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Signs that Labor Started: When to go to the Hospital?

Writer: Dayana HernandezDayana Hernandez

Updated: Nov 11, 2024

Hey, fellow moms-to-be! If you're reading this, you're probably at that exciting stage where every little twinge and ache makes you wonder, "Is this it?" The anticipation of labor starting can be both exhilarating and nerve-wracking, especially for first-time mothers. Fear not! Today, we're diving into the telltale signs that labor may be just around the corner.


Signs that Labor Started

The Waiting Game Begins


As the due date approaches, every flutter of your baby becomes a potential clue that labor is on the horizon. You wake up each morning wondering if today will be the day you finally get to hold your little one in your arms. I remember how each cramp or backache would send me into a frenzy, hastily checking my hospital bag for the umpteenth time.


The Breaking of Waters


One of the most iconic signs that labor is starting is the breaking of waters. It's like a scene from a movie – that sudden gush or slow trickle that signals your body is preparing for the big event. In my case, my water didn't break until the midwife did it at the hospital, but this moment brings a mix of excitement and sheer panic, knowing that your baby's arrival is imminent.


Contractions: The Real Deal


Ah, contractions – the undeniable proof that labor has truly begun. Those tightening sensations that come and go, slowly building in intensity, are nature's way of signaling that it's showtime. I remember clutching my bump with each contraction, trying to breathe through the waves of discomfort, all while knowing that soon I would meet my precious bundle of joy.


Contractions during pregnancy can start as early as the 20th week of pregnancy, but are more noticeable during the second and third trimesters. There are two types of contractions that can occur during pregnancy: Braxton Hicks contractions and real contractions:


  • Braxton Hicks contractions

    • Also known as false labor, these contractions feel like a tightening of the abdomen, similar to a sit-up. They can be mild and painless, or they can be stronger and more painful. They can be triggered by dehydration, tiredness, or sex, and they usually last between 15 and 30 seconds, but can be as long as two minutes. Braxton Hicks contractions increase in frequency starting around week 32 of pregnancy, and are thought to be the body's way of preparing for birth.

  • Real contractions

    • These contractions are a sign that labor has begun, and are caused by the body releasing oxytocin, which stimulates the uterus to contract. They feel like a wave, and tighten the top of the uterus to push the baby down into the birth canal and thin the cervix. Real contractions usually start around the 40th week of pregnancy, but can start as early as mid-pregnancy. If contractions start before the 37th week, it's considered premature labor and requires immediate medical attention. Real contractions start out irregularly, but will eventually develop a regular rhythm, gradually getting closer together, longer, and stronger.


The Mucus Plug: Nature's Signpost


Less glamorous but equally important, losing the mucus plug is another indicator that labor is on its way. This jelly-like discharge may not be the most pleasant sight, but it's a clear sign that your body is preparing for childbirth. This usually happens after 37 weeks of pregnancy, but it can happen a few days to a few weeks before or during labor. Some women may never lose it or not notice when they do. Losing the mucus plug is also known as "having a show".

When I noticed this during my pregnancy, I couldn't help but feel a mix of excitement and a touch of apprehension – the countdown had truly begun.


The Mucus Plug

Back to Back: Unrelenting Back Pain


Back pain during pregnancy is nothing new, but back labor is a whole different ball game. If you start experiencing intense lower back pain that comes and goes in waves, it could be a sign that your baby is on the move. I vividly recall the ache that seemed to radiate from my spine during labor, a sensation that told me my little one was making their grand entrance.


Nesting Instincts Go Into Overdrive


Have you suddenly found yourself scrubbing floors, rearranging the nursery for the tenth time, or baking enough cookies to feed a small village? That's the nesting instinct kicking into high gear – a surefire sign that your body and mind are preparing for the arrival of your baby. During those last days of my pregnancy, I became a whirlwind of activity, making sure everything was just perfect for my little one's arrival.


When go to the Hospital in Labor?


A hospital typically considers you to be in labor when you have regular, painful contractions that last at least 45–60 seconds and occur every 3–7 minutes over a period of at least one hour. This is known as the transition from early to active labor.


During active labor, contractions become longer, stronger, and closer together. This is the time to apply the 411 rule, a handy guideline suggesting you go to the hospital when contractions are 4 minutes apart, each one lasts at least 1 minute, and this pattern has persisted for 1 hour.


OR if your OB recommends sooner for medical reasons, OR you feel pressure like you might need to push!

411 rule for contractions

The Final Countdown


As you navigate the rollercoaster of emotions and sensations that come with the early stages of labor, remember that every journey is unique. Trust your instincts, listen to your body, and don't hesitate to reach out to your healthcare provider if you have any concerns.


So, to all the first-time moms out there, embrace the signs, relish the anticipation, and get ready for the most incredible journey of your life. Your baby's grand entrance is just around the corner – and trust me, it'll be worth every moment of waiting, wondering, and wishing.


Remember, you've got this, mama!


Here's to the beginning of a beautiful new chapter!


Now, sit back, relax, and let nature take its course. Your baby's grand entrance is right around the corner. Happy birthing!

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