As you approach your due date, it can be difficult to distinguish between "the body getting ready" and "it's happening now." Here's a practical, fact-based guide to signs that labor is approaching, what you can do at home, and when it's appropriate to contact the labor ward. Remember: processes can vary greatly from person to person.
Early physical signs of labor
Many people experience changes in the days or weeks leading up to labor, without it meaning that labor will start the same day.
Typical changes you may notice
- The belly "drops": The baby may move further down into the pelvis, making it easier for you to breathe, but perhaps causing more downward pressure.
- Braxton Hicks contractions and increased uterine activity: Irregular contractions can come and go and help the body prepare.
- Abdominal cramps or loose stools: Some people experience bowel changes close to labor.
- Increased discharge: May be related to cervical ripening.
Practical tip: Note the time and pattern if you're unsure. It makes it easier to describe your symptoms if you call the labor ward.
Mucus plug and discharge as signs of approaching labor
The mucus plug is thick mucus that has sealed the cervix during pregnancy. When the mucus plug comes out, it can appear as a clump, as increased discharge over time, and it can be clear, whitish, brownish, or slightly blood-tinged.
Important to know:
- The mucus plug can pass days to weeks before labor begins.
- It can come out in several stages.
- Slight blood streaks can be normal, but heavy bleeding should be assessed.
Practical tip: Use a sanitary pad and monitor the amount and color, so you can provide precise information if needed.
Water breaking and when to react
Water breaking can be a distinct "gush" or a slow trickle that can be mistaken for discharge or urine. If you suspect your water has broken, it's typically recommended to contact the labor ward for guidance, as they can help assess the next steps.
It is particularly relevant to contact the labor ward if:
- Your water breaks without contractions.
- You have a fever, foul-smelling amniotic fluid, or feel unwell.
- The amniotic fluid is green or brown.
- You are concerned about the baby's movements.
Practical tip: Put on a sanitary pad (avoid tampons), and note the time, color, and amount.
Regular contractions and the difference between Braxton Hicks and labor contractions
One of the most useful signs that labor is starting is contractions that become more regular, longer, and stronger. Braxton Hicks contractions are often irregular and may subside with rest, fluids, warmth, or changing positions.
A simple way to assess contractions
- Are they gradually increasing in intensity?
- Are they coming at more consistent intervals?
- Are they becoming harder to talk through?
Practical tip: Use a timer and write down the duration and interval for 30-60 minutes. This provides a better basis for assessing whether you should call.
When to contact the labor ward?
It's always okay to call if you feel uneasy. Generally, it's recommended to contact the labor ward for:
- Water breaking (especially if you're unsure).
- Regular contractions that increase and don't subside.
- Bleeding like a menstrual period or more.
- Reduced or changed fetal movements.
- Severe headache, vision disturbances, sudden swelling, or severe pain that concerns you.
Practical tip: Have your information ready: gestational week, previous births, time of water breaking/contractions, color of amniotic fluid, and how the baby is moving.
Products that can make the waiting period and early days easier
As you prepare for labor, small practical things can bring peace of mind and help with planning. Many prefer soft, flexible underwear without underwire, as the body changes and comfort becomes extra important.