What it means when labor does not progress Labor progression includes more than the cervix opening. During the first stage, the cervix effaces, or thins, and dilates while the fetal head usually descends and rotates. During the second stage, the…

Recognize when birth may be imminent Precipitous labor generally refers to labor culminating in birth within approximately three hours of contractions beginning. The defining feature is not simply that contractions are uncomfortable or close together, but that cervical dilation, descent,…

What movement should feel like near term Fetal movements include kicks, rolls, swishes, stretches, and turns. As pregnancy advances, the character of movement can change: sharp kicks may become more of a rolling, stretching, or pressing sensation as the fetus…

What precipitous labor means Precipitous labor, also called rapid labor, describes a very short interval between the onset of regular, painful contractions and delivery. The commonly used clinical threshold is birth within three hours of regular contractions beginning, although the…

What uterine rupture means Uterine rupture is a full-thickness or clinically significant tear through the uterine muscle. It most commonly develops during late pregnancy or labor, when contractions place substantial stress on the uterine wall. A prior cesarean incision is…

Treat a sudden reduction in movement as urgent Fetal movement is often described as kicking, but it can also feel like rolling, stretching, swishing, pressure, or brief jerks. The clinically important issue is a change from your baby’s established pattern.…

Recognize the emergency and call for help In a hospital or birth center, press the call bell or ask someone to summon the obstetric, midwifery, anesthesia, and neonatal teams immediately. If bleeding begins outside a clinical setting, call emergency services…

How labor pain normally develops Labor pain is produced by several overlapping mechanisms. During the first stage, uterine contractions reduce blood flow temporarily within the myometrium and stimulate visceral nociceptive pathways. Cervical dilation and effacement also activate sensory fibers. This…

What makes bleeding life-threatening? Bleeding becomes life-threatening when blood loss compromises circulation, oxygen delivery, or the function of a critical organ. The risk depends on more than the amount of blood seen. Clinicians consider the rate of bleeding, whether it…

What heavy bleeding during labor can mean Some vaginal bleeding can occur near the beginning of labor. As the cervix softens, shortens, and opens, mucus from the cervical canal may be released with a small amount of blood. This is…