Labour, Delivery, and Postpartum Period
Topic Overview
Is this topic for you?
This topic provides basic information about normal labour and delivery and about the postpartum period. If you need information on pregnancy or other types of childbirth, see the following topics:
- Pregnancy
- Preterm Labour
- Caesarean Section
- Breech Position and Breech Birth
- Vaginal Birth After Caesarean (VBAC)
What is labour and delivery?
At the end of the third trimester of pregnancy, your body will begin to show signs that it is time for your baby to be born. The process that leads to the birth of your baby is called labour and delivery. Every labour and delivery includes certain stages, but each birth is unique. Even if you have had a baby before, the next time will be different.
Giving birth to a baby is hard work. That’s why it’s called labour. It can also be scary, thrilling, and unpredictable. Learning all you can ahead of time will help you be ready when your time comes.
What are the four stages of labour?
Stage one. The muscles of the uterus start to tighten (contract) and then relax. These contractions help to thin (efface) and open (dilate) the cervix so the baby can pass through the birth canal. (See a picture of cervical effacement
.)
- Stage one has three phases:
- Early. The cervix opens 3 to 4 centimetres (1.2 to 1.6 inches). Early contractions are usually irregular, spaced from 10 to 20 minutes apart, and usually last 20 to 45 seconds. The early phase of labour can be uncomfortable and may last from a few hours to days. Walking, watching TV, listening to music, or taking a warm shower may help you manage the discomfort.
- Active. Your cervix will open another 4 or 5 centimetres (1.6 to 2.0 inches). Contractions become strong and regular. They happen every 3 to 5 minutes and last 45 to 60 seconds. This is the time to go to the hospital or birthing centre. The pain of contractions may be moderate or intense. Having a support person, trying different positions, or using breathing exercises may help you cope. Some women may ask for medicines or an epidural to help with pain.
- Transition. The cervix will open completely. If there are no problems, the baby should be in position to be born. Pushing to deliver the baby may take from a few minutes to several hours. It is likely to be faster if you have had a baby before.
Stage two. The cervix is dilated completely and the baby is born.
Stage three. This stage occurs after the baby is born. You have contractions until the placenta is delivered.
Stage four. This is the first few hours after birth.
How can you prepare for labour and delivery?
Getting regular exercise during pregnancy will help you handle the physical demands of labour and delivery. Try adding Kegel exercises to your daily routine. They strengthen your pelvic floor muscles. This helps prevent a long period of pushing during labour.
In your sixth or seventh month of pregnancy, consider taking a childbirth education class with your husband, partner, or support person. A class can reduce your stress both before and during labour and delivery by preparing you to deal with what might happen. It can teach you ways to relax and the best ways for your support person to help you.
There are many decisions to make about labour and delivery. Before your last weeks of pregnancy, be sure to talk to your doctor or midwife about your birthing options and what you prefer. Things to talk about include:
- Where you want to have your baby. Most women choose to work with a doctor and have their baby delivered in a hospital. Hospitals offer experienced staff in case problems arise and also a wide range of pain relief options. Women at low risk for problems may choose to work with a midwife or have their baby at home. Women in Quebec can also choose to have their baby at a birth centre.
- Who you want to be with you. You may want to have family and friends around you or only the baby’s other parent or another support person.
- What comfort measures you want to try. Breathing techniques, labouring in water, trying different positions, and having one-on-one support may help you manage pain.
- Your preferences for medical treatments. Consider what type of pain medicine you would prefer, even if you do not think you will need it. It is a good idea to learn about the medical options ahead of time. Just keep in mind that you may not always get to choose.
- How your baby will be cared for after delivery. This might include having your baby stay in the room with you rather than going to the nursery, delaying some tests and procedures, and getting help with starting to breast-feed.
You can write down all of your preferences as a birth plan. This gives you a chance to state how you would most like things to be handled. Just keep in mind that it is not possible to predict exactly what will happen during labour and delivery. Sometimes there are quick decisions that only your doctor or midwife can make.
What can you expect after childbirth?
Now you get to hold and look at your baby for the first time. It is common to feel excited, tired, and amazed all at the same time.
If you plan to breast-feed, you may start to put your baby to your breast soon after birth. Don't be surprised if you have some trouble at first. Breast-feeding is something you and your baby have to learn together. You will get better with practice. If you need help getting started, ask a nurse or breast-feeding specialist (lactation consultant).
In the hours after delivery, you may feel sore and need help going to the bathroom. You may have sharp, painful contractions called afterpains for several days as your uterus shrinks in size.
During the first weeks after giving birth (called the postpartum period), your body begins to heal and adjust to not being pregnant. It's easy to get overtired and overwhelmed. Take good care of yourself. Make sure you get as much rest and help as you can.
- Try to sleep when your baby does.
- Let family and friends bring you meals or do chores.
- Eat healthy meals to build up your strength.
- Drink extra fluids if you are breast-feeding.
It is common to feel very emotional during the postpartum period. But if you have "baby blues" that last more than a few days or you have thoughts of hurting yourself or your baby, call your doctor right away. Postpartum depression needs to be treated right away.
Your doctor or midwife will want to see you for a checkup 2 to 6 weeks after delivery, unless there is a problem. In that case, your doctor may need to see you sooner. This is a good time to discuss any concerns, such as birth control. If you do not want to get pregnant, be sure to use birth control, even if you are breast-feeding. Talk to your doctor about which type of birth control is best for you.
Frequently Asked Questions
 Go to top of page |  Go to next section | |
| Author: | Bets Davis, MFA Kathe Gallagher, MSW Ralph Poore | Last Updated: February 26, 2008 |
| Medical Review: | Sarah Marshall, MD - Family Medicine Adam Husney, MD - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology | |
 | ||
