Different hospitals have different definitions of 'slow labour', but the main way to spot the signs of slow labour is to measure the rate at which your cervix dilates. If this is less than 0.5cm per hour over a four-hour period, Mother Nature might need a helping hand.
The duration of the latent phase of labour can be variable. It may last for 24 hours or more and can be tiring for you. It helps if you can stay as relaxed as possible during this part of your labour and remain at home in comfortable surroundings as long as you can.
You'll have mild contractions that are 15 to 20 minutes apart and last 60 to 90 seconds. Your contractions will become more regular until they are less than 5 minutes apart.
Labor contractions usually cause discomfort or a dull ache in your back and lower abdomen, along with pressure in the pelvis. Contractions move in a wave-like motion from the top of the uterus to the bottom. Some women describe contractions as strong menstrual cramps.
Getting up and moving around may help speed dilation by increasing blood flow. Walking around the room, doing simple movements in bed or chair, or even changing positions may encourage dilation. This is because the weight of the baby applies pressure to the cervix.
You may notice an increase in mild cramps or Braxton Hicks contractions ("practice" contractions) that feel like a tightening or hardening of the uterus as you approach delivery. Additionally, you may notice a sensation of building pressure or cramping in your pelvic/rectal area.
The baby will keep moving until the labor begins, and this movement will continue during the early labor. However, the movement pattern may change. Instead of kicking the womb, the baby may squirm or shuffle. The feeling of the baby's movement provides assurance that the baby is doing well.
Should you worry if you have no signs of labor yet?
Most babies are born within a few weeks of their due date. If you find yourself nearing the end of your estimated due date window with no signs of labor, there may be actions you can take to help nudge your baby into the world. Before doing so, you should always consult with your doctor or midwife.
Labour can sometimes be slower than expected. This can happen if your contractions are not coming often enough, are not strong enough, or if your baby is in an awkward position. If this is the case, your doctor or midwife may talk to you about 2 ways to speed up your labour: breaking your waters or an oxytocin drip.
Many women stay at home during early labour. This is often the longest part of the birthing process. It may last up to 2 to 3 days. Contractions are mild to moderate and shorter (about 30 to 45 seconds).
You might notice a change in the discharge from your vagina or a few cramps in your abdomen. You may have a low, dull ache in your back that can come and go. You may also feel pressure in your vagina or back passage. As the big day gets nearer, you may experience more definite early signs of labour.
One of your biggest allies is gravity. When you are upright—standing, sitting or kneeling—the weight of your baby presses on the cervix, encouraging it to open. An upright position may also help get your baby into the best position for birth.
Cervical ripening is the process of preparing the cervix for labor and delivery. A healthcare provider may recommend medication, mechanical dilators or other procedures to help soften and open the cervix. ... Other medications that can ripen the cervix include:
How do I know if I am in active labor or early labor?
Timing of the contractions
True labor: They come at regular intervals (every 5-20 minutes). They get closer together as time goes on. They can last anywhere from 30 seconds to 1 minute.
False labor: Contractions are irregular and don't get closer together.
Try to insert the tips of your fingers into your cervix. If one fingertip fits through your cervix, you're considered one centimeter dilated. If two fit, you're two centimeters dilated. If there's additional space in the opening, try to estimate how many fingertips would fit to determine dilation.
