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Labor is defined as regular and painful uterine contractions that cause progressive dilation and effacement of the cervix. The World Health Organization (WHO) defined normal birth as "spontaneous in onset, low-risk at the start of labor and remaining so throughout labor and delivery What are the 4 stages of labor? Labor happens in four stages: First stage: Dilation of the cervix (mouth of the uterus) Second stage: Delivery of the baby. Third stage: Afterbirth where you push out the placenta. Fourth stage: Recovery.