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What to Expect at Labor for First-Time Moms: A Personal Journey

Writer: Dayana HernandezDayana Hernandez

Updated: Nov 12, 2024

Congratulations, soon-to-be first-time moms! The journey of pregnancy is an incredible one, filled with excitement, anticipation, and of course, the unknown. As you embark on the final leg of this beautiful journey, it's completely normal to wonder what lies ahead during labor and delivery.


Everyone's labor and delivery are unique. Still, knowing what's typical can help you know what to expect as your due date nears.


In this blog post, I am excited to share my personal story and shed some light on what you can expect during labor as a first-time mom. Let's dive in together and navigate this transformative experience.


Anticipation and Preparation


As the due date approaches, mixed emotions may flood your mind – from joy and eagerness to a touch of nervousness. You've read the books, attended the classes, and meticulously packed your hospital bag. The anticipation is palpable as you prepare mentally and emotionally for the grand finale of your pregnancy.


What to Expect at Labor

Early Signs of Labor


The moment you've been waiting for might be signaled by subtle signs – mild contractions, a trickle of amniotic fluid, or the infamous "bloody show." These early cues can kickstart your journey toward meeting your little one. Remember, every labor story is unique, but these subtle signs often mark the beginning of your adventure.


I invite you to read another post in this blog page related to Signs of Labor and When to go to the Hospital.


Onset of Labor


As the contractions intensify and the clock ticks, you may find yourself in the throes of active labor. Stay calm, breathe deeply, and remember the coping mechanisms you've picked up along the way. Your support team – whether it's your partner, a doula, or a nurse – will guide you through this phase and provide the reassurance you need.


Progression and Transition


Labor is not a linear process; it ebbs and flows, taking you through different stages. From the initial contractions to the intense transition phase, where you might feel overwhelmed and doubt your strength, remember that you are capable, resilient, and supported. The magic of birth unfolds in its own time, in its own way.


Personally, I opt for an epidural to relieve pain during labor. I would have liked to find more information about this before, I didn't know about other methods and medical options at that time, and I think it would have been different. One of my worries when deciding on the epidural, aside from my baby's well-being, was the fear of losing all sensation in my legs. However, I discovered that although they felt heavy, I could still feel them, along with the contractions with a lower level of pain.


There are many ways to reduce pain during labor, including natural methods and medical options:


Natural methods. Also known as natural childbirth, these methods don't involve medication:

  • Relaxation techniques: Try deep breathing, music therapy, or biofeedback.

  • Distractions: Use music, focal points, or guided imagery.

  • Soothing atmosphere: Use aromatherapy, or have others offer support.

  • Movement: Stay active and upright during the latent phase, and change positions frequently.

  • Hydrotherapy: Take a warm bath or shower, or use a birthing ball.

  • Other methods: Try massage, counterpressure, acupuncture, or acupressure.


Medical options. These include:

  • Epidural anesthesia: Considered the most effective option, but it can have side effects.

  • Nitrous oxide: Another medical option.

  • Opioids: Also known as systemic analgesia, these medications act on the nervous system and are usually given as a shot or through an IV line.


Pushing Through


The moment you've been waiting for has arrived – it's time to push. A woman should start pushing during labor when her cervix is fully dilated, which is usually around 10 centimeters, and she feels the urge to push.


Channel your inner warrior, focus your energy, and surrender to the rhythmic waves of labor. Your body knows what to do; trust in its wisdom and let the process unfold naturally. With each push, you inch closer to holding your precious bundle in your arms.


The length of time a woman pushes during labor, also known as the second stage of labor, can vary greatly. On average, it can take anywhere from 20 minutes to two hours, but it can sometimes last longer if both the mother and baby are tolerating it. Factors that can affect the length of time include:


  • First-time mothers: Pushing usually lasts longer for first-time mothers, with some guidelines suggesting they should be allowed to push for at least three hours.

  • Epidural: Having an epidural can also make pushing take longer.

  • Baby's position: If the baby is facing the mother's abdomen, also known as a posterior position, it may have a harder time passing through the pelvis, which could make pushing more difficult.


Episiotomy: An episiotomy is a surgical procedure that involves making a small incision in the perineum, the area between the vaginal opening and anus, during childbirth to widen the vaginal opening. The procedure is performed to reduce the risk of severe perineal tears and to make difficult deliveries easier. A healthcare provider may recommend an episiotomy in the following situations:


  • The baby doesn't have enough oxygen

  • Complicated birth, such as breech position or shoulder dystocia

  • Long pushing stage of labor

  • Forceps or vacuum delivery

  • Large baby

  • Preterm baby

The Miracle of Birth


And then, in a crescendo of emotions, the moment arrives – the miracle of birth. As you hear your baby's first cry, feel their warmth against your skin, and marvel at their perfect little features, a wave of love unlike any other washes over you. The pain, the uncertainty, all melt away in the presence of this tiny miracle you've nurtured for months.


A partner can cut the umbilical cord after birth, and the process is the same no matter who does it. The birthing team or doula will guide the partner through the process, and the mother and baby won't be able to feel the cord being cut.


After your baby is born, a healthcare provider will perform a series of tests to determine your baby's health. They'll use a routine evaluation called the Apgar test to identify whether your baby needs urgent medical care. Then, they'll give your baby a vitamin K shot, eye drops and newborn screening tests.


Medical procedures immediately after birth, including:


  • Apgar assessment: A quick evaluation of the baby's condition at one and five minutes after birth, checking their heart rate, breathing, muscle tone, reflexes, and color. This test helps determine if the baby is healthy or needs extra care.

  • Eye care: Antibiotic ointment or drops are given to prevent eye infections, including those caused by chlamydia bacteria exposure during delivery.

  • Vitamin K shot: Prevents the possibility of bleeding.

  • Weight, length, and head circumference measurements: Part of the baby's first exam.

  • Temperature: Taken as part of the baby's first exam.

  • Breathing and heart rate measurements: Part of the baby's first exam.

  • Skin color and activity monitoring: Part of the baby's first exam


Circumcision (for baby boys)


Within one to two days of birth, you may decide to have your baby circumcised. Circumcision is a surgical procedure that removes the foreskin from your baby’s penis. Babies get circumcised for medical, religious and cultural reasons. The procedure takes place before you leave the hospital. It is important to make a decision previous to labor, consult with your OB and also discuss with your partner.


Recovery and Bonding


As you bask in the glow of new motherhood, remember to give yourself grace. The postpartum period is a time of healing, both physically and emotionally. Lean on your support system, prioritize self-care, and cherish the precious moments of bonding with your newborn. Your journey is just beginning.


Dear first-time moms, as you prepare to embark on this extraordinary journey of labor and delivery, know that you are strong, capable, and surrounded by love. Embrace the unknown, trust in your body, and savor every moment of this transformative experience. Your story is waiting to be written, and it begins with the beautiful chaos of labor.


Now, take a deep breath, envision the moment you'll hold your baby for the first time, and step boldly into the adventure that is childbirth. You've got this!


Remember, every contraction brings you closer to meeting your greatest love. Embrace the journey, trust the process, and prepare to welcome the newest chapter of your life with open arms.


Happy Laboring

So, dear expectant mothers, as you navigate the twists and turns of labor, may you find strength in your vulnerability, courage in your fears, and boundless love in your heart. The journey of motherhood awaits, and it all begins with the remarkable experience of bringing new life into the world. Cherish every moment, embrace every sensation, and prepare to be amazed by the miracle of birth.


Here's to you, first-time moms – you are embarking on a journey that will change you in ways you never imagined. Trust in the process, believe in your power, and get ready to welcome your little one into the world. The adventure of a lifetime is about to begin.


Happy Laboring! 😍


"You brought life into existence, so there is nothing you cannot accomplish."

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