Summary
Highlights
The first stage of labor is the longest, during which contractions gradually dilate the cervix to 10 centimeters. It consists of three phases: latent, active, and transition.
The latent phase is the first and easiest phase, lasting from 6 hours to three days. Contractions are mild and irregular, and the cervix dilates from 0 to 5 centimeters. A thick, pink vaginal discharge (mucus plug) may be noticed. During this phase, it's recommended to stay comfortable, relaxed, and active with gentle movements to help the baby descend. Resting, warm baths, massage, eating, drinking, and frequent urination are also advised.
The active labor phase is marked by increased contractions every two to three minutes, each lasting about a minute. The cervix continues to dilate to 8 centimeters. This is typically the time to go to the hospital and can last up to eight hours.
The transition phase is the most intense, with strong contractions every two minutes lasting about 1.5 minutes with almost no break. It's common to experience shaking, shivering, nausea, and vomiting. The cervix fully dilates to 10 centimeters, and the baby descends into the birth canal, causing pressure in the rectum and the urge to push.
The second stage is the pushing stage, usually lasting about an hour. If the water hasn't broken, it may happen now. The baby's head rotates and moves through the pubic bone. Crowning occurs when the baby's head stays at the vaginal opening even between contractions. This can cause an intense burning sensation, which is usually brief. After crowning, the baby is born and brought immediately to the mother for skin-to-skin contact, which is important for bonding and breastfeeding.
The third and final stage of labor is the birth of the placenta, which can take anywhere from 5 to 30 minutes.