How will I know when I'm in labour? How will I know when I am in labour? So pinpointing when yours begins isn't really possible. However, some specific changes take place in pre- labour, early labour and established (active) labour which may provide some clues. In pre- labour or early labour (the latent phase), you may have. Persistent lower back pain or abdominal pain, with a pre- menstrual feeling and cramps. Painful contractions that occur at regular and increasingly shorter intervals, and become longer and stronger in intensity (NCCWCH 2. Broken waters. Your membranes may rupture with a gush or a trickle of amniotic fluid. Either way, call your midwife or hospital to let them know. A brownish or blood- tinged mucus discharge (bloody show). If you pass the mucus plug that blocks the cervix, labour could be imminent, or it could be several days away. It's a sign that things are moving along. An upset tummy or loose bowels. A period of feeling very emotional or moody. Disrupted sleep (Gross et al 2. Gross et al 2. 00. If you think labour has begun or you have unusual symptoms, don't be embarrassed to call your midwife or hospital delivery ward. Midwives are used to getting calls from woman who are uncertain if they're in labour and who need guidance. It's part of their job. A midwife can tell a lot by the tone of your voice, so talking helps. She'll want to know how close together your contractions are, whether you can talk through a contraction, and any other symptoms you may have. If you're planning to have your baby in hospital or in a birth centre, she may ask you to come in so she can make an assessment. Her decision will depend on how you're coping and whether you've got a birth partner to support you (Cheyne et al 2. Going to hospital too early increases your chances of interventions and reduces the chance of having a natural birth (Klein et al 2. If you are having a homebirth your midwife will talk to you over the.
![]() Bersalin dan proses kelahiran adalah berbeza bagi setiap wanita. Baca senarai tanda-tanda kelahiran dan bersalin yang menunjukkan saat kelahiran bayi sudah hampir tiba. A birth plan is a way for you to communicate your wishes to the midwives and doctors who care for you in labour. It tells them about the type of labour and birth you'd like to have, what you want to. What should I do early on in labour? Keeping calm and relaxed will help your body to release the hormone oxytocin that you need for your labour to progress (Mc. Nabb 2. 00. 4: 4. ![]() ![]() Simkin and Ancheta 2. NCCWCH 2. 00. 7: 9. Do whatever will help you to stay relaxed. This could mean watching your favourite film, going for a walk, pottering around at home, or asking a trusted friend or relative over to keep you company. You could alternate between walking and resting, or try taking a warm bath or shower to ease any aches and pains. If you can, try to get some rest to prepare you for the work ahead. During early labour, you may feel hungry, so eat and drink if you feel like it (Mc. Nabb 2. 00. 4: 4. Simkin and Ancheta 2. This will help to comfort you and may even help your labour to progress more smoothly (Dencker et al 2. Early labour is a good time to try out different positions, breathing techniques and visualisations to see if they help you to cope with the contractions. If you've got a TENS machine, early labour is the time to use it (NCCWCH 2. You can have pre- labour contractions. These help your cervix to go through the changes it needs to before it starts to dilate. During dilation, your cervix moves from the back (posterior position) to the front (anterior position). It will also be shortening and thinning (softening and effacing). These changes may take place without you noticing over the last few weeks of your pregnancy (Simkin and Ancheta 2. Winter and Cameron 2. Or you may experience hours or days of cramps or contractions. These may be progressing the early changes in your cervix, even though they may not be dilating your cervix yet (Simkin and Ancheta 2. A midwife can tell whether cervical changes have started during an examination, though she won't routinely check your cervix at your antenatal appointments. Your cervix may be firm and unyielding and then quickly become . Your contractions may be erratic and low in intensity, and you may have backache (Coates 2. Your midwife will advise you about ways to cope at home until labour becomes stronger (NCCWCH 2. You could take a dose of paracetamol or try a warm bath or massage to relieve the pain. If your baby is back- to- back, getting into an all- fours position, on your hands and knees, for half an hour or so now and again can help relieve backache (Stremler et al 2. Hunter et al 2. 00. Signs that labour may be approaching include: Lightening, when your baby's head begins to drop into position in your pelvis. You may be able to breathe more deeply and eat more, but you'll also need to wee more frequently, and walking may be more difficult. Heavier and more mucus vaginal discharge. More frequent and noticeably more intense Braxton Hicks contractions. Mood swings and a surge of energy. A sudden urge to clean your home! Making the diagnosis of labour: midwives’ diagnostic judgement and management decisions. J Advanced Nursing 5. Coates T. Malpositions of the occiput and malpresentations. In: Fraser DM, Cooper MA. Myles Textbook for Midwives. Edinburgh: Churchill Livingstone, 5. Crafter H. Problems of pregnancy. In: Fraser DM, Cooper MA. Myles Textbook for Midwives. Edinburgh: Churchill Livingstone, 3. Dencker A, Berg M, Bergqvist L, et al. Identification of latent phase factors associated with active labour duration in low- risk nulliparous women with spontaneous contractions. Acta Obstet et Gynecol Scand 8. Eri TS, Blystad A, Gjengedal E, et al. Midwifery 2. 7(6): e. Klein MC, Kelly A, Kaczorowski J, et al. The effect of family physician timing of maternal admission on procedures in labour and maternal and infant morbidity. Journal of Obstetrics and Gynaecology Canada. Lauzon L, Hodnett E. Labour assessment programs to delay admission to labour wards. Cochrane Database of Systematic Reviews. Women's recognition of the spontaneous onset of labor. Birth 3. 0(4): 2. Gross MM, Hecker H, Matterne A, et al. Does the way that women experience the onset of labour influence the duration of labour? BJOG 2. 00. 6 1. 13: 2. Hunter S, Hofmeyr GJ, Kulier R. Hands and knees posture in late pregnancy or labour for fetal malposition (lateral or posterior). Cochrane Database of Systematic Reviews (4): CD0. Physiological changes in labour. In: Henderson C, Mc. Donald S. London: Bailliere Tindall, 4. Mc. Cormick C. The first stage of labour: physiology and early care. In: Fraser DM, Cooper MA. Myles Textbook for Midwives. Edinburgh: Churchill Livingstone, 4. NCCWCH. Intrapartum care: care of healthy women and their babies during childbirth. National Collaborating Centre for Women's and Children's Health, Clinical guideline. Antenatal care: routine care for the healthy pregnant woman. National Collaborating Centre for Women's and Children's Health, Clinical guideline. Late pregnancy bleeding. Am Fam Phys 7. 5(8): 1. The labor progress handbook: early interventions to prevent and treat dystocia. Chichester: Wiley Blackwell. Stremler R, Hodnett E, Petryshen P, et al. Randomized controlled trial of hands- and- knees positioning for occipitoposterior position in labor. Birth 3. 2(4): 2. Walsh D. Care in the first stage of labour. In: Henderson C, Mc. Donald S. London: Bailliere Tindall, 4. Winter C, Cameron J. The 'stages' model of labour: Deconstructing the myth. BJM 1. 4(8): 4. 54- 6.
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