The second stage of labor Delivering Your Baby management of second stage of labour The birth of your child is a special and unique experience. No two deliveries are alike, and there is no way to predict with total accuracy how your delivery will go. However, we can predict the stages you will go through during labor and childbirth and what you can generally expect. Second stage: Continues after the cervix is dilated to 10 cm until the delivery of your baby.
The second stage can last from 20 minutes to 2 hours.
Contractions will last about 45-90 seconds at intervals of 3-5 minutes of rest in between.
You will have a strong natural urge to push.
You will feel strong pressure at your rectum.
You are likely to have a minor bowel or urination accident.
Your baby’s head will eventually crown (become visible).
You will feel a burning, stinging sensation during crowning.
During crowning you will be told by your health care provider to not push.
Pushing and what to do:
Get into a pushing position that uses gravity to your advantage.
Push when you feel the urge.
Relax your pelvic floor and anal area (Kegel exercises can help).
Rest between contractions to help regain your strength.
Use a mirror to view your progress (This can be very encouraging!).
Use all your energy to push.
Do not become discouraged if your baby’s head emerges and then slips back into the vagina (this process can take two steps forward and one step back).
Tips for the support person:
Help her to relax and be as comfortable as possible. Give her ice chips if available and provide physical support in her position.
Encourage, encourage, encourage!
Help guide her through her contractions.
Give verbal encouragement by telling her how well she is doing.
Don’t be offended if she displays anger or becomes emotional.