Understanding Contractions: Your Body’s Natural Progress Through Labour

Contractions are amazing! They are doing so many things at once, all working towards birthing a baby. As you move through labour, here is how contractions are moving things along:

Stage 1: Early Labour and Active Labour

1. Moving the cervix from a posterior to anterior position: In the early stages of labour, contractions help shift the cervix from a position that points towards your back (posterior) to a position that points towards your front (anterior). This shift is crucial as it aligns the cervix better with the birth canal, making the passage easier for the baby.

2. Softening the cervix: Initially, your cervix is firm, similar to the tip of your nose. As labour progresses, contractions work to soften it until it feels as pliable as your earlobe. This softening process, known as ripening, is essential for dilation.

3. Thinning the cervix (effacement): The cervix starts at about 2 inches long, but contractions gradually thin it out until it becomes paper-thin, or 100% effaced. Effacement is like preparing the cervix to open up more easily.

4. Dilation of the cervix: From fully closed at 0 cm to fully dilated at 10 cm, contractions are the powerhouse behind this critical process. Each contraction gently opens the cervix a little more, making room for the baby to pass through.

Stage 2: Pushing and Delivery

5. Rotating the baby into the ideal position: The ideal position for birth is called Occiput Anterior, where the baby’s head is down and they are facing your back. Contractions help rotate the baby into this optimal position, ensuring the smallest part of their head presents first, making the journey through the birth canal smoother.

6. Pushing baby down into the pelvis: With each contraction, the baby is nudged deeper into the pelvis. They will push against and eventually through the cervix, under and around the pubic bone (this is often the most challenging part), and finally through the birth canal to meet you. Your body and baby are working together in perfect harmony.

Stage 3: Delivery of the Placenta

7. Delivering the placenta: Even after your baby is born, your uterus continues to contract to expel the placenta. These contractions are generally milder but just as important, ensuring the placenta is delivered and helping to minimize bleeding.

Tips for Managing Contractions

• Stay Active: Walking, swaying, or changing positions can help labour progress and make contractions more effective.

• Breathing Techniques: Practice deep, rhythmic breathing to stay relaxed and focused.

• Hydrate and Nourish: Keep your energy up with small sips of water and light snacks.

• Support System: Surround yourself with supportive people, whether it’s your partner, a doula, or a close friend.
  

Embrace the Power of Contractions

Understanding the role of contractions can transform your perception of labour from one of fear to one of awe and empowerment. Each contraction brings you one step closer to meeting your baby. By staying informed and confident, you can navigate the stages of labour with grace and resilience. Remember, your body is designed for this incredible journey, and every contraction is a testament to its strength and capability.

Learn more about comfort measures during labour and delivery here: https://www.carriedclosedoula.com/post/mastering-labour-comfort-techniques-a-guide-for-pregnant-parents