There are 3 stages of labour
The first stage
Contractions at the start of labour helps the cervix to soften it will then gradually open to about 10cms. This process can take many hours until you are in established labour when the cervix is about 3cms. If this is your first labour, the start of established labour through to full dilation can take between 6 and 12 hours. You can be up and about if you wish, you may even take a shower if it will help you relax. You can drink sips of water but will be asked not to eat. (In case you need a general anaesthetic later) as your contractions get stronger and more painful you can put into practice your breathing and relaxation exercises you learnt antenatally. You partner or friend can help by doing them with you and by rubbing your back to relieve the pain.
The second stage
Once you baby's head is born most of the hard work is over. With one of more gentle push your baby is born and the midwife will lift your baby straight onto you into skin contact. The cord will be clamped and cut and your baby will be dried to prevent him from becoming cold. Sometimes some mucus has to be cleared out of your baby's nose and mouth.
Usually you will be given an injection in your thigh, as your baby is delivered, to aid the delivery of the placenta.
The third stage
After your baby is born more contractions will push out the placenta. This stage takes up to 30 minutes. After the birth if any tear has occurred you may require stitches. This is done using a local anaesthetic unless you have had an epidural during labour for pain relief. Your baby will be examined and weighed then returned to skin contact. Your baby will be given a band with your name and number for identification. Prolonged skin contact at this time will give you and your baby the opportunity to get to know each other. If you wish to breastfeed a member of staff will assist you to feed your baby. However, if your baby is not interested in feeding at this time do not worry as you will be given support in the postnatal area. You will be given time alone with your partner and new baby. You will be offered something to eat and drink and given time to spread the news to family and friends. You and your baby will then be either transferred in skin contact to a postnatal area. Skin contact leaflet[PDF]





