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36 weeks Pregnant Must Know: The 3 Stages Of Labour

36 weeks Pregnant Must Know: The 3 Stages Of Labour

At 36 weeks pregnant you will be very excited about the arrival of your new baby. This is a very special time for you and your baby.

It’s surprising to hear that this little baby has now grown to the size of a honey-due melon and could possibly weigh up to six pounds. This little bundle of fun could survive outside the womb, if you went into labour at 36 weeks pregnant – but it’s best to give them every chance to thrive and grow to full term at 40 weeks.

By now you have most likely stocked up on all of the necessary baby equipment – ready for the baby’s arrival home from the hospital. But lets not forget that you have a major life event to prepare for and that is the labour.

If this is your first time to have a baby, you will have many questions about labour. Read on to get a closer look at the three stages of labour.

36 Weeks Pregnant Labour Guide

First Stage of Labour

There are three phases to the first stage of labour early labour, active labour and transition.

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1. Early Labour

It can take time for the first stage of labour to really take off. In this stage the cervix dilates to 3-4cm and it changes shape – from a long tube to a much shorter one. Braxton Hicks or pregnancy cramps can sometimes be mistaken for labour contractions but you will know if it’s the real thing if the pains continue.

The contractions shouldn’t be too painful at this point and it is fine for you to stay at home and watch a movie or preferably try to get some sleep.

Early labour can vary in length from one woman to the next. For a first baby it usually takes quite a bit longer. For some women it can be a full day before they feel the need to go to hospital while for others it can be just a few hours.

Women who have had previous labours are usually quite calm at this point if not a bit excited, however first time mums who do not have the same experience to refer to often feel nervous during the first stage of labour. Labour is difficult, there is no doubt but is is also beautiful so stay focused on the end result and pamper yourself with nice treats.

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2. Active Labour

Your cervix will dilate from 4cm all the way up to 8cm during this phase of labour. The contractions will be much stronger, longer and will come more steadily.

You will be safe enough calling the hospital to say you’re on the way when your contractions are five minutes apart for one hour. Towards the end of this phase the baby begins to descend and you can assure yourself that you will see it soon.

For some women it is possible that the contractions will come as often as every  2-3 mins at this stage. You won’t be able to have a conversation throughout these contractions. Instead you will be focusing on your breathing. You may also be using pain medication at this point if you feel that you need it.

This stage can take up to 8 hours but maybe much less for a woman who has given birth before. The good news is that time really flies when you are focusing on you labour management. I would know as a mother of four. You really don’t notice the time passing during active labour and the birth itself.

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3. Transition

At the end of the active phase you will go through what is referred to as the transition phase. This is when the cervix moves from 8-10cm. There is no doubt this is the most difficult part of labour. You may feel that you need to push but the cervix isn’t dilated enough so you will be told not to.

Don’t worry if you feel nauseous or like opening your bowels, this is all normal and will pass soon. Your baby is making it’s way closer to you with every contraction. Just keep focusing on their little face and it will get you through this tough stage.

Second Stage of Labour

Finally, you get to 10cm. Now you get to push. Follow the directions of the doctor or midwife and only push as much as they say. If they say to push gently then just do as they ask and push gently. This will really help to avoid tearing and stitches later.

Sometimes referred to as the “pushing stage” this part of labour is calmer as a rule. The contractions don’t come as often and in some hospitals women are given a break at this point – to rest a little before they start to push.

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Sometimes the baby is still quite high up in the pelvis and the pressure to push is not so great. However the baby will move down a little more with each contraction and eventually the head will start to crown. You will see with a mirror the baby’s scalp peeping out of your vagina. It can be hard to believe they are so close.

The baby’s descent may be rapid or it may be slower with a first baby. Either way, find a comfortable position where you can push properly – bearing down as if you were doing a number 2!

This stage can take longer for women who have had an epidural as they don’t feel the same pressure to push. Sometimes babies are delivered in this stage in less than a half an hour while for others it can take more than an hour.

Trust in the experts and follow their directions and your baby will eventually make it’s way out, hopefully head first, then shoulders and finally their body.

Third Stage of Labour

At this point your baby will be well wrapped up and in your arms. You won’t care very much about the third stage of labour but the midwife or doctor will work gently asking you to push out the placenta. This won’t take long – just a few minutes. It’s not really painful and it won’t bother you at all.

You will probably be feeling elated at having your new baby in your arms – checking their fingers and toes – trying to figure out who they look like.

Your work is finally done. That is your labour is done but the real work is only getting started! You’ll have to check back in with me for more tips on what to do next.

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Published on October 19, 2018

The Most Critical Do’s and Don’ts of Working Out While Pregnant

The Most Critical Do’s and Don’ts of Working Out While Pregnant

Are you scared of working out whilst pregnant? Or simply not sure how to proceed? Everything seems slightly more daunting once you’re carrying and creating a whole other person.

In this article I will give you specific advice, tips and strategies for working out while pregnant. Ensuring that you, and your baby, are safe. Not only that but you will both benefit.

Benefits of Working Out While Pregnant

It is clear that everyone, not just you but your baby, and probably your partner and other kids will benefit from you working out while pregnant. If you’re sleeping better and feel less stress, you can guarantee everyone in the household is going to feel better.

How you benefit from working out while pregnant:

  • Reduced incidence of lower back pain
  • 30% reduction in the risk of gestational diabetes
  • Reduced likelihood of unplanned cesarian
  • Lower incidence and reduce severity of depression
  • Less pregnancy weight gain
  • Lower risk of urinary incontiennce
  • Reduced pregnancy constipation
  • Less pregnancy tiredness
  • May have a shorter labour

How your baby benefits from working out while pregnant:

  • A healthier heart
  • Normal birth weight
  • Quicker neurological development
  • Reduced risk of respiratory distress syndrome (for infants of high-risk women)
  • Less maternal stress could reduce impact on immune system development

Instant Big-Rocks for Working out While Pregnant

Before we get cracking into what really will benefit, here are some instant ‘big-rocks’ when it comes to working out while pregnant.

Safety first: Check with your midwife

Each person and pregnancy is individual – and as I”m not speaking to you in person, the first pre-qualifier is that you check with your doctor that you’re ok to work out while pregnant. In certain circumstances, it is not recommended due to potential complications arising from exercise.

If you’re new to exercising or have just fallen pregnant do check with your GP or midwife before commencing or recommencing your exercise program.

Exercise Check In Second – No lying Flat or Crunches

Crunches are a whole other issue in regards to pre and post natal training that I’ll get into during another article.

For now, know that lying flat on your back puts pressure on your body, especially after 16 weeks. The weight of your bump pressing on certain blood vessels can reduce cardiac output, make you feel dizzy and affect the flow of blood that carries nutrients and oxygen to your baby.

While this means traditional stomach crunches are out, you can and should still include core and pelvic floor strengthening exercises in your routine. These I’ll get to later in the article.

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Third Intensity Check In – No High Intensity Workouts

When it comes to exercise intensity, it is best to abide by the guideline “to be able to comfortably hold a conversation” whilst working out. Unless you are an athlete and extremely used to very high heart rates whilst you workout, keeping your rate of perceived exertion to a 7 out of 10 is best practice.

Experts agree that you should avoid undertaking activities that will raise your core temperature by more than 2°C – or above 38.9°C. This is because such a temperature change may result in hyperthermia (the opposite of hypothermia). Hyperthermia during pregnancy has been linked to a twofold increase in the risk of birth defects impacting the spine or brain.

As such, it is not advisable to use hot tubs or spas during pregnancy, and hot yoga should be avoided as well as parking in only moderate intensity exercise.

Final & Fourth Point – No high contact/dangerous sports

For obvious reasons, contact sports or sports in which it’s likely you can fall or have an accident should be avoided.

For example scuba diving while pregnant should be avoided as your baby will have no protection against decompression sickness (‘the bends’) or gas embolism – bubbles in the bloodstream that can cut off blood supply or cause breathing difficulties.

Similarly, horse riding, climbing, cycling, gymnastics and other activities that require extreme balance are best avoided as your centre of gravity shifts and affects your balance.

Certainly, sports like kick boxing, jujitsu or rugby in which contact is prevalent should be avoided for bump protection.

Actual Workouts You Can Do While Pregnant

1. Let your personal trainer or group exercise instructor know that you’re pregnant

In doing so they can assist you in providing expert advice or refer you to a qualified practitioner in your area. If you’re unsure ask your GP or Midwife for a referral.

2. Use your breath to engage your core and pelvic floor throughout your workout programs

Your breath plays a big part in controlled core to assist with labour and reduce back pain. We each take thousands of breaths per day, as as your baby grows pressure is placed upon the lungs and pelvic floor.

Preparing and practicing proper breath ensures that your core remains as integrated and activated as possible throughout and after your pregnancy.

3. Find a Holistic Core Restore Coach

The reason the Holistic Core Restore® programmes are more effective than performing keels or traditional abdominal exercise alone for true core restore and pelvic floor activation. A Hollisitc Core Restore Coach will work with you to integrate your core and pelvic floor with your whole body through a series of movements and lifestyle factors.

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4. Join a Pre & Post Natal Class

Join a Pre & Post Natal Class in order to move in specific ways designed to boost your health and recovery post birth.

This not only provides you with a chance to connect with other pre & post natal women in your area to and create a community; but also provides you access to pre & post natal experts who can give you tailored advice for exercising whilst pregnant.

5. Focus on strengthening the glute muscles

Focus on strengthening the glute muscles to counteract the anterior tilt produced by your expanding bump.

Most people will simply focus on keeping the core engaged and active to help the ‘pre-mummy-tummy’ bounce back. When in actual fact the synergist muscle to the core for pelvic stability is the butt.

Really focus on strengthening the glute muscles in order to support the core, posture and back.

Hinge movements such as single leg romanian deadlifts are a brilliant way to do so. You can do this holding a Kettlebell or Dumbell but also, once the bump is big enough just using your bodyweight.

6. Enjoy swimming

Enjoy swimming, especially in your third trimester, to remove weight and boost lymphatic drainage of your feet and ankles.

It’s well known that your ankles swell during the last months of pregnancy. This is due to the changes in posture from the weight of the stomach pulling down towards the floor.

Consequently, this causes the front of the hip to become compressed. And this in turn reduces circulation of the lymphatic fluid in the lower body.

One way to improve this circulation is to get into water as the pressure from the water removes the weight of the bump whilst providing pressure to the legs improving circulation.

7. Bring layers to your workouts

Bring layers to your workouts so that you can add and remove layers as you warm up and cool down.

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As previously mentioned, changes in body temperature can be dangerous for the baby – using layers so that you can keep your temperature constant is one the the most simple and best things you can do whilst working out while pregnant.

8. Practice the 7 fundamental primal movement patterns in your workouts

Practice the 7 fundamental primal movement patterns in your workouts – squat, lunge, anti-rotate, push, carry, hinge, pull.

“We love pregnant mamas to be regularly training their squats, since a low squat is the ideal position for working through contractions and pushing during labor.”

They also improve pelvic floor strength and elasticity to help prevent tearing during the natural labor process and teach abdominal strength relative to hip mobility for an easier labor and faster postnatal recovery.

Kiberd and her team prefer front squats done with at least a 12-kilogram kettlebell held at the chest. (Choose an appropriate weight for your level.)

“The kettlebell gives great feedback to the muscles that need to engage to stand you back up and to stabilize your weight while you’re down in the squat,” she explains.

And once the bump gets big? “No weight on the front is needed,” she says. “The belly is that natural weight.”

9. Do exercise that your enjoy

Because really if you’re enjoying it so will bump and you’ll feel less stressed.

Do not making working out while pregnant a chore – if it becomes that way, seek advice from an expert in your gym or area on some new varied things that you can try.

10. Practice anti-rotation exercises

Practice anti-rotation exercises whilst focussing on the breath for core integration and activation.

The Palloff press (a core stabilizer done on a cable machine) and the bear crawls offer the same degree of effectiveness.

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“These two exercises engage the external and internal obliques, which are involved in stabilizing the torso in rotation and help stabilize the shoulders down and back.”

11. Make sure to wind down properly

Cooling down slowly after your workouts and providing a little leeway time before your next appointment will reduce your stress levels and help you feel more balanced.

It will also stop sharp changes in body temperature that are non-beneficial to your baby.

Take your time and enjoy each session for what it is.

The Bottom Line

You will have to make fitness modifications as your body changes, but deep down, you know that’s ok. Dr Dawn Harper says

“We’re now seeing evidence that exercising in pregnancy may be one of the best things you can do for your baby’s future health. Pregnancy exercise can have a huge impact on your personal experience of pregnancy, too. Provided you follow the expert guidelines, it’s safe for most women to continue and even start exercising in pregnancy. Just make sure you check with your midwife or doctor first, in case there are any specific medical reasons why you should avoid being physically active in pregnancy.”

There are certain things that are essential. The first being to check with your Dr/Midwife to be given the ‘OK’ to exercise.

There are definite ‘no-nos’ such as abstaining from contact or dangerous sports as well as performing extreme high intensity workouts that bring your heart rate and temperature very, abnormally high for you. It is also contraindicated that you perform any exercises lying on your back.

The exciting thing is that you can and should exercise. You simply have to adapt to what is possible by seeking advice of a local pre & post natal expert. If you take one sentence away let it be this:

Focus upon your breath, workout at a 7/10 level, strengthen your glutes and perform whole body integrated exercises preferentially led by a pre & post natal expert.

And finally, if in doubt, get in the pool for some weight off your feet and relax!

References

  1. Pennick V, Liddle SD. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev 2013(CD0011):1-100.
  2. Sanabria‐Martínez G et al. Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta‐analysis. BJOG 2015;122(9):1167-74.
  3. Price BB et al. Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomized trial. Med Sci Sports Exerc 2012;44(12):2263-9.
  4. Domenjoz I et al. Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol 2014;211(4):401.e1-e11.
  5. Gaston A, Prapavessis H. Tired, moody and pregnant? Exercise may be the answer. Psychol Health 2013;28(12):1353-69.
  6. Robledo-Colonia AF et al. Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial. J Physiother 2012;58(1):9-15.
  7. Perales M et al. Benefits of aerobic or resistance training during pregnancy on maternal health and perinatal outcomes: A systematic review. Early Hum Dev 2016;94:43-8..
  8. Shi W et al. Epidemiology and risk factors of functional constipation in pregnant women. PloS one 2015;10(7):e0133521
  9. Gaston A, Prapavessis H. Tired, moody and pregnant? Exercise may be the answer. Psychol Health 2013;28(12):1353-69.
  10. Barakata et al. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial 2018, 224 33-40
  11. May LE et al. Aerobic exercise during pregnancy influences fetal cardiac autonomic control of heart rate and heart rate variability. Early Hum Dev 2010;86(4):213-7.
  12. Bisson M et al. Physical activity volumes during pregnancy: A systematic review and meta-analysis of observational studies assessing the association with infant’s birth weight. AJP Reports 2016;6(02):e170-e97.
  13. Labonte-Lemoyne E et al. Exercise during pregnancy enhances cerebral maturation in the newborn: A randomized controlled trial. J Clin Exp Neuropsychol 2016:1-8.
  14. Muktabhant B et al. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev 2015 Jun 15;(6):CD007145.
  15. Marques AH, Bjorke-Monsen AL, Teixeira AL, Silverman MN. Maternal stress, nutrition and physical activity: impact on immune function, CNS development and psychopathology. Brain Research. 2015;1617:28–46

Featured photo credit: Jernej Graj via unsplash.com

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