Consisting of a series of regular uterine contractions that are either medically induced or involuntary, labour is characterised by the effacement (shortening and thinning) and dilatation of the uterine cervix. The following is how the World Health Organization (WHO) defines a normal birth: At the beginning of labour and throughout labour and delivery, the birth is spontaneous in onset and low risk. Between 37 and 42 weeks of gestation, the baby is born on its own in the vertex position. Mother and child are in good health after giving delivery. Although the exact cause of labour is uncertain, digitally manipulating or manually stretching the cervix during an exam increases uterine contractile activity, most likely by causing the posterior pituitary gland to produce more oxytocin. Within two weeks of the anticipated delivery date (either before or after), normal labour typically starts. Labor typically lasts 12 to 18 hours on average during a first pregnancy; subsequent labours are frequently quicker, lasting 6 to 8 hours on average.
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