Mucous plug: this is often an actual event for first- timers. It is a few tablespoons of egg white looking mucous that is streaked with pinkish, brownish blood. It has been acting like a cork throughout the pregnancy, and “comes out” anywhere from hours to days before labor begins. It could be a plop into the toilet bowl or surprise in your panties. It is useful in that it is a sign that labor is brewing; that you have a matter of hours to a matter of days before labor begins.

Amniotic Sac: The bag of waters can break spontaneously in 2 ways; either a high leak that creates a trickle of fluid or a low break that results in Niagara Falls! If you are having a trickle or increasing dampness that requires a light days pad-be suspicious, your water may have broken. If you have a gush of fluid, your water has broken. In both cases, you need to call your OB/Midwife/Hospital to get your next set of instructions. They may have you stay home for a bit OR they may want you to come in to be evaluated.

Contractions: Uterine contractions (an internal tightening, pelvic pressure and the entire abdomen gets hard) that come in a regular pattern are the surest sign that laboris starting. The difficulty that most people have is distinguishing between ‘practice’ Braxton-hicks contractions and real labor contractions. The words I use to help determine false from real labor are: STRONGER, LONGER, CLOSER. Contractions that get stronger, last longer and get closer together over time indicate true labor. This is in contrast to false labor, when contractions are short, irregular and intermittent.

Who do we call?

At your next prenatal visit ask them who do you notify when you are in labor, the water has broken or you think it’s time to GO!