Is it Labor?

You are nearing a special, exciting time. Although it's not possible to know exactly when labor will begin, you can be ready by knowing what to expect. Being prepared can make it easier for you to relax and focus on the arrival of your baby when the time comes.

You may have periods of “false” labor, or irregular contractions of your uterus, before “true” labor begins. These are called Braxton Hicks contractions. They are normal but can be painful at times. You might notice them more at the end of the day. Usually, false contractions are less regular and not as strong as true labor. Sometimes the only way to tell the difference is by having a vaginal exam to find changes in your cervix that signal the onset of labor.

Differences Between False Labor and True Labor
Type of Change	False Labor	True Labor
Timing of contractions	Often are irregular and do not get closer together (called Braxton Hicks contractions)	Come at regular intervals and, as time goes on, get closer together. Lasts about 30–70 seconds
Change with movement	Contractions may stop when you walk or rest, or may even stop with a change of position	Contractions continue, despite movement
Strength of contractions	Usually weak and do not get much stronger (may be strong and then weak)	Increase in strength steadily
Pain of contractions	Usually felt only in the front	Usually starts in the back and moves to the front

One good way to tell the difference is to time the contractions. Note how long it is from the start of one contraction to the start of the next one. Keep a record for an hour. It may be hard to time labor pains accurately if the contractions are slight. If you think you're in labor, call your doctor's office or hospital.

When to call the doctor:

Your water breaks, even if you are not having any contractions
You are bleeding from the vagina (other than bloody show/spotting)
You have constant, severe pain with no relief between contractions
Contractions are regular and approximately 5 minutes apart for 2 hours

513 662 8222

Fax 513 662 8002
6480 Harrison Ave
Suite 300
Cincinnati, OH 45247