Stages of Normal Delivery
1. First stage
labor and effacement of the cervix
In the first stage of the normal delivery process there are contractions that help the cervix to dilate, soften, and stretch, allowing the delivery of the baby. This stage is the longest and can last up to 13 hours for a woman's first delivery. And for subsequent deliveries it can last upto 7-8 hours.
The first stage can be divided into three sub-stages:
- Early labor : During this stage, contractions begin, and the cervix starts to open. It's important to note that the baby's clothes should be adjusted properly for safety. If it's cold outside, put your baby in the car seat first, buckle them in, and then cover them with blankets. It is usually safe for the mother to stay at home during early labor, but the doctor should be informed.
- Active labor : In this phase, the mother transitions to the active stage as contractions become stronger and more frequent, occurring every 3-4 minutes and lasting about a minute each. The cervix dilates up to 7 cm during this stage. It is necessary for the mother to go to the hospital for delivery. The amniotic sac may also rupture during this stage, commonly known as the water breaking. The contractions continue to intensify as labor progresses through this stage.
- Transition Phase: This is the most intense and painful phase as the cervix fully dilates to approximately 10 cm. Painful and strong contractions occur every 2-3 minutes, lasting for 60-90 seconds each.
These stages mark the progression of labor, and understanding them can help the mother and the expert gynec at Nimai's Borneo Mother and Child Hospitals track the process and make informed decisions during childbirth.
2. Second Stage
Pushing & the birth of the baby
This stage begins after the complete dilation of the cervix. Intense contractions continue, helping push the baby head-first through the birth canal. The mother is asked to push with every contraction and may find herself highly fatigued.
She may also experience intense pain around the vaginal opening as the baby makes its way out. This is the stage where the doctor may decide whether to make an incision (episiotomy) to widen the vaginal opening to make the baby’s emergence easier. The mother must continue to push till the baby finally makes it out into the world.
3. Third Stage
Placenta Is Pushed Out
In this final stage of the normal delivery called the ‘afterbirth’, the entire placenta is pushed out through the vaginal canal. The placenta may be delivered from a few minutes to half an hour after the baby is born. The process may be manually assisted by massaging the lower abdomen.
Benefits of Normal Delivery
The benefits of vaginal delivery include:
- Avoids risks associated with instruments used for a c-section delivery.
- Lower risk of infection for mother and child.
- Quicker recovery for the mother and shorter hospital stay (24-48 hours as compared to 3 days to a week post cesarean).
- The natural bacteria and microbes of the vagina transferred from mother to child boost the baby’s immune system, readying it for life outside the protected womb.
- In this type of delivery, the risk for respiratory problems are lower. It is so because the labor contractions help prepare the baby’s lungs for breathing.
- Normal delivery stimulates lactation because the birthing process activates numerous natural mothering hormones.