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During childbirth contractions, a woman's body undergoes significant changes. The uterus consists of three layers: the innermost layer has circular muscles that are densest near the cervix, the middle layer contains interwoven blood vessels, and the outer layer comprises vertical muscles. When a contraction occurs, these muscles work together in a coordinated effort to help push the baby out. While contractions may feel chaotic and intense, the underlying physiological process is relatively straightforward. Understanding the structure and function of the uterus can help clarify what is happening during this key stage of childbirth.