WAVES | Birth by Design

 

 

SECTION Two – Understanding Labor • CHAPTER 04

 

CONTENTS

Section Two – Understanding Labor

04 • Deep Dive: Labor Stages

05 • Advocacy, Communication, + Decisions

06 • Transition

Section Three – Understanding Labor

01 • Early Labor

02 • Active Labor

03 • Transition

Section Four – Understanding Labor

01 • Early Labor

02 • Active Labor

03 • Transition

Section Five – Understanding Labor

01 • Early Labor

02 • Active Labor

03 • Transition

Deep Dive: Labor stages

Birth is a physiological process rooted in the body’s intelligent design. It is not random, chaotic, or accidental; it is a coordinated sequence of hormonal, muscular, and emotional shifts that work together to bring your baby into the world. When labor begins, it is because both your body and your baby have reached a point of readiness. Your baby sends chemical signals to the placenta, which in turn communicates with your uterus and brain.  (We believe that the chemicals originate from the baby's lungs! ) This initiates a cascade of hormones that prepare your cervix, soften your tissues, and begin the rhythmic contractions that will guide your baby downward.


One of the most important hormones in labor is oxytocin. Often called the “love hormone,” oxytocin is responsible for creating contractions that gradually open the cervix. These contractions begin gently and irregularly, giving you time to settle into the process. As oxytocin rises, your body also releases endorphins, which act as natural pain relief and help you cope with increasing intensity. When you feel safe, supported, and undisturbed, these hormones work together smoothly, which is why that last chapter introduced the FTPC. When you feel stressed or afraid, adrenaline can rise and slow labor down. This is why environment, support, and emotional safety matter so deeply.  This safety is essential to progress and navigate labor.


Early labor is the first stage of this process. It is often spacious, slow, and manageable. Contractions may feel like menstrual cramps or waves of tightening that come and go. During this time, the cervix begins to soften, thin, and open. Many people find they can talk through contractions, rest between them, and move comfortably. Early labor is the body’s way of easing you into the rhythm of birth. I have often noticed this is where families do too much.  You do not need to "encourage" labor, especially not early labor.  You do need to eat, rest, and get your mind right, however.


As labor progresses, you enter active labor. Contractions become stronger, longer, and closer together. This is when the cervix continues to open steadily, often from around four to seven centimeters. Active labor requires more focus and presence. Many women find that movement, breathwork, vocalization, and hands‑on support become more important during this phase. The work becomes more intense, but it is also more productive. Each contraction is helping your baby move deeper into the pelvis, rotating and descending in preparation for birth.  Active labor is where movement matters, headspace matters, and where you're needing to recover during the breaks.  Often if there is talking or laughter, it is slow, labored (haha) and not just "Ope, a contractions! HAHA Ouch, phew, glad that's over." Active labor typically is more "...oh another one? Shhhh, everyone be quiet." We want that aggressive hand wave. It means things are hard.


Transition is the final part of the first stage of labor, and it is often the most intense. Contractions may feel overwhelming, and emotional shifts are common. Many people experience self‑doubt, nausea, shaking, extreme rectal pressure, or a sudden desire to give up. These sensations are not signs that something is wrong; they are, however, signs that you are very close to meeting your baby. Transition is the moment when the cervix completes its opening, and your body prepares for the pushing stage. It is a powerful, transformative phase that often brings a surge of adrenaline to help you move into the next stage.  This is where adrenaline and cortisol have a place in labor.  These hormones are actually necessary for the completion of birth, but they do not have to present as out of control and panicked.  They simply just need to occur.   You need to remember that transition does not need to be scary, it just needs to be surrendered to.

The second stage of labor begins when the cervix is fully dilated and your body naturally initiates the urge to push. This urge can feel instinctive and undeniable, like a deep, downward pressure that your body wants to follow. Pushing can be directed by your care team or guided by your own instincts, depending on your birth environment and preferences. During this stage, your baby moves through the birth canal, rotating and adjusting to find the most efficient path. With each push, your baby descends until the head crowns, typically pauses following delivery, and then the body follows. This stage ends with the birth of your baby and the immediate hormonal shift that supports bonding, breastfeeding, and emotional connection.


The third stage of labor is the birth of the placenta. After your baby is born, your uterus continues to contract–these may feel like cramps, or they may be strong contractions–helping the placenta separate and be delivered. This stage is usually brief and often accompanied by a sense of relief and completion. Your body releases high levels of oxytocin during this time, supporting uterine contraction, reducing bleeding, and strengthening the bond between you and your baby. The immediate postpartum period is a continuation of the physiological process, guiding your body into recovery and your baby into life outside the womb. The placenta being born also signals to the body that milk production can begin within the next 2-6 days!


I want you to know that birth is not scary.   It is at times overwhelming, painful, intense, joyful, hard, and a lot... but it is DESIGNED to be that way.   Those are communicators.   Those emotions and physical responses are talking to your brain, your body, and your baby–helping you all complete labor and meet your baby.


NEXT CHAPTER – 05

Advocacy, Communication, + Decisions

This chapter covers the different phases and stages that you will experience during the birth of your child.   Labor isn't just contractions all the time, nor are they the same the entire time through.

© 2026 Amie Bogart | Dove & Lioness Doula Services. All Rights Reserved

This educational course is written using established educational principles, reliable information sources, personal experiences and observations during births, common knowledge, and extensive self research. Birth is deeply nuanced and complex. Your individual birth experience may not be similar to the information, examples, or stories shared throughout this course, as every person's journey is unique. Everyone experiences labor differently, and what one person encounters may be entirely different from another's experience.