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Am I in labor?

False labor; Braxton Hicks contractions; Prodromal labor; Latent labor; Pregnancy - labor

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Description

If you have never given birth before, you may think you will just know when the time comes. In reality, it is not always easy to know when you are going into labor. The steps leading up to labor can drag on for days.

Keep in mind that your due date is just a general idea of when your labor may start. Normal term labor can start any time between 3 weeks before and 2 weeks after this date.

False Labor (Braxton Hicks Contractions)

Most pregnant women feel mild contractions before true labor begins. These are called Braxton Hicks contractions, which:

This stage is called "prodromal" or "latent" labor.

Other Signs That Labor is Near

Lightening. This happens when your baby's head "drops" down into your pelvis.

Bloody show. If you have bloody or brownish discharge from your vagina, it may mean your cervix has begun to dilate. The mucous plug that sealed your cervix for the last 9 months may be visible. This is a good sign. But active labor may still be days away.

Your baby moves less. If you feel less movement, call your health care provider, as sometimes decreased movement can mean that the baby is in trouble.

Your water breaks. When the amniotic sac (bag of fluid around the baby) breaks, you will feel fluid leak from your vagina. It may come out in a trickle or a gush.

Diarrhea. Some women have the urge to go to the bathroom often to empty their bowels. If this happens and your stools are looser than normal, you may be going into labor.

Nesting. There is no science behind the theory, but plenty of women feel the sudden urge to "nest" right before labor starts. If you feel the need to vacuum the entire house at 3 a.m., or finish your work in the baby's nursery, you may be getting ready for labor.

True Labor

In real labor, your contractions will:

When to Call the Doctor or Midwife

Call your provider right away if you have:

Call for any other reason if you are unsure what to do.

References

Kilatrick S, Garrison E, Fairbrother E. Normal labor and delivery. In: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Normal and Problem Pregnancies. 8th ed. Philadelphia, PA: Elsevier; 2021:chap 11.

Thorp JM, Grantz KL. Clinical aspects of normal and abnormal labor. In: Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 43.

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Review Date: 3/31/2020  

Reviewed By: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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