In this third phase of your delivery the actual delivery is very close. So it is the last stage before you start to squeeze and you bring your baby into the world. Many women see this phase as the most difficult phase of childbirth. That is because you are during this transitional phase gets a huge push, but is not allowed to squeeze because the access is not yet complete. So you have to puff away the contractions.
What happens in the transition phase?
Your baby drops further during this phase and makes a start on the spear. This means that the baby goes through the birth canal in the correct position (back of the head first). Gradually your child will drop further and further down to your pelvic floor.
In this phase you go from 8 centimeter access to full access (10 centimeters). Your uterus will contract so that your baby is pushed through the birth canal. Because you do not yet have complete access, your cervix is insufficiently stretched to get your child out. But you experience such high pressure that you prefer to press immediately.
Should it be that your membranes have not yet been broken, this is done manually by the midwife at this stage. You do not feel anything about this, but the result is that your contractions become even more intense.
Your contractions in the transition phase
In the transitional phase, your contractions will be the most intense. They follow each other at a fast pace, about every 2 to 3 minutes. The contractions last for about one minute to 90 seconds. The digestion is faster because your child presses on the cervix. You notice this because you experience a severe pain.
It is not yet intended that you will press. So you will have to puff away the contractions. Use the breathing techniques you have learned or listen to the instructions from the midwife. On the moments that the contractions have dropped for a while, you try to calmly catch your breath so that you do not hyperventilate.
What should you pay attention to during the transition phase?
The most important thing is that you do not press before you have full access. This is the moment when you do not have to listen to your body, but to the instructions of the midwife. If you start squeezing before you have complete digestion, it is possible that the digestion edge will absorb moisture. This moisture makes the edge thicker and therefore slows down further access.
It can happen that you become nauseous or have to vomit in this last phase of the delivery. Some women start to shake or sweat. It can also happen that you get cramps or do not really understand what is going on around you. Please do not worry about this here. This is part of it. The transition phase is very intense for your body and it can respond to this. Hopefully it helps that you now know about what to expect so that you are prepared a little bit for the delivery.