Signs of Labor

As your due date gets closer, you may feel a mix of excitement and nervousness.  Knowing what to expect can help you feel more prepared.

Remember:

• You may go into labor before or after your expected due date.
• If you have questions, it's better to ask!

Contractions:

• Labor contractions come at regular intervals and usually last 30 to 70 seconds.
• They'll become stronger and more intense over time, feeling like a tightening in your abdomen.
• They may not go away when you walk or change positions, unlike Braxton Hicks contractions, which usually stop.

Other common symptoms:

• Lower back pain that may be constant or come and go.  This can feel different from what you're used to.
• Your water breaking, which can feel like a sudden gush or a slow leak of fluid.
• A feeling of pressure or fullness in your pelvis as your cervix begins to open (dilate) and thin out (efface).
• Pink or bloody discharge, known as the “bloody show,” a sign that labor is near.

Braxton Hicks contractions, often called “practice contractions,” can happen throughout pregnancy.

How to tell if they're Braxton Hicks:

• They usually don't come at regular intervals, unlike true labor contractions.
• They tend to be less intense and may feel like mild tightening or pressure.
• They often stop when you change positions, walk around, rest, or drink water.

Call your OB provider or go directly to the hospital if:

• You've had contractions that are 5 to 7 minutes apart, lasting about 60 seconds each, for at least an hour.
• You're planning to have a C-section and start having any contractions at all.
• Your water breaks, even if you don't have contractions yet.
• You have severe abdominal pain or lower back pain that doesn’t go away.
• You notice heavy bleeding (more than just spotting).
• You feel a significant decrease in your baby’s movements or activity.

Remember, if you've had a vaginal delivery before, go to the hospital as soon as you think you're in labor.  This delivery will likely be much faster.

If you feel anxious or unsure about your symptoms, call your health care provider for guidance.