10 Important Pregnancy Labor Signs – Is It Time to Head to the Hospital?

Pregnancy is a journey filled with anticipation and excitement. As the due date approaches, it becomes crucial to recognize the signs of labor. Understanding these signs not only prepares expectant mothers for the big day but also ensures timely medical attention.

In this article, we explore the top 10 signs of labor, providing vital information to make this significant phase less daunting.

1. Contractions

What Do Contractions Feel Like

Regular contractions that increase in intensity and frequency are a primary sign of labor. These are different from Braxton Hicks contractions, which are irregular and typically painless. Contractions in true labor create a tightening sensation that starts in the back and moves to the front.

Time Elapsed Frequency (minutes apart) Intensity
Initial 20 – 30 Mild
Progressing 10 – 15 Moderate
Advanced 5 – 7 Strong

As labor progresses, contractions become more regular and closer together. They also become more painful and less likely to ease with movement or changing positions. Monitoring these contractions is crucial for determining when to go to the hospital.

2. Water Breaking

Water Breaking

A sudden gush or a steady trickle of fluid from the vagina is a sign that the amniotic sac has ruptured. This can happen before contractions start, or during labor. The fluid is usually odorless and might continue to leak until delivery.

Note: The color of the fluid should be clear. If it’s greenish or brownish, seek medical attention immediately, as this could indicate fetal distress. Not all women experience a dramatic water-breaking scenario. In some cases, it can be just a feeling of wetness in the vaginal area. Once the water breaks, it’s important to contact your healthcare provider to discuss the next steps, as the risk of infection increases after the amniotic sac ruptures.

3. Lower Back Pain

Lower Back Pain

Persistent, dull lower back pain that can be constant or come and go. This pain is caused by the baby moving into position for birth, putting pressure on nerves and muscles in the back.

Comparison: Similar to menstrual cramps but more intense. Unlike regular back pain, it doesn’t improve with typical pain relief methods and may accompany other signs of labor.

Lower back pain in labor is often accompanied by other symptoms like abdominal cramping and pelvic pressure. It can start days before the actual labor begins and can vary in intensity. Some women find relief through warm baths, massages, or specific labor positions.

4. Pelvic Pressure

Pelvic Pressure

The feeling of the baby pressing down in the pelvis is a sign that the baby is descending into the birth canal. This pressure can be intense and is often described as a feeling of fullness or heaviness in the pelvic area. This sensation often accompanies other labor signs and can increase during contractions.

Pelvic pressure can be uncomfortable and might be accompanied by an increased urge to urinate, as the baby’s head presses against the bladder. It’s a sign that labor is nearing, and the body is preparing for delivery. Changing positions and staying active can sometimes help alleviate this pressure.

5. Cervical Dilation

The cervix begins to open (dilate) and thin (efface), indicating that the body is preparing for childbirth. This process is gradual and can begin weeks before actual labor starts.

How to Know?

This is measured during prenatal appointments through a pelvic exam. The cervix dilates from closed to 10 cm, which is fully dilated and ready for childbirth. Cervical dilation is an internal process that isn’t visible or noticeable without a medical exam.

Some women might experience spotting or a bloody show as the cervix dilates. It’s important to keep regular prenatal appointments, especially in the final weeks, to monitor this progress.

6. Bloody Show

What to Look For: A pink or blood-tinged discharge.

This is the mucus plug that blocks the cervical opening during pregnancy. The discharge of this plug can occur days before labor or during early labor. It’s a sign that the body is preparing for childbirth. If the discharge is heavy or accompanied by severe cramping, contacting a healthcare provider is essential.

7. Nausea or Diarrhea

Nausea - Pregnancy

What to Look For: Upset stomach, nausea, or loose bowel movements. Hormonal changes and physical pressure from the baby.

These symptoms can be uncomfortable but are often a sign that labor is imminent. Staying hydrated and eating light, bland foods can help manage these symptoms. It’s important to inform your healthcare provider if these symptoms are severe or persistent.

8. Nesting Instinct

What to Look For: A burst of energy and an urge to clean and organize.

This is a psychological sign of labor approaching. The nesting instinct reflects a mother’s innate desire to prepare her environment for the new baby. While this surge of energy is common, it’s crucial to avoid overexertion. Balancing rest with preparation activities is key during this time.

9. Lightening


What to Look For: The baby drops lower into your pelvis.

Physical Changes: Easier breathing but increased pelvic discomfort. This process reduces pressure on the diaphragm, making breathing easier. However, it can increase pressure on the bladder, leading to more frequent urination. Lightening is a clear indication that the body is gearing up for labor.

10. Change in Fetal Movement

Less vigorous but more frequent movements. This change often occurs as the baby gets into position for birth. It’s essential to monitor these movements and report any significant decreases to your healthcare provider. Understanding these patterns helps ensure the baby’s well-being as the due date approaches.


Can you experience labor signs without actually being in labor?

Yes, it’s possible to experience false labor signs, known as Braxton Hicks contractions. These contractions are irregular and usually don’t increase in intensity or frequency, differentiating them from true labor contractions.

How long after the ‘bloody show’ does labor typically start?

The timing varies greatly among women. Labor can start within hours or days after the bloody show. It’s important to monitor other labor signs and stay in touch with your healthcare provider for guidance.

Is it normal to feel anxious or emotionally different as labor approaches?

Yes, it’s quite common to experience a range of emotions, including anxiety, excitement, and apprehension, as labor approaches. These feelings are due to both hormonal changes and the anticipation of childbirth.

Should I go to the hospital as soon as I experience any labor signs?

Not necessarily. It’s best to follow the advice of your healthcare provider. Typically, they’ll recommend coming to the hospital when contractions are regular, close together, and increasingly intense.

Can lightening occur weeks before labor?

Yes, lightening can happen several weeks before labor actually begins, especially in first-time pregnancies. It’s an indication that the baby is getting into position but not necessarily a sign that labor is imminent.

How can I differentiate between true labor and false labor?

True labor contractions grow stronger, last longer, and come more frequently, and you may experience other signs like the bloody show. False labor contractions (Braxton Hicks) are typically irregular, don’t increase in intensity, and often subside with rest or a change in activity.


Recognizing these signs of labor prepares you for the arrival of your little one. While some women experience all these signs, others may only notice a few. Always consult with your healthcare provider to ensure safe and healthy delivery.

Every pregnancy is unique, and these signs are just guides to help you along the way. As your due date approaches, stay informed, relaxed, and ready for one of life’s most incredible experiences.