surge triggers strong, rapid contractions which move the baby from the uterus and into the birth canal. The baby is born quickly and easily without voluntary pushing from the mother.

The third stage is the delivery of the placenta and is the shortest stage lasting about 20 minutes. Mothers wait until they feel some cramping, then push out the placenta. Having the baby play at the breast or squatting can help.

 

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Movement in Labor


This blog post focuses on explaining the benefits of different birthing positions in labor. Labor is like a dance between you and your baby. Movement helps bring the baby down and through the pelvis.

First, let’s review the stages of labor. The first stage of labor is the longest and involves three phases: Early labor is the time of the onset of labor until the cervix is dilated to 3 cm. Active labor continues from 3 cm until the cervix is dilated to 7 cm and transition continues from 7 cm until the cervix is fully dilated to 10 cm. The second stage or pushing lasts until your baby is born. The third stage is the delivery of the placenta and is the shortest stage.

It is important to rest during early labor. As hard as it is napping is critical. Laboring people who do not rest, often deal with exhaustion during second stage or pushing.

In active labor, a rotation of movement, hydration, and urination is helpful, in addition to resting as needed. It is also beneficial to change positions every two or three contractions until you find what works best. That works best is generally what is the most intense.

For first-time moms’ upright positions are useful during second stage or pushing. Giving birth in an upright position can be physiologically beneficial to the mother and baby. In upright positions, gravity helps bring the baby down and out. Upright positioning also enables the uterus to effectively contract strongly and efficiently and supports the baby best position to pass through the pelvis. Research indicates that squatting, kneeling or hand and knees positions increase the dimensions of the pelvic outlet. Moms who had babies before or moms’ who birth fast may not need the upright positions. Sometimes these birthing people push side-lying position with a raised leg.

Most of the time the placenta is born within 20 minutes. Sometimes a supported squat is useful when delivering the placenta.

While it is good for pregnant women to review laboring positions prior to labor. It may be beneficial to google different labor positions. Midwives are experts in knowing the best positions for different stages of labor. I cannot stress the importance of listening to your own body. All mammals know how to birth their babies, so do you! Listen to your body.

 

 

 

Did you know WI Homebirth Midwives Accept BadgerCare?


Did you know Wisconsin homebirth midwives are Medicaid providers? That’s right, effective since January 1, 2017 ForwardHeath has covered services provided by homebirth midwives who are licensed under Wis. Stat. 440.982 and enrolled in Wisconsin Medicaid as licensed midwives. ForwardHealth covers maternity and newborn care provided by licensed midwifes including antepartum care, delivery, and postpartum care. Homebirth midwives provide all the traditional pregnancy screens in the comfort of your home. Prenatal and postpartum visits often last an hour or more. It’s important to be exempt from your HMO, your midwife can help you navigate this. Midwives may charge an out of pocket fee for expenses not covered Medicaid such as assistant fee, aqua therapy, blood draws, labor management, lactation support and VBAC’s. It is marvelous that Wisconsin is committed to offering birth options for all Wisconsin families.

Call Blissful Midwifery for more information today.