How to recognise the start of labour

signs of labour:

The show: There is the plug of mucous in the cervix which has helped seal the womb in pregnancy.
If you notice dark blood mixed with jelly-like mucous, take no actions as labour may still be days or weeks ahead- or it could mean beginning of labour.

If the blood is brigth red and amounts to more than 3 teaspoons, telephone the labour wardfor advice.

You may also have these additional signs.
BACKACHE
NAUSEA AND VOMITING
DIARRHOEA

CONTRACTIONS
Mild, painless contractions occur during late pregnancy. These are called Braxton Hicks. When they become stronger as the date of your baby is due approaches, they may originate in your back and give slight backache. Early contractions of this type are irregular in strength and length. The phase could last for 24 hours before you go into labour. The contractions do not last more than 30-40 seconds each. At the time your baby's head is propably descending further into your pelvis and your servx is softening, but true labour has not begun.

Contractions in early labour are different. they are regular in strenth as labour progresses. The distance between contractions shortens.
In early labour at home keep active, change position frequentlyand relax in a bath or shower. Eat a light meal and your partner or your friend to keep you company.
When the contractions are strong and regular and coming at 5 minute intervals and lasting 50 seconds plus each or you own, consider your move to hospital.

Water breaking
Ring the labour ward. The midwife will ask you to come straightaway and even if you are douptful, it will be better for you to be checked. Please use a pad so that the midwife can see the 'evidence'.
Do not forget to bring your notes when you come in the hospital.
If you advice to come to hospital and you have difficulties with transport, ring 999 and ask for an ambulance.


The information in this page is presented and summarised and has been taken from:
Fraser-Cooper(2003) Myles Textbook for Midwives . 14th edition Churchill Livingstone