Signs of labour: How to know when it is time to go to hospital
When labour begins is a unique adventure that every mother experiences in a special way. But how can you tell when labour has really started? And most importantly, when is it time to go to hospital? Let’s find out together!
In this article, I will help you understand the main signs to make you feel more confident and prepared.
Signs of labour
- Regular contractions: Contractions in labour are different from Braxton Hicks contractions (so-called ‘preparatory contractions’). In active labour, contractions
- Are regular and intensify over time.
- They become closer together (e.g. every 5 minutes).
- They last about 50-60 seconds each.
- Unlike Braxton Hicks, labour contractions require your undivided attention.
- Loss of the mucous plug: It is the discharge of a gelatinous substance, sometimes streaked with dark or pinkish blood (different from fresh blood). It indicates that the cervix is beginning to prepare for delivery. However, the loss of the mucous plug does not necessarily mean that labour is imminent; it may still be days before the actual start.
- Rupture of the waters: This is the rupture of the amniotic sac, which may occur with a copious or gradual leakage of fluid. It is important to know that the breaking of the waters without contractions does not always indicate the immediate start of labour. In such cases, it is still advisable to contact your midwife or doctor or go to the hospital. Also, if you notice that the liquid is greenish or has an unusual smell, it is important to go to the hospital immediately.
- Pelvic pressure and changes: You may feel increased pressure in the pelvic area, as if the baby is preparing to be born. You may also notice cramps similar to menstrual cramps.
When to go to hospital
Every pregnancy is different, but there are some general recommendations that can help you decide when is the right time to go to hospital. It is important to avoid going too early, as you may risk having to go back home if labour has not yet started. Staying at home as long as possible, until the signs become clear and regular, will allow you to cope more calmly with this initial phase.
- Regular contractions: If it is your first baby, it is advisable to go to hospital when contractions are regular and come every 5 minutes for at least an hour (even 2 or 3 contractions every 10 minutes). If, on the other hand, you have already given birth, it may be worth going earlier, as labour can proceed more quickly.
- Waters breaking: Even if you do not yet have regular contractions, it is important to go to hospital within a few hours of your waters breaking, unless you have a midwife who can come to your home. If the colour is green or has a peculiar smell, as described above, it is better to go immediately. Find out more about the rupture of membranes and what to do: https://www.elenaiannelli.it/en/water-breaking/
- Decreased fetal movements: If you notice a decrease in your baby’s movements compared to its usual pattern, it is important to go to the hospital immediately. Find out more about baby movements: https://www.elenaiannelli.it/en/how-often-does-your-baby-move-in-your-belly-is-it-really-that-important-to-know/
- Heavy bleeding: A small amount of bleeding may be normal, but if the bleeding is profuse, similar to that of a menstrual cycle, you should go to hospital immediately.
Getting ready with confidence
Prepare yourself in advance by taking a antenatal course: it is a good opportunity to receive practical information and to feel more confident about labour and birth. Also, prepare a bag for the hospital with everything you need for you and your baby and a folder with all your tests and ultrasound scans. Involve your partner or a trusted person so that you don’t feel alone during this special time.
Remember, it is always best to contact your midwife, your doctor or the hospital if you have any doubts. There is no such thing as a stupid question! Listen to your body and trust your instinct: it will be your best ally during this incredible journey.
