What To Expect When Giving Birth Phase Three

Once a woman has passed through the very early stages of having a baby there are three recognised phases of labour.

The very early stages of labour can take hours, or even days, as contractions usually start as little more than a twinge and then build in intensity and

frequency as pressure on the cervix causes it to open up (dilate).

The cervix has to open to 10cm during the first stage of giving birth, and the time this

takes varies from woman to woman.

The second phase of labour is the final hour of having a baby. The big moment is close and although most women will be feeling tired by now, they will also

have a feeling of euphoria that their baby is almost here.

During stage two you will have the urge to push and will be encouraged to do so until baby"s head has appeared.

During one final big push your baby will release one shoulder, turn and release the other then she will be born. Some women may be in danger of tearing at

this stage, but a small, neat cut (episiotomy) which can be stitched after giving birth, will prevent this happening.

In stage three the placenta (or after-birth) has to be expelled and in most cases this is quite straightforward.

Many women are so preoccupied with their newborn baby in their arms, they don"t even notice this is happening.

With your permission, your midwife will give you an injection of syntometrine immediately after your baby is born. This speeds up the delivery of the

placenta which usually arrives between five and 20 minutes after giving birth.

Sometimes it takes a few gentle pushes and it"s out, or your midwife may gently pull the cord to help to remove it while you relax your tummy.

A natural third stage, where the placenta is expelled without the need for drugs, isn"t suitable for everyone.

When no injection is given this third stage of having a baby could last for up to an hour and a woman can experience some bleeding.

In some rare cases the placenta, or part of it, stubbornly refuses to move and this can cause heavy bleeding and removal under anaesthetic.

Once you have given birth and while you are being cleaned up and given any stitches that are necessary, your baby will be checked over to make sure she"s

healthy.

by: Debra Aspinall

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