As your due date approaches, you might find yourself wondering, “How will I know when it’s time to head to the hospital or birth centre?” It’s a question every expectant parent asks, and the answer is both exciting and reassuring: your body will give you clear signs of labour when the big moment is near.
This guide will walk you through the common signs of labour, how to differentiate between false alarms and the real thing, and tips on when to make your move.
Understanding the Stages of Labor
Before diving into the signs, let’s quickly outline the three stages of labour:
- Early Labor: This stage begins with mild contractions and cervical dilation (up to 6 cm). It can last hours or even days.
- Active Labor: Contractions become stronger and more regular, and your cervix dilates from 6 to 10 cm. This is when you’ll likely head to the hospital or birth centre.
- Delivery and Postpartum: This stage begins with pushing and ends with the delivery of your baby and placenta.
The key is recognizing when you’ve transitioned from early to active labour, which we’ll cover below.
Signs of Labor: What to Look For
Labour often starts subtly, and every woman’s experience is unique. Here are the most common signs:
1. Regular, Strong Contractions
- What They Feel Like: Contractions may start as mild cramping (like period cramps) and gradually increase in intensity and frequency. They often come in waves, starting in the back and moving to the front.
- Key Indicator: True labour contractions follow a consistent pattern, becoming closer together, longer in duration, and more intense.
Tip: Use the “5-1-1 Rule” to gauge when it’s time to go: contractions are 5 minutes apart, last 1 minute each, and continue for at least 1 hour.
2. Water Breaking
- What Happens: The amniotic sac surrounding your baby ruptures, causing a gush or trickle of fluid.
- Key Indicator: Unlike urine, amniotic fluid is usually clear and odourless.
When to Go: If your water breaks—especially if the fluid is green or yellow (a sign of meconium)—call your healthcare provider immediately.
3. Bloody Show or Mucus Plug
- What It Is: The mucus plug, which blocks the cervix during pregnancy, may dislodge as your body prepares for labour. This often appears as a thick, jelly-like discharge tinged with blood.
- Key Indicator: While it’s a sign labour is approaching, it doesn’t always mean it’s time to head to the hospital.
4. Lower Back Pain
- What It Feels Like: Persistent, dull back pain that doesn’t go away may be a sign of labour, especially if it accompanies contractions.
- Key Indicator: Back labour occurs when the baby’s head presses against your lower spine.
5. Pelvic Pressure
- What It Is: As your baby moves lower into the birth canal, you may feel an increased pressure in your pelvis or the urge to push.
- Key Indicator: This usually signals the later stages of labour, especially if combined with other signs.
6. Nausea or Digestive Changes
- What Happens: Some women experience nausea, diarrhoea, or an upset stomach as labour begins.
- Key Indicator: These symptoms can signal that your body is clearing out in preparation for birth.
7. Intuition
- What It Feels Like: Many women describe a “gut feeling” or a sense that labour is starting. Trust your instincts!
How to Tell Real Labor from False Alarms
It’s not uncommon to experience signs that mimic labour but aren’t the real deal. Here’s how to differentiate:
False Labor (Braxton Hicks Contractions)
- Irregular in timing.
- Do not increase in intensity.
- Often go away with rest, hydration, or changing positions.
Find out more about Braxton Hicks here
True Labor
- Contractions become regular, more intense, and closer together.
- Pain doesn’t subside with rest or movement.
- Accompanied by other signs like water breaking or pelvic pressure.
Tip: If you’re unsure, don’t hesitate to call your healthcare provider for guidance.
When to Go to the Hospital or Birth Center
Every pregnancy is unique, so follow your healthcare provider’s recommendations. In general:
- First-Time Moms: Head to the hospital when contractions are 5 minutes apart, lasting 1 minute, for at least 1 hour.
- Experienced Moms: Your labour may progress faster, so head in sooner if contractions are regular and strong.
Other reasons to go immediately:
- Your water breaks, especially if the fluid isn’t clear.
- You experience heavy bleeding (more than spotting).
- You feel reduced fetal movement.
Preparing for the Hospital or Birth Center
Having a plan in place can reduce stress when the time comes.
What to Pack in Your Hospital Bag
- For Mom: Comfortable clothes, toiletries, nursing bras, and a robe.
- For Baby: Onesies, a going-home outfit, and a blanket.
- For Your Partner: Snacks, phone chargers, and a change of clothes.
Know the Route
Familiarize yourself with the fastest route to your hospital or birth centre and have a backup plan in case of traffic.
Call Ahead
Notify the hospital or birth centre when you’re on your way so they can prepare for your arrival.
What Happens When You Arrive
Upon arrival, hospital staff will check several things:
- Contraction Pattern: They’ll monitor the frequency and intensity of your contractions.
- Cervical Dilation: A pelvic exam will determine how far along you are.
- Baby’s Position and Heart Rate: This ensures your baby is handling labour well.
Based on these findings, they’ll admit you or suggest going home to labour longer.
What If You’re Not Sure?
It’s always better to err on the side of caution. If you’re unsure whether it’s time, call your doctor or midwife. They can guide you based on your symptoms and stage of pregnancy.
Tips for Staying Calm During Early Labor
- Focus on Breathing: Practice deep breathing exercises to stay relaxed.
- Distract Yourself: Watch a movie, take a walk, or enjoy a warm bath.
- Stay Nourished: Eat light, easily digestible snacks for energy.
Final Thoughts
Recognizing the signs of labour and knowing when to head to the hospital or birth centre is key to a smooth delivery experience. While every labour journey is unique, being informed and prepared can help you feel confident and calm as you welcome your baby into the world.
Remember, trust your body and instincts—this is your moment, and you’ve got this!
