Go to your delivery center. Be aware that your contractions can also help indicate that you should go to the delivery center. They will be more regular and stronger. They should be about five minutes apart and last for seconds. Part 3. Listen for the sounds of dilation. This can be especially helpful if you are in a lot of pain or discomfort. The following sounds can accompany the various stages of labor and cervical dilation: [14] X Research source At centimeters dilated, you may not be making much noise and can talk through a contraction with little effort.
At centimeters, it may be difficult to nearly impossible to talk. Your noises may still be quiet. Between centimeters, you may make louder and staccato noises. It should be nearly or completely impossible to talk through contractions. Between 7—10 centimeters 2. Tell someone to ask you a question at the start of a contraction.
The less you are able to say a sentence, the farther along your dilation is. Pay attention to your emotions. Childbirth is an inherently emotional experience for the woman in labor. You may have the following emotions during labor: [15] X Research source Happiness and laughter between centimeters Smiley and laughing at little things between contractions between centimeters Irritation at jokes and small talk around 7 centimeters until birth. Smell for dilation.
Many people will notice certain scents when a woman gets to between 6 and 8 centimeters dilated. The smell of labor is deep, heavy, and dusky—not musky. Look for blood and mucus. Some women may see a stringy mucus discharge at 39 weeks that is tinged pink or brown with blood. At centimeters dilated, however, a lot of blood and mucus may be present. Examine the purple line. The purple line is located in your natal cleft, or what some people call the butt crack.
You may need someone to help you examine your purple line. National Institutes of Health Go to source Recognize that in the early stages of labor that the purple line will be closer to the anus. As your labor progresses, it will creep up between your buttocks. At full dilation, the purple line will extend to the top of your natal cleft. Scan how your body feels. Many women experience physical signs of dilation that are visible without a vaginal examination. Scanning your body for these signs and symptoms can help you figure out how much your cervix has dilated.
You may also tremble uncontrollably. Vomiting alone may be the result of emotions, hormones, or fatigue. Be aware that trembling uncontrollably without any other signs can indicate fatigue or fever. Recognize that having involuntary bowel movements is also a sign of full dilation. Feel for pressure in your back. As your baby descends into the birth canal, you will feel pressure at different points along your back. The more you dilate, the farther down your back the pressure will be lower.
Ready Steady Baby! Checks and monitoring during labour. Regular checks can help to pick up any potential issues early. Heart rate tells a lot about baby.
However: in most cases, continuous EFM is not very useful in uncomplicated labour interpreting the monitor reading is a highly skilled job. Evidence suggests it's better not to cut the umbilical cord immediately, so your midwife will wait to do this between 1 and 5 minutes after birth. This may be done sooner if there are concerns about you or your baby — for example, if the cord is wound tightly around your baby's neck.
Once the placenta has come away from your womb, your midwife pulls the cord — which is attached to the placenta — and pulls the placenta out through your vagina.
This usually happens within 30 minutes of your baby being born. Active management speeds up the delivery of the placenta and lowers your risk of having heavy bleeding after the birth postpartum haemorrhage , but it increases the chance of you feeling and being sick. It can also make afterpains contraction-like pains after birth worse. Read about preventing heavy bleeding on our page What happens straight after the birth.
The cord is not cut until it has stopped pulsing. This means blood is still passing from the placenta to your baby. This usually takes around 2 to 4 minutes. Once the placenta has come away from your womb, you should feel some pressure in your bottom and you'll need to push the placenta out.
It can take up to an hour for the placenta to come away, but it usually only takes a few minutes to push it out. If the placenta does not come away naturally or you begin to bleed heavily, you'll be advised by your midwife or doctor to switch to active management.
You can do this at any time during the 3rd stage of labour. Read more about what happens straight after you give birth. Page last reviewed: 20 March Next review due: 20 March Home Pregnancy Labour and birth What happens in labour and birth Back to What happens in labour and birth.
The stages of labour and birth. If your labour starts at night, try to stay comfortable and relaxed. Sleep if you can. When to contact a midwife Contact your midwifery team if: your contractions are regular and you're having about 3 in every minute period your waters break your contractions are very strong and you feel you need pain relief you're worried about anything If you go into hospital or your midwifery unit before your labour has become established, they may suggest you go home again for a while.
You can either walk around or get into a position that feels comfortable to labour in. When you reach the end of the 1st stage of labour, you may feel an urge to push. Monitoring your baby in labour Your midwife will monitor you and your baby during labour to make sure you're both coping well. These pads are attached to a monitor that shows your baby's heartbeat and your contractions Sometimes a clip called a foetal heart monitor can be attached to the baby's head instead. A foetal scalp monitor will usually only be removed just as your baby is born, not before.
Speeding up labour Labour can sometimes be slower than expected. Breaking your waters Breaking the membrane that contains the fluid around your baby your waters is often enough to make contractions stronger and more regular.
Oxytocin drip If breaking your waters does not work, your doctor or midwife may suggest using a drug called oxytocin also known as syntocinon to make your contractions stronger.
Yes, our midwives are happy to work in conjunction with doulas in your pregnancy, labor and delivery. Our midwives can provide guidance on doula agencies we are familiar with to assist you in choosing a doula that is right for you. Immediately after your baby is born, they will be placed on your chest for skin-to-skin bonding time , which has been proven to assist in bonding with baby and success in breastfeeding.
Following birth, your midwife will round to visit you and your baby and answer any questions you may have. They will continue to be an important resource for you after birth, and you may continue to visit them for well-woman care in the months and years that follow. Request an appointment online or call Swedish Hospital is operating under enhanced safety protocols to provide a comfortable and safe environment for our patients, physicians, nurses and hospital staff.
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