Overview

The first signs of labor can vary, but common indicators include regular contractions, the breaking of your water, and the loss of the mucus plug. It's important to distinguish between true labor and false labor, such as Braxton Hicks contractions, which are irregular and do not lead to cervical dilation.

Detailed Signs of Labor

1. Contractions: True labor contractions are regular, increase in intensity, and occur at shorter intervals over time. They often start in the back and move to the front of the abdomen. If contractions are consistently every four to five minutes and increase in intensity for an hour, it may be time to contact your healthcare provider.

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2. Water Breaking: This is when the amniotic sac ruptures, leading to a gush or a slow leak of amniotic fluid. If your water breaks, it is important to contact your healthcare provider immediately, as labor often follows shortly after.

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3. Mucus Plug: The loss of the mucus plug, sometimes called a "bloody show," can occur days before labor starts. It is a thick, jelly-like substance that may be tinged with blood. While it indicates that the cervix is starting to open, it does not necessarily mean labor will start immediately.

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4. Pelvic Pressure and Back Pain: As the baby moves lower into the pelvis, you may experience increased pelvic pressure and back pain. This is often referred to as "lightening" and can occur a few weeks before labor for first-time mothers.

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5. Changes in Vaginal Discharge: An increase in vaginal discharge or a change in its consistency can be a sign that labor is approaching.

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Distinguishing True Labor from False Labor

• True Labor: Contractions are regular, increase in strength, and do not go away with movement or changes in position. They lead to cervical dilation and effacement (thinning).

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• False Labor (Braxton Hicks Contractions): These are irregular, do not increase in intensity, and often go away with movement or rest. They do not cause cervical changes.

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When to Contact Your Healthcare Provider

• If you experience regular contractions that are increasing in intensity.
• If your water breaks.
• If you notice any unusual symptoms, such as heavy bleeding or severe pain.
• If you are unsure whether you are in labor, it's always best to call your healthcare provider for guidance.
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Understanding these signs can help you determine when labor is starting and when to seek medical attention. Always consult with your healthcare provider if you have any concerns or questions.