Pregnancy is an incredible journey, filled with excitement, anticipation, and a little bit of anxiety as the due date approaches. For many expectant mothers, one of the biggest questions is: “How do I know if I’m really in labor?” Understanding the signs of labor can help you feel more prepared and confident as you approach delivery day. Recognizing when to call your doctor and when to head to the hospital ensures you and your baby receive the right care at the right time.
In this guide, we’ll break down the key signs of labor, what they mean, and how to know when it’s time to take action.
Early Signs of Labor
Every pregnancy is unique, and labor can begin differently for each woman. However, there are some common signs that indicate your body is preparing for birth.
1. Lightening (Baby Dropping)
A few weeks before labor begins, you may notice that your baby has “dropped” lower into your pelvis. This is called lightening. It can make breathing easier since the pressure on your diaphragm decreases, but you may feel more pressure on your bladder.
2. Increased Braxton Hicks Contractions
Braxton Hicks contractions are sometimes called “practice contractions.” These are irregular and don’t usually lead to labor, but as you get closer to delivery, they may become stronger and more frequent.
3. Vaginal Discharge Changes
A thick mucus plug blocks the cervical opening during pregnancy. As labor approaches, you may lose this plug, which can appear as a pink or blood-tinged discharge called the “bloody show.” This is often a sign that labor is near.
True Labor vs. False Labor
One of the most common challenges for mothers-to-be is distinguishing true labor from false labor.
False Labor (Braxton Hicks):
- Irregular contractions
- Contractions don’t get closer together
- Pain usually decreases with rest or hydration
True Labor:
- Contractions come at regular intervals
- They get closer together and stronger over time
- Pain doesn’t go away with rest or hydration
- Contractions intensify and last longer
If your contractions are consistent and growing in intensity, you are likely in true labor.
When to Call Your Doctor
Your healthcare provider is your best guide during this critical time. You should call your doctor if:
- Contractions are five minutes apart, last one minute, and continue for at least one hour (“5-1-1 rule”)
- Your water breaks, even if contractions haven’t started
- You notice decreased fetal movement
- You experience heavy vaginal bleeding
- You have severe headaches, vision changes, or sudden swelling (possible signs of preeclampsia)
Your doctor can help you decide whether it’s time to head to the hospital or if you should wait at home a bit longer.
When to Go to the Hospital
You should plan to head to the hospital if:
- Your contractions are strong, regular, and close together
- Your water has broken
- You feel intense pelvic pressure, as though the baby is pushing down
- You are experiencing heavy bleeding or any concerning symptoms
It’s always better to be safe than sorry. If you’re unsure, call your doctor or go to the hospital for evaluation.
Preparing Ahead of Time
To reduce stress when the time comes, prepare in advance by:
- Packing your hospital bag with essentials (clothes, toiletries, baby items)
- Pre-registering at your hospital if possible
- Having transportation arrangements ready
- Knowing the fastest route to the hospital
Being prepared can help you feel calmer and more confident when labor begins.
Final Thoughts
Recognizing the signs of labor is essential for every expectant mother. Understanding the difference between early labor, false labor, and true labor helps you know when to call your doctor and when to head to the hospital. Staying informed and prepared can make the process smoother, giving you peace of mind as you welcome your new baby into the world.
If you are pregnant and want expert guidance throughout your journey, Clinique Molière in Brea, CA is here to support you with compassionate and professional gynecological and obstetric care. Our team will help you prepare for labor and delivery with confidence.
Call us today at (714) 948-5655 to schedule your prenatal appointment and ensure you’re fully prepared for this beautiful new chapter.