The first signs of labor can vary, but there are key indicators to watch for. True labor is often characterized by regular contractions that become more frequent and intense, along with other signs like the loss of the mucus plug or your water breaking. Here's how you can differentiate between true labor and false alarms:

Key Signs of Labor Starting

• Regular Contractions: True labor contractions occur at regular intervals, become more frequent, and increase in intensity. They usually start in the back and move to the front of the abdomen. Unlike Braxton Hicks contractions, they don't go away with rest or changes in position.

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• Water Breaking: This is when the amniotic sac ruptures, leading to a gush or trickle of fluid from the vagina. It's a clear sign that labor is imminent, and you should contact your healthcare provider immediately.

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• Mucus Plug/Bloody Show: The mucus plug, which seals the cervix, may be discharged as a sticky, jelly-like substance, sometimes tinged with blood. This can happen days before labor starts or right at the beginning.

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• Pelvic Pressure and Lightening: You may feel increased pressure in your pelvis as the baby drops lower in preparation for birth. This is known as "lightening" and can occur weeks before labor for first-time mothers.

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How to Confirm It's True Labor

• Timing Contractions: Use a contraction timer to track the frequency and duration. True labor contractions will have a consistent pattern and will not stop with movement or rest.

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• Consult Your Healthcare Provider: If you're unsure, it's always best to contact your healthcare provider. They can offer guidance and may ask you to come in for a check-up to confirm if labor has started.

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Additional Considerations

• Chronic Migraine: Since you're managing chronic migraines, be mindful of how labor might affect your condition. Stress and physical exertion can sometimes trigger migraines, so discuss pain management options with your healthcare provider in advance.

If you experience any unusual symptoms or are unsure about what you're feeling, don't hesitate to reach out to your healthcare provider for advice and support.