Labor is the process by which a baby is born, marking the final stage of pregnancy. It begins with uterine contractions and cervical dilation, and concludes with the delivery of the baby. Labor typically consists of three stages:

1. First Stage: This is the longest stage, where the cervix dilates to 10 centimeters.
2. Second Stage: The baby is pushed through the birth canal.
3. Third Stage: The placenta is delivered after the baby.

Each woman’s labor experience is unique, but it’s a natural process the body undergoes to bring new life into the world.

Signs of Labor

As labor approaches, the body gives off various signals that the baby is ready to be born. These signs include:

• Regular contractions: The uterus contracts at regular intervals, and they become stronger and closer together over time.
• Water breaking: The amniotic sac may rupture, causing a gush or a slow leak of fluid.
• Cervical dilation: The cervix opens to prepare for the baby’s passage.
• Bloody show: A discharge that may appear pink or red due to blood is often a sign that labor is near.
• Back pain: Persistent lower back pain, often paired with contractions.

Am I Going into Labor? Should I Call the Doctor?

If you think you’re going into labor, there are a few questions to ask yourself:

1. Are your contractions regular?
   • If your contractions are getting closer together, stronger, and lasting longer, you may be in labor.
2. Has your water broken?
   • If you experience a gush or trickle of fluid, it could mean your water has broken, and labor is likely imminent.
3. Are you experiencing intense pelvic pressure or back pain?
   • These are common signs of labor.

You should call your doctor or midwife when:

• Your contractions are 5 minutes apart, lasting 1 minute each, and have been consistent for at least an hour.
• You notice any vaginal bleeding that seems unusual.
• Your water breaks, especially if the fluid is green or brown.
• You’re experiencing severe pain or discomfort.

Preterm labor occurs when labor begins before 37 weeks of pregnancy. It can lead to premature birth, which poses risks for the baby due to incomplete development. Signs of preterm labor include:

• Regular contractions before 37 weeks.
• Lower back pain or pelvic pressure.
• Cervical dilation earlier than expected.
• Vaginal discharge that is watery, mucous-like, or tinged with blood.

If you suspect preterm labor, it’s important to contact your healthcare provider immediately. The earlier it’s detected, the better the chances of delaying labor and reducing risks for the baby.

Labor is a natural process, but each woman’s experience can vary. Being aware of the signs of labor and understanding when to call your doctor will help you feel more confident and prepared for this exciting moment.

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