Early Signs of Pregnancy Labor: How to Know When it’s Time to Deliver Your Baby
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During your pregnancy, you’ve made it through months of anticipation, and now the big question looms: How will I know when I’m actually in labor?
The truth is that labor can look and feel differently for each person. But understanding the early signs can help you feel more calm, confident and informed when the moment arrives.
The First Signs That Labor Might Be Starting
For some expectant mothers, labor begins with strong, consistent contractions that just won’t quit. For others, their water breaks, which is an unmistakable signal that it’s time to head to the hospital.
You might also notice:
- Vaginal bleeding. Light bleeding or spotting can be a normal sign that your cervix is changing, but if the bleeding looks like menstruation, it’s best to get checked by a medical expert right away.
- Back pain or “back labor.” Some people feel the contractions deep in their lower back instead of (or along with) their belly.
- Stomach upset or diarrhea. Yes, your body may “clear things out” as it prepares for birth.
“A good rule of thumb is the 4-1-1 rule: contractions that come every 4 minutes, last 1 minute, and keep up that pattern for 1 hour usually means it’s time to head to the hospital,” said Kylie Fuller, MD, FACOG, OB/GYN at Pomona Valley Hospital Medical Center (PVHMC). “If you’re ever unsure, don’t hesitate to visit the 24/7 Labor & Delivery Triage Unit in the Women’s Center. Our team is always ready to help.”
Braxton Hicks or the Real Thing?
Braxton Hicks, also called “practice contractions,” can feel convincing. The difference is that real labor contractions keep getting stronger and closer together while Braxton Hicks tend to fade away with rest or hydration.
Try these tricks if you’re not sure which you’re feeling:
- Drink plenty of water until your urine is clear.
- Take a warm shower or bath.
- Lie down and rest.
If the contractions stop, it may be false labor. If they keep going and intensify…congratulations, it’s likely that your labor is starting.
Finding Your Rhythm Through the Pain
Labor pain is real—but so is your strength. Some people say contractions feel like strong period cramps; others describe more intense pressure once their water breaks.
The good news? You have pain management options once you’re in the hospital. Here at PVHMC, we offer:
- IV pain medication, which works quickly and safely during labor.
- Nitrous oxide, a light, self-administered gas that helps you relax.
- Epidurals, which provide continuous pain relief while keeping you awake and alert.
We also support natural measures like walking, peanut balls, heating pads, massage, breathing techniques and the guidance of a doula or partner.
“There’s no single ‘right’ way to manage pain. You’re in control,” says Dr. Fuller. “You can always change your mind during labor, and your care team will help you make an informed decision and do their best to support your choices every step of the way.”
Getting Ready - Body and Mind
One of the best ways to prepare for labor is to practice yoga or Pilates. Both activities build strength, flexibility and focus while teaching you how to breathe calmly through challenging moments.
Birthing classes are another great tool to help you and your support person feel confident and informed before the big day. PVHMC proudly offers maternal education and childbirth preparation classes, led by experienced midwives, nurses and lactation consultants through BabyLive. These classes are free, live, and not pre-recorded, ensuring personalized interaction and support from the comfort of your home.
And don’t forget about emotional preparation. Postpartum life brings big physical, mental and emotional changes. Even if you’ve never struggled with anxiety or depression, these feelings can surface after delivery. Setting up a strong support system now, including friends, family, neighbors, or local parent groups, can make all the difference.
Healing After Birth
Your body just did something incredible - give it time to recover. Most people need about six weeks for vaginal healing. During that time, avoid baths, pools, or placing anything in the vagina to help prevent infection and support recovery.
“Every labor, delivery and recovery experience is unique,” said Dr. Fuller. “If something feels off or you’re unsure, trust your instincts and call or visit your doctor’s office for advice.”
