Guide

Labor contractions and birth: a guide for the last weeks

Short, clear answers to the questions that come up in the last weeks of pregnancy. Every article lists its sources. None of them replaces a conversation with your midwife or doctor.

Frequently searched: Losing your mucus plug, Braxton Hicks contractions, Hospital bag checklist

Labor contractions are the topic that raises the most questions in the last weeks of pregnancy: whether this is real labor or Braxton Hicks, what contractions feel like, how long they last and how far apart they should be before you call the hospital. The guides here answer those questions briefly, with sources such as the NHS, ACOG and Cleveland Clinic.

Many care providers use the 5-1-1 rule, according to Lamaze. You call once contractions are 5 minutes apart and 1 minute long, for at least an hour. With a later baby, OHSU advises going in when contractions are 5 to 10 minutes apart for an hour. The NHS says to call right away if your water breaks, you're bleeding or your baby moves less than usual. The same applies if you're under 37 weeks and think labor has started.

Timing contractions

Timing contractions means measuring two things: how long each one lasts, from start to finish, and how far apart they are, from the start of one to the start of the next. How to time them, what 10, 7, 5 or 3 minutes apart means and what is typical at each stage of labor is covered here, along with the 5-1-1 rule and when to go to the hospital.

Signs of labor

Your baby dropping, Braxton Hicks, prodromal labor, losing your mucus plug, your water breaking: a lot can point to labor, but none of it tells you the exact day. What contractions feel like and how to tell real labor from false labor is here, along with the signs that mean you call your provider right away.

Getting ready

The NHS suggests having your hospital bag packed at least 3 weeks before your due date. Scripps Health recommends at least a month. The checklist covers what goes in, from your ID and maternity notes to clothes for you, your baby and your partner. You can tick items off and print it.

Birth

Cleveland Clinic describes three stages of labor. The first opens your cervix, the second is pushing and birth, and the third is delivering the placenta. The guide walks through each stage and how long they usually take for a first and a later baby.

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