K E Y I N D I C A T O R S

P H A S E S

Signs of ProgressionPhases of Progress and Their Key Indicators during Child Birth

Signs of ProgressionPhases of Progress and Their Key Indicators during Child Birth

EffacementRipening Dilation Cervical Position Rotation Baby's

Station

© 2012 Rachel Leavitt, RN BNS CD© 2012 Rachel Leavitt, RN BNS CD

progesterone release, which also causes:

diarrheadiarrhea

nauseanausea

early contractions

blood-tinged mucus (bloody show or

mucus plug)

regular, rhythmic

contractions

bag of waters

breaking*

backache causing restlessness

(a need to keep changing positions)

pelvic floor pressure

cramps that come and go

*Other factors may cause the bag of waters to break. *Other factors may cause the bag of waters to break.

S A M P L ES A M P L E