Just as every woman is unique, so is her pregnancy and onset of labour. Signs that delivery is approaching can vary from one individual to another and may differ even between pregnancies for the same woman. In the ninth month, it may take several hours or even days for early signs of labour to become noticeable.
The initial stage, known as the latent phase, is when the cervix begins to soften, thin out, and gradually open (dilate) in preparation for birth. In this article, we will explore some of the common signs that may indicate labour is approaching, along with useful tips for expectant mothers1.
Although it is difficult to precisely predict the onset of labour or how long a woman’s labour will last, there are a few common signs of labour that are initiated when the foetus produces certain hormones. Here are 5 popular signs of labour every expecting mother should know:
One of the lesser-known signs of labour experienced early on by first-time pregnant mothers is what doctors refer to as “lightening”. When the baby is preparing for birth, it slowly moves into a head-down position. This typically occurs a few weeks before labour in first-time mothers. In subsequent pregnancies, it may happen much closer to labour onset or even during active labour2.
Lightening eases the pressure on a mother’s diaphragm and makes it easier for her to breathe, but it also puts more pressure on her pelvis and bladder. Mothers who have previously given birth, may or may not have this delivery symptom until right before labour begins. Either way, the mother’s belly may appear lower and more protruding and result in frequent bathroom visits.
Towards the end of pregnancy, you may experience true labour contractions, which become more intense, regular, and closer together. These contractions help push the baby down through the birth canal. If you’re having contractions that are regular (e.g. every 5 minutes), last at least 30–60 seconds, and don’t subside with rest, it’s likely true labour Some women may first experience “Braxton Hicks” or false labour contractions, which are irregular and usually subside with rest or hydration3.
An unborn baby in the uterus is surrounded by a protective liquid called amniotic fluid. When this amniotic fluid sac ruptures, the mother experiences a gush of liquid or in some cases a slow trickle, this type of discharge before labour is called a water break4. When the amniotic sac ruptures, it may be experienced as a sudden gush or a slow, continuous leak of clear or straw-coloured fluid. If the fluid is green, brown, foul-smelling, or if you see blood, inform your doctor immediately.
For some women, water breaking signs may not happen at all, in which case an obstetrician or midwife will break it during the delivery, while for others the water may break during labour or some time before it. Once the mother experiences water breaking signs, the baby is no longer protected by the amniotic sac and is vulnerable to infections, so make sure you head to the hospital or call your doctor right away.
A pregnant woman may notice an increase in a type of vaginal discharge with blood before labour’s onset or several days before it5,6. This is called a bloody show, which refers to the passage of the mucus plug mixed with blood. It indicates that the cervix is beginning to dilate and soften.”
Some women experience abdominal cramps, nausea, vomiting, or loose stools in early labour due to hormonal changes and increased pressure on the pelvic organs. These symptoms, while not universal, may accompany the onset of labour4,7.
Women will often self-present to obstetrical triage with concern for the onset of labour. Common chief complaints include painful contractions, vaginal bleeding/bloody show, and fluid leakage from the vagina10.
Dr. M.G. Kartheeka, MBBS, MD(Pediatrics)
Pharmeasy Tips: If you are excessively anxious and worried about the birthing process and labour pain, follow these tips:
If you are fewer than 37 weeks pregnant and experience any these signs of labour, contact your healthcare provider immediately, as they may indicate preterm labour, which requires medical evaluation11.
Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology
Stay hydrated with water or doctor-approved fluids. Consult your healthcare provider about food intake during early labour, as hospital protocols vary. Preparing for early labour involves more than just physical readiness; it also requires emotional support and self-care. Staying well-hydrated with water or fluids approved by your doctor is important, and you should speak with your healthcare provider about eating during early labour, as hospital rules on this can differ. A supportive birthing partner can make a big difference by helping with calming routines such as yoga, back massages, and other stress-relieving activities. If the pain becomes too strong early on, practicing breathing exercises with your birthing partner can help you manage contractions as they become more frequent and intense. Taking these steps can make early labour a more manageable and less stressful experience8,9.
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Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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