There are several signs that labour may be starting, including: Show
The start of labour is called the latent phase. This is when your cervix becomes soft and thin as it gets ready to open up (dilate) for your baby to be born. Call your midwife or maternity unit if:
You will need to see a midwife or doctor if you experience any of these. What do contractions feel like?Your early contractions may feel a bit like period pains and, if you’ve had them you might wonder whether they are just more Braxton Hicks contractions. During a contraction, your tummy will feel hard as the muscles of your womb tense and work to gradually open your cervix and push your baby out. As labour goes on, the contractions will become more intense. Your muscles will relax after each one and the pain will fade.
In the latent phase of labour, your contractions may stop and start and vary in frequency, strength and length. You may get lots of regular contractions and then they may slow down or stop completely. Once established labour has started, your contractions will become more regular and won't stop. Call your midwife, birth centre or hospital labour ward when you are having a contraction every 5 minutes that last 30-60 seconds. If you are having a home birth, the midwife will come to you. What if my waters break?Your baby develops inside a bag of fluid called the amniotic sac. When your baby is ready to be born, the sac breaks and the fluid comes out through your vagina. This is your waters breaking. If you experience the following, your waters may have broken:
Tell your midwife or hospital immediately if:
This could mean you and your baby need urgent attention. Your waters may break before you go to hospital (if that’s where you plan to give birth) but they are more likely to break during labour. Your midwife may break your waters for you to speed up your labour. This is known as artificial rupture of membranes (ARM). Once the waters have broken, your baby is at risk of infection, so contact your midwife, hospital or birth centre. They will probably ask you to come into hospital to be checked if you’re not there already. Find out more about your waters breaking. Labor and giving birth may be one of the most exhilarating events of your life. It’s also probably one of the most physically demanding, unless you have your sights set on, say, climbing Mount Everest. And when bringing new life into the world involves back labor, it gets a bit more challenging. (But don’t worry. You can still handle it, we promise.) Back labor happens when the back of your baby’s head presses against your spine and tailbone as they make their way through the birth canal — ouch. Although it may sound terrifying, knowing what it’s all about can make it easier to manage. You’ve got this, mama. Labor begins when the muscles of the uterus contract. Gradually, those first twinges will become more intense with each contraction — beginning, reaching a peak, and then fading away. As the contractions become more intense, they’ll last longer — which is exactly what you want, no matter how much you wish it would stop when you’re going through it. These contractions are the tightening of your uterus as it pushes your baby lower into your birth canal. Most of us feel intense pain, cramping, and pressure during active labor. Usually, the pain you feel will center in the lower abdomen and pelvis. But 33 percent of women will feel more pain in the lower back, sometimes due to how baby is positioned. In an ideal world, all babies would be born sunny-side down — with their faces turned towards mom’s cervix. But in back labor, your little one’s face is sunny-side up and the back of their head — or should we say, the hardest part of their head — is against your cervix. (Even so, thank goodness for a baby’s relatively soft skull!) So no, back labor isn’t a myth. If you hear your doula, midwife, or doctor say baby’s in the occiput posterior position, that means sunny-side up. And carry right on with your breathing exercises because, well, it happens — and it can un-happen, too. One small, dated study of 408 pregnant women showed that even though 15 percent of babies were sunny-side up at the onset of labor, the vast majority of them turned themselves ’round during labor. If you’re wondering what it feels like when your baby’s sunny-side up or how you can tell the difference between back labor and plain ‘ole pregnancy back pain, here are some pointers to keep in mind:
Remember that we said that if your baby is sunny-side up, you’re more likely to experience back labor. Well, the good news is that even if your baby is sunny-side up and stays that way, that’s no guarantee for back labor. You may still get off easily — or, rather, more easily. Birthing a little human is hardly easy! There are a few other possible risk factors for back labor. If have pain during your menstrual cycle, are giving birth for the first time, or have had back labor in the past, you may be more likely to experience back labor regardless of which way your baby is facing. One small 2008 study found that women who had lower back pain during their pregnancy or who had a higher body mass index (BMI) were more likely to have pain in the lower back during labor. Back labor can’t always be prevented. Since back labor is often caused by the position of your baby, you may want to try out these tips during your pregnancy to encourage your baby to slip into the best position for you:
Having back labor may put you at higher risk of having a cesarean delivery, assisted vaginal delivery, an episiotomy, or perineal tears. Talk to your OB about your concerns — they’re there to help. When you’re heading towards the finish line and are feeling those pains in your back, here are some things that can help. How to help yourself
How your partner or doula can help you
How your medical team can help you
Good practice throughout your pregnancy is to call your OB’s office if you notice any new symptoms during pregnancy. But some women hesitate, especially if they’ve had false alarms. So what if you’ve been uncomfortable with lower back pain for what seems like hours? How can you tell if you’re in labor? Here are some signs that may mean it’s the real thing:
If you’re having very painful contractions every 5 minutes that last for about a minute, you’re probably in labor. Add back pain to this and you may also be experiencing back labor. Take a deep breath, call your OB, and head to the hospital. Back labor can be an added challenge to any woman’s journey through labor and birth. But you can make it. Hey, you’re bringing new life into the world. And that’s a heady feeling. Can you have back labor and not feel contractions?Pregnant women don't always feel contractions solely in their belly. Indeed, about 25 percent experience back labor, which happens in their lower back, just above the tailbone.
Can you be in labor with just back pain?Back labor is pain in your lower back that begins during labor. It's thought to be caused by your baby's position within your pelvis. In this case, the back of your baby's head presses against your spine and tailbone.
Does lower back pain mean labor is coming?Lower back pain on its own does not necessarily mean that labor is imminent. However, a person should call their obstetric care provider if they notice other symptoms of labor, such as new onset back pain and cramping that occurs about every 10 minutes and lasts for 40–50 seconds.
How do you tell if it's back pain or back labor?Regular contractions are only slightly felt in the back. Back labor is much more intense pain in your lower back. The pain in your back tends to continue between contractions and gets particularly uncomfortable at the height of a contraction.
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