Preparing for Labor
Preparing for labor can be an overwhelming experience. It is important to take the time to understand your options and prepare yourself physically, emotionally, and mentally. There are a number of steps that you can take in the months leading up to the due date that will help you feel more confident when it comes time for delivery. Taking prenatal classes offered by hospitals or other healthcare providers is one way to learn about labor and delivery, as well as ask any questions that you may have. Additionally, pregnancy is a good time to adjust your diet and daily routine so that you are getting adequate rest and staying active with appropriate exercise. Finally, discussing any fears or anxieties with your partner or healthcare provider can help provide reassurance and peace of mind throughout the process. With some preparation and education, labor can be a safe, comfortable experience for mothers and their babies alike. Please keep reading for details on the following topics:
False labor
True labor
Signs of labor
Planning for labor
Stages of labor
Things to take to the hospital for the mother
Things to take to the hospital for the baby
Support person
When to go to the hospital
Ways to manage pain in labor
Types of monitoring done during labor and delivery
Complications of labor
Things to help a woman cope during labor
Labor is the process of childbirth, in which a baby is expelled from the mother’s uterus. Labor can be categorized into true labor and false labor.
FALSE LABOR
False labor (also known as Braxton Hicks contractions) is an early form of labor that some women may experience during late pregnancy and doesn’t lead to actual childbirth. This type of contraction is more irregular than true labor, and often ceases after activity or rest. During false labor, there may be some tightening of the abdomen but no other signs of actual labor such as opening of the cervix or regularity of contractions. Manifestations of false labor include:
Irregular contractions
Contractions are felt at a constant intensity
Pain is alleviated after resting or eating
Dilation and effacement do not take place
Will go away with rest and hydration
Contractions will ease up after an hour or two
TRUE LABOR
True labor can be identified by certain physical signs and contractions, like backache and cramps at regular intervals. These contractions help open and widen the cervix and push the baby downward through the birth canal. True labor usually starts three weeks before due date, with irregular contractions that are noticeable enough to interrupt daily activities. As labor progresses, these contractions become stronger and more frequent until they reach the peak of intensity just before delivery. Manifestations of true labor include:
Regular contractions
Contractions are constant and increase in strength
and duration
Pain is not alleviated by rest or eating
will continue and continue to worsen
SIGNS OF LABOR
Are you nearing the end of your pregnancy and wondering what to expect? Labor is a natural process and can be quite different for each mother. Here is an overview of some common signs of labor that you can look out for:
Lower back pain or cramps – Many women experience a dull, achy feeling in their lower back as labor begins. This is caused by the weight of the baby pushing down on the spine.
Contractions – Contractions are a tightening of the uterus that usually start out as mild and become more intense over time. They may be felt in the abdomen or lower back and may come with a feeling of pressure.
Mucus plug – As the cervix starts to open, a thick plug of mucus is discharged. This plug is often tinged with blood.
Breaking of water – As the cervix opens, the amniotic sac can rupture and release a gush of fluid. This is called the breaking of water.
Increased vaginal discharge – As the cervix dilates, increased vaginal discharge is common. This discharge can be clear, pink or brownish.
Pain to the abdomen
Opening of the cervix
Heaviness to the pelvic region as a sign of the Baby
Lightening- baby Dropping into The Pelvic Region
Urinating more frequently
Increased pain and pressure to the rectum with the urge to pass stool
Having a show of blood
The nesting instinct- When the woman experiences a sudden burst of energy to do house chores
PLANNING FOR LABOR
Planning for labor is essential to ensuring a successful and efficient workplace. It is important to take the time to consider the number of employees needed, the skills they should possess, and the schedule they should adhere to in order to best meet the needs of the business. Additionally, it is important to consider the cost and benefit associated with any hiring decisions. By taking the time to properly plan for labor, a business can maximize efficiency and ensure a successful work environment.
Decide where to have the baby
The person to deliver the baby
Who will be present to provide support during labor
Preferred methods to provide pain and comfort
Whether the birth will be allowed to come natural or or should medical procedures be used
How to monitor baby
Breastfeeding
STAGES OF LABOR
Labor is the process of childbirth that begins with the onset of contractions and ends with the delivery of the baby. The goal of labor is for mother and baby to be healthy and for the baby to be delivered safely. With the help of her care provider and support team, the mother can successfully navigate the labor process and deliver a healthy baby. It is divided into three stages: early labor, active labor, and the transition to pushing and delivering the baby.
First stage- From the start of contractions until the cervix is completely dilated. Comprises of the latent phase (1 to 3 cm dilated); the active phase (4 to 7cm dilated) and transition phase (8 to 10cm dilated). This stage can last up to 20 hours in nulliparous and 14 hours in multiparous women
- Early labor is the longest phase of labor and is when the cervix dilates from 0-7 centimeters. During this phase, contractions may be mild to moderate and last approximately 30-45 seconds. Women in early labor can rest, take a shower, and/or walk to help manage their contractions.
- Active labor is the shortest and most intense phase of labor. The cervix dilates from 7-10 centimeters and contractions become more frequent and intense. Women in active labor may need to focus on breathing and relaxation techniques to help manage the pain.
- The transition to pushing and delivering the baby is the shortest phase of labor and typically lasts 10-30 minutes. During this phase, the baby moves through the birth canal and eventually is born.
Second stage-From when the cervix is fully dilated until the child is delivered
Third stage-From the time in which the child is born until the placenta is expelled
THINGS TO TAKE TO THE HOSPITAL FOR THE MOTHER
Plenty fluids: water and juice
Some snacks
Pillow
Comfortable clothing to wear during labor and after birth
Lip balm
Oversized underwear to wear after birth
Comfortable bras (without underwire)
Breast pads
Maternity pads
Toiletries (soap, toothbrush, toothpaste, wash cloth)
Bath towel
Basin for sitz bath
Antenatal card and ultrasound and blood test results
Please avoid bringing in valuables
THINGS TO TAKE TO THE HOSPITAL FOR THE BABY
Newborn diapers
Cotton
Baby clothes
Socks for the baby
Baby hats
Blanket
Mittens
Baby soap
Baby rag
Baby oil
Surgical spirit (with no added ingredients)
SUPPORT PERSON
When it comes time to welcome your newest family member, having the right support person can make all the difference. A support person can provide much-needed emotional and physical support during labor, helping to make the experience more manageable and memorable. Whether it’s a partner, friend, family member, or doula, having someone to provide reassurance, encouragement, and comfort can be invaluable. They can also provide practical support such as helping you to change positions, reminding you to drink fluids, and helping to communicate with medical staff. With the right support in place, you can have the confidence to face labor with strength and courage.
Must be someone who the woman feels comfortable with
The partner is required to provide encouragement and support to the woman
If the membranes rupture
Contractions last over 40 seconds
Contractions occur every 5 to 10 minutes
Contractions feel strong and occur regularly
Feeling the urge to push
Bleeding
Pain is unbearable
Abnormal fetal movement
Labor is one of the most challenging experiences for a woman to go through, but with the right pain management techniques, it can be made much more manageable. Pain management during labor is an important part of the birthing process, as it helps to ensure both the mother and baby are safe and comfortable throughout the process. From natural remedies, to medications, and even therapies such as massage and hypnosis, there are a variety of options available to women to help them cope with the pain of labor. By understanding the different methods of pain relief, and discussing them with a healthcare provider, women can be better prepared for the birth of their baby.
Breathing exercises
Imagination
Relaxation exercises
Medications
Epidural (not offered in certain hospital settings)
TYPES OF MONITORING DONE DURING LABOR AND DELIVERY
Vaginal examination
Monitoring the baby’s heartbeat
Monitoring the woman’s conduct
Labor is an incredible and miraculous process that can bring forth new life into the world. However, there are many potential complications that can arise during this process. From preeclampsia to shoulder dystocia, labor can present a range of challenges and risks to mothers and babies. It’s important to be aware of the complications that can occur during labor so that you can be better prepared and make informed decisions. Complications include the following:
Labor not progressing- Medication can be given to help speed up the labor. A c-section is a last resort
Tears to the vagina or perineum- This can be repaired with stiches and vaginal sitz bath
The umbilical cord can be wrapped around the baby- The skill if the health care provider can easily unwrap or cut the cord before baby is born
Abnormal fetal heart rate- Which can be improved after the woman changes her position or receives fluids
Early rupture of membranes- Prophylactic medication can be given according to the age of the pregnancy and the length of time of the rupture. Close monitoring will be provided
Perinatal asphyxia- The baby is deprived of enough oxygen whilst inside the womb
Shoulder dystocia- The shoulder of the baby becomes stuck behind the pelvis
Excessive bleeding or hemorrhage- This can be caused if the woman obtained tears to the vagina, the woman has a bleeding disorder or the uterus is not well contracted
THINGS TO HELP A WOMAN COPE DURING LABOR
Pain medication
Relaxation techniques
Labor coaches such as Partners, family, friends, doulas and midwives
Breathing exercises
Visualizations
Walking around between contractions
Utilizing different ways to lay for comfort.
Taking a warm bath or shower.
Use of epidurals
Lower back massage and/or counter pressure applied to the back
Heating pads applied to the lower back
