Second stage This is when the cervix is fully dilated (completely open), until the birth of the baby. You may experience • longer and stronger contractions with a one to two minute break • increased anal pressure • the desire or urge to push • shaky cramps, nausea and vomiting • stretching and burning feelings What you can do • The urge to push can be overwhelming. Try to relax and allow your body to control its own breathing pattern • If possible, get off the bed or try different positions on the bed Pushing may last up to two hours, but the length of time varies for each woman. The pushing stage is usually quicker if you have had a baby before. You may experience • pressure; the feeling of wanting to go to the toilet • stretching and burning in your vagina • the baby’s head moving down What you can do • Try to breathe deeply • Follow your body’s urge to push • Find a position that is comfortable • Listen to your doctor or midwife who will guide you Third stage From the birth of your baby, until after the delivery of the placenta and membranes. You may experience • more contractions to expel the placenta • feelings of soft fullness in the vagina. Your doctor will gently pull on the cord to deliver the placenta, but may also ask you to help by gently pushing. Support in labour It is important to have at least one supportive companion during labour, preferably someone who can stay with you throughout. If you choose to have a doula, please discuss this with your doctor during pregnancy. The privacy laws prevent Hospital staff from giving away any information about you without your permission.
Childbirth and Parent Ed Book 1015 PI448
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