Know the Signs of Labor: Contractions and Key Indicators

Are you getting close to that big day when your little one decides to make their grand entrance into the world? If so, how do you know when it’s actually time to head to the hospital? That’s where knowing the signs of labor comes in! From those telltale contractions to other key indicators that your body is gearing up for action, we have the lowdown to help you know when you get ready for your baby to arrive.

Signs of Labor: What to Expect

Here's a quick guide to early and active labor signs so you know what to expect as the big day approaches.

Signs of Early Labor

If you’re getting close to your due date, you might start noticing some signs of early labor. Common symptoms include:

  • Irregular contractions. These contractions will feel like period cramps and be pretty mild. They are caused by your cervix changing in size and thickness to prepare for birth.

  • Lower back discomfort. You may feel pressure or mild pain in your lower back and pelvic area.

  • Upset stomach. An upset stomach or quick runs to the bathroom can be a sign of early labor.

  • Loss of the mucus plug. If you go to the bathroom and notice a thick discharge (sometimes streaked with blood), you could be losing your mucus plug.

  • Leaking (seriously). If you notice your water breaking, it'll involve you leaking or trickling fluid (amniotic fluid, not urine). This may not happen until active labor, though.

  • Nesting. A mental sign of labor that makes you feel that all house chores and projects must be completed ASAP to prepare for baby.

This list can help you tell the difference between true and early labor.

The Difference Between True Labor and False Labor

When you're in true labor, things really start kicking into gear. Signs of labor include:

  • Regular contractions. You'll start noticing your contractions are closer together, specifically 3-5 minutes apart.

  • Back pain. Back and pelvis pain may feel pretty intense.

  • Bloody show. You may notice slightly bloody brown or pink discharge, also known as "bloody show," which is totally normal!

  • Trouble talking through contractions. This is certainly a big sign that it won't be long before you meet your little one!

You might also start feeling a bit restless like you just can’t find a comfy spot. It’s like your body is telling you it’s go time! Make sure you’ve got your bag packed and your support squad on speed dial. 

Braxton Hicks Contractions vs Real Contractions

If you're pregnant and feeling those pesky tightening sensations in your belly, you might be wondering if it’s just Braxton Hicks contractions or the real deal. So, here’s the scoop: Braxton Hicks don’t hurt and usually come and go like a warm-up before the main event. On the flip side, true labor contractions are the ones you'll want to pay attention to. They're usually more intense, get closer together, and will definitely have you feeling like, “Okay, this is it!” You'll know when you know! 

When to Labor at Home or Go to the Hospital for Labor & Delivery

It's a question all new moms ask as they approach their due date. So what's the answer? When you time your contractions, a good rule of thumb is to go when your contractions are about five minutes apart and lasting at least sixty seconds for an hour. If your water breaks, go ahead and call your provider to see what they want you to do! Sometimes they want you to come in (especially if your fluid smells or is tinted brown). Also, if you're feeling any intense pain or have any weird symptoms, like bleeding, it’s better to be safe than sorry. If you’re unsure, just call your healthcare provider; they’ll help you figure it out. 

Tips for Managing Early Labor Contractions at Home

If you're experiencing the beginning of labor at home, don’t panic! Here are some tips to manage this phase of labor:

  • Try to stay relaxed. Deep breathing can really help, so take a moment to focus on your breath.

  • Find a comfy spot to rest. Whether it's your bed or the couch, get comfy and cozy.

  • Be sure to eat. You may not want to eat later on in labor, so this is your time to eat a nutritious meal. Try to avoid fast-food if possible - it can lead to an upset stomach later on.

  • Light moving. Gentle walking can actually help things move along.

  • Keep yourself distracted. Play some music or watch something funny to keep your spirits up and help keep your mind off the contractions.

  • Stay hydrated. Don’t forget to stay hydrated! Sipping on some water or herbal tea can keep you feeling good while you wait for things to progress.

Remember, every contraction brings you closer to labor and delivery, where you'll meet your little one! 

What to Pack in Your Hospital Bag

If you’re gearing up for the big day, packing your hospital bag is super important! Here are some things to start with:

  • Something comfy and cozy to wear. The last thing you want to be is uncomfortable. Pack your favorite and most most comfortable clothes. Don't forget those fuzzy socks!

  • Bath items. Shampoo, conditioner, lotion, and anything else that will freshen you up and make you feel like 'you' again after labor.

  • Phone charger. You don't want your phone to die when you're about to capture those first adorable moments!

  • Baby items (of course). We know you're already thinking about the baby's "first outfit" and all the things, but we had to mention it anyway!

We barely scratched the surface, so here's a complete list of what you should pack in your hospital bag.

Conclusion

First pregnancy? No problem! Signs of labor may start popping up as you hit those last few weeks of pregnancy. You might notice that your baby drops and those contractions may get stronger. That's usually the start of labor. The first stage of labor kicks in when your uterus starts to dilate and efface. Remember, it can be tricky to tell when labor begins—sometimes, it’s just Braxton Hicks contractions messing with you! But when you see that bloody show or feel a gush of fluid, you’ll know the onset of labor is here. 

As you move through the stages of labor, watch for stronger contractions. If you’re not quite ready for the hospital, some people labor at home until it’s time.

Jessica Lagrone, CCCE

Jessica is a certified childbirth educator, doula, and mom of three girls. With her first, Jessica was so frustrated at all the information out there about birth and postpartum life that seemed to contradict itself. It was this reality that inspired her to create Balanced Families® - a place for truly balanced, un-biased and evidence-based information for families.

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