Q: What are the most common signs of labor?

A: Every birth is different. But these signs could indicate that labor is near.

Stage 1: Pre-labor

These symptoms could start a month before labor.

  1. Baby "drops" into the pelvis
    May be 2-4 weeks before delivery for first-time moms.
    Could happen later for second-time moms.
  2. Cervix dilates
    The cervix opens and thins out.
    This happens at a different pace for everyone.
  3. Cramps and back pain
    Your muscles are stretching in preparation for labor.
  4. Joints feel looser
    The hormone relaxin is helping your joints open up.
  5. Diarrhea
    All your muscles are relaxing - including in your rectum.
  6. You stop gaining weight
    Some moms even lose a little weight before going into labor.
  7. Fatigue
    You may feel extra tired or have the urge to "nest"

Stage 2: Early labor

These usually occur in the days or hours before labor

  1. Vaginal discharge changes
    Increased discharge that's thicker or pinkish
  2. Stronger, more frequent contractions
    Likely the real thing if they:
    • Don't ease up
    • Don't go away when you change positions
    • Become more painful or fall into a pattern
  3. Water breaks
    Usually happens after labor starts.
    Could be a big gush, or more like a trickle.

Call your doctor or midwife right away if you experience:

  • Vaginal bleeding
  • Sudden or severe swelling in your face, hands or fingers
  • A severe headache
  • Pain or cramping in your lower abdomen
  • Painful urination
  • Chills or fever
  • Vomiting or nausea
  • Dizziness or blurred vision
  • A sudden decrease in baby's movement