What is a contraction?

Simply the co-ordinated movement of the muscle fibres within the womb. The uterus prepares for birth throughout pregnancy with Braxton Hicks practice contractions (whether we consciously notice them or not).

"One cannot actively 'help' a woman to give birth naturally. The goal is to avoid disturbing her unnecessarily"  - Michel Odent, obstetrician

The middle layer of the womb is pure muscle; if all is well, it is strong enough to birth a baby all by itself, even in a coma. A contraction is just a muscular movement lasting about 45 - 90 seconds, triggered by pulses of the birth hormone oxytocin.

Oxytocin is released deep in the mid-brain when we feel safe, secure, warm and loved - these conditions are required for birth to begin and progress effectively.

Oxytocin also 1) increases prostaglandin hormone production: to soften, thin and release the circular muscle fibres of the lower uterine segment, including the cervix - the neck of the womb (aka 'effacement'): 

cervix effacement

2) Over the course of the birth journey, oxytocin gradually causes our bodies to flood with beta-endorphins: to increase comfort and help us 'zone out'. 

hypnobirthing affirmation


When the baby is ready, we'll notice perhaps irregular, becoming more regular 'lifting up' contractions, where the muscle fibres pull upwards and gather the top of the womb: this can be described as 'tightenings', 'rushes', 'waves' and 'surges' that come every few minutes, with complete relaxation inbetween.

Contractions are most effective with very deep, slow breathing and complete physical release... "floppy like a rag-doll"

This ensures optimum blood flow down to the muscle layer of the uterus, enabling it to work efficiently:

dilation
Each subsequent 'lifting up' contraction causes more and more muscle fibres to be retained and build up at the top of the womb (the fundus). The subsequent reduction in volume inches the baby down to rotate through the pelvis (with the support of a strong pelvic floor). A baby who is optimally positioned also presses against the softening, thinning, progressively opening cervix...

What is a contraction

When the fundus is nice and bulky, and the baby has decended deep within the pelvis, adrenaline is suddenly released (aka 'transition') (read my transition article including experiences from hypnobirthers).

Transition shifts things up a gear, and instead of 'lifting up', the muscle fibres are now increasingly and automatically pushing down instead. The fundus acts as a piston, with powerful expulsive surges sliding the baby down through the stretchy, widening vagina and vulva:


438x718
Bearing down 2nd stageBearing down 2nd stage

Crowning hypnobirthing

Following baby's crowning, rotation (restitution) and birth, the placenta gradually detaches from the lining of the womb, before being birthed by the recurrence of a few expulsive contractions.

hypnobirthing for 3rd stage
hypnobirthing for the placenta

Next steps...


Read my articles on:-

Giving birth in a coma

The transition phase