As labour approached each patient may experience the beginning of labour and birth in a variety of ways.
What should I look out for?
Signs of labour
Hello, my name’s Helen, I’m one of the community midwives. I’m here to talk to you about signs of labour.
It’s important to remember that some of these signs may come at one at a time, some may come together and not all of them may happen before your labour actually starts. There’s no plan, rhyme, or reason to when and how labour starts.
What we are looking at for one sign of labour might be something you’ve heard of called a show. This is a mucus plug that comes from your cervix. It might find it that it’s when you wipe yourself, it might come once into your pants, it might fall down the toilet. It can happen once, it can happen every day for three weeks it’s just a sign that the neck of your womb is starting to soften and the mucus plug that’s in there comes out.
Another sign is you might start to get back ache. You might find to have pains and aches in your tummy, they feel a little bit like period pains. There can be again no pattern necessarily but your tummy goes tight. You might get the back ache, some ladies get pain at the top of the legs. Everybody’s very different in how they feel these pains. It can happen during the day when you’re busy and then relax and stop when you go to sleep.
Another thing that might happen is your waters might break. Now some people’s waters break like you see on the TV shows a great big massive gush in which case there will be no doubt that your waters have broken. What also might happen is the water might break at the back of the baby, so every time the baby moves or you move, there might be a little bit of a trickle of water coming through. Now this water can be clear, it can be straw coloured, it might be green tinged or pink tinged. Any of those, it’s definitely your water.
If it’s coming as a trickle, you might be uncertain if you’ve passed urine. The water from around the baby doesn’t smell like urine at all. If it’s a trickle, you might find if you put a sanitary towel on over an hour, that pad will become quite soaked and quite heavy and that’s one way to think that it is your waters.
We do want to know if your waters go we need to know if you have a show, we don’t need to know. If you’re starting off with contractions, we don’t need to know. One of the things we always want to know is that your baby is moving, at any point if your baby doesn’t move, we would like you to phone the hospital immediately to get some advice from the midwives on your individual situation.
So just to recap, if your waters go, if you have a show, if your contractions are starting, these can all be really good signs of labour. Some people even say that they get a spurge of energy. Some ladies actually get some loose stools, some episodes of diarrhoea the 24 hours before they go into labour but it is different from every person.
The show
This can start before or during labour. It may be a one off or continuous. It is often described as ‘jelly like’ and usually blood stained.
If you are experiencing bright red vaginal loss (similar to if you had cut yourself) then it’s important to call the hospital straight away.
Contractions
These may start off as ‘Braxton Hicks’ or practice contractions and can start long before labour.
Often contractions stop and start, but if you have been contracting regularly (around 3 to 4 times in every 10 minutes) and simple analgesia at home isn’t helping, then it’s probably time to ring the hospital.
Water breaking
Known as the ‘spontaneous rupture of membranes’. This may happen as a large ‘gush’ of fluid or small ongoing ‘leaks’. The fluid should be clear or ‘straw’ coloured.
It’s a good idea to call the hospital if you think your waters have broken, especially if the colour of the fluid is anything other than clear.
Call your midwife or maternity unit if:
- You have a spontaneous rupture of membranes (waters break)
- Any vaginal bleeding (fresh red)
- If you have constant abdominal pain
- If you have been contracting strongly and regular for a while
- If there is any change to your baby’s pattern of movement
How to get in touch
Delivery Suite
Contact the Delivery Suite at the University Hospital of North Tees and speak with a midwife to discuss any labour queries you may have.
Contact number:
01642 382718
Contact number 2:
01642 382818