•During the transition phase of the first phase of labor, the maximum cervical dilation of 8 to 10 cm occurs, contractions reach their peak of intensity and occurring every 2 to 3 minutes and a duration of 60 to 90 seconds.
•During the transition phase, the woman may experience intense discomfort so strong it is accompanied by nausea and vomiting . Because of the intensity and duration of the contractions, she may experience a feeling of loss of control, anxiety, panic and irritability. Since dilatation continues at a rapid rate, the membranes rupture and heavy show is present.
Uncontrollable urge to push or bear down and bulging at the perineum are signs of the second stage of labor