Is This Labor?

Symptom

Description

Action

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Blood tinged mucous discharge, could indicate that the cervix is beginning to thin and open in preparation for labor.

No action necessary unless you are less than 38 weeks and the bleeding is like a menstrual period.

Backache

Backache can be common during pregnancy, but if intermittent, it may be early labor, particularly if associated with cramping or increased pelvic pressure.

No action unless you are less than 37 weeks.

Contractions

Tightening of the uterus (womb), usually begin irregularly and far apart.

Time contractions and notify the office once contractions are regular and at least 7 min apart. Immediate notification is necessary if you are less than 37 weeks pregnant.

Breaking of the bag of waters

Fluid leaks, gushes from the vagina

Call the office or on-call physician immediately regardless of gestational age and/or proceed directly to labor and delivery, note the time, amount, and if you have any contractions.