Signs of Labour

Everyone is different, but most women experience similar symptoms when it comes to the onset of labour. Different stages of labour are characterised by different signs and symptoms and some women may experience much milder symptoms than others; in some cases, signs may not become obvious until the labour has progressed, although this is rare.

How do I know when I’m in labour?

The most common sign of labour is contractions; contractions are powerful muscle cramps, which cause the abdomen to tighten and then relax. Before labour starts, these contractions are known as Braxton Hicks contractions; some women experience them during pregnancy, especially during the latter stages.

Once the contractions have become stronger and more frequent and start to last longer (more than thirty seconds) this may signify that labour has started.

Other common signs of labour include:

• Back pain and discomfort: this is often described as similar to the pain experienced during a period.
• Diarrhoea
• Nausea
• The ‘show’: this is used to describe the fluid and mucus that is released when the plug of mucus, which has been acting as a seal for the womb during pregnancy, becomes dislodged. There is usually a small amount of blood; however, if you experience heavy bleeding you should see a doctor immediately as this may indicate more serious problems.
• Waters breaking: this may appear as either a steady trickle or a sudden gush; this occurs when the fluid surrounding the baby is released. You should contact the hospital or your midwife once your waters have broken.

When should I contact the midwife or go into hospital?

Every woman is different and some women may experience symptoms very early on in their labour; others may only notice signs when the labour has progressed considerably. As a general guide, you should start to think about contacting the midwife once the contractions have become strong and frequent (around five minutes apart and lasting around a minute each time) and your waters have broken; if you are not very far gone you may be advised to go back home. You should not be embarrassed to call if you think you are going into labour; if you are not you will simply be told to go back home, where you can relax.

Women who have already had children often have quicker labours than those who are having their first baby.

It is advisable to contact the maternity unit before you leave home to let them know that you are on your way; it is important to remember to take your notes with you.