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Real Labor vs. False Labor: How Do You Know When It's Time?
It's the question on the minds of many soon-to-be moms: How will I know when I'm truly in labor? By knowing what signs to look for, you can get a good idea of whether you're ready for a trip to the hospital or if your body is just rehearsing for the big event.
What is Labor?
Labor is defined by obstetricians as a change in the dilatation and thinning out of the cervix, determined by an exam. There are many labor false alarms, especially for first-timers, when what seems like real contractions turn out to be false labor, when evaluated at the hospital.
The onset of labor comes gradually, and isn't as easy to discern as turning on and off a light. Imagine instead a dimmer switch being slowly adjusted up and down . . . and up and down. Irregular Braxton-Hicks contractions can begin around mid-pregnancy. As time goes on, these sequences become more organized, until at the end labor is the final result of the continuum of all of this activity. False labor is nothing more than one peak among the many peaks and valleys of early labor (the activity 24 to 48 hours before active labor). Clockwork Contractions
Although the contractions of early labor, also called the latent phase of labor, don't do much in the way of dilating the opening of the womb, they do thin it out and cause the baby's head to descend, so that active labor will have a yielding target when the real forces begin. Real Labor
You may be in real labor if you experience the following:
Effacement: The cervix becomes progressively thinner, softer, and dilated.
Persistent lower back pain, especially if it's accompanied by a crampy, premenstrual feeling.
The appearance of bloody show. If you pass the mucus plug that blocks the cervix, labor could be imminent—or it could be several days away. Still, it's a sign that things are moving along.
Breaking of the bag of waters, but only if it's accompanied by contractions.
Contractions that are stronger, last longer, and occur at regular intervals, such as every five or seven minutes apart.
To time your contractions, use a watch with a second hand, a stop watch, or a digital timer that displays seconds. You need to monitor and record the following:
Duration: How long do the contractions last? Time each contraction from the moment it begins until it ends.
Frequency: How far apart are the contractions to each other? Time from the beginning of one contraction to the beginning of the next.
Call your physician immediately if you have more than six contractions per hour and if they come with back, abdominal, or pelvic pain.
If you have regular contractions and your membranes rupture, you are most likely in regular labor. The crucial thing to remember is—if you think you are in labor, call your doctor, day or night. There are many ways to deal with early active labor. This depends on both your desires and those of your doctor or midwife. Discuss this with your practitioner. Explain to him or her exactly what it is that you would like to do. Some women prefer to walk for as long as they can, while others prefer to lie in bed. False Labor
As you near your due date, you may be experiencing an increase in Braxton Hicks contractions. Sometimes these can even be painful and rhythmic, leading you to believe you're in labor.
So how exactly do you know if your labor is false? Concerned about making an unnecessary trip to the hospital? Or calling your midwife and having it be a false alarm? Don't worry—it's happened to plenty of moms, and you shouldn't feel bad if it happens to you.
These guidelines will help you determine whether your labor is just practice for what's to come:
Most telling, there is not a progressive dilation of the cervix.
Uterine contractions may or may not be painful and may stop with activity. Their pattern will usually be unpredictable and the contractions will not get longer, more intense, and closer together.
Contractions are likely to be felt in your lower abdomen. True labor contractions often begin in the lower back and then move to your abdomen.
Keep in mind that not all women experience false labor, and when it doubt, it's always best to call your obstetrician or midwife. Otherwise, take a warm bath or shower and be sure to drink plenty of fluids. Try and get some rest as your body prepares for the impending delivery of your new little one. It won't be long now!