Labor and Delivery How Long Does Labor Last? By Robin Elise Weiss, PhD, MPH Robin Elise Weiss, PhD, MPH LinkedIn Twitter Robin Elise Weiss, PhD, MPH is a professor, author, childbirth and postpartum educator, certified doula, and lactation counselor. Learn about our editorial process Updated on November 02, 2022 Medically reviewed by Brian Levine, MD, MS, FACOG Medically reviewed by Brian Levine, MD, MS, FACOG Brian Levine, MD, MS, FACOG, is board-certified in obstetrics-gynecology, as well as reproductive endocrinology and infertility (REI). He is the director and founding partner of CCRM New York and was named a rising star by Super Doctors from 2017 to 2019. Learn about our Medical Review Board Print Verywell / Brianna Gilmartin Labor has three stages, but the active phase of the first stage is what many think of, as it is when contractions become strong and frequent. This phase can last 4 to 8 hours. In total, all of the stages of labor—from when the baby 'drops' (lightening) to delivery of the placenta—can take 12 to 24 hours for first births and about 8 to 10 hours for subsequent ones. These ranges may not match up with what you've heard friends report about their experiences, however. While it's normal to wonder what the average labor time is for most women, especially as your due date approaches, it's important to remember that every labor and delivery is different, and labor time is often very unpredictable. Furthermore, how labor time is counted can vary, which affects reports that come from researchers and healthcare providers (and, therefore, reported statistics). 1:57 Moms Share What Labor Was Actually Like for Them Average Delivery Time for First Baby The chart below includes the lengths of the stages of labor. For the purposes of statistical analysis, these numbers may be reported separately or lumped together. This can help explain why you may see differences in average delivery times when reading up on the topic. If this is your first baby, you may find that the higher ends of these timeframes apply in your case (though that's not a given). Here is approximately how long you can expect each stage of labor to last: Average Delivery Time Labor Stage Duration (Approx.) What's Happening? 1st 12-19 hours Contractions occur causing effacement and dilation of the cervix from around 4 to 10 centimeters (full dilation); occurs in three phases 2nd 20 minutes-2 hours Pushing the baby through the birth canal and delivering; intervention usually recommended when time in this stage exceeds 3 to 4 hours 3rd 5-30 minutes Placenta is delivered (occurs after the baby is born) National Institutes of Health (NIH) Office of Research on Women's Health Breakdown of the Phases of Stage 1 The phases of stage 1 are generally defined as follows: Early labor phase (hours or, for first-time moms, possibly days): During this time, your cervix begins to dilate (opening from 4 to 6 centimeters) and efface (thin and soften). Contractions begin but are erratic, and you may lose your mucus plug. Lightening occurs to move the baby into position for birth.Active labor phase (about 4 to 8 hours): This is when your cervix works to fully dilate to 10 centimeters (at a rate of about 1 centimeter per hour) and contractions become stronger, more predictable, and more frequent. This period of time may be longer or shorter for some women; in fact, it can be especially short for those who have had a previous vaginal delivery.Transition (about 15 to 60 minutes): This is actually considered part of the active labor phase and is punctuated by stronger and stronger contractions. You will feel pain in your lower back/rectum and want to push—right now—but will be advised to wait until you are fully dilated. Some doctors and researchers consider the early labor and active phases of stage 1 one and the same. And since early labor doesn't happen in the hospital in most cases, it is hard for its duration to always be accurately measured. This is likely why it doesn't appear in much of the data that analyzes the length of labor—and why many studies vary in how it is documented. For this reason, many hospitals record data for active labor only. Longer Labors Women who remain in the first stage of labor for more than 17 hours are more likely to be considered for interventions to move things along. Common options include: Medications like Pitocin to strengthen contractions Cesarean (C-section) The use of forceps and episiotomy may also be considered in some cases. Some doctors are more conservative than others when making these determinations. Doctors will consider multiple factors—including recommended laboring time limits and whether or not the mother and baby appear to be doing well—when deciding how long to let labor continue. When It's Time to Go to the Hospital Factors Affecting Labor Length The length and experience of each labor are different for every woman and pregnancy. Though the duration of one's labor can't be guaranteed, there are a variety of factors that can influence it. Some include: Whether not it's your first vaginal birth: Subsequent births, on average, are quicker. The shorter labors of women who have already given birth are thought to be because the body remains looser after the previous delivery. Also, the body may simply be more attuned to the process from having done it before. Your pelvis (shape and size): A smaller, narrower pelvis may contribute to longer labor. Maternal age: Older mothers are known to labor longer. Higher maternal body mass index: Studies show that mothers who are overweight have longer labors. The baby's position: If the baby has dropped and is in the optimal position (head down and facing your back), labor will likely be speedier. Contraction strength and timing: When contractions are more intense, regular, and closer together, labor is likely to progress more quickly. Use of labor-induction drugs: Such intervention is usually done when labor is not progressing adequately. Its purpose is to intensify contractions and speed up labor, which can lead to birth in a matter of a few hours for some women. However, if you have a fully closed cervix at the time of induction, you may still not give birth for days. Use of epidural: Some studies show that having an epidural may add some time to your labor (anywhere from 30 minutes to 2 hours). However, the American Society of Anesthesiologists disputes this, asserting that when labor is extended, it is usually due to factors such as the position of the baby—not the epidural. In fact, they cite evidence that epidurals may reduce the duration of the first stage of labor by allowing the mother to relax. How to Use Mindful Childbirth Labor Times: Then and Now What laboring mothers experience has changed over time with the advent of pain interventions, new offerings at hospitals (such as baths for water births), and much more. Labor time has changed too, mainly due to when women are choosing to have their babies and how doctors are now approaching later-stage deliveries. Maternal Age A study done by the NIH compared data on almost 138,000 spontaneous, singleton births from two time periods: 2002-2008 and 1959-1966. The review showed that the average time spent in active labor was longer for first-time moms in the more recent years than the earlier ones, when most labor patterns began to be recorded (6.5 hours versus less than 4 hours, respectively). Researchers attributed this to a variety of factors, the first one being that maternal age has increased. At the time of giving birth, the mothers in the early 2000s were, on average, about 4 years older than the women who gave birth in the 1960s. The study researchers cited that older mothers tend to take longer to give birth than younger mothers, as noted above. Delivery Practices In 1960s-era deliveries, many doctors used a surgical incision (episiotomy) to enlarge the vaginal opening during delivery or surgical instruments to extract the baby from the birth canal. Those interventions may speed delivery but are now less common due to the potential of adverse effects. Today, doctors may intervene when labor fails to progress by administering Pitocin or performing a C-section. In fact, the rate of Cesarean delivery was four times higher in the early 2000s than it was 50 years prior. These are very different delivery procedures that can have an effect on labor and delivery data. Furthermore, despite some lingering reluctance by some doctors, others may allow women to labor longer than in the past. A 2018 comprehensive review of research on labor in low-risk women noted that many women can safely continue to labor at the edges of the duration typically considered safe (or longer) as long as the labor is progressing and both mother and child are doing well. Types of Complications in Labor A Word From Verywell Knowing how long your labor will last would probably help satisfy some curiosity about the unknown. Unfortunately, like most everything with parenting, labor time isn't scripted. The average labor times can give you a sense of what you might experience, but your mind may be better focused on remaining flexible when it comes to your expectations and embracing the fact that every labor is unique. What Is the 4th Trimester? 10 Sources Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. March of Dimes. Stages of Labor. Cleveland Clinic. Labor & Delivery. National Institutes of Health Office of Research on Women's Health. Labor and birth. Mayo Clinic. Labor and delivery, postpartum care. Abalos E, Oladapo OT, Chamillard M, et al. Duration of spontaneous labour in 'low-risk' women with 'normal' perinatal outcomes: A systematic review. Eur J Obstet Gynecol Reprod Biol. 2018;223:123-132. doi:10.1016/j.ejogrb.2018.02.026 Chen H, Cao L, Cao W, Wang H, Zhu C, Zhou R. Factors affecting labor duration in Chinese pregnant women. Medicine (Baltimore). 2018;97(52):e13901. doi:10.1097/MD.0000000000013901 Hirshberg A, Levine LD, Srinivas S. Labor length among overweight and obese women undergoing induction of labor. J Matern Fetal Neonatal Med. 2014;27(17):1771-1775. doi:10.3109/14767058.2013.879705 Moghadam AD, Delpisheh A, Rezaeian M, Khosravi A. Factors affecting the labor : a review article. Biomed Pharmacol J. 2013;6(2):161-167. doi:10.13005/bpj/399 American Society of Anesthesiologists. Epidurals. Laughon SK, Branch DW, Beaver J, Zhang J. Changes in labor patterns over 50 years. Am J Obstet Gynecol. 2012;206(5):419.e1-9. doi:10.1016/j.ajog.2012.03.003 By Robin Elise Weiss, PhD, MPH Robin Elise Weiss, PhD, MPH is a professor, author, childbirth and postpartum educator, certified doula, and lactation counselor. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Cookies Settings Accept All Cookies