Labor and Childbirth: Active Labor

During active labor, your contractions will be stronger, longer, and happen more often. They will build in intensity, peak and then ease like waves. Contractions may be about 2 to 3 minutes apart, but this can vary from person to person. This part of labor can be hard work. But it is often shorter than early labor. When you reach active labor, exams and tests will be done to see how you and your baby are doing.

An exam tells how you and your baby are responding to contractions. Your blood pressure, temperature, oxygenation, and pulse will be checked. A blood or urine sample may also be taken. A fetal monitor will be used to check your baby's heart rate. A contraction monitor will be used to check the frequency, duration, and strength of your contractions. Sometimes an I.V. (intravenous) line is started to give you medicine and fluids.

You may now feel contractions in your whole stomach instead of just the lower part (like during early labor). If your amniotic sac has not broken already, it may break now. Or it may be broken for you. To help your baby descend, change position often. Walking or sitting in a rocking chair or recliner may help. You may find it hard to relax even though you are tired. You may also be less interested in talking than you were earlier. If you're having anesthesia, you may want to get it now.

If labor doesn't progress well or a problem arises, you may need a cesarean. But your doctors may take certain steps to help you prevent a cesarean:

• If your cervix isn't dilating, a medicine (oxytocin) may be used to augment labor.
• If fetal monitoring shows your baby isn't getting enough oxygen, shifting your body position may help. You may also be given oxygen through a mask.
• If you have preeclampsia (a condition that results in high blood pressure, swelling, and other symptoms), you may be given medicines by I.V. (intravenous).

During contractions, try to stay relaxed. Tense muscles use more oxygen, eat up your body's energy, and increase pain. Use the breathing and relaxation methods you may have learned. And let your support person know how they can help. If you've had problems during a previous birth, focus on the present. Keep in mind that no two births are the same.

Here's how you can help:

• Have the mother walk or change positions at least once an hour. This improves circulation and helps the baby descend.
• Keep reminding the mother to breathe and relax through each contraction.
• Reassure them. Try to keep them from getting anxious or overstressed.
• Take care of yourself. Take a short break to eat or go to the bathroom when you need to.
• Rest when the mother does. You'll both benefit.