Understanding the "Quietude" or "Rest and Be Thankful" Phase in Labour
Labour is a complex and transformative experience, with each phase playing a crucial role in bringing a new life into the world. One of the most intriguing and often less discussed phases is the "quietude" phase, also known as the "rest and be thankful" phase or the "transition phase." This remarkable moment, coined by midwife Whapio Diane Bartlett, occurs just before the mother begins to push, marking a brief period of calm and preparation. In this blog post, we will delve deeper into the science behind this phase and explore its significance in the labour process.
What is the Quietude Phase?
The quietude phase typically occurs when the cervix has reached full dilation (10 cm) and the body transitions from the first stage of labour (dilation) to the second stage (pushing). This phase is characterized by a sudden lull in activity, providing the mother with a moment of rest and recovery before the intense effort of pushing begins.
The Science Behind the Quietude Phase
Several physiological and hormonal changes contribute to this moment of calm:
Hormonal Changes:
Oxytocin Surge: Oxytocin, known as the "love hormone," plays a vital role in stimulating uterine contractions. During the quietude phase, there is a significant surge in oxytocin levels, which helps prepare the uterus for the pushing stage while also promoting a sense of calm and bonding.
Endorphin Release: Endorphins are the body's natural painkillers. They are released in response to stress and pain, providing pain relief and inducing a sense of well-being. The increase in endorphins during this phase helps the mother manage pain and feel more relaxed.
Neurotransmitter Shifts:
Serotonin: This neurotransmitter contributes to feelings of well-being and happiness. An increase in serotonin levels can help the mother feel more relaxed and focused.
Dopamine: Often associated with pleasure and reward, dopamine levels also rise, contributing to a sense of calm and readiness.
Physical Exhaustion:
After the intense contractions of the first stage of labour, the body naturally takes a brief rest. This pause allows the mother to conserve energy and gather strength for the demanding task of pushing.
Natural Reflex:
The Ferguson reflex, an involuntary response to the pressure of the baby's head on the cervix and pelvic floor, triggers the urge to push. Before this reflex fully kicks in, there is often a brief period of calm, giving the mother a chance to rest.
The Importance of the Quietude Phase
The quietude phase is not just a physical respite but also a mental and emotional preparation. This brief lull allows the mother to:
Rest and Recharge: The body conserves energy, ensuring the mother has the strength needed for the pushing phase.
Mentally Prepare: The calm period provides a moment for the mother to gather her thoughts, focus, and mentally prepare for the final stage of labour.
Bond with the Baby: The surge of oxytocin promotes a sense of bonding and connection with the baby, even before birth.
Personal Experiences with the Quietude Phase
Many mothers who have experienced the quietude phase describe it as a profound and pivotal moment in their labour journey. Some report feeling a deep sense of calm and readiness, while others appreciate the brief respite before the intensity of pushing.
Have you witnessed or experienced the quietude phase in labour?
How did it impact your birthing experience?
What strategies or support helped you make the most of this phase?
The quietude or "rest and be thankful" phase is a unique and significant part of the labour process. Understanding the science behind this phase and recognizing its importance can help expectant mothers and their support teams better prepare for the birthing journey. By acknowledging and embracing this moment of calm, mothers can feel more empowered and ready for the final stage of bringing their baby into the world.
