Giving birth is one of the most special experiences in your life, but it is also an emotional, mental and physical journey like no other. It’s the event you’ve been anticipating for months, and you have taken an important step in discussing and establishing a birth plan with your doctor. Many expectant moms wonder about signs of labor. When will it begin, how will it feel and how long will it take?

In other words, WHEN WILL I KNOW IT IS TIME? There are some visible signs of labor to watch for that will help you to know.

PRE-LABOR: 1 to 4 weeks before labor

Here are some normal symptoms to expect during the last month of pregnancy.

• The baby will start to descend into your pelvis. The baby is getting into position–head down and low.

• Your cervix is starting to get ready for birth. It dilates (opens) and begins to thin out (effaces).

  At your weekly checkups, your doctor will measure and track your progress by way of an internal examination.

• You may feel an increase in cramping and back pain.

• Your joints may feel looser. A special hormone called Relaxin has made your ligaments soften and loosen in preparation for delivery. As labor nears, you may notice your joints all over your body are more relaxed. This is nature’s way of preparing your pelvis for birth.

• Just as your uterine and other muscles relax, so does the rectal muscle.

  This might lead to loose stools or diarrhea.

• You stop gaining weight and possibly lose weight. This is normal and due to lower levels of amniotic fluids and more frequent bathroom breaks.

• You may feel extra tired or you have the urge to nest. The enlarged belly can make it difficult to sleep. Pile on the pillows and take frequent naps during the day.

  Some moms get a burst of energy and cannot resist the urge to clean.

Early Labor: The hours before labor starts

Your due date is close and perhaps past. You might notice different symptoms as your labor begins.

• Vaginal discharge changes color and consistency. You may notice the loss of the mucus plug (jelly-like plug) from the cervix. After this dislodges, you will know your cervix is beginning to dilate.

  This is a good indication that labor is forthcoming.

• You may feel stronger and more frequent contractions. Contractions are early signs of “active labor.” You may have experienced Braxton-Hicks contractions for weeks or months prior to delivery. You will now feel the pinching of contractions as the uterine muscles tighten in preparation for pushing the baby out.

How to tell the difference between real and false contractions

• Contractions get stronger instead of easing up.

• If you change position, contractions do not go away.

• The contraction pain may start in your lower back and move to your lower abdomen and possibly down your legs.

• Contractions progress. They get more frequent and more painful, sometimes developing a regular pattern.

• Your water may break.

  This is one of the final signs of labor that indicates your baby is almost here.

Should I call the doctor?

Towards the end of your pregnancy, your doctor will advise you on what to do when your contractions become regular.

• Generally, you should call the doctor when contractions are coming about 5 minutes apart for at least an hour. Contractions will not be exactly spaced, but if consistent, it’s time to check in with your doctor.

Symptoms you should always call your doctor about:

• Any “bright” red discharge (not brown or pinkish).

• Your water breaks, especially if fluid appears green or brown (this could be a sign of the baby’s first stool). This can be very dangerous for the baby if it is ingested or inhaled.

• Any vision changes, headaches or sudden swelling may be symptoms of Preeclampsia (pregnancy-induced hypertension).

At New River Women’s Health, you will have an experienced and friendly team of health professionals to assist you through your labor and delivery. Dr.

Campbell provides the one-on-one care and the support you need in the delivery room. We are dedicated to being there with you every step of the way. Request an appointment with us by visiting us online!

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