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Each woman’s body is unique, and labor may manifest in different ways. However, there are some common signs that your body is getting ready for the big event. These signs may typically appear 24 to 48 hours before labor begins.
Some of the signs that might indicate nearness to the delivery date may include dilation of the cervix, sudden abdominal contractions, nausea, or lower back pain. Some women hardly notice early labor signs, and only some expecting women experience them all.
Labor kicks off with strong uterine contractions that help your cervix (the opening at the base of your uterus) enlarge and thin out as your baby moves down the birth canal. As your due date nears, every little sensation might make you wonder if it’s starting.
Thankfully, your body has some clear ways of letting you know labor is on the horizon. This article lists 8 signs that may indicate that labor is 24-48 hours away. It also highlights the stages of labor and situations that may require medical intervention.
Each stage of labor holds a vital role in the birthing process, with specific milestones marking the progression towards childbirth.
| Stage | Description | Key Events |
|---|---|---|
| Early Labor | The initial phase, where the cervix begins to dilate | Onset of contractions, mucus plug release |
| Active Labor | Intense phase leading to the birth of the baby | Strong, regular contractions, cervix fully dilated |
| Delivery | Expulsion of the placenta after the baby is born | Contractions continue, placenta delivery |
The initial phase, also called early labor, comprises two distinct phases:
This stage marks the shift from early contractions and the opening of the cervix to the actual birth of the baby. It is a vital phase where the mother plays an active role in pushing the baby out.
Crowning characterizes this phase, which occurs when the baby’s head is partially visible at the vaginal opening. It signals the imminent arrival of the newborn.
The following table provides a clearer picture of the second stage of labor:
| Aspects of Stage 2: Pushing Stage of Labor | Description |
|---|---|
| Commencement | Begins at full dilation of the cervix |
| Maternal Involvement | Active participation in pushing the baby out |
| Crowning | Baby’s head becomes visible at the vaginal opening |
| Duration | Typically shorter than the first stage, lasting between 30 minutes to three hours for first pregnancies |
During the final stage of labor, the placenta comes out of the uterus and through the vagina, which usually takes up to 30 minutes. These are the features that mark the final stage of labor:
During early labor, women may experience diarrhea due to elevated prostaglandin levels, which help prepare and dilate the cervix. Increased prostaglandin levels could also stimulate the bowels, resulting in diarrhea.
Experiencing diarrhea before labor is a common occurrence, as it is the body’s way of clearing out the digestive system. It helps make room for the baby to move through the birth canal without any obstructions.
Women may experience diarrhea in the hours before labor begins, often a sign that the body is preparing for the upcoming birth. It may be one of the many indicators that labor is imminent.
You should stay hydrated if you are experiencing diarrhea before labor. Drink adequate water to prevent dehydration and maintain your energy levels during this time.
Braxton Hicks contractions, also called ‘practice contractions,’ are typically painless but might cause a sensation of squeezing and tightness in the belly. These contractions often occur irregularly, unlike normal labor contractions that follow a more consistent pattern.
Compared to actual labor contractions, Braxton Hicks contractions are usually less intense and do not increase in severity over time. Braxton Hicks contractions do not cause any significant changes in the cervix, unlike standard labor contractions.
Alternating your position or activity levels might help reduce Braxton Hicks’s contractions. It distinguishes them from normal labor contractions that continue regardless of movement.
Feeling nauseated a day or so before labor starts is common among women. The contractions that accompany early labor may also trigger nausea and vomiting in some women.
Hormonal changes, particularly the release of prostaglandins, may lead to gastrointestinal disturbances like diarrhea and nausea as the body prepares for childbirth. These symptoms may indicate that labor is drawing near, but they are not definitive predictors of labor.
Expectant mothers should stay hydrated and try to eat small, light meals if nausea persists. If other concerning symptoms accompany vomiting, consulting a doctor is advisable.
A bloody show might be an early sign that labor is starting. It is characterized by a small amount of mucus mixed with blood coming from the vagina. It could signal the shedding of the mucus plug that seals the cervix during pregnancy.
The cervix begins to thin out, soften, and dilate in preparation for childbirth. It could trigger the release of the mucus plug, which might happen days or hours before active labor starts. It may be a positive indication and a normal part of the pre-labor process.
Women should monitor changes in their vaginal discharge carefully. Other signs like contractions, cramps, or pelvic pressure may accompany the bloody show.
Expectant mothers experiencing a bloody show should ensure they are prepared for labor within the next 24 to 48 hours, as active labor is likely to follow. They should consult a doctor to discuss the timing and progression of labor.
Irregular contractions may signal the onset of labor and could vary in intensity and frequency. These early contractions are not consistent in duration, strength, or spacing, setting them apart from active labor contractions.
Women may experience sensations resembling menstrual cramps, pressure in the lower pelvis, overall discomfort, or even back pain during labor contractions. As labor progresses, contractions may become more regular, intense, and painful.
Active labor contractions usually occur every two to three minutes, lasting about a minute each. These contractions are a major sign that labor is near and that delivery may occur within the next day or two.
Expectant mothers could use a contraction tracker, which could help them monitor the pattern of contractions accurately. Monitoring the intensity and frequency of contractions is essential in determining the progression of labor.
The rupture of the amniotic sac is a major sign of active labor. The rupture leads to the release of amniotic fluid through the cervix and vagina, with labor usually commencing within hours of the sac breaking.
In some situations, the amniotic sac may rupture before any other signs of labor present themselves. Such an event is commonly referred to as the “water breaking.” After the amniotic sac ruptures, expectant mothers should note the color, odor, and volume of the amniotic fluid.
Clear or slightly yellowish fluid is normal, while green or brown fluid may indicate fetal distress. A large gush or a continuous trickle of fluid signals a full rupture. A slow leak could mean a partial rupture that might require medical attention.
If the ruptured amniotic sac does not lead to labor, especially if the baby is overdue, medical procedures may be required to induce labor. It is done to prevent potential complications like infections that may arise due to prolonged rupture of the membranes.
Maintaining communication with doctors after the rupture of the amniotic sac is vital. It could ensure the safety and well-being of both the mother and the baby.
The nesting instinct is a common phenomenon among expectant mothers. Expectant mothers may suddenly feel a burst of energy and motivation to organize and clean their living spaces.
The urge to prepare the home for the baby becomes a top priority, leading to activities like setting up the nursery and washing baby clothes.
Some mothers may notice that the baby has dropped lower in the belly, a sign that the body is preparing for labor. As labor nears, the baby’s head might start moving toward the birth canal in readiness for delivery.
Lower back pain during labor may indicate uterine contractions or the adjustment of pelvic bones as the baby descends further into the pelvis. The following signs characterize it:
If the back pain becomes severe or accompanies other concerning symptoms, seek medical advice to ensure maternal and fetal well-being.
When you experience regular contractions that are consistently felt in the back and around the stomach, it may be a sign of early labor. These contractions are typically painful, lasting about a minute.
First-time mothers should head to the hospital sooner, especially if the contractions are becoming more intense and closer. However, if you have had previous births, your labor may progress more quickly.
If your water breaks, it may indicate that you are in the active stage of labor and should seek medical attention promptly. Knowing the appropriate timing to proceed to the hospital during labor is vital to ensure a safe and well-supported delivery process.
You should monitor the frequency and intensity of your contractions using a contraction tracker. It could help you determine when it’s time to go to the hospital.
Remember, every labor is unique, so it’s essential to stay in close contact with your doctor and follow their guidance for a smooth labor progression.
As your due date nears, you might start experiencing regular contractions. If you experience signs like cervical changes, rupture of the amniotic sac, bloody show, etc., it could mean that your labor is 24-48 hours away.
Labor contractions won’t all occur at the same intervals. However, if they start becoming fairly regular, uncomfortable, and lasting longer than 40 to 60 seconds each, it may be time to visit your doctor.
If you’re unsure but think you might be in labor, contact your doctor. They could answer your doubts and queries about labor and guide you toward a safe and healthy pregnancy.
Tyler Read earned an undergraduate academic degree from Sonoma State University, California and is a certified personal trainer (CPT) with NASM (National Academy of Sports Medicine). With over 16 years of experience, Tyler has trained clients both online and in-person.
He is passionate about helping others turn their love for fitness into a career. Tyler has worked with many local and commercial gyms before establishing his successful private personal training business, which he continues to operate.
