Early Signs of Labor — and When to Call Your Provider
How to tell real contractions from practice ones, the signs labor may be starting, and the symptoms that mean you should call right away.
Toward the end of pregnancy, every twinge makes you wonder: is this it? Some signs mean labor is getting close; a few mean you should pick up the phone now. Knowing the difference saves a lot of anxious 2 a.m. googling.
Signs labor may be starting
- Contractions that build a pattern. Real labor contractions get longer, stronger, and closer together, and they don’t ease off when you move or rest.
- A “bloody show.” Losing the mucus plug — a small amount of pink or blood-tinged discharge — can happen days before labor or right as it begins.
- Your water breaking. It’s often a trickle rather than the dramatic gush from films. Note the time, color, and smell to tell your provider.
- A deep, low backache or a feeling that the baby has “dropped” lower into your pelvis.
Braxton Hicks vs the real thing
Practice contractions (Braxton Hicks) are common in the third trimester. They’re usually irregular, don’t get stronger, and often fade if you change position, empty your bladder, or drink some water. Real contractions keep coming regardless of what you do, and they intensify over time. If you time a few and they’re getting closer and stronger, that’s your answer.
When to call right away
Don’t wait to phone your provider or maternity unit if you have any of these:
- Your water breaks, especially if the fluid is green, brown, or foul-smelling.
- Bright red bleeding, more than a little spotting.
- Your baby’s movements slow down or change from their normal pattern.
- A bad headache, changes in your vision, or sudden swelling.
- Contractions before 37 weeks, or any time you simply feel that something is wrong.
That last one matters. You know your body. It’s always okay to call and be reassured — maternity teams would far rather hear from you early than late.
Every pregnancy and hospital has its own guidance on exactly when to come in, so follow the specific instructions your provider gave you over anything you read online, including this.
General information only, not medical advice.