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How to Know When You’re in Labour: A Guide for Expectant Parents
As you enter into your due time (remember: this is a 4 week window from 37-41 weeks, not a singular date!), it’s natural to wonder: How will I know when I’m actually in labour? It can be tricky to distinguish between the early signs of labour and just normal pregnancy discomfort. To help you feel more confident, here’s a breakdown of common labour signs and how to tell when it’s time to head to the hospital or call your midwife.
1. Contractions / Surges
One of the most obvious signs that you're in labour is the onset of contractions. Early contractions can feel like strong period cramps or lower back pain. These contractions may come and go, or they might be irregular at first. Over time, the intensity will increase, and they’ll become more regular, closer together, and longer in duration.
When to take action:
If your contractions are regular, lasting for at least 30 seconds, and about 5 minutes apart, it’s time to call your healthcare provider.
For first-time mums, you may be advised to come to the hospital when contractions are about 4-5 minutes apart. For those who have given birth before, you may need to go sooner.
2. Water Breaking
The sensation of your water breaking, also known as ruptured membranes, can happen as a dramatic gush or a slow trickle of fluid. This fluid is usually clear or light yellow and is a clear sign that labour is near or has already begun.
When to take action:
If your water breaks or you even have the slightest uncertainty about it, even if you aren’t having contractions, you should call your hospital. It’s important to go to the hospital or birthing centre because the risk of infection increases after the water breaks.
3. Bloody Show
A "bloody show" is a pink or brown-tinged mucousy discharge that you may notice as the cervix starts to dilate (I implore you not to google image search this one, trust me!). It happens because the mucus plug, which has been sealing the cervix during pregnancy, begins to come out. This can happen a few days or weeks before anything else, so it’s a good sign that your body is preparing for labour, but not usually a sign of imminent labour.
4. Back Pain and Cramping
Some women experience severe lower back pain during labour, especially if the baby is in a posterior position (facing the front). This back pain often feels different from normal pregnancy aches and can come in waves, in conjunction with contractions. You may also experience cramping in your lower abdomen.
When to take action:
If the back pain intensifies with contractions or feels different from your usual discomfort, it could be a sign that labour is starting. Let your provider know if you have any concerns.
5. Nausea and Vomiting
Some women experience nausea and vomiting as they approach labour, which can be a result of the body’s hormonal changes. This can also happen as your body prepares to deliver.
When to take action:
Nausea in early labour isn’t uncommon, but if you’re feeling particularly unwell or this is combined with strong contractions, it may be time to head to the hospital.
In Summary:
Labour is a unique experience for every woman or birthing person, and while these signs are common, they may not all happen in the same order or at the same time. Trust your instincts and reach out to your healthcare provider if you’re unsure or if something feels different. Keep in mind, even if you're not sure whether you're in labour, it’s better to call and ask than to wait too long.
Our courses teach parents all of these signs and more. Being prepared and knowing what to look for can help you feel more confident as you approach this exciting (and intense!) time. Stay calm, and remember, you’ve got this! 💪✨