The big day is approaching, and knowing the signs of labour can help you prepare and act with confidence. From early changes in your body to unmistakable signs of active labour, this guide will walk you through everything you need to know about recognising when it’s time to meet your baby.
Signs Labour Is Weeks or Days Away
Your body starts preparing for delivery well before active labour begins. Here are the early signs that labour might be close:
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Baby Drops (Lightening)
Your baby settles lower in your pelvis, which may relieve pressure on your lungs but increase pelvic discomfort. -
Cervix Dilates and Effaces
The cervix begins to open (dilate) and thin (efface) in preparation for delivery. This change is usually monitored by your healthcare provider. -
Cramps and Back Pain
Menstrual-like cramps or persistent lower back pain are common as your body adjusts. -
Loose Joints
Increased levels of the hormone relaxin loosen ligaments and joints, making your body more flexible for birth. -
Diarrhoea
Hormonal changes may loosen your bowels as your body prepares for labour. -
Weight Gain Stops
You may notice a plateau or slight weight loss in the final weeks of pregnancy. -
Fatigue
Rest is crucial, even though sleep may become more difficult late in pregnancy. -
Nesting Instinct
A sudden urge to clean and organise is common as labour approaches. -
Lightning Crotch
Sudden, sharp pelvic pain may occur as the baby moves into position, causing nerve pressure.
Signs of Early Labour
These signs suggest that labour has started, though it may progress gradually. Stay calm and monitor your symptoms:
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Contractions
True labour contractions are regular, grow stronger, and occur closer together over time. Unlike Braxton Hicks contractions, they don’t go away with rest. -
Bloody Show
The dislodging of the mucus plug, which seals the cervix, may appear as pink or brown-tinged mucus. -
Cramps
More intense menstrual-like cramps signal that your uterus is preparing for delivery. -
Water Breaking
Amniotic fluid may leak as a trickle or a gush. Contact your healthcare provider immediately if your water breaks.
Signs of Active Labour
Active labour is when contractions intensify, and it’s time to move to your birthing location:
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Intense Contractions
Contractions occur every 3–5 minutes, last 40–60 seconds, and are too intense to talk through. -
Belly and Back Pain
Pain radiates through your abdomen and lower back, intensifying as labour progresses. -
Water Breaking
If your water hasn’t broken earlier, it’s likely to happen during active labour.
Signs of Preterm Labour (Before 37 Weeks)
If labour begins before 37 weeks, it’s considered preterm and requires immediate medical attention. Look out for the same signs of labour, including:
- Regular contractions.
- Bleeding or pink discharge.
- Water breaking.
If you suspect preterm labour, contact your healthcare provider or visit the hospital immediately.
When to Call Your Doctor
It’s time to call your healthcare provider or head to the hospital if:
- Contractions are 5 minutes apart and have lasted for at least an hour.
- Heavy bleeding or bright red discharge occurs.
- Water breaks, especially if the fluid is green or brown.
- Preeclampsia symptoms appear, such as severe headaches, vision changes, or sudden swelling.
Tips for Staying Calm and Confident
Every labour is unique, and your experience may differ from others. Trust your instincts—if something doesn’t feel right, seek medical attention. Staying informed and communicating with your healthcare provider can make the process smoother and less stressful.