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- [Narrator] During a vaginal childbirth, the first stage of labor lasts about 12 to 19 hours and starts when your baby settles lower into your pelvis. In response, your cervix begins to efface or become thinner and dilate or widen. During this time, you may feel strong regular contractions occurring every 5 to 20 minutes and lower back pain and cramping that doesnt go away. You may see a brownish or reddish mucus discharge, which could be the mucus plug at the opening of your cervix falling out. Your water may break, which can either be a large gush of fluid or a continuous trickle. If you experience any of these symptoms, contact your doctor or midwife to see if you should go to the hospital. At the beginning of stage two of labor, which can last from a few minutes to three hours, your cervix is fully dilated to 10 centimeters, and your babys head has moved beyond the cervical opening into your birth canal. During this stage, you will begin to push your baby out. You may instinctiv