Pregnancy is a miraculous journey, and as the due date approaches, the expectant mother becomes increasingly eager and anxious to know when labor will begin. While some mothers experience labor pains suddenly, others may experience subtle changes in their body as a sign of labor during pregnancy. Understanding the signs and symptoms of labor can help mothers-to-be prepare better for the big day. In this article, we will explore the different signs of labor during pregnancy, when to seek medical attention, and how to prepare for childbirth.
Table of Contents
- Understanding the Three Stages of Labor
- Early Signs of Labor
- Active Signs of Labor
- Transitional Signs of Labor
- When to Seek Medical Attention
- Preparing for Labor
- When to Seek Medical Help
Understanding the Three Stages of Labor
Before diving into the signs of labor during pregnancy, it is essential to understand the three stages of labor. The first stage is the longest and begins with the onset of regular contractions that lead to cervical dilation and effacement. The second stage begins when the cervix is fully dilated and ends with the birth of the baby. The third stage involves the delivery of the placenta.
Early Signs of Labor
The early signs of labor are subtle and may begin several weeks before labor actually starts. The following are the most common early signs of labor during pregnancy:
Lightening occurs when the baby drops lower into the pelvis, and the mother feels a sense of relief from the pressure in the upper abdomen. This can occur several weeks before labor begins.
2. Increased Contractions
Braxton Hicks contractions, also known as “false labor,” are common throughout pregnancy. However, as labor approaches, these contractions become more regular and intense.
3. Bloody Show
The release of the mucous plug that blocks the cervix during pregnancy can cause a pink or brown discharge. This is known as the “bloody show” and can be a sign that labor is approaching.
4. Rupture of Membranes
The rupture of the amniotic sac, also known as “water breaking,” can occur before or during labor. This may result in a gush or a slow trickle of fluid from the vagina.
5. Nesting Instinct
As labor approaches, some mothers experience an increased urge to clean and organize their home. This is known as the “nesting instinct” and is thought to be a way of preparing for the baby’s arrival.
Active Signs of Labor
The active signs of labor are more intense and indicate that labor is progressing. The following are the most common active signs of labor:
1. Stronger Contractions
As labor progresses, contractions become more frequent, longer, and more intense.
2. Increased Discomfort
As the baby moves down the birth canal, the mother may experience increased pressure and discomfort in the lower back and pelvis.
3. Progressing Cervical Dilation
The cervix will continue to dilate and efface until it is fully dilated, indicating that it is time to push.
Transitional Signs of Labor
The transitional stage is the most intense and signals the imminent arrival of the baby.
1. Intense Contractions
During the transitional stage, contractions become extremely intense, lasting up to 90 seconds, and occurring every 2-3 minutes.
2. Increased Pressure
As the baby moves further down the birth canal, the mother may experience increased pressure in the rectum and a sensation of needing to have a bowel movement.
3. Cervical Dilation and Effacement
During the transitional stage, the cervix will fully dilate to 10 centimeters, and effacement will be complete, indicating that it is time to push.
4. Emotional Changes
The transition from the first stage of labor to the second stage can cause emotional changes such as feelings of exhaustion, fear, or excitement.
When to Seek Medical Attention
It is important to seek medical attention if any of the following occur:
- Contractions occur every five minutes or less and last for at least one minute.
- Vaginal bleeding occurs.
- The amniotic sac ruptures, and the fluid is green or brown.
- The baby’s movements decrease significantly or stop altogether.
Preparing for Labor
Preparing for labor can help mothers-to-be feel more in control and ready for the big day. The following are some tips for preparing for labor:
1. Packing a Hospital Bag
It is a good idea to pack a hospital bag several weeks before the due date. The bag should include essentials for both the mother and baby such as comfortable clothes, toiletries, and nursing pads.
2. Birth Plan
A birth plan outlines the mother’s preferences for labor and delivery, including pain management, fetal monitoring, and breastfeeding. It is essential to discuss the birth plan with the healthcare provider and ensure that it is feasible.
3. Preparing the Home
Preparing the home for the baby’s arrival involves setting up the nursery, stocking up on baby essentials, and ensuring that the home is safe for the baby.
When to Seek Medical Help
If you experience any of the following symptoms, contact your healthcare provider immediately:
- Contractions that are less than five minutes apart
- Heavy bleeding
- Severe or continuous abdominal pain
- Decreased fetal movement
- Fever or chills
- Leaking amniotic fluid
Yes, Braxton Hicks contractions are common throughout pregnancy and can mimic the signs of labor.
Active labor can last anywhere from a few hours to several days.
Contact your healthcare provider immediately.
In some cases, labor can start with the water breaking or other signs of labor without contractions.
Attend childbirth classes, create a birth plan, and talk to your healthcare provider about pain management options.
In conclusion, understanding the signs and symptoms of labor during pregnancy can help mothers-to-be prepare for the big day. Early signs of labor include lightening, increased contractions, bloody show, rupture of membranes, and nesting instinct. Active signs of labor include stronger contractions, increased discomfort, and progressing cervical dilation. Transitional signs of labor include intense contractions, increased pressure, cervical dilation and effacement, and emotional changes. It is important to seek medical attention if any concerning symptoms occur, and preparing for labor can help mothers-to-be feel more in control and ready for the big day.
- Federal Center for Health Education: Beginning of childbirth: The longed-for moment, in: familienplanung.de https://www.familienplanung.de/schwangerschaft/geburt/geburtsstufen/geburtsbeginn/ (last accessed June 2021)
- professional association of gynecologists online; dr medical Farrokh, André: Birth phases, in: Gynecologists online https://www.frauenaerzte-im-netz.de/schwangerschaft-geburt/geburt/geburtsstufen/ (last accessed June 2021)
- Prof. Dr. Deppe: Premature rupture of membranes, In: Obstetrics Basics. Springer Medicine Verlag
Christine Mändle: The midwife book: Textbook of practical obstetrics. (2014) Schattauer Verlag.
- Kainer, Franz; Nolden, Annette: The big book on pregnancy, Graefe and Unzer Publisher: Munich 2009, p. 312 ff.
- Hofer, Silvia; Szász, Nora: Midwives health knowledge: For pregnancy, birth and the time after (2012) Graefe and Unzer Publisher: Munich; p. 162 f
- Rath, Werner; Gembruch, Ulrich; Schmidt Stephan: Obstetrics and perinatal medicine: prenatal diagnostics – diseases – childbirth (2010) Stuttgart: Georg Thieme Verlag KG
- American Pregnancy Association. (2021). Signs of Labor. Retrieved from https://americanpregnancy.org/labor-and-birth/signs-of-labor/
- Mayo Clinic. (2021). Signs of Labor: Know What to Expect. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184
- National Institute of Child Health and Human Development. (2021). What are the Signs of Labor? Retrieved from https://www.nichd.nih.gov/health/topics/labor-delivery/topicinfo/signs