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Dilation is the longest phase of labor. In women who are going to give birth to their first child, it can last several days and during this stage the contractions will gain intensity and frequency. When the dilation has reached the maximum and is in the transition phase, that is, you have already dilated 10 centimeters, it is time for you prepare for the push and the birth of your baby.
The duration of the expulsion, like the dilation, depends on each woman. It can last a few minutes or even more than an hour. Women undergoing epidural anesthesia take longer to deliver labor as they feel less or do not notice contractions and, by extension, they don't perceive how hard they are being pushed.
Your labor in this stage of labor, the second stage, will be to push as hard as you can with each contraction. If you don't feel like pushing because of the epidural, the midwife will tell you when the time for pushing has come.
During pushing it is important that don't put tension on your face or neckYou will have to push with the abdomen and towards the genitals as hard as you can. Some women have an episotomy, it is a cut in the perineum to favor the delivery of the baby and prevent a tear from occurring.
The staff will give you encouragement and will tell you when you see the baby's head so you can renew your strength and push as hard as you can. When the baby's head finally comes out, the midwife or gynecologist who attends your delivery will clear the airway and check that the umbilical cord is free. You will have to keep pushing to get the shoulders and the rest of the body will come out without problems.
At the end of this stage of labor, the second stage, the midwife or gynecologist will put your baby on your body so you can see and touch him while the umbilical cord is cut. Then they will take it away for a few moments to perform the Apgar test, it is the baby's first test and is based on checking the health status and response to stimuli of the newborn. Next, they will remove the excess fat and debris that may be in the body, they will dress him and they will put him next to you on the stretcher so that you can start breastfeeding as soon as possible if you choose to breastfeed your baby.
While the nurses or the midwife are with your baby, you still have one last job left: the delivery of the placenta or delivery.
You can read more articles similar to Stages of labor: the expulsive, in the On-Site Delivery category.