Labor Symptoms
Signs/Symptoms of Preterm Labor (before 36 weeks gestation):
Painful or painless uterine contractions, regular in timing, 6 or more per hour
Uterine contractions unrelieved by rest, fluids, and bladder emptying
Sensation of abdominal tightening
Cramping
Dull low backache - constant
Pelvic pressure or heaviness
Increased vaginal discharge or change in discharge
Gush or trickle of fluid
* Findings of Real or True Labor
- Contractions become fairly regular.
- Contractions over a time period become stronger and more frequent.
- Contractions continue to increase in intensity with walking around.
- Contractions typically start in the lower back and wrap around to the lower abdomen.
- Bloody show.
- Rupture of membranes occurs (may occur late in labor).
Lower back pain, diarrhea, pelvic pressure, vaginal discharge changes, tightening or cramping in the lower abdomen or pelvis may be indications of pre-term labor before 36 weeks
*Timing Contractions
- Contractions are timed from the beginning of one contraction to the beginning of the next.
Kick Count Instructions:
- Most women will be able to feel the baby move by the 18-20th week of pregnancy.
- Sit back in a comfortable chair or lay down on your left side in bed. Do this in a quiet room (no TV, cell phone, computer, or children).
- Count any baby movement (kicks, rolls, flutters). Count up to 10.
- Normal Kick Count: 5 or more in one hour or 10 or more in 2 hours.
- Low Kick Count: Less than 5 in one hour or less than 10 in 2 hours. Go to L/D or Speak with your PCP right away.
