We will help you develop a birth plan that is structured with your individual needs and goals. Although every birth is unique there is a series of stages, that often differ in length for every woman and every labor.

1st stage:

  • when the cervix dialates (opens) from 0-10 cm
  • contractions increase in strength as labor progresses.
  • when contractions increase to approximaely every two minutes and your cervix is changing you are considered to be in active labor.
  • when moving from the first stage to the second stage you are considered to be in transition labor. This may cause the feeling or urge to "push" or "bear down".

2nd stage:

  • the baby's head appears at the top of the cervix
  • contractions continue to get stronger and active pushing is necessary
  • the baby's head will "crown" followed by the shoulders

3rd stage:

  • final stage of labor is the delivery of the placenta


A C-section or Cesarean section is a surgical proceure in which in incision is made through a woman's abdomen and uterus to deliver the baby.

Common reasons for a C-section are:

  • complications of labor and vaginal delivery that could threaten the life or health of the mother or baby
  • mother has had a previous c-section
  • difficult labor, failure to progress
  • fetal distress
  • baby is in breech position

1813 West Harvard, Suite 542

Roseburg, Oregon  97471