Don’t panic! This is an exciting time, and chances are high that while things won’t go exactly the way you expect, they will probably go really well!
Take some deep breaths.
I’ll go over some terms, then how to help labor progress, and how to help it slow down.
Let’s go over what symptoms you’re feeling.
Terms
Contractions – Contractions are the tightening and relaxing of the uterine muscles during labor. They help to thin and open the cervix, allowing the baby to move through the birth canal. Contractions often start as mild, irregular cramping and gradually become more intense and frequent. They are a key indicator that labor has begun and play a crucial role in the delivery process.
Contractions are your friend. It’s how your body starts to physically get baby ready to go!
How often are you feeling them. How far apart are they? Contractions below 4 minutes apart are a really good indicator that you’re getting close! Contractions over 4 minutes may subside and go away, but it is very rare for contractions below 4 minutes to not lead to labor and delivery in the near future.
As you approach active labor, there are three stages of walking and talking with contractions:
- You can walk/talk through contractions without slowing down. At this stage, contractions are likely still mild, and you have more time (in some cases, you contractions may slow down and even stop for a few days) before active labor.
- You can walk/talk through contractions, but you slow down. This indicates that contractions are becoming more intense and frequent.
- You can not walk/talk through contractions at all and need to stop to breathe through them. This is a strong sign that you’re in active labor or very close to it.
When you can’t walk or talk through contractions without significant effort, you’re likely very close to active labor. If you’re planning on going to the hospital, now is the time to get out the door. However, if you feel strong contractions but can still walk through them—even if slowly—you might still have some time before needing to head to the hospital.
Remember, every woman’s labor experience is unique. Some women progress faster than others, so trust your instincts and stay in touch with your doctor or midwife if you have any questions or concerns.
Effaced – Effacement refers to the thinning and shortening of the cervix in preparation for childbirth. During pregnancy, the cervix is typically long and thick. As labor approaches, the cervix begins to efface, becoming softer and thinner, making it easier for the baby to pass through. Effacement is usually measured in percentages, with 0% indicating no effacement and 100% indicating complete effacement.
Note: Your effacement may not progress very quickly until right before the baby comes, so if this doesn’t progress much, don’t get discouraged!
Dilation – Dilation is the process by which the cervix opens during labor to allow the baby to pass through the birth canal. It is measured in centimeters, from 0 cm (no dilation) to 10 cm (full dilation). Full dilation is necessary for the baby to be born. The progress of dilation can vary greatly among individuals, with some experiencing rapid dilation and others a more gradual process.
Your midwife/doctor and their assistants are trained on how to tell how dilated you are, getting that measurement is not the role of a doula.
What can I do to help labor progress?
Walking and Movement
Walking and moving around can help the baby descend into the birth canal. The gentle motion and gravity can stimulate more consistent contractions. Changing positions frequently may also help align the baby better for birth.
Warm Baths and Relaxation Techniques
Taking a warm bath can relax your body and mind, promoting the release of oxytocin, the hormone that stimulates contractions. Relaxation techniques, such as deep breathing, can also aid in calming the mind and body, encouraging the natural labor process.
Nipple Stimulation
Nipple stimulation can help increase oxytocin levels, leading to stronger contractions. This can be done manually or with a breast pump, but it should be approached with caution and ideally under the guidance of a healthcare provider to prevent overly strong contractions.
Physical Intimacy
Physical intimacy can also play a role in helping labor progress. The presence of prostaglandins in semen can help soften and ripen the cervix, preparing it for dilation and potentially helping to break down the cervical tissues. Additionally, the physical closeness and release of oxytocin during intimate moments can further encourage contractions, supporting the natural labor process. As with all methods, it’s important to consult with a healthcare provider to ensure this approach is safe for your specific situation.
Blue Cohosh
Blue cohosh is an herbal supplement that some use to stimulate contractions. It’s important to use blue cohosh under the supervision of a healthcare provider to ensure safe and proper dosage, as incorrect use can pose risks.
Hydration and Nutrition
Staying hydrated and nourished is crucial during labor. Drinking plenty of fluids and consuming light, energy-boosting snacks can help maintain energy levels and support the body’s natural ability to progress labor.
Always consult your healthcare provider before trying any methods to stimulate labor to ensure they are safe for you and your baby.
What can I do to help labor STOP?
Relax. Again, take some deep breaths.
If you’re experiencing early signs of labor and want to slow things down, there are several strategies you can try. Whether you’re trying to reach a hospital, wait for a specific time, or manage early contractions that aren’t yet progressing into active labor, these techniques may help.
Rest and Relaxation:
Stress and anxiety can sometimes speed up labor, so focusing on rest and relaxation can be beneficial. Find a comfortable position, lie down, and take deep, slow breaths to calm your mind and body. Listening to soothing music, practicing meditation, or even enjoying a warm bath can help relax your muscles and potentially slow down contractions. Staying calm and relaxed can also help conserve energy for when labor does progress.
Hydration and Nutrition:
Dehydration can sometimes lead to increased contractions. Drinking plenty of water and staying hydrated can help reduce the frequency and intensity of contractions. Additionally, eating light, nutritious snacks can provide your body with the energy it needs while avoiding heavy meals that might cause discomfort.
Changing Positions and Gentle Movement:
Sometimes, simply changing your position can help slow down contractions. If you’ve been active or walking, try sitting or lying down in a different position. Gentle movements, such as swaying or rocking, can also help relax your body. Avoid vigorous activities that might stimulate contractions.
Distraction and Light Activities:
Keeping your mind occupied with light activities or distractions can help take your focus off contractions. Watching a favorite movie, reading a book, or engaging in a calm hobby can provide a mental break and help slow down the labor process.
Consult Your Healthcare Provider:
If you’re concerned about early labor or need to delay delivery for medical reasons, it’s important to consult your healthcare provider. They can offer personalized advice and guidance based on your specific situation. In some cases, medical interventions may be necessary to slow down or stop labor, especially if you’re experiencing preterm labor. Always follow the advice of your healthcare provider and keep them informed of any changes in your symptoms.