Working out whether you are in the early stages of labour or not can be very confusing for you. This leaflet has been produced to help and guide you, giving you the confidence to know and understand what is happening to you and your baby.
If you are under 37 weeks of pregnancy and have signs of labour, please call 02476 865246 immediately.
What is the difference between Braxton Hicks and real labour contractions?
Braxton Hicks can occur all through the late stages of pregnancy. They are a tightening of the muscle of the uterus which usually lasts 30-45 seconds. This may occur several times an hour, several times a day.
Braxton Hicks may be uncomfortable but are painless, non-rhythmic and unpredictable. Labour contractions are longer (45-60 seconds) and more regular. They will increase in frequency, intensity and are painful.
The latent phase explains the start of labour. During this time, the body is preparing for active labour. The cervix will soften and begin to shorten and open. With the latent phase, you can also find:
- It may stop and start.
- It is unique to you.
- It can be cramps/backache or contractions. These can be irregular in strength, length and frequency.
- You may have a show (thick mucous which may have some blood in).
- It can be exhausting.
- It can last 24 hours or more.
- It should be an exciting time.
All of this is normal.
Coping strategies for the latent phase of labour
It is safe to take regular Paracetamol. You can take tablets every 4-6 hours, however, do not exceed the maximum dosage as stated on the medication packaging. Other strategies include:
- Try a warm bath.
- Ensure you stay hydrated and eat little and often.
- Communicate with your birthing partner so they can support you.
- Go for a walk and remain active, gravity will help the baby descend into the pelvis.
- Your birth partner can try massage techniques and help you into comfortable positions to cope.
- If not using a bath/you are dry, consider the use of a TENS machine.
- Ensure you take rest periods/nap.
- If you attend the maternity unit in the latent phase of labour, it may be advised that you go home for labour to progress naturally. These coping strategies may help you at home.
When should I contact the Hospital?
If you experience any of the following, call the 24-hour number (02476 865246) immediately:
- You are having regular contractions (3 contractions in a 10-minute period, lasting 45–60 seconds).
- Paracetamol and a bath have not helped.
- You have any vaginal bleeding.
- You are worried about baby’s movements.
- Your water’s break.
- You feel unwell/feverish.
- You have had a previous quick labour and birth.
- Any other concerns.
Remember everyone’s labour is different. Let us know when you are on your way and bring a hospital bag.
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