Pregnancy involves three trimesters with various physical and emotional changes. Labor has four stages from early contractions to delivery of the placenta. While movies portray birth as clean, it actually involves bodily discharges of blood, feces, and urine. Coping strategies for labor include hypnosis, movement, water, touch and positioning to use gravity. Things to avoid are lying on the back, episiotomy, and immediate cord clamping. After birth, bonding with the newborn through breastfeeding is important.