The Stages of Labour: A Simple Guide for First-Time Mothers

Labour can feel unpredictable, particularly the first time. Having a clear idea of the stages helps many mothers feel prepared and know when to call for help.

The latent stage

During the latent stage, the NHS explains, the cervix starts to soften and open so the baby can be born. Contractions may be irregular and mild to painful. This is usually the longest stage and can take many hours, sometimes days. If possible:

Established labour

Labour is considered established when the cervix has opened to about 4 cm and contractions become stronger and more regular. The cervix needs to reach about 10 cm for the baby to pass through. For a first pregnancy, the NHS says this phase typically lasts 8 to 18 hours, and often less in later pregnancies. During this time the baby's heartbeat is checked at regular intervals.

When to call your maternity team

The NHS advises contacting your midwife or maternity unit if you think you are in labour, if contractions come every 5 minutes or more often, or if you are worried about anything. Call urgently if:

  1. your waters break
  2. you have vaginal bleeding
  3. your baby is moving less than usual
  4. you are under 37 weeks pregnant and think labour has begun
  5. a contraction lasts longer than 2 minutes

In India, please follow the instructions of your own doctor and hospital, and keep emergency numbers handy. Read the NHS page on the stages of labour and birth for more.

Preparing in advance

Families can also read about normal delivery on the clinic website.

Clinic details

Dr. Tejashree Bakre (MBBS, MS OBG) practises as a gynecologist, obstetrician and laparoscopic surgeon. Details of this Gynecologist in Mulund West, Mumbai are available on her website.

Primary clinic: 2nd Floor, Rohini Residency, Maple Polyclinic, Cabin D, 201, B Wing, MG Road, Near Panch Rasta, Mulund West, Mumbai, Maharashtra 400080

Second clinic: 1st Floor, Crosswinds CHSL, Pancharatna Society, Vedant Hospital, Cabin No. 3, B Wing, Jangal Mangal Rd, Bhandup West, Mumbai 400078

Phone: 70455 63438 | Email: drtejashreebakre@gmail.com

This article is for general health education. It does not replace a consultation, and no outcome is promised.