For expecting parents, the anticipation of labor can be both exciting and nerve-wracking. Knowing when labor has truly begun can help you prepare and seek medical support at the right time. Here are 10 early signs that labor is starting, offering guidance to help you recognize the moment your body is ready to welcome your baby.
1. Regular and Strong Contractions
Contractions that become consistent, stronger, and closer together are a key sign of true labor. Unlike Braxton Hicks contractions, which are irregular and often painless, true labor contractions follow a pattern, typically lasting 30–70 seconds and occurring every 5–10 minutes. Track their frequency and intensity; if they don’t ease with movement or rest, labor is likely underway.
2. Lower Back Pain or Cramping
Persistent lower back pain or menstrual-like cramps that intensify over time can signal the start of labor. This discomfort often accompanies contractions as your body prepares to dilate the cervix. If the pain feels rhythmic and doesn’t subside with hydration or rest, it’s a strong indicator labor has begun.
3. Water Breaking
The rupture of the amniotic sac, often described as a “gush” or slow trickle of fluid, is a clear sign labor is starting or imminent. This can happen before or during contractions. If your water breaks, note the time, color, and amount of fluid, and contact your healthcare provider immediately, as labor typically follows within 24 hours.
4. Cervical Changes
As labor approaches, your cervix begins to dilate and efface (thin out). While you won’t feel these changes, your doctor or midwife may detect them during a checkup. If you’ve been told your cervix is dilating (e.g., 1–3 cm) and you’re experiencing other symptoms like contractions, labor may be starting.
5. Bloody Show or Mucus Plug Discharge
The loss of the mucus plug, which seals the cervix during pregnancy, often appears as a thick, jelly-like discharge that may be clear, pink, or slightly bloody. This “bloody show” can occur days or hours before labor but is a sign your body is preparing. If you notice this alongside contractions, labor is likely near.
6. Increased Pelvic Pressure
As the baby descends into the pelvis (known as “lightening”), you may feel increased pressure in your lower abdomen or pelvis. This can feel like the baby is pressing down, sometimes causing discomfort when walking or sitting. This engagement often signals that labor is approaching, especially in first-time pregnancies.
7. Diarrhea or Nausea
Hormonal shifts, particularly rising levels of prostaglandins, can cause loose stools or nausea as your body clears the digestive system to focus energy on labor. If you experience sudden digestive changes alongside other signs like contractions, it could indicate labor is starting.
8. Nesting Instinct
A sudden burst of energy or an urge to clean, organize, or prepare your home—known as the nesting instinct—can occur in the days or hours before labor. While not a physical symptom, this emotional or behavioral shift is common and may signal your body’s readiness for childbirth.
9. Increased Vaginal Discharge
As labor nears, you may notice more vaginal discharge, which can be clear, white, or slightly pink. This is due to hormonal changes and cervical activity. However, if the discharge is heavy, foul-smelling, or accompanied by fever, contact your healthcare provider to rule out infection.
10. Intense Fatigue or Restlessness
Some expecting parents feel unusually tired or restless as labor approaches. This could be your body’s way of signaling the need to conserve energy for the hard work ahead. If this fatigue comes with other signs like contractions or pelvic pressure, it may mean labor is imminent.
When to Call Your Healthcare Provider
If you experience any of these signs, especially regular contractions, water breaking, or a bloody show, contact your doctor or midwife for guidance. Keep a record of your symptoms, including the timing and duration of contractions, to help your provider assess your progress. If you’re unsure whether it’s true labor, it’s always better to seek advice early.
Tips for Preparing
- Pack Your Hospital Bag: Ensure essentials like comfortable clothes, toiletries, and baby items are ready.
- Time Contractions: Use a stopwatch or app to track the duration and interval of contractions.
- Stay Calm and Hydrated: Rest as much as possible and sip water to stay energized.
- Communicate: Inform your support person or partner so they can assist you.
Recognizing these early signs can empower you to approach labor with confidence. Every pregnancy is unique, so trust your instincts and consult your healthcare team to ensure a safe delivery.