10 Early Signs and Symptoms of Labor

Lower back pain may be an early sign of labor.

While there are characteristic changes in the body with impendinglabor, every woman's experience is unique and different. "Normal" can vary from woman to woman. The signs and symptoms of normallaborcan begin three weeks prior to the anticipated due date up until two weeks afterward, and there is no precise way to predict exactly when a woman will go intolabor. This article describes the 10 most common signs and symptoms thatlaboris approaching.

• Medically known as "lightening," this is when the baby "drops."
• The baby's head descends deeper into the pelvis.
• For some women, this occurs up to 2 weeks prior to the beginning oflabor; other women may not notice this event at all.

• An increased urge to urinate can be a result of the baby's head dropping into the pelvis.
• The low position of the baby's head puts even more pressure on the urinary bladder, so many women approaching labor might feel a frequent need to urinate.
• As the baby drops,breathingcan become easier since there is less pressure on thediaphragmfrom underneath.

• Passage of themucusplug is a known sign that labor is near.
• Thick mucus produced by the cervical glands normally keeps the cervical opening closed duringpregnancy.
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• Pressure from the baby's head causes the mucus plug to be expressed from the vagina, sometimes as blood-tingedvaginal discharge(referred to as "bloody show").
• For some women, the mucus plug is not expelled until after labor begins; others may notice the mucus discharge in the days prior to the onset of labor.

Headaches and pain are common in early pregnancy

• Dilation of the cervix is a sign that labor is approaching, although this is detected by the healthcare professional during a pelvic examination.
• This begins in the days and even weeks prior to the onset of labor;
• "Fully dilated" means the cervix has dilated to a width of 10 cm.

• In addition to dilation, thinning (effacement) of the cervix also occurs.
• This occurs in the weeks prior to labor, since a thinned cervix dilates more easily.
• This sign is also detected by the healthcare professional during apelvic exam.

• Many women note they experienceback pain, especially dullpainin the lower back that comes and goes, as labor approaches.
• Back painmay accompany contractions felt in other locations or may occur on its own.
• Women also notice loosening of the joints, particularly in the pelvic area, as thethird trimesterprogresses, in preparation for delivery.

• Contractions, which can vary among women and can be described as pounding, tightening, stabbing, or similar tomenstrual cramps, increase in strength and frequency as labor approaches.
• Irregular contractions, known asBraxton-Hicks contractionsor "false labor," occur toward the end ofpregnancyduring thethird trimester.
• Braxton-Hicks contractionsare usually milder than those oftrue labor, and they do not occur at regular intervals.
• When contractions begin to occur less than ten minutes apart, this frequently signals the onset oftrue labor.

• In contrast to feeling extra tired as is typical ofpregnancy, many women describe feeling a sudden burst of energy and excitement in the weeks prior to labor.
• Often referred to as "nesting," this impulse often is accompanied by a sense of urgency to get things done or make plans for the baby.

• Women often describepelvic painand pressure as feeling the urge to have a bowel movement.
• Some women also report experiencingdiarrheaor loose bowel movements in the days preceding labor.

• Rupture of the amniotic membranes, or one's "water breaking," usually is a sign that labor has begun.
• Despite how it is often portrayed in movies, it is typically not a dramatic gush of fluid, but rather a slower dripping or trickle.
• Amniotic fluidshould be colorless and odorless.
• It can sometimes be hard to distinguish from urine, butamniotic fluiddoes not have an odor.
• If you are leaking amniotic fluid, it is essential to contact your healthcare professional right away.