The transition phase of labor is the most intense and difficult phase of labor for most women. However, it is also the shortest phase of the first stage generally lasting approximately 20 to 90 minutes. During transition, uterine contractions are very strong, occurring about every 2-3 minutes and lasting 60 to 90 seconds. Because of the long duration and frequency of the uterine contractions, there is little time to rest. Many women also experience strong pressure in the lower back and rectum and increased bloody show. This intense work results in the completion of cervical dilatation.
In addition to the intense contractions most women experience nausea and vomiting, burping, hiccups, shaking of the body, hot and cold feelings, or sensitivity to touch during transition. Many women become restless, irritable, discouraged and confused. During the transition phase, women focus inward and may have a hard time communicating with others or following directions. This is the time during labor when the woman needs the most support for both her physical and psychosocial needs.
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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.