The first stage of labour

The first stage of labour marks the official beginning, bringing your baby closer. During this phase, your cervix starts to dilate, and contractions become more frequent, preparing for your baby’s arrival. This stage comprises early labour, active labour, and the transitional phase.

In this phase, your cervix slowly opens. The duration can vary, from a few hours to several days. Contractions may be irregular and brief, not yet requiring a hospital visit. Staying home is recommended during this stage. Going to the hospital prematurely might lead to being sent back home if dilation is insufficient. It’s advisable to call the hospital before going.

Using self-help techniques is recommended to manage early labour discomfort.

Contractions are when your womb tightens and then relaxes, resembling clenching and unclenching your fist. If you’ve experienced strong period pain, contractions will feel similar. As labour progresses, contractions intensify, elongate, and strengthen. This helps push the baby down the birth canal, bringing the baby closer with each contraction.

• Mucus Plug (Show): A sticky, jelly-like plug that seals your cervix during pregnancy is expelled as labour begins. It’s often pinkish due to mingled blood. If significant bleeding occurs, contact the hospital.
• Water Breaking: The amniotic sac containing your baby can rupture during or before labour, resulting in a trickle or sudden gush of fluid. If the fluid is smelly, coloured, or accompanied by bleeding, alert the hospital.
• Hospital Timing: Consult your midwife; typically, they advise heading to the hospital when you experience 2-3 contractions within 10 minutes, each lasting 45-60 seconds.

In this phase, your cervix widens to about 4 cm. Contractions become more intense and extended, bringing your baby closer along the birth canal.

This is a pivotal stage in labour’s first phase. As you approach full dilation, contractions become notably intense. Many women find this phase challenging, fearing they can’t manage. Recognize that these sensations signal the onset of pushing. Remember, your baby is almost in your arms, making the effort worthwhile.