Labor Signs and the Final Days (Weeks 37-40)
You've made it to the final days of your pregnancy. From week 37 onwards, your baby is considered "full-term." Their lungs are mature, and they are ready for life on the outside. This period is a waiting game, filled with anticipation and a hyper-awareness of every twinge and sensation. So, how do you know when it's truly "go time"?
Your body will give you several clues that it's preparing for labor. These early signs can happen days or even weeks before active labor begins:
The Baby "Drops: " You might feel the baby settle deeper into your pelvis, a process called " lightening." This can relieve pressure on your diaphragm, making it easier to breathe, but it may increase pressure on your bladder, leading to even more frequent urination.
Losing the Mucus Plug: Throughout pregnancy, a thick plug of mucus seals the cervix. As the cervix begins to soften and open (efface and dilate), this plug may be discharged. It can come out all at once or as increased vaginal discharge over several days.
The "Bloody Show: "When the mucus plug is released, it may be tinged with a bit of blood, as tiny blood vessels in the cervix can tear during this process. This is known as the "bloody show" and is a strong indicator that labor is not far off.
While the above are good signs, the most definitive indicator of labor is the presence of strong, regular contractions. So, how can you tell the difference between Braxton Hicks and the real deal?
True Labor Contractions: They become progressively stronger, longer, and closer together. They don't go away if you move, rest, or drink water. The pain often starts in the lower back and radiates around to the front of the abdomen.
Braxton Hicks Contractions: They are irregular, don't get progressively stronger, and often subside when you change activities. They usually feel like a tightening just in the front of the abdomen.
Another classic sign of labor is your water breaking. This is the rupture of the amniotic sac. It can be a dramatic gush of fluid or a slow, steady trickle. If you think your water has broken, you should call your healthcare provider immediately, as they will want you to come in to be checked.
When you start experiencing true, regular contractions, it's time to start timing them and call your doctor or midwife. They will guide you on when it's the right time to head to the hospital or birth center.
