Signs of Labour

As your due date approaches, it is natural to wonder how you will know when labour has begun. Every birth is unique, but there are some common signs that your body is getting ready to meet your baby.

Early Signs To Look Out For

In the days or weeks before labour, you might notice:

• Period like cramps or a heavy feeling in your pelvis
• A change in backache or pressure
• More frequent Braxton Hicks contractions, sometimes called practice contractions

You may also feel a burst of energy or, alternatively, very tired. All of this can be normal as your body prepares.

The Mucus Plug And Waters Breaking

One sign that things are moving forward is losing the mucus plug, sometimes called a show. This is a jelly like discharge that can be clear or slightly blood tinged. It can come away all at once or in pieces over several days.

Your waters breaking means the sac of fluid around your baby has ruptured. This might be a sudden gush or a slow trickle. Note the time, colour, and any smell of the fluid, and contact your midwife or maternity unit for guidance.

Contractions And Braxton Hicks

Braxton Hicks contractions are often irregular, may ease with rest or a change of position, and do not usually become stronger or closer together. True labour contractions, on the other hand, tend to:

• Become more regular and closer together
• Grow in strength over time
• Continue even if you rest or change position

Many people find it helpful to time contractions over an hour or so to see how they are changing.

When To Contact A Midwife Or Hospital

Guidance can vary, so follow the advice you have been given in your area, which is informed by evidence-based clinical guidance and international obstetric standards. As a general rule, contact your midwife or maternity unit if:

• Your waters break
• You notice reduced baby movements
• Contractions are regular and strong, or you feel you need support
• You have any bleeding you are worried about

You are never wasting anyone's time by calling if you are unsure. It is always better to ask.