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Trans i t ion – F I RST STAGE

Mother’s Feelings And Reactions

• May experience “the shakes.” • May be hot or cold.

• Relies fully on partner for support.

• Either loves or hates the labor partner; has intense emotions. • May feel out of control and cry.

• Needs labor partner for breathing routine. • May fall asleep between contractions.

• May be less aware of surroundings, experiences amnesia during this difficult phase; focus is very inward.

Physical Changes In Mother

• Long and strong contractions that peak very quickly or double peak and are intense. • Contractions every 1 to 2 minutes, lasting 60 to 90 seconds. • May experience rectal pressure or urge to bear down. • Increased bloody show. • Severe low backache.

• Hiccuping, belching and passing gas. How lovely! Thank goodness we do not remember much of this part!

Comfort Measures Mother Can Utilize

• You will rely totally on your support person.

Role Of The Support Person

• Remember and remind her that the birth is near.

• Realize that she may be more difficult to help during this phase.

• Remain with her constantly; reduce distractions (i.e. environmental or family).

• Maintain eye contact. In other words “get in her face” and use short, simple commands. • Encourage appropriate breathing pattern to prevent pushing too early. • Work with her in a calm, organized manner.

• Anticipate her contractions and wake her if she dozes off so that the contraction does not overwhelm her. • Remember, this phase isn’t only difficult for the mother but for the support person as well.

The Gift of Motherhood – your personal journey through prepared childbirth 50

½ to 2½ hours – Transition period is from dilation of 8 centimeters to 10 centimeters.

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