How can you recognize the signs of labor?
Between real contractions and false alarms, here are the clues that help tell whether labor has truly begun.
The most reliable sign is a contraction pattern that becomes steadily more regular, longer, and more intense, and that doesn't ease up when you change position — unlike Braxton Hicks contractions.
Other signs often go along with early labor: losing the mucus plug, stronger pelvic pressure, or low back pain that comes in waves. These can show up days before active labor, or right as it starts.
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It's also useful to distinguish 'false labor' (or pre-labor), which can last hours or days with irregular contractions that don't progress, from active labor, where the cervix is actually dilating. Only an exam can confirm that progress for certain.
As a general guideline, many providers suggest calling your care team once contractions come about every 5 minutes, last close to 60 seconds, for at least an hour — but always follow the specific guidance given for your pregnancy.
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This information is general and does not replace advice from your healthcare professional (doctor, midwife, nurse, pharmacist). Every situation is unique: always check with them before making a decision. In an emergency, call 911 or your local emergency services.
