A Calm, Confident Approach to Recognizing Labor
As your due date approaches, it’s natural to feel unsure about which sensations signal the real start of labor. The truth is, every labor begins a little differently—but there are key signs that can help you tune in to your body and know when it’s time to take action. From the first contraction to the last-minute nesting urge, understanding what’s normal (and what’s not) brings reassurance as you prepare to meet your baby.
👉 Curious about all the signs that labor may be approaching? Read the full article here
Ask Dr. Stan
1. How can I tell if I’m experiencing real labor or just Braxton Hicks contractions?
Great question. Braxton Hicks contractions are your body’s way of “practicing” for labor. They’re often irregular, less intense, and tend to fade with rest, hydration, or changing position. True labor contractions, on the other hand, come in a regular pattern, get stronger over time, and don’t go away with movement. If your contractions follow the 5-1-1 rule (every 5 minutes, lasting 1 minute, for at least 1 hour), it’s likely time to call your provider.
2. What exactly happens when my water breaks?
When your water breaks, it means the amniotic sac has ruptured—something that usually happens near the start of active labor. You might feel a large gush or just a steady trickle. The fluid is typically clear or pale yellow and odorless. If it appears green or brown, smells foul, or if you’re running a fever, contact your provider right away, as these may signal infection or fetal stress.
3. What does the “bloody show” mean, and when does it happen?
The “bloody show” is a pink or blood-tinged mucus discharge caused by your cervix softening, thinning, and starting to open. It’s a normal pre-labor sign and often appears a few hours or days before contractions begin. It’s not an emergency, but it’s a good cue that your body is preparing for labor. If it occurs well before 37 weeks or is accompanied by heavy bleeding, call your provider.
4. How do real contractions feel compared to false ones?
True labor contractions tend to feel like a wave—starting in your lower back or abdomen, tightening intensely, then gradually releasing. They become more frequent, longer, and stronger over time. Braxton Hicks contractions usually feel like mild tightening, don’t follow a consistent pattern, and often ease with rest or hydration.
5. When should I time my contractions, and how do I do it?
Start timing contractions when they feel consistent and are getting stronger. Use a timer or app to track from the start of one contraction to the start of the next. Note how long they last and how far apart they are. If they’re coming every 3–5 minutes, lasting 45–60 seconds, and continuing for over an hour, it’s likely time to call your healthcare team.
6. What does it mean if I have back pain during labor?
Back pain can be a common part of labor, especially if your baby is in a posterior position (facing your belly). This “back labor” can feel like a constant, deep ache that may intensify during contractions. Warm compresses, position changes, counterpressure, and massage can help relieve discomfort. Always discuss your symptoms with your provider, especially if pain is severe or persistent.
7. What is “lightening” and how will I know if it’s happening?
“Lightening” is the term for when your baby “drops” into the pelvis, usually in the last few weeks before labor. You may notice less pressure under your ribs and easier breathing, but more pelvic heaviness and frequent bathroom trips. It’s a sign your body is getting ready, but not necessarily that labor is imminent.
8. Why am I suddenly organizing everything—am I nesting?
Yes, you’re likely experiencing the nesting instinct! It’s a burst of energy and an overwhelming urge to clean, organize, and prepare your space for the baby. While it’s completely normal and often happens late in pregnancy, be sure to rest when needed and avoid overexerting yourself. Your body needs energy for labor and recovery.
9. Can diarrhea be a sign that labor is starting?
Yes, it can. Hormonal changes before labor can loosen your bowels as your body clears space for delivery. Diarrhea alone isn’t a sure sign of labor, but when combined with other symptoms like contractions or water breaking, it’s a helpful clue. Stay hydrated, and let your provider know if it’s severe, prolonged, or accompanied by other concerning symptoms.
10. When should I definitely call my healthcare provider or go to the hospital?
Call your provider if your contractions are strong and regular (following the 5-1-1 pattern), if your water breaks (especially if it’s discolored), or if you have a bloody show and feel labor progressing. Also, call if you experience decreased fetal movement, heavy vaginal bleeding, severe abdominal pain, fever, or anything that feels “off.” It’s always better to call and be reassured than to wait too long.
