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The First Stage Of Labor Cervical Effacement And Dilation

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During the first stage of labor cervical effacement and dilation occur. This stage begins with the appearance of true labor contractions and end when the cervix is completely dilated at ten centimeters and the cervix is completely effaced at 100%. This stage accounts for the longest duration for both nulliparous and parous women. The first stage of labor contains three sub phases the latent, active, and transitional phase. The latent phase occurs from the onset of labor until the cervix is dilated to about three to five centimeters. This stage will vary in length among different women. The fetus changes position and cervical effacement are also occurring during this phase. The woman is usually excited and sociable during this phase. The active phase occurs when the cervix begins to dilate more rapidly and is dilated to between four and six centimeters. The slower the transition between the latent and active stage the safer the delivery, this doesn’t usually happen in spontaneous labor. This phase continues until the cervix is dilated to about seven or eight centimeters. During this phase the fetus internally rotates and comes down into the pelvis. The women’s discomfort is usually increased in this phase as the pace speeds up. The transitional phase occurs when the cervix is dilated to seven to eight centimeters until it is fully dilated. Bloody discharge usually increases when the cervix is fully dilated. The transitional phase is short but very intense, with strong

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