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Am I in labor?

Alternative names

False labor; Braxton Hicks contractions

The signs of true labor

If you've never given birth before, you may think you'll just know when the time comes. In reality, it isn't always easy to know when you're going into labor. The steps leading up to labor can drag on for days.

Keep in mind that your due date is just a general idea of when your labor may start. Normal term labor can start any time between 2 weeks before and 2 weeks after this date.

False labor (Braxton Hicks contractions)

Most pregnant women feel mild contractions as they near the end of their pregnancies and before labor begins. These are called Braxton Hicks contractions, or "false labor." Unlike true labor, false labor won't cause the cervix to open (dilate).

False labor contractions:

  • Can happen a month before or a day before you give birth.
  • May be irregular. They may be short or long, strong or weak. They may come and go and follow no pattern.
  • May not feel stronger or more intense over time.
  • May not radiate (reach out) to your upper belly or your back.
  • May lessen, stop, or change in some other way if you rest or change positions.

The closer you get to your due date, the harder it can be to tell false labor from true labor.

Your doctor or midwife will be able to tell if you are in labor by checking your cervix to see if it has thinned and dilated.

If you are having false labor, take a warm bath and drink plenty of fluids to ease your discomfort.

Other signs that labor is near

Lightening: This happens when your baby's head "drops" down into your pelvis.

  • Your belly will look lower. It will be easier for you to breathe because the baby is not putting pressure on your lungs.
  • You may need to urinate (pass water) more often because the baby is pressing on your bladder.
  • For first-time mothers, lightening often happens a few weeks before birth. For women who have had babies before, it may not happen until labor has begun.

Bloody show: If you have bloody or brownish discharge from your vagina, it may mean your cervix has begun to dilate. The mucous plug that sealed the cervix for the last 9 months may be visible. This is a good sign. But active labor may still be days away.

Your baby moves less: Women often notice that their baby is less active the day before labor begins.

  • No one is sure why. It may be that the baby is saving up energy for the birth.
  • If you feel less movement, call your doctor or midwife, as sometimes decreased movement can mean that the baby is in trouble.

Your water breaks: When the amniotic sac (bag of fluid around the baby) breaks, you will feel fluid leak from your vagina. It may come out in a trickle or a gush.

  • For most women, contractions come within 24 hours of the bag of water breaking.
  • Even if contractions don't begin, let your doctor know as soon as you think your water has broken.

Diarrhea: Some women have the urge to go to the bathroom often to empty their bowels. If this happens and your stools are looser than normal, you may be going into labor.

Nesting: There's no science behind the theory, but plenty of women feel the sudden urge to "nest" right before labor starts. If you feel the need to vacuum the entire house at 3 a.m., or finish your work in the baby's nursery, you may be getting ready for labor.

True labor

In real labor, your contractions will:

  • Come regularly and get closer together
  • Last from 30 to 70 seconds, and will get longer
  • Not stop, no matter what you do
  • Radiate (reach) into your lower back and upper belly
  • Get stronger or become more intense as time goes on
  • Make you unable to talk to other people or laugh at a joke

When to call the doctor or midwife

Call if:

  • You feel pressure in your pelvis that gets stronger or more intense
  • You see bleeding or a heavy discharge from your vagina
  • You notice a big change in your baby's movement
  • Your "water breaks"

Your doctor or midwife can talk you through these changes and decide if you need to come in for an exam. You may be asked:

  • When regular contractions began and how far apart they are
  • How strong or painful the contractions are

In general, women in labor should go to the hospital when their contractions:

  • Are too painful to talk through
  • Last 60 seconds or more
  • Have been coming 5 minutes apart for at least an hour

If you have questions or are not sure what you should do, talk with your doctor.

References

Kipatrick S, Garrison E. Normal labor and delivery. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2012:chap 13.


Review Date: 5/31/2012
Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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