A woman knows she's going into labor through a combination of signs, primarily contractions, a change in vaginal discharge (the "show"), and sometimes, her water breaking.
Here's a breakdown of the key indicators:
Signs of Labor
-
Contractions: These are the most reliable sign of labor.
- True Labor Contractions: These become progressively stronger, longer, and closer together. They don't go away when you change positions or rest. They are typically felt in the lower back and abdomen.
- Braxton Hicks Contractions: These are "practice" contractions that can occur throughout pregnancy. They are usually irregular, infrequent, and less intense than true labor contractions. They may stop when you change position.
Feature True Labor Contractions Braxton Hicks Contractions Frequency Regular and increasing Irregular Intensity Increasing Usually mild Duration Increasing Usually short Location Lower back and abdomen Front of abdomen Change with Rest No Yes -
The "Show": This is the release of the mucus plug that has been blocking the cervix during pregnancy. It may be clear, pinkish, or slightly bloody. While losing the mucus plug is a sign that labor is approaching, it doesn't necessarily mean labor is imminent, and it can happen days or even weeks before labor begins.
-
Water Breaking (Rupture of Membranes): This occurs when the amniotic sac that surrounds the baby ruptures, releasing amniotic fluid. The fluid can gush out or leak slowly. If your water breaks, it's crucial to contact your doctor or midwife immediately, even if you aren't experiencing contractions.
-
Other Potential Signs:
- Back pain: A persistent ache in the lower back.
- Diarrhea: Due to the body clearing out in preparation for labor.
- Nausea: Similar to morning sickness.
- Feeling the baby drop: This is known as lightening and can occur a few weeks before labor, particularly in first-time pregnancies. It may not occur until labor starts in subsequent pregnancies.
What to Do When You Think You Are In Labor
- Time your contractions: Note the start time, end time, and length of each contraction. This information is crucial for your healthcare provider.
- Call your doctor or midwife: They can assess your symptoms and advise you on when to go to the hospital or birthing center.
- Prepare for labor: If you are instructed to go to the hospital or birthing center, gather your belongings and make arrangements for childcare or pet care, if needed.
Recognizing the signs of labor is essential for a smooth and safe delivery. If you are unsure whether you are in labor, always contact your healthcare provider for guidance.
