Labour - a term that initially sounds unsettling for many expectant mothers. But what is really behind it? Contractions are nothing more than contractions of the uterus, a strong muscular organ that reacts to the hormone oxytocin. These natural contractions accompany you during pregnancy and help you and your baby to prepare for the birth in the best possible way. Let's take a closer look at the different types of contractions together so that you can go into this exciting time safe and informed.
The first contractions can occur as early as the 16th week of pregnancy. You may or may not notice them. They are completely normal and help your baby to be better supplied during its growth spurts - around the 16th, 24th and 32nd week. These contractions are neither painful nor regular, but more like a little "training programme" for your uterus.
Contractions: Your baby is getting ready
The first contractions often occur from the 36th week of pregnancy. They are rhythmic, perceptible and push your baby towards the inner cervix so that it can assume the optimum birth position. Some women barely notice them, others feel them clearly. Be sure: your body knows what to do!
Shortly before the birth, your uterus becomes increasingly active. These so-called training contractions occur more frequently - especially during exercise or physical exertion. They are usually irregular, but important to soften your uterine tissue and prepare your cervix for labour.
The latency phase marks the beginning of labour. During this phase, your body slowly feels its way towards labour. The contractions can become regular, but sometimes they stop again - this is completely normal. They prepare your cervix to open. Ideally, you should spend this phase up to around 5 cm at home, supported by the knowledge from your antenatal class. You will feel when the time is right to go to the delivery room.
In the active phase, the contractions are stronger and more regular. They come every 3 to 5 minutes and work to fully open your cervix. Your baby slips deeper into the pelvis. You need your full concentration here - and the breaks between contractions help you and your baby to recharge your batteries.
Once your cervix is fully dilated, the exit phase begins. The contractions become longer and more intense as your baby slowly slides down through the pelvis. First the head is born, then - during a pause in labour - the rest of the body. This incredible interplay of your strength and the help of your uterus leads you to the moment when you hold your baby in your arms for the first time.
After the birth of your baby, the placenta is also born. This phase is supported by strong, usually unnoticed contractions. After this, the contractions begin, which shrink the uterus again and support healing. They can be particularly noticeable during breastfeeding, as oxytocin is also released then.
Words have power - even with yourself. If you use the word "contractions" instead of "labour pains", you take the focus off possible thoughts of pain and put it on the strength of your body. These contractions will help you and your baby prepare for the most beautiful thing: life together.
Find a positive language for yourself around the birth. Your mindset is the key to an empowering and self-determined experience. You can do it - because you and your body are a perfect team!
Ready for the birth?
Good birth preparation, a positive mindset and trust in your body will help you not only to understand the different types of labour, but also to deal with them in the best possible way. Your baby and you - you are doing this together.
