Labor is progressing during this stage. Contractions are more painful and distraction may no longer be effective. As labor progresses a "ritual", the ame series of actions repeated with each contraction, can be comforting to some women. Although they often begin with relaxation, attention-focusing, and patterned breathing, spontaneous actions may qickly becaome part of the ritual.
--Hydrotherapy - baths or showers may be comforting
--Superficial application of heat or cold may exert direct and indirect effect on pain perception
--Walking may help
--Patterned breathing
--Massage if tolerated
--Changing of positions
--Helping her to relax is the goal of most comfort measures in labor, so do whatever makes her feel good
--Give her words of encouragement, she may think that she can not do this anymore, and it is so important that she hears that she is doing a great job