Active labor It starts when your contractions are regular and your cervix has dilated to 6 centimeters. In active labor: Your contractions get stronger, longer and more painful. Each lasts about 45 seconds and they can be as close as 3 minutes apart.
At the start of the first stage: they may last about 40 to 50 seconds. you may get one every 10 minutes.
Prodromal labor consists of contractions that can be fairly regular (between 5-10 minutes apart) and can be painful like active labor contractions, more so than Braxton Hicks contractions. Typically each contraction will last just shy of one minute. These contractions are preparatory.
Prodromal labor can feel a lot like active labor. Both contractions are painful and can be as close as five minutes apart. However, instead of gradually getting closer together and even more painful, prodromal labor stops. During active labor, contractions are longer, stronger and closer together.
The 5-1-1 Rule: The contractions come every 5 minutes, lasting 1 minute each, for at least 1 hour. Fluids and other signs: You might notice amniotic fluid from the sac that holds the baby. This doesn't always mean you're in labor, but could mean it's coming.
Early labor
Contractions are five to 15 minutes apart and last for about a minute each. Go to the hospital once they're five minutes apart for one hour or more. Your vaginal discharge might be clear, light pink or bloody. Go to the hospital if you notice heavy bleeding.
In active labor, the contractions are less than 5 minutes apart, lasting 45-60 seconds and the cervix is dilated three centimeters or more.
If you're less than 4 cm dilated: You might be sent home because your labor isn't active enough for hospital admission.
When you're in true labor, your contractions last about 30 to 70 seconds and come about 5 to 10 minutes apart. They're so strong that you can't walk or talk during them. They get stronger and closer together over time. You feel pain in your belly and lower back.
Duration is timed from when you first feel a contraction until it is over. This time is usually measured in seconds. Frequency is timed from the start of one contraction to the start of the next. It includes the contraction as well as the rest period until the next contraction begins.
It is possible! I have been with many women in labour through the night and helped them fall asleep. They have continued on to have positive, healthy births and feel super proud of their efforts, albeit ready for a good sleep afterwards!
According to the "411 Rule" (commonly recommended by doulas and midwives), you should go to the hospital when your contractions are coming regularly 4 minutes apart, each one lasts at least 1 minute, and they have been following this pattern for at least 1 hour. You may also hear about the 511 rule.
Lying on your back in labour
In addition to this, when you're on your back, you're not working with gravity – you're working against it. So your surges (contractions) are having to work so much harder (and therefore labour could take longer - and that's not something you want either, is it?).
Typically, real labor contractions feel like a pain or pressure that starts in the back and moves to the front of your lower abdomen. Unlike the ebb and flow of Braxton Hicks, true labor contractions feel steadily more intense over time. During true labor contractions your belly will tighten and feel very hard.
Spending most of your time in bed, especially lying on your back, or sitting up at a small angle, interferes with labor progress: Gravity works against you, and the baby might be more likely to settle into a posterior position. Pain might increase, especially back pain.
Also known as “false” labor, Braxton-Hicks contractions last anywhere from less than 30 seconds to more than 2 minutes . They can feel like a wide belt tightening around the front of the abdomen.
Braxton Hicks contractions are sporadic contractions and relaxation of the uterine muscle. Sometimes, they are referred to as prodromal or “false labor" pains. It is believed they start around 6 weeks gestation but usually are not felt until the second or third trimester of the pregnancy.
(Some OBs will go ahead and break your water at 3 or 4 centimeters.) The reasoning behind this: “Artificial rupture of membranes” (popping a hole in the amniotic sac) will usually jumpstart labor by getting serious contractions underway.
The cervix generally needs to be dilated to 10 centimeters before it's ready for the baby to pass through. Your cervix can be dilated to a couple of centimeters for a few weeks before delivery. This softening can cause the mucus plug to be dislodged and come out.
During the final stages of labor, some women begin visibly shaking. The shaking may range from mild to intense and can last for up to 45 minutes after birth. Doctors and midwives aren't clear on the specific cause. Shaking can occur with infection, or from a dramatic drop in body temperature and/or shift in hormones.
Labor usually follows soon after your water breaks – regular contractions often start before this, but in some cases, the water breaks first. If your water breaks when you're full term but you're not in labor (not having contractions), it's called premature rupture of membranes (PROM).