The most reliable sign that labor has started is regular contractions that become stronger, occur more frequently, and do not disappear when you rest or change activity. For some, labor begins with contractions, while others first notice that their water has broken.
What are the most common signs that labor has started?
The most common signs are:
- Regular contractions
- Contractions that gradually become stronger
- Contractions that occur more and more frequently
- The water breaking
- Blood-tinged discharge or the mucous plug detaching
However, it is important to know that every birth is different. Some people experience several signs, while others only notice one or two.
What do contractions feel like?
Contractions often feel like strong menstrual cramps or pressure across the lower abdomen, back, or pelvis. Unlike Braxton Hicks contractions, labor contractions usually:
- Come at regular intervals
- Last for a while
- Become stronger over time
- Do not disappear when you rest
Between contractions, the pain usually subsides or disappears completely.
What is the difference between contractions and Braxton Hicks?
Braxton Hicks are the body's way of preparing for labor. They can feel uncomfortable but usually do not cause the cervix to dilate.
Labor contractions usually become:
- More regular
- Stronger over time
- More and more frequent
Braxton Hicks, by contrast, can be irregular and sometimes subside if you rest or change position.
Does your water have to break for labor to have started?
No. Many believe that labor always starts with the water breaking, but for most, labor actually begins with contractions.
The water can break before contractions start, during labor, or sometimes just before the baby is born.
When should you go to the maternity ward?
If you are a first-time mother, a common recommendation is to contact the maternity ward when you have regular contractions, for example, about 3 contractions every 10 minutes.
For those who have given birth before, labor can sometimes progress faster, and different advice may apply.
Always follow the instructions you have received from your midwife or maternity ward.
Always contact the maternity ward if:
- You think your water has broken
- You have regular contractions
- You have bleeding
- You notice the baby is moving less than usual
- You feel uncertain or worried
Frequently asked questions
Can the mucous plug come out without labor starting?
Yes. The mucous plug can detach days or even weeks before labor starts. However, it is good to know that it can also regenerate, so it does not necessarily mean that labor has begun.
Can labor start without contractions?
Yes. For some, labor begins with the water breaking. Contractions may then start immediately or after a while.
How do I know if it’s time to go in?
There are no exact rules that suit everyone. If you have regular contractions, if your water has broken, or if you feel uncertain, you should contact the maternity ward for advice.