Signs of Labor
Each woman handles her pregnancy in a unique way. The same holds true for labor. The more you
understand the childbirth process, the more calm and effective you will be during labor and delivery.
Here is a list of common labor signs. You may experience one of them…you may experience all of them.
Whatever your experience, all of us at FHN are right here to support you. Call us at 815-599-7750 if you need
help determining if you are in labor.
- Loss of mucus plug – There is a thick mucus "plug" that seals the cervix and uterus. It can be loosened prior
to labor and may pass from the vagina. This does not mean you are in labor or even that you'll soon go into
labor. But it is a sign that your body is preparing for childbirth.
- Diarrhea – Contractions can stimulate your bowels and cause loose stools.
- Bloody show – As your cervix thins and begins to open up, you may experience a thick discharge, perhaps
tinged with blood. This "bloody show" can happen at the beginning of labor or up to a week prior to labor.
If you experience any bright red bleeding, call your provider immediately for evaluation.
- Water "breaking" – Your water may "break" as an abrupt gush or slow trickle of amniotic fluid. You cannot
control its flow. This fluid may be clear or tinged with yellow, pink, or green. If you think your water may
have "broken", you should call a member of your healthcare team for evaluation.
- Contractions – When you feel tightening or cramping across your belly, this can be the start of labor.
Sometimes, contractions are also felt in your lower back or are compared to menstrual cramps. Once
contractions start you should time them – from the beginning of one to the beginning of the next. This
helps measure your progress. You should come to the hospital when your contractions are less than five minutes apart for one hour.
True Labor vs. Pre-labor
"Am I in labor?" Toward the end of your pregnancy, you may feel tightening, cramps, and contractions that
make you start to wonder if the time is near. But it isn't true labor until your cervix begins to dilate. When it
starts to stretch and thin, you will officially be in labor.
Here is some information to help you determine the differences between pre-labor contractions (also known
as false labor) and true labor.
IS IT TRUE LABOR?
Becomes regular in timing between contractions |
Remains irregular |
Becomes closer in timing between contractions |
Does not become closer together |
Becomes progressively longer |
Is short in duration (lasts from 15 to 45 seconds) |
Becomes more intense (difficult to breathe through) |
Does not increase in intensity |
Does not stop with position changes or activity |
May stop with activity, position changes, or comfort measures |
Causes the cervix to thin and dilate |
Does not cause the cervix to dilate |
LABOR COMFORT MEASURES
WHAT YOU'RE FEELING |
WHAT THE CAUSE COULD BE |
WHAT YOU CAN DO |
Contractions |
- Dehydration
- Overexertion
- Labor
- Sexual intercourse
|
- Hydrate
- Take Tylenol
- Take a warm bath
|
If none of these comfort measures help, call a member of your healthcare team.
WISE TIPS FROM FHN
Keep up with your Kegels – exercises that strengthen the pelvic floor muscles, which support
your bladder, bowels, and uterus. This exercise can help simplify your delivery and prevent
problems later with incontinence. Just practice squeezing as though you're stopping the flow of
urine when you use the bathroom
For complete instructions, see page 39 of Your Pregnancy Guide PDF.