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Stages of labour

Definitions and expected duration.

Source: NICE NG235 (updated 2026)

Stage

Latent firstPainful contractions with cervical change up to 4 cm.
Established firstRegular painful contractions, progressive dilatation from 4 cm.
Passive secondFully dilated, no pushing yet.
Active secondBaby visible, expulsive contractions or active pushing at full dilatation.
ThirdBirth of baby to delivery of placenta and membranes.

Duration

First labourAverage 8 h; unlikely >18 h.
Later laboursAverage 5 h; unlikely >12 h.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.