Saturday, September 6, 2008

Am I in Labor?: Our Stage-by-Stage Guide to Giving Birth

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Here's how you'll know -- our stage-by-stage guide to giving birth.

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The Waiting Game

There comes a time in every pregnancy when all that's left to do is...wait. The books have been read, the nursery decorated, the car seat installed. "Once you get to 37 weeks of pregnancy, your baby could be born at any time," says Susan Cooter, RN, director of Prepared Childbirth Educators, an organization based in Hatboro, Pennsylvania.

But even though most women give birth between 37 and 42 weeks -- a fairly broad span -- there's no way to pinpoint when labor will begin. "Not knowing makes some women very anxious," says Cooter, who is also a certified doula, an individual who is trained to provide emotional and physical support to women in labor.

If you're a first-time mom, you may not even realize when you're officially in labor. "Plenty of women head to the hospital only to be told to go back home," notes Cooter. It can be hard to distinguish Braxton Hicks contractions, also known as false contractions, from the real thing. But if your contractions gradually become stronger, last longer, and are getting closer together, chances are that labor has begun.

Even if you're in true labor, it may take a while before you're sure. "I was past 39 weeks pregnant with my first baby, but I was in denial that labor was imminent," says Sarah Kearney, a mom of three who lives in Portland, Oregon.

On the day before her daughter Phoebe, now 5, was born, Kearney left her house in the late afternoon to run errands and noticed some fleeting back pains. "I thought I was just sore from my morning swim," she says. It wasn't until that night that she realized she was in labor. "I'd been having minor twinges all day, but at about 10 p.m., the contractions really started to hurt."

When they were about 8 minutes apart, at around 2 a.m., she and her husband headed to the hospital. Upon arriving there, Kearney's cervix was already 7 centimeters dilated (a baby is ready to be born when the cervix is dilated to 10 centimeters). Phoebe was born around noon, after more than six hours of pushing.

In the early stages of labor, you're better off at home where you'll be more comfortable. After all, a first-time mom can expect to be in labor for 12 to 14 hours, according to the American College of Obstetricians and Gynecologists. "Labor with subsequent pregnancies usually goes faster," Cooter says.

When it does come time to check in to the hospital or birthing center, keep in mind that things don't always (or more accurately, don't usually) go exactly as planned. You may not be able to get the epidural you wanted, or you may end up needing a cesarean. "It's fine to have an idea of how you'd like the birth to go, but you need to be flexible," says Cooter.

Keeping in mind that labor is different for every woman, and for each of her pregnancies, here's what you might expect.

For more information, please check out the following link:

http://www.parents.com/pregnancy/labor-delivery/basics/am-i-in-labor/?sssdmh=dm17.332707&esrc=nwpcb10_09&email=201779094