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This first phase is the longest. The contractions in this phase get stronger and they keep opening the cervix allowing the fetus to drop into the pelvic area and the birth canal. The period of cervical dilatation is divided into a latent and active subphase. The latent phase starts from the moment the patient has regular contractions up until the period of the cervix being open 3-5 cm in diameter. In this phase:
– You could feel occasional moderate contractions every 5 to 15 minutes lasting 45 to 60 seconds.
– You could see brown or reddish stains, but if it is heavy hemorrhage, you should see your doctor immediately.
The active phase starts when the contractions are regular and in short intervals and when the cervix is at least 3-5 cm open. In this phase:
-It is time to go to the delivery hospital
– If you have arrived in the delivery room prior to the active phase, you might be told to return home and come again during the active phase.
The second stage of the childbirth is the stage where the baby is born. This phase usually lasts for 1-2 hours. The cervix is completely dilatated and you start pushing to ‘push’ the baby out. Your doctor and obstetrician will be there to explain when to breathe in, when to hold your breath and to push. At this point the doctor and obstetrician will decide whether it is necessary to do episiotomy (a small cut to the perineum in order to make your vaginal opening larger for childbirth and to prevent tearing of the perineum)
In stage 3, the placenta that has provided the growth of the baby has to be pushed out of the mother’s body. This is the shortest phase and it usually takes place 5-30 minutes after the partum. You would again feel contractions but these are shorter, duller contractions and the obstetrician will tell you when to push or will help this expulsion process, which should not be particularly unpleasant.
In the last stage is, the patient stays in the delivery room for 2 hours to observe her condition after childbirth, monitoring certain vital parameters. After this period, you would be transferred into one of the VIP rooms.
