HealthPartners - Preparing for childbirth

Fourth Stage of Labor This final stage of labor is also called recovery. It includes the first 2 or 3 hours after your baby is born. For the first hour, your blood pressure, heart rate, and temperature will be checked closely. You may experience chills, dizziness, or discomfort from after-pains, an episiotomy, or tears. The fundus is now at the level of your belly button. Your health care provider will use their hands to feel for it and check its firmness. If your uterus isn’t firm, it could cause excessive vaginal bleeding. To help your uterus firm up and stop cramping, your provider may massage the fundus or give you medication. Fundal massage may be uncomfortable, but it is effective. Breastfeeding and skin-to-skin contact with your baby can also help your uterus contract and minimize bleeding.

Water Birth Giving birth in a tub of warm water has gained popularity since the 1980s. Some people believe that since babies have been surrounded by amniotic fluid for nine months, it is easier for them to be born into a similar environment. Having a water birth may also be less stressful for you. While this practice is more common in home births and at birth centers, some hospitals also offer water births. A hospital-based midwife may oversee the process. Birth centers and hospitals have specific policies, procedures, and equipment for water births. If you want to have a water birth, be sure to talk to your health care provider early in your pregnancy.

62 Your Guide to Labor and Birth