How can a pregnant client indicate that she has understood she is in the second stage of labor?

In the context of labor, the second stage is defined as the period during which the baby is moving down the birth canal and is being pushed out. A crucial indicator that a pregnant client is in this stage is the complete dilation of the cervix, which is confirmed at 10 centimeters. When a client states that her cervix is completely dilated, it shows her awareness that she has progressed from the first stage of labor—characterized by cervical effacement and dilation—into the second stage, where active pushing typically begins.

This understanding is fundamental in labor management, as it means that the client has reached a point at which she can actively participate in the birthing process. While other statements such as feeling strong contractions, the ability to push, or an urge to bear down can hint at being in the second stage, they do not explicitly confirm complete dilation, which is the definitive hallmark of transitioning into this critical phase of labor. Recognizing cervical dilation is essential for healthcare providers to monitor progress correctly and offer the appropriate support and interventions during delivery.