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Childbirth

Share experiences and get support around labour, birth and recovery.

Please explain transition to me.

8 replies

mamasunshine · 14/10/2010 12:35

Was just quickly reading another thread about the most painful part of childbirth. Lots of women put transition, but I didn't really experience the transition period?? I found the contractions unbearably painful (long back to back labour), but then fell asleep for 30 mins or so and was woken up as I had to start pushing, my contractions during the second stage were very poor and not really painful at all? Hmm not really sure how we got baby out in the end!!

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Lotster · 14/10/2010 17:37

I think it's basically the final dilation from 7cm-10cm. The contractions are longer, stronger and more painful. Some women, shake, vomit, shout, swear, feel they just can't do it etc, which is why the midwives miss it when people like you (and me) don't do any of the above!

Mine were painful, so had asked for an epidural, the midwife was checking to see if I was 3-5cms but discovered I was 10cms! Her excuse was that I'd been so polite she wasn't convinced I was in labour. I did weep "please help me I can't do it" a few times though Hmm

mungogerry · 15/10/2010 10:12

Copied and pasted as I can't word it any better and am typing one handed as breast-feeding, so:

What is Transition Like?
Not all women have a transition, in fact 1/3 of women don't seem to have a specific time of transition. Another 1/3 of women claim that transition was not any more difficult than the rest of labor, and 1/3 claim it was the worst part of labor.

Transition is the time that your body is completing dilation and preparing to push your baby out. It is generally very intense with contractions right on top of each other, and sometimes with double peaks. But it is also the shortest part of labor, generally lasting 15 minutes to half an hour.

You will recognize transition by the desire to give up. This is when women claim they just can't do it anymore. Most women begin to doubt their ability to go on, and may seem to forget that they are in labor to give birth to a baby. This is also the time in labor when most women ask for something to help them with the pain.

Transition is also recognizable by various physical signs, which may or may not be present at your labor. Some women get hot and cold flashes, cold sweats, nausea or vomiting, shivering or shaking, hiccups, burping and a general inability to feel comfortable in any position. This is the most common time for the bag of waters to break naturally. When you begin to show these signs, it does not matter if you are dilated to 1 or 10 centimeters, it means you are very close to pushing your baby out.

Many women find that when vaginal exams are done to access cervical dilation progress, their dilation is not uniform. Rather than dilating a centimeter every hour or two, they will dilate to 4 or 6 or 7 and seem to stop for a few hours. This does not mean that labor has stalled, as long as your contractions continue to get more intense, closer together and longer simply prepare yourself. Generally what happens is the body gets itself ready and then suddenly dilates the rest of the way in two or three contractions!

"Even if your caregiver is convinced that you have hours to go, do not listen. Instead pay attention for the signs of transition. When you see them be assured that you are nearly ready to push. Transition can happen at any point of the cervical dilation chart. Do not depend on vaginal exams to tell you how long you will labor; they simply are not accurate. Even if you have been given medication to stimulate contractions, do not expect your body to conform to a standard of dilation. You may also find yourself suddenly in transition before your caregiver expected."

I only had transition with my first birth, the others just came straight out when I heard myself pushing(mooing)

togarama · 15/10/2010 16:01

It would have been lovely to skip transition and go straight to pushing...

Even when you experience transition it's interesting how often people don't realise what it is. You can read plenty of examples on here and I'm one of them.

Despite all the reading I'd done before and during pregnancy I still didn't recognise that I was in transition. I threw up, almost fell on the floor with surprise and decided to try the gas and air. The contractions cranked up from "hard work but manageable" to "bloody hell, I could have another 12 hours of this?!?!?!". However, it was over so quickly that there was no time for G&A and pushing was a massive relief.

violethill · 15/10/2010 17:12

I only experienced it with my first, and it's a very scary thing. I was shaking, terrified, feeling I wanted to die, also time seemed to do funny things - I remember looking at the clock on the wall and time either seemed to shrink or expand alternately.

MrsGangly · 16/10/2010 13:48

I must have skipped this bit as I don't recognise the description. My advice to everyone though is that if you are not screaming, they don't believe you are in labour. The midwife who came to visit me (home birth) didn't even want to examine me - thankfully she did in the end and I was at 7cm!

mamasunshine · 16/10/2010 15:17

Thank you for the replies! Very interesting. I actually had a Homebirth VBAC for my dc2 so I was under a lot of time restraints. I remember just feeling utterly in despair as I wasn't progressing and it was very long. I really didn't want to have another section, however in my head I may have had a brief "please someone take me in"!!

I was desperate for sleep and I think they checked me and said I was 7/8cm's so let me sleep for 30mins, then I was woken up to be fully dilated! So thankfully I missed this stage. However dc3 due soon so I can prepare my self 'just incase'!

OP posts:
nikki1978 · 16/10/2010 15:24

I found transition to be the part where I was convinced my insides were about to fall out of my fanjo Grin

The pain was unrelenting and I was convinced the baby was about to pop out but it was because the pressure was so strong on my pelvic floor etc.

Both times I was desperate to get on the toilet and had to be dragged off. God knows why I didn't realise with DC2 what was about to happen and that I didn't actually need a poo! Grin

brockleybelle · 16/10/2010 15:34

I have never been in such pain in my life. It was pure agony, wave on wave of excruciating pain. I had to make it down 4 flights of stairs (lift didn't come!) and was out flat on the stairs during every contraction screaming the place down. We look back and laugh at the madness of it all!

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