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This month: What are the early signs of labour?

One of the biggest questions pregnant women have is, Am I in labour? The early signs of labour can be confusing as they can be mistaken for other things and some sign only mean that labour is close not imminent, and as with everything in pregnancy everyone is different and even each labour can be different. With a first baby, from the first signs of labour until the baby is born can quite easily be a full 24 hours or more. This is because labour tends to start gradually allowing your baby time to adjust to what is happening. If you have already experienced labour the womb seems to work differently. The process of labour may still begin gradually but you will usually deliver your baby much more quickly.

Here are some of the top signs that labour is either coming soon or has started

Early signs of labour:

A bloody show - This is the mucous plug that sits in the neck of the womb. As the neck of the womb begins to open this mucus plug may is released. The mucus may be clear, slightly brown or pink, it may contain streaks of blood. This is normal, however if there is a lot of blood or if there is bleeding without mucous or if your baby has not been moving please contact a midwife straight away. Otherwise just wait and see, a bloody show can actually happen up to a few weeks before you go into labour or just before so it may or may not be a sign that labour is here but it does indicate that it is no more than a week or so away.

Loose stools - Loose stools are caused by the release of prostaglandins in the early stages which cause cervical effacement, softening, etc. Prostaglandins also can cause soft stools or diarrhoea. This usually indicates that labour is only a few days or hours away.

Back ache - A back ache that seems to come and go may be a sign of labour. Usually this is really contractions that you're feeling in your back. If your back ache becomes constant or changes, you may be experiencing back labour, usually caused by the position of your baby, talk to a midwife. You may experience this ache for some time before labour or days or hours.

Waters breaking - Your waters are the amniotic fluid that surrounds your baby. They can break before you go into labour or during the labour process. When they do break you will be aware of leaking fluid all at once, as if you have wee’d yourself or you may just keep leaking small amounts. Some women say that they feel a popping sensation when the waters break. Most women go into labour when their waters break after 37 weeks, but it can take a day or two. You will need to contact your midwife or maternity ward to let them know what has happened. If you do not go into labour yourself then your labour may be induced because once the waters have broken there is a small risk of infection to your baby.

Contractions - A contraction is simply the muscle of your womb tightening, pulling up on your cervix and pushing down on your baby, the contractions are what help the cervix to dilate and open for the baby to be born. In the beginning you may be aware of just some discomfort or period type pain that comes and goes. As time goes on you will become more aware of definite contractions, usually felt low down in the front of your abdomen or in your back. They will become longer and stronger and more intense. Once your contractions are lasting about 45 seconds to a minute they will probably not go away. Up until this time they can stop for a number of hours or days and then come back again. Do not worry if this happens. You will start again where you left off. Once the cervix has begun to open it does not close again.

If you have any of the above symptoms and are in any way concerned talk to a medical professional and have them put your mind at rest.

 

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