Recognizing the Three Stages of Normal Childbirth

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Recognizing the Three Stages of Normal Childbirth
Recognizing the Three Stages of Normal Childbirth

The normal delivery process experienced by every pregnant woman is different. However, basically there are 3 stages of the process that will be passed by pregnant women, before finally meeting their beloved baby

The first stage in the normal delivery process begins when pregnant women begin to experience uterine contractions. However, keep in mind, these contractions are different from false contractions. During the first stage, pregnant women will experience the opening of the cervix.

Recognize the Three Stages in the Process of Normal Childbirth - Alodokter

After that, the second stage begins when the opening is complete or reaches 10 cm, and the mother begins to push the baby until it is born into the world. Then the third or final stage occurs when the placenta comes out of the uterus within a few minutes after the baby is born.

Stages of Normal Childbirth Process

Towards the time of delivery, pregnant women will enter several stages or the normal delivery process, namely:

First Stage

At this stage you will experience 2 phases, namely the initial phase and the active phase. In the early stages of labor, you may experience the following:

  • The cervix is ​​thinning and starting to open. You will feel light contractions that last for 40–60 seconds. The longer it goes on, the more regular and stronger the contractions will be, for example every 5 minutes.
  • Over time, the cervix will begin to open little by little. Usually there will be mucus mixed with blood coming out of the vagina.
  • The initial phase ends when the cervix dilates to about 4 The time it takes to reach the dilatation is different for each pregnant woman.

If this is your first labour, this initial phase may take longer to around 8–12 hours. However, if you have given birth before, this phase will usually go faster.

After going through the initial phase, you will enter an active phase in the labor process. Some signs of the active phase that need to be known include:

1. The cervix will dilate faster

The opening of the cervix in the active phase reaches 7 cm. Contractions in this phase will occur every 2-3 minutes lasting about 45-60 seconds, even longer it can happen for 60-90 seconds.

2. Contractions are stronger and feel uncomfortable

Contractions that come in the active phase will be stronger and more frequent. You begin to experience discomfort, ranging from leg cramps, pressure or back pain, and may feel nauseous.

3. Time to go to the hospital or give birth

As labor progresses, rupture of the amniotic fluid may also occur. When you are in labor and your water breaks or leaks, this is a sign that you need to rush to the maternity hospital or hospital immediately.

4. The intensity of the pain will increase

If you can't stand it, you can ask your midwife or doctor for pain medication to take painkillers. The active phase usually lasts between 4–8 hours. However, if this is your first pregnancy, the active phase will last longer.

When the active phase ends, there is a period called the transition phase. Here the contractions will be stronger and longer, and the opening begins to widen from 7–10 cm. At this time you may feel tired, scared, or increasingly anxious.

At this time, generally mothers who give birth need a companion. However, there are also those who feel disturbed, if there is a companion who tries to help.

Second Stage

This stage is called the process of pushing the baby out of your body. At this stage the cervical opening is full, which is 10 cm. It is at this stage that all your energies must be put into action.

Here are some conditions that you will experience in the second stage of normal delivery:

1. Less frequent contractions

You no longer feel the contractions like in the active phase. The distance between the contractions is not so close, so you have more time to rest before the next contraction occurs.

2. Baby begins to descend into the birth canal

Slowly the position of your baby will be getting down to the birth canal. You are advised to be patient while waiting for the baby to come down and do not need to rush and deliberately push so that the baby comes out quickly.

Let the urge to push come naturally and try to practice breathing and be patient so that you can be more relaxed and less stressed.

3. Baby's scalp is starting to show

After a while, you will notice a bulge in your vagina when you push or try to push the baby. Soon, the baby's scalp will be visible. This process is called crowning. For a mother, this is a long-awaited moment. If you are curious, you can ask a mirror to see the baby's scalp.

4. Starting to push for the birth of the Baby

At this time the feeling of wanting to push will feel stronger. The pressure on your baby's head will also feel more intense, which may be accompanied by intense pain due to stretching of the tissue in the birth canal.

The more you push, the more the baby's head will be pushed out. Follow the instructions from the birth attendant, so that this process goes smoothly. With a good push, the baby's head will pop out all the way.

After exiting, the baby's head will turn sideways as his shoulders begin to rotate to get ready to come out of the birth canal. With a good push, the shoulders will pop out, then the body will follow. Congratulations, your baby is born.

5. Baby starts cleaning

The baby's mouth and nose will be cleaned for easy breathing. In addition, the mucus and blood stuck to the body will be dried using a sterile towel by the midwife or doctor.

After the baby is born, the midwife or doctor will clamp the umbilical cord and cut it. Furthermore, if there are no complications, you can immediately meet your little one who has been pregnant for 9 months.

Third Stage

After the baby is born, you feel relief and an unstoppable sense of happiness. You can hug and kiss your baby with great affection. However, the birthing process has not yet been completed, because there are several further processes in this third stage, namely:

1. Placenta comes out of uterus

You still have to wait until the placenta comes out of the uterus. Usually the placenta will come out within 5-10 minutes after the baby is born. However, there are also new ones that come out after 30 minutes to 1 hour.

If the placenta does not come out or remains in the uterus, the doctor may need to perform a curettage to remove the remaining placenta. This is to prevent dangerous complications due to retained placenta, such as heavy bleeding after delivery.

2. Start breastfeeding your little one

If the delivery went smoothly and your baby's condition is he althy, then you can start giving early initiation of breastfeeding (IMD) to your little one. IMD is very good for babies and also the bonding process between mother and child.

However, not all babies want to breastfeed immediately when they are born. Even so, don't despair, keep your baby's lips close to your breast until he sucks on the nipple.

3. Undergoing treatment for a torn birth canal

After the baby and placenta are born, the birth attendant will stitch up the torn wound in the birth canal. Suturing of the wound will also be performed on pregnant women who undergo an episiotomy. Before the birth canal is sutured, you will be given an injection of a local anesthetic to reduce pain.

For those of you who are giving birth for the first time, usually the whole process of giving birth can take 10-20 hours. The process of giving birth can be faster, if you have given birth vaginally before.

The stages of the normal delivery process take time, energy, and thought. However, it is nothing compared to the result you get, which is meeting the Baby.

If you have experienced signs of a normal delivery, immediately go to the doctor or midwife, so that your normal delivery process can be properly monitored and assisted.

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