How to Know When You’re in Labor

If this is your first time going through labor, it’s normal to feel unsure about when it’s really time to head to the hospital. The best first step? Call your doctor or midwife to chat about what you’re feeling. They’re there to guide you every step of the way. 

Early Signs: Pre-Labor vs. True Labor

Many first-time moms make a few trips to the hospital before active labor begins. That’s because there are different kinds of contractions that can feel similar but mean very different things: 

False (Practice) Labor:

• Irregular, short contractions that don’t get stronger or closer together
• Often felt in the front or groin area
• Walking or resting may stop them
• No significant change in the cervix 

Prodromal Labor:

• May start irregular and become somewhat regular but usually stay more than 5 minutes apart
• Can feel strong but don’t steadily get closer
• May last a day or more, making rest difficult
• Cervix may thin but doesn’t open much 

True Labor:

• Contractions grow longer, stronger, and closer together (usually under 5 minutes apart)
• Walking often makes contractions stronger; lying down doesn’t make them stop
• Typically start in your back and move toward the front
• Cause the cervix to thin (efface) and open (dilate), helping the baby move down

Only a medical provider can confirm if your cervix is changing and you’re in true labor. 

What Happens When Labor Begins?

Labor may start for many reasons, such as your baby’s development signals, hormone changes or the uterus reaching a certain size. But no matter the cause, it means your body is getting ready to meet your baby! 

When to Go to the Hospital

Most doctors and midwives recommend calling them when these patterns continue steadily for an hour:

• Your contractions are about 5 minutes apart
• Each contraction lasts around 60 seconds

Be ready to share:

• How often and how long your contractions are
• Whether your water has broken (and the color of the fluid)
• If you notice any bloody show

If you’re managing well at home and it’s your first baby, it’s usually okay to wait until contractions feel really intense before heading to the hospital. But if you live far away or have special concerns, it’s better to leave earlier. 

What to Expect at the Hospital

When you arrive, a nurse will check your vital signs and monitor your baby’s heart rate and your contractions. Then, your doctor or midwife will perform a vaginal exam to see how your cervix is progressing.

You’ll usually be admitted once you’re in active labor. This means contractions are less than 5 minutes apart, lasting 45-60 seconds, and your cervix is at least 3 centimeters dilated.

If you’re still in early labor, they might send you home to rest and relax. Don’t worry — this is super common and nothing to feel bad about! 

Tips for Early Labor at Home

If sent home during early labor, try to:

• Walk around
• Take a warm shower
• Drink plenty of fluids
• Rest when you can
• Listen to calming music or watch something enjoyable

These little comforts can help you stay relaxed and prepare your body for active labor.

An Extra Note

If you tested positive for Group B Strep during pregnancy or have other risk factors, you’ll receive antibiotics before delivery to keep you and your baby safe.