Signs of the latent phase - See symptoms and when to call

The latent phase is the early part of labor where the body slowly begins to work. For some, it lasts a few hours, for others longer, and the progression can fluctuate in intensity. The most important thing is to have concrete markers: What signs might indicate the latent phase, what can you do at home, and when is it time to contact the delivery ward.

Signs of the latent phase often involve the uterus starting to work more purposefully, but without contractions being completely regular or very strong yet.

You may experience:

• A dull ache or menstrual-like pain in the lower abdomen.
• Pain in the lower back and pelvis, which comes and goes.
• Contractions that are irregular but may gradually increase in strength or frequency.
• Increased pressure downwards and a sensation that the baby is lower.
• Slimy discharge, which may change if the mucus plug loosens (this is not in itself a guarantee that labor is imminent).

If you are in doubt, that is completely normal. The latent phase can resemble both Braxton Hicks contractions and general discomfort late in pregnancy.

It can be difficult to distinguish, as both can feel like tightening and discomfort.

Braxton Hicks contractions are often brief and can subside with rest, fluids, calm, or a warm bath. Contractions in the latent phase can also be irregular, but many find that they slowly become more “working” and, at times, more demanding to experience.

A good next step is to note the time, duration, and how it feels in your body. This provides a better basis if you call and need to describe your progression.

There is no single duration that applies to everyone. The latent phase can be short, long, or come in “waves” where it intensifies and then subsides again. This does not mean that something is wrong.

During the latent phase, it often pays to prioritize:

• Rest and short breaks, even if you can't sleep for long periods.
• Light food and drink, so you have energy later.
• Relaxation, calm breathing, and positions that feel good for you.

The goal is not to "speed things up," but to conserve energy and support the body in its work.

You should always follow the guidelines you have received from your midwife or birthing center. As a practical guide, it may be relevant to call if you experience, for example, your water breaking, bleeding (beyond scanty blood-tinged mucus), significantly reduced fetal movements, fever, or if the pain becomes very intense and you cannot find peace. If you have a history of rapid labor, specific risk factors, or a gut feeling that you should call, that is also a good reason.

Please describe the pattern of your contractions, if your water has broken, any bleeding, the baby's movements, and how you are feeling. This helps staff assess the next steps.

The latent phase often takes place at home, and small, concrete actions can make the waiting time more manageable.

• Change positions, walk around a bit, and rest again.
• Use warmth as needed if it provides relief for you.
• Prepare practical things at a calm pace, but stop if you get tired.

If you want to prepare practically for both the waiting period and the time immediately after birth, it can be nice to have a few simple products in your hospital bag. A soft, flexible nursing bra without underwire can provide support as your body changes, for example, Carriwell Gel-Support Maternity & Nursing Bra. For after birth, disposable postpartum pads can be a practical part of the first few days, for example, Disposable 10x Post Birth Care Pads. And if you want to gather the most essential items in one place, the New Mum Care Pack can be a simple way to be prepared.