The second stage begins when the cervix is fully dilated. You may not have strong pushing contractions straight away. Some women have a short pause - if this happens to you, make the most of it and gather strength for the work ahead. This stage may consist of just a couple of contractions, or it may take as long as two hours. For some women it is quite easy, others find it hard, exhausting work. Like the first stage, it is generally longer if this is your first baby.