Early Signs of Labor: What to Expect and When to Call Your Doctor

As your due date approaches, you might begin to wonder whether every cramp or tightening means that labor is starting. Understanding the early signs of labor helps expectant mothers feel more prepared and confident for what’s to come.

What Is Labor?

Labor is the body’s natural process of preparing for childbirth. It involves rhythmic contractions that help the cervix dilate and the baby move down the birth canal. However, before active labor begins, the body often sends early warning signals.

Common Early Signs of Labor

Not all women experience the same symptoms, but the following are among the most common early indicators:

• Lightening: The baby drops lower into the pelvis, making breathing easier but increasing pelvic pressure.
• Cervical changes: The cervix begins to soften, thin (efface), and slightly open (dilate).
• Loss of the mucus plug: A thick discharge that has protected the uterus may be expelled a few days before labor.
• Nesting instinct: A sudden burst of energy and the desire to prepare your home for the baby.
• Back pain and cramping: Discomfort in the lower back or abdomen as the body prepares for contractions.
• Regular contractions: Unlike Braxton Hicks, these become stronger and more consistent.
• Water breaking: The amniotic sac ruptures, signaling that labor may begin soon.

False Labor vs. True Labor

It’s common to confuse false labor (prodromal labor) with true labor. The key differences include:

• True labor contractions become stronger and closer together.
• They don’t stop when you move or rest.
• The pain usually starts in the back and moves to the front.
• False labor contractions often stop with rest or hydration.

When to Call Your Doctor or Midwife

You should contact your healthcare provider if:

• Your contractions become regular, strong, and about 5 minutes apart.
• Your water breaks (even without contractions).
• You experience vaginal bleeding or intense pelvic pressure.
• You notice a significant decrease in fetal movement.

Tips to Stay Calm and Prepared

• Keep your hospital bag ready in advance.
• Practice relaxation or breathing exercises.
• Stay hydrated and eat light snacks for energy.
• Have your transportation plan ready.

Every woman’s labor experience is unique. Some may have gradual symptoms, while others go into active labor suddenly. The best approach is to stay calm, listen to your body, and stay in touch with your healthcare provider.

References

• American College of Obstetricians and Gynecologists (ACOG). “Signs of Labor.”
• Mayo Clinic. “Labor and Delivery: First Signs and What to Expect.”
• National Health Service (NHS). “How to tell if you are in labor.”

Disclaimer

This article is for informational purposes only and should not be used as a substitute for professional medical advice. Always consult your healthcare provider for guidance specific to your pregnancy.