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?

Yes No
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.