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Second
Stage: Pushing
The second stage, which is the final descent and
birth of the baby, begins when the cervix is fully
dilated. The baby’s descent may be gradual
or rapid. With each contraction, the force of the
uterus and your abdominal muscles when pushing will
move the baby down the birth canal.
When the baby’s scalp becomes visible, the
urge to push will become more compelling. The baby’s
head will continue to advance until it “crowns”
– the time the widest part of the head is
visible.
After the head fully emerges, the doctor or nurse
will suction her mouth and nose and check to make
sure the umbilical cord is not wrapped around the
baby’s neck. With the next contractions, the
baby’s shoulders and then body should emerge.
As soon as the baby is fully emerged, she will be
wiped off with a towel and the umbilical cord clamped
off.
This second stage can take anywhere from a few minutes
to several hours.
Third
Stage: Delivering the placenta
The uterus will begin to contract immediately after
giving birth. At this time the placenta will separate
from the uterine wall and be expelled. This stage
typically takes five to ten minutes, but can last
up to thirty minutes.
After delivering the placenta, the uterus should
contract and become firm again.
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First
Stage: Early Labor
Early labor begins after the contractions are coming
at regular intervals and the cervix begins to dilate
and efface. The contractions will get stronger and
closer together, but should not be as painful as
those later on during the labor process. You will
probably be able to still walk around or do light
chores.
It is normal to have a mucousy vaginal discharge
tinged with blood, but if there is more than a slight
trace of blood call your doctor. Also call if your
water breaks, even if you are not having contractions
yet.
It is difficult to predict how long this phase will
last. There are different variables that can affect
how much time this process takes. Early labor ends
when your cervix is 3 to 4 centimeters dilated.
First
Stage: Active Labor
During active labor the contractions become more
frequent and stronger. As a rule, you should call
your doctor when you have had regular, painful contractions
every five minutes for an hour.
Breathing exercises and relaxation techniques can
help you through this stage.
Although you may want to walk, you will probably
have to stop and lean against something when you
are having a contraction.
This phase averages about 6 hours, but varies widely
with each individual.
Continued
on right column »
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