This blog has been medically reviewed by Brent Dumermuth, MD, obstetrician-gynecologist at Allina Health.
Pregnancy is definitely not a one-size-fits-all, and that is true when it comes to labor signs as well. Not every woman will experience the same labor signs. In fact, there are quite a few signs indicating labor is near that you can look out for.
The most common signs of labor that most women look out for are their water breaking and contractions. But those aren’t the only signs indicating labor is near. Knowing the other 15 signs of labor that happen before labor can help you prepare as you eagerly await your little one’s arrival.
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Cramps
Is cramping a sign of labor? Yes, it is! One of the first signs of labor you may experience is mild cramps that feel similar to period cramps. These cramps happen because your cervix is beginning to soften and thin out to prepare for childbirth.
Pelvic pressure
Pelvic pressure is another sign that labor is near. As the baby drops lower into the pelvis, you might feel a heavier sensation in your lower abdomen. Along with cramps, this increased pressure can signal that labor is approaching, so it’s important to pay attention to these kinds of changes and silent labor signs.
Loss of mucus plug
Almost all women will experience the loss of their mucus plug as a sign that labor is near. The mucus plug is a thick clump of mucus that blocks the cervix during pregnancy to protect the baby from infections. When you lose the mucus plug, it can be a signal that your body is preparing for labor, though it may still be days or even weeks away. It’s a normal part of the process and nothing to worry about, but if you have any questions, it’s always best to ask your health care provider!
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Changes in vaginal discharge
Changes in vaginal discharge are another sign that labor is near. As your body prepares for childbirth, you may notice an increase in the volume of vaginal discharge or a change in its consistency. This is due to the cervix softening and thinning out, and the extra mucus being released as a part of this process.
Fatigue or exhaustion
Fatigue or sudden exhaustion before labor is common in the final days of pregnancy as the body conserves energy for childbirth. It is important to listen to your body at this time and get plenty of rest as many pregnant people will find that even after a full night’s rest, they’re still experiencing extreme fatigue before labor.
Lightning crotch (nerve pain in pelvis)
Does a lightning crotch mean labor is near? The answer is yes. It is one of the many signs your body is getting ready for labor. Lightening crotch refers to the sharp, sudden pelvic pain experienced when the baby drops lower into the pelvis and presses on nerves.
This nerve pain can be unexpected and intense, causing discomfort as the baby moves into position for birth. It’s a common sign that labor is approaching and, although uncomfortable, it’s a normal part of the final stages of pregnancy. However, if the pain becomes severe or you have concerns, consult with your provider.
Loose stool or diarrhea
Loose stool or diarrhea can be an unusual sign that labor is near. This occurs because the body naturally clears out the digestive system to make room for childbirth. This process can lead to increased bowel movements or even diarrhea.
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Nausea or change in appetite
Nausea or a change in appetite is normal in the first trimester, but did you know it can happen during the final days of pregnancy as well? The hormonal shifts in the days before labor can cause nausea or a loss of appetite, even if you had a normal appetite throughout pregnancy.
The change in appetite or nausea before labor is a way your body is preparing for childbirth by slowing down your digestive system to make room for your baby to move into the birthing position. However, it is important to still stay hydrated and eat small, nutritious meals, if possible, to maintain energy levels and support your body during this crucial time.
Sudden burst of energy (Nesting)
If you’re having a sudden burst of energy before labor, often referred to as “nesting,” it is believed to be an instinct to prepare for the baby’s arrival. Many pregnant people find themselves meticulously arranging the nursery, washing baby clothes or deep cleaning the house. While it can be a productive way to prepare for childbirth, remember to balance this activity with rest and self-care.
Increased joint flexibility
Increased joint flexibility can be another odd sign labor is near. The hormone relaxin is responsible for loosening the joints, especially in the hips and pelvis, allowing for greater flexibility as the body prepares for labor. This process helps make childbirth easier by enabling the pelvis to expand more readily as the baby moves through the birth canal.
Back pain
Dull or persistent back pain, especially in the lower back, can be an early indicator of labor. This discomfort often results from the baby settling into the pelvis, preparing for birth. If you experience significant back pain towards the end of your pregnancy, it’s worth noting as one of the many signs that labor is near.
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Baby dropping (Lightening)
Baby dropping, also known as lightening, is a vital stage in late pregnancy where the baby descends deeper into the pelvis. This can provide a significant relief from the pressure on the lungs, easing breathing for the pregnant person.
However, it can also bring a new set of discomfort, particularly in the lower abdomen and pelvis, as the baby settles into position for birth. Pregnant people may feel an increased need to use the bathroom more due to the baby pressing on the bladder, and walking may become more challenging due to the new position of the baby.
Braxton Hicks contractions
Braxton Hicks contractions are often referred to as “practice contractions.” These irregular contractions can start as early as the second trimester but are more common in the third trimester. They help the body prepare for the actual labor by toning the muscles, but unlike true labor contractions, they do not signify the onset of labor.
The way you can tell Braxton Hicks contractions apart from real labor contractions is if the contractions are irregular and don’t change in how long they last or how often they happen. Braxton Hicks contractions will also typically go away with rest or changing your position and do not cause significant discomfort.
Insomnia
Many pregnant individuals experience insomnia as they approach labor. Hormonal changes, physical discomfort and excitement or anxiety about the birth can all contribute to difficulty sleeping. Whether it is the anticipation of meeting your baby or the body’s natural preparation for labor, it can make it hard to have a full night’s rest during the final stages of pregnancy.
Increased clumsiness
Increased clumsiness and coordination issues can also be another unexpected but normal sign that labor is near. As the body’s center of gravity shifts and joints become more flexible, it’s common for pregnant individuals to feel less coordinated or more prone to accidents.
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Signs you’re in active labor
Although it is important to be able to recognize the signs that labor is near, the signs of active labor will also be equally crucial for when the day comes that you get to welcome your little bundle of joy into the world.
- Stronger, regular contractions. Unlike Braxton Hicks contractions, active labor contractions will be stronger and more regular. Pregnant individuals can also expect the contractions to increase in duration and frequency.
- Water breaking. Water breaking is another common sign of active labor. It’ll feel like something popped and be followed by leaking fluid. The fluid should be clear and odorless.
- Feeling the need to push. When pregnant individuals start having contractions or the baby is moving into the birth canal, it’ll also likely be accompanied by the need or urge to push.
- Baby moves into birth canal. When the baby’s head moves into the birth canal, it means the baby is in birthing position and ready to be delivered.
- Intense pelvic pressure. As your little one is getting into birthing position, you can expect to start feeling intense pelvic pressure.
What to do if you’re in labor
Once in active labor, it’s normal to feel panicky or unsure of what to do. But before going to the hospital, don’t forget to time your contractions, contact your provider and prepare for your hospital stay.
- Time your contractions. Once your contractions are lasting for about a minute each time and occurring every 5-7 minutes for about two hours, it’s time to go to the hospital.
- Contact your birth center or doctor. Contact your provider or birth center when you’re in active labor to alert them to come in.
- Prepare for your hospital or birth center stay. Pack anything you have left that you haven’t packed in your hospital bag yet. This can be things like phone chargers, toiletries, snacks and other essentials.
When to seek immediate medical attention
When it comes to needing to seek immediate medical attention, it is important to trust your instincts if you think something is wrong. Below are some things to look out for.
- Chest pain
- Dizziness or fainting
- Severe nausea and vomiting
- Swelling in face, arms or legs
- Heavy bleeding
- Significant decrease in baby’s movement
Safe and holistic care delivered at The Mother Baby Center
As labor approaches, it’s essential to remember that you’re in capable hands at The Mother Baby Center. Our dedicated team of experts is committed to providing safe and holistic care, ensuring you and your baby receive the best support during this special journey.
We understand that labor can be an overwhelming experience, and our team is here to help ease your concerns and offer guidance. Whether you have questions about the signs of labor or need assistance preparing for your hospital stay, don’t hesitate to reach out to our team.