Signs That Labor Is Near: How to Know It's Almost Time

In short: Signs that labour is near are the baby’s head dropping into the pelvis, more contractions, loss of the mucus plug, low back pain and pressure in the pelvis. True labour pains are regular, grow stronger and do not stop with rest; false ones are irregular and fade with rest or a change of position. Go to hospital for regular contractions about every 5 minutes, leaking of water or blood, or reduced movements of the baby.

As pregnancy nears its end, many expectant mothers begin to notice bodily changes that may indicate labor is approaching. Knowing these signs can help you feel more prepared and know when it’s time to consult your doctor.

Here are the most common signs that labor is near:

1. Baby’s head descends into the pelvis

In the final weeks of pregnancy, the baby’s head may descend into the pelvis, a process sometimes called “lightening.” This can relieve pressure on the chest and make breathing feel easier. However, it may also increase pressure on the bladder, leading to more frequent urination.

2. Increased uterine contractions

You may begin to feel irregular uterine contractions known as Braxton Hicks contractions. These are a natural precursor to labor, but they do not necessarily mean that labor has begun.

3. Loss of the mucus plug

You may notice the passage of a thick, mucus-like discharge, which may be clear or tinged with a little blood. This is known as the mucus plug, and it’s a sign that the cervix is preparing for labor.

4. Rupture of membranes (water breaking)

A rupture of the amniotic sac can lead to a sudden gush or a continuous trickle of amniotic fluid. If this happens, you should seek immediate medical attention at the hospital.

5. Lower back pain and pelvic pressure

As labor approaches, many women experience increased pelvic pressure and lower back pain as the baby settles further down.

The difference between true and false labor:

Many expectant mothers find it difficult to tell true labor from false labor, so understanding the difference can bring some peace of mind.

False labor:

Defined as irregular uterine contractions that occur in the last weeks of pregnancy.

Characteristics:

• Irregular contractions
• Mild to moderate intensity
• Do not increase in intensity over time
• May ease with rest or a change of position

True labor:

True labor marks the beginning of actual childbirth, leading to cervical dilation and the start of delivery.

Characteristics:

• Regular contractions
• Gradually increasing in intensity
• The time between contractions decreases over time
• They do not go away with rest
• They may be accompanied by light spotting or rupture of membranes

When should you go to the hospital?

• If contractions become regular and occur approximately every 5 minutes.
• If your water breaks.
• If there is noticeable vaginal bleeding.
• If you notice a decrease in fetal movement

Also go to the hospital straight away if the fluid from your waters is green, brown or smelly, if you have a fever, if you have severe or constant abdominal pain, or if you have a severe headache, blurred vision or sudden swelling of the face and hands..

If you’re unsure whether what you’re feeling are true labor signs, don’t hesitate to reach out to your care team — it’s always better to check than to wait it out at home. Dr. Najeeb Layyous and his team are available to guide expectant mothers through every stage of pregnancy and delivery, offering reassurance and expert care when it matters most.

Dr Najeeb Layyous F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist