Signs of Labor

Recognizing the signs of labor can be a bit confusing, especially for first-time mothers, as there are various factors at play. It’s important to be familiar with the signs of both true labor and false labor (also known as Braxton Hicks contractions) so that you can determine when it’s time to contact your healthcare provider or head to the hospital.

True Labor Signs:

Contractions: True labor contractions are regular, increasingly intense, and occur at regular intervals. They often start in the lower back and move to the front of the abdomen. They don’t go away with rest or a change in position.

Progressive Changes: As true labor progresses, contractions become closer together and more intense. Over time, they consistently become stronger, longer, and more frequent.

Cervical Changes: True labor leads to the cervix dilating and effacing (thinning out). You might notice a “bloody show” – a pinkish or brownish discharge caused by the rupture of small blood vessels in the cervix.

Baby’s Position: As labor begins, you might feel your baby’s head engaging deeper into the pelvis.

False Labor Signs (Braxton Hicks Contractions):

Irregular Contractions: Braxton Hicks contractions are often irregular in timing and intensity. They don’t follow a consistent pattern.

No Progression: These contractions tend to stay the same in terms of intensity and frequency, rather than becoming stronger over time.

Pain Location: Braxton Hicks contractions are typically felt more in the front of the abdomen and may not be as intense as true labor contractions.

When to Call Your Doctor or Midwife:

Water Breaking: If your water breaks (rupture of the amniotic sac), contact your doctor or midwife, even if you’re not experiencing contractions yet.

Vaginal Bleeding: If you experience heavy bleeding, seek medical attention immediately.

Decreased Fetal Movement: If you notice a significant decrease in your baby’s movement, let your healthcare provider know.

Contractions: If you’re experiencing regular contractions that are getting stronger and closer together, especially if you’re near your due date, contact your doctor or midwife for guidance.

When to Go to the Hospital:

Active Labor: Typically, you should head to the hospital when your contractions are about 5 minutes apart, lasting about 60 seconds each, and this pattern has been consistent for at least an hour.

Water Breaking: If your water breaks and the fluid is clear or slightly pink, you should head to the hospital. If the fluid is green or brown, it could indicate fetal distress, and you should seek medical attention immediately.

Significant Discomfort or Pain: If you’re in significant pain or discomfort and are unable to manage it at home, it’s a good time to go to the hospital.

Always remember that each pregnancy and labor experience is unique, so it’s important to follow your instincts and communicate with your healthcare provider throughout the process. If you’re ever uncertain about whether you’re in labor or how to proceed, don’t hesitate to reach out to your healthcare provider for guidance.

Additional Sources:

March of Dimes: https://www.marchofdimes.org/find-support/topics/birth/contractions-and-signs-labor

Cleveland Clinic: https://my.clevelandclinic.org/health/symptoms/22965-braxton-hicks