Labor Stages and Contraction Duration: Length of Each Phase Explained
In the final stages of pregnancy, expectant mothers may experience contractions, a common sign that labor is approaching. However, it is essential to distinguish between real labor contractions and Braxton-Hicks contractions, which are irregular, less painful, and do not progress over time.
Braxton-Hicks contractions are irregular and unpredictable in frequency and intensity. Unlike real labor contractions, they usually occur in the front of the abdomen and can stop or lessen with hydration, rest, or a change of position. They are typically less painful and more of a tightening feeling. Braxton-Hicks contractions do not cause cervical changes.
In contrast, real labor contractions are regular, increase in frequency and intensity over time, last about 30 to 70 seconds each, and do not subside with movement or rest. They start in the lower back and radiate forward, making walking or talking difficult. Real labor contractions are accompanied by other signs such as water breaking, loss of mucus plug, and cervical dilation.
To help distinguish between real labor versus Braxton-Hicks contractions, a person should familiarize themselves with the signs of labor, which include regular, increasingly painful contractions that last 30-70 seconds and come about 5-10 minutes apart. Timing contractions by noting start-to-start intervals and pain intensity for about an hour can help distinguish true labor from Braxton-Hicks. If contractions become consistent, stronger, longer, and closer together, it is typically indicative of real labor.
During the first stage of labor, the uterus contracts and allows the cervix to slowly thin and open, or dilate. This stage consists of two phases: Early, or latent labor, and active labor. In latent labor, the cervix dilates to 6 cm across, a process that can take up to 20 hours. Contractions during this time can happen every 5-15 minutes and last 60-90 seconds.
The second stage of labor begins when the cervix is fully dilated, and the fetus passes from the uterus through the birth canal. During this stage, the person will actively push the baby out. Coping tips during the second stage of labor include trying different positions, pushing only during contractions, resting between contractions, and listening to the instructions of the healthcare team.
The third stage of labor starts as soon as the baby is born and lasts until the placenta is delivered. Afterbirth pains may last for 2-3 days. It is essential to remember that if a person has a healthy, full-term pregnancy, they can stay home during this phase.
In some cases, labor may need to be induced, either naturally or through medication. Labor induction involves the use of medications to bring on labor, such as prostaglandins and Pitocin. However, the use of Pitocin can cause overstimulation of the uterus, which may lead to complications. The doctor may use the medication terbutaline to relax the uterus.
In conclusion, understanding the differences between Braxton-Hicks contractions and real labor contractions is crucial for expectant mothers. By familiarizing themselves with the signs of labor and monitoring their contractions, they can make informed decisions about when to seek medical attention and prepare for the arrival of their newborn.
Predictive monitoring of contractions during the final stages of pregnancy can help distinguish between Braxton-Hicks contractions and real labor contractions, hence ensuring appropriate health-and-wellness care. In the case of real labor contractions, they are regular, gradually increase in intensity, and do not subside with rest or hydration, contrasting the unpredictable, less painful Braxton-Hicks contractions.
