Tip 3: Know the real signs of labour starting – not just Braxton Hicks

Understanding early stages of labour

Early labour is the stage when the body begins preparing for birth. It can look different for everyone and does not always follow a predictable pattern. For some people it develops gradually over hours or days, while for others changes may feel more noticeable in a shorter period of time. Common early signs include changes in contraction patterns, lower back discomfort and a general sense that the body is starting to shift towards labour. These changes are often mild at first and may come and go before becoming more consistent.

Braxton Hicks vs real labour

Braxton Hicks contractions are often described as “practice contractions”. They can feel like tightening of the abdomen but they are usually irregular, do not become stronger over time and often ease with movement, hydration or rest. Real labour contractions tend to become more regular, more intense and closer together over time. They usually do not ease with changes in position and may be accompanied by other physical changes as labour progresses. Understanding this difference can help avoid confusion in the early stages when sensations may feel similar.

Other early signs to look out for

Some people notice additional changes before labour becomes active. This can include a “show”, which is the loss of the mucus plug (a small amount of thick, jelly-like discharge that comes away from the cervix, the lower part of the womb that opens during labour, as the body prepares for birth.), or a small amount of blood-stained discharge. This is a sign that the cervix is beginning to change. There may also be a feeling of increased pressure in the lower pelvis as the baby moves lower into position. Some people experience loose stools or an unsettled stomach as hormonal changes begin to prepare the body for labour. None of these signs on their own confirm active labour but they can indicate that the body is preparing.

When labour is becoming active

Labour is generally considered more active when contractions become regular, stronger and closer together. At this stage, they typically begin to affect movement and concentration rather than feeling like mild discomfort. Other indicators may include difficulty speaking through contractions or needing to pause during them. At this point, it is usually appropriate to follow guidance provided by your maternity team on when to go in.

When to go in

The right time to go to hospital or contact your maternity unit depends on your individual circumstances and any advice you have been given during pregnancy. In general, you may be advised to go in when contractions are regular and increasing in intensity, when your waters break, or if you are unsure and need guidance from a professional. It is always appropriate to contact your maternity unit if you are uncertain, as they can help assess your symptoms and advise next steps.

It is also worth noting that preterm labour can sometimes feel different from labour closer to your due date. If you are earlier in pregnancy and experience symptoms such as tightening, back pain or unusual pressure, it is important to contact your maternity triage unit. Maternity triage is the urgent assessment service within maternity units, where pregnant and postnatal people can attend without an appointment if they have any pregnancy-related concerns or symptoms.

What to remember

Early labour can be gradual and does not always look the same for everyone. The most reliable sign is a consistent pattern of contractions that increase in strength and frequency over time. If you are unsure at any stage, contacting your maternity unit is the safest way to get personalised advice based on your situation.