As your due date approaches and your body starts sending new signals, it's natural to wonder: "Is this it?"
It might be “it,” or it might just be your body gearing up for the big day a little early. Whether you’re on the verge of labour or still have some waiting to do, recognising the signs can help you feel more prepared and confident as you await your baby's arrival.
What is Early Labour?
Early labour, also known as the latent phase, is the initial stage of childbirth. During this phase, your cervix begins to soften, thin out, and dilate up to 3-4 centimetres.
Early labour can last anywhere from a few hours to several days, especially for first-time mothers. Contractions may start to become regular, but they are typically mild and manageable.
What Are the Common Signs of Early Labour?
Recognising these early labour signs can give you a better idea of what’s happening and when it might be time to call your healthcare provider.
Regular Contractions
Unlike Braxton Hicks, which can be irregular and mild, early labour contractions typically come at consistent intervals. They may start out spaced 10–20 minutes apart and gradually move closer together, increasing in strength and duration. You might feel them across your lower abdomen, like strong menstrual cramps, or radiating into your lower back. These contractions don’t go away with movement or rest and are a key signal that labour may be beginning.
Lower Back Pain
Persistent lower back pain is another sign, especially when it doesn't subside after changing positions. It may feel dull and achy or come in waves that match the rhythm of contractions. This discomfort is often caused by the baby shifting lower into the pelvis and pressing against the spine and surrounding ligaments.
'Show' or Mucus Plug Discharge
As your cervix begins to soften and open, the mucus plug, which protects the uterus from infection during pregnancy, is released. This discharge may be clear, pink, or blood-tinged and is often referred to as the “bloody show.” It’s a classic sign that your body is preparing for labour, although it doesn’t guarantee that labour will start immediately.
Waters Breaking
The rupture of the amniotic sac, known as your “water breaking,” can feel like a gush or a slow trickle of fluid. It might be hard to distinguish from normal vaginal discharge or even urine, but the key difference is that it usually doesn’t stop. If the fluid is green, brown, or has a foul odour, contact your healthcare provider immediately, as this could indicate infection or meconium-stained fluid.
Digestive Changes
Your body may naturally start “clearing out” in preparation for labour. This can include symptoms like nausea, indigestion, or diarrhea. These are triggered by hormonal changes and are often one of the more subtle early signs of labour. While uncomfortable, they are normal and temporary.
Nesting Instinct
In the days or even hours before labour, many women experience a sudden burst of energy and an urge to organise, clean, or prepare their home for the baby’s arrival. This “nesting instinct” can be surprisingly strong and is believed to be a natural response to the approaching birth. While not everyone experiences this, it can be a psychological clue that labour is drawing near. If you find yourself colour-coding baby socks at 3 AM or deep-cleaning behind the fridge, congratulations, your body is basically screaming, “It’s Showtime!”
How Can You Differentiate Between True Labour and Braxton Hicks Contractions?
Understanding the difference between true labour and Braxton Hicks can help you know when it’s time to take action and when it’s okay to rest and wait.
Braxton Hicks Contractions:
These are often referred to as “false labour” or “practice contractions.” They are the body’s way of preparing for true labour, but do not signify that labour has begun.
- Irregular and infrequent
- Typically painless
- Subside with movement or rest
True Labour Contractions:
Unlike Braxton Hicks, true labour contractions follow a consistent pattern that signal your body that it is getting ready for birth:
- Regular intervals, becoming closer together
- Increase in intensity
- Do not ease with movement or rest
- Lead to cervical dilation
When Should You Contact Your Healthcare Provider?
If you experience the following, call your healthcare provider or head to your nearest hospital right away:
- Regular, Strong Contractions: If contractions are occurring every 5 minutes, lasting 60 seconds, and have been consistent for an hour (known as the 5-1-1 rule).
- Waters Breaking: Especially if the fluid is green, brown, or has a foul odour, indicating possible infection or meconium.
- Heavy Bleeding or Decreased Foetal Movements: These could signal complications and require immediate attention.
- Persistent Headache, Visual Disturbances, or Sudden Swelling: These symptoms may indicate pre-eclampsia, a serious condition needing prompt medical care.
How Can You Prepare for Labour?
As you enter your third trimester, it’s best to have these ready in case your little one decides to arrive earlier:
- Pack Your Hospital Bag: Include essentials for you and your baby, such as clothing, toiletries, and important documents. Pack like you're going on a weekend getaway... to the most life-changing event of your life. And yes, snacks count as essentials, you’ll thank yourself later. Cross off all the labour essentials in our hospital bag checklist so you can prepare ahead.
- Create a Birth Plan: Discuss your preferences for labour and delivery with your healthcare provider.
- Arrange Transportation: Ensure you have a reliable way to get to your chosen birth facility.
- Keep Contact Numbers Handy: Have your healthcare provider's and hospital's numbers easily accessible.
FAQs
1. What does it mean when the baby "drops" before labour?
This refers to the baby moving lower into the pelvis, known as "lightening," which can occur days or weeks before labour begins.
2. Is it normal to experience diarrhoea before labour starts?
Yes, hormonal changes can lead to loose stools as the body prepares for labour. Additionally, the relaxation of pelvic muscles and joints can contribute to loose bowel movements. [1]
3. Can labour begin without noticeable contractions?
Some women may experience other signs, such as water breaking or back pain, before feeling strong contractions.
4. What is the ‘bloody show’, and does it mean labour is imminent?
The "bloody show" is the passage of the mucus plug, often tinged with blood, indicating that the cervix is beginning to dilate.
5. How can I tell if my water has broken?
You may notice a gush or steady trickle of fluid. If unsure, contact your healthcare provider for guidance.
6. Is it safe to stay at home during early labour?
Yes, many women remain at home during early labour until contractions become more regular and intense. This allows for rest, comfort, and preparation for the next stage of labour.
7. Can emotional changes indicate the onset of labour?
Mood swings or a sudden burst of energy, known as the nesting instinct, can be signs that labour is approaching, especially if you find yourself furiously reorganising the pantry or alphabetising the spice rack like it’s an Olympic sport.
8. What should I do if I think I'm in labour but am unsure?
It's always best to contact your healthcare provider to discuss your symptoms and receive personalised advice. They can assess your situation and determine if it’s time to head to the hospital.
