11/24/2025
Understanding Transition in Labour
Transition is one of the most intense phases of labour. It’s the final part of the first stage of labour when the cervix dilates from about 8–10 cm and your body prepares for pushing.
Even though it’s short, it can feel overwhelming. Many people describe transition as the moment when they question everything:
“I can’t do this anymore.”
“I change my mind.”
“I want an epidural now.”
“This is too much.”
These are classic signs that you’re very close to being fully dilated. The good news is that most people find that pushing feels better because you finally get to work with the contractions instead of feeling like you’re fighting against them.
Every labour is different, but common experiences can be:
Intense, frequent contractions with little rest in between
Shaking, trembling, or shivers
Nausea or vomiting
Feeling overwhelmed or emotional
Pressure in the pelvis or re**um
Self-doubt
Why Does Transition Feel So Intense?
Hormones (especially adrenaline) surge.
Contractions are strong and close together.
Your body is working hard to fully dilate.
This combination can make you feel out of control but physiologically, it’s a sign of good progress!
Transition is tough, but there are ways to cope:
🧘♀️ 1. Breathe low and slow
Focusing on exhaling can keep your nervous system grounded when everything feels intense.
🤲 2. Lean into your support people
Partners, doulas, and midwives can remind you that what you’re feeling is normal and temporary.
💦 3. Use heat or water
A warm shower, tub, or heat pack can make contractions feel more manageable.
🧍♀️ 4. Change positions
Hands-and-knees, leaning over a bed, or supported standing can reduce pelvic pressure and help baby descend.
🔊 5. Vocalize
Moaning or using low tones helps release tension and keeps breathing open.
💬 6. Encourage self-talk
Even simple reminders like “This is transition,” or “I’m doing it” can shift your mindset.
💛 7. Protect your space
Dim lights, quiet voices, and reducing stimulation can make a huge difference.
