Quick Answer
Labour usually involves regular contractions that become stronger, longer, and closer together. Other signs can include a “show,” increasing pelvic pressure, backache, or your waters breaking. However, symptoms vary between women, and early labour can be difficult to distinguish from practice contractions. Your maternity team can advise you about when to come to the hospital based on your pregnancy and individual circumstances.
What Are Contractions?
Contractions happen when the uterus tightens and relaxes.
Practice contractions, often called Braxton Hicks contractions, may occur during pregnancy. They are usually irregular and may settle with rest, hydration, or a change in activity.
True labour contractions generally become:
- More regular
- Stronger
- Longer
- Closer together
They continue despite changing position or resting.
What Is a “Show”?
The cervix begins changing as labour approaches.
A small amount of mucus mixed with blood may come away from the vagina. This is commonly called the show.
It can happen shortly before labour or during the early stages, but it does not tell you exactly when delivery will occur.
What If My Waters Break?
The membranes surrounding the baby contain amniotic fluid.
When these membranes rupture, fluid may leak or come out as a gush.
If you think your waters have broken, contact your maternity care provider for advice, even if contractions have not started.
Other Signs of Labour
Some women experience:
- Lower backache
- Pelvic pressure
- Increased vaginal discharge
- Changes in bowel movements
- Stronger contractions
Not everyone experiences the same signs.
When Should You Go to the Hospital?
Your doctor or maternity unit may provide specific instructions based on your pregnancy.
You should contact them promptly if:
- Your waters break
- You have heavy bleeding
- Contractions become regular and painful
- You notice reduced fetal movement
- You develop severe abdominal pain
- You are concerned about your symptoms
If you are unsure, it is better to contact your maternity care team.
FAQs
How do I know if contractions are real labour?
True labour contractions generally become stronger, longer, and more regular.
Does losing the mucus plug mean labour starts immediately?
Not necessarily. Labour may begin soon or may still be some time away.
Can waters break before contractions?
Yes. The membranes can rupture before regular contractions begin.
Conclusion
Labour can begin differently for every woman. Regular progressing contractions, a show, pelvic pressure, and waters breaking can all occur as labour approaches. Your maternity team can guide you based on your pregnancy.