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Am I in Labor (or Preterm Labor) Quiz & Checklist: The Symptoms of Labor

due date braxton hicks contractions water breaks weeks of pregnancy false alarm false labor water breaking third trimester real labor contractions pregnant women true labor vaginal discharge big day sign of labor health problems preterm birth best thing labor signs bloody show amniotic fluid hospital bag pregnancy test symptoms of preterm labor irregular contractions early signs of labor high blood pressure premature birth premature babies healthy diet good idea via @pullingcurls

Am I in labor quiz?  Pregnant women ask themselves that so many times — all the contractions, plus what are you looking for to know you’re IN labor?  This post includes an “Am I in labor checklist” as well as an “am I in labor quiz” — it will help you recognize the signs & symptoms of labor.

Hi, I’m Hilary — many people know me as The Pregnancy Nurse 👩‍⚕️. I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. 🩺​ I’ve seen THOUSANDS of moms in labor and helped them know if they were in REAL labor, or false labor — so I am definitely one to trust on this topic!

Be sure to grab my hospital packing list while you’re here!

As you can tell — this article has a LOT of things to offer!

Table of contents

  1. Am I in labor? Checklist
  2. Am I in Labor Quiz
  3. What is the first sign of labor?
  4. How do you tell if you’re having contractions
  5. When should you go to the hospital?
  6. What is False Labor
  7. What are some Signs that Labor is Approaching
  8. What Do Early Labor Contractions Feel Like
  9. How to Go into Labor
  10. Are you afraid of delivery?

Am I in labor? Checklist

We’re going to go through all the things to look for — but here is a printable checklist to mentally (or physically) go through as you approach your delivery day.

When I envisioned labor it was always the stuff that was in the movies.  Boom, your water breaks and then about 3 seconds later the baby is flying out.  {movie magic}, a baby has appeared!.  Congrats!  In reality, it’s hard to know exactly what’s a contraction and what’s just one of the usual aches and pains of pregnancy.

Your uterus is a giant muscle and it is attached to parts of you.  It stretches and aches.  That doesn’t mean the baby is coming.  It just means that parts of pregnancy can be pretty miserable.

Am I in Labor Quiz

This one is going to quickly take you through some of the things to watch for.

I’d encourage you to then finish the post to find out more about each option….

There are just about 100 points possible — so, just like regular labor, there is a pretty large scale.

I also have a little crystal ball quiz that asks WHEN will I go into labor. And btw, if I could figure that out, I’d be much richer than I am now. No one knows but mother nature. 🙂

BTW, if you’re interested more about going into labor I totally recommend taking a prenatal class. Studies shows birth classes cut down on anxiety SO much — I think you’ll love this one. Thousands of other moms have! It is literally guaranteed to get you more prepared, or your money back!

"My husband & I LOVED Hilary’s course. It was so convenient to pull up whenever we wanted (even car rides!) and he especially appreciated the questions so we could go through this together. She is so knowledgeable yet concise - GREAT class!"

Signs of Labor FAQ’s:

What is the first sign of labor?

Normally, the early signs of labor are lower back pain and cramping feelings — like you had when you were getting your period, and then it progresses from there. That would be considered the early stages of labor.

It’s important to note that labor is a LOT of different signs & symptoms. Contractions are just one of them!

How do you tell if you’re having contractions

Your uterus will tighten.  I find that it’s best to tell if your belly is tightening when you’re laying down (as when you stand-up your abdominal muscles might be tight). I have a whole post that tells what a contraction feels like.

Most often, the pains go from irregular contractions to more regular ones. It is a good idea to time them when they seem closer together than 10 minutes or so (so, more than 12-15 in an hour).

Contractions may start off as just “tightening” and then progress into painful contractions.

What week does labor usually start?

Well, week 40 is the average (many people go more than 40 weeks).  You really don’t want to go into preterm labor…

Remember all of that is an AVERAGE. You can check out my pregnancy calendar to learn your important pregnancy dates.

Even if you’re in your third trimester — baby is still not “ready” — better for baby to come after 37 weeks. Prior to 36-37 weeks, that would be considered a preterm birth.

Premature babies (born before 36 weeks) often have to spend some time in the neonatal intensive care unit, with some support as they grow and feed until they can safely live in the outsiede world.

What triggers labor?

Basically, the baby and your uterus deciding it’s done.  It’s a complex mechanism of hormones, and more than I want to get into here.

We talk a bit about how to go into labor in this podcast episode on ways to go into labor with my friend and fellow RN Mandy.

When should you go to the hospital?

I talk a LOT about that in my prenatal class, but I’d also ask your doctor what he/she thinks. There are a few reasons (besides labor) to call your doctor or the hospital.

The best thing is to listen to your doctor and your mommy gut about going to the hospital.

Does nesting mean labor is near?

I mean, if — by “near” you mean in the next few months.  Then, yes.  Nesting isn’t a sign of labor though.

BTW, if you’re wanting to nest a bit more I love this course on home organization.

How can I avoid pooping in labor?

I have a whole post on pooping in labor — but natural labor makes it a lot easier (vs an induction).

Is tightening of the stomach a sign of labor?

Tightening of the UTERUS is a sign — because that is a contraction.  I find it’s easier to tell that when you lay down.

However, your body will have braxton-hicks contractions (sometimes known as false labor or practice contracitons) now and then as your uterus is irritable or just a random contraction now and then — and that does NOT mean you’re going into labor.

Real contractions will continue to get closer together or more painful (and then progress into labor). False labor does not, it’s really that simple (but doesn’t SEEM that simple when it’s happening to you).

What is False Labor

The horrible news is that false labor feels JUST like true labor contractions.  Also, false labor can TURN into true labor.  I have this awesome full post about false labor pains.  How you can tell the difference between a false alarm, or, real labor contractions?

You should ask your healthcare team how many contractions/are OK if you’re before 36 weeks.

Is my amniotic sac broken?

One of the TRUE signs of labor is your water breaking.  Of course, that can be tricky to know too! (Seriously, can’t SOME of this be easy?)

I know all too well the feeling of wondering if you either wet your pants, if it’s just a lot of vaginal discharge (or pee), or actually amniotic fluid.

What are some Signs that Labor is Approaching

Labor has some tell-tale signs that tend to appear somewhat together.  If you see a few of these labor signs all at once, you might start to think it IS the real deal.  Signs you’re going into labor include diarrhea, loss of mucus plug and more SUPER fun things.  You’ll be sure to want to click to that post right?  Labor isn’t always pretty, but I bet you’ll find that post SUPER helpful!

What are the Symptoms of Preterm Labor?

Signs of preterm labor can be the same as regular labor including:

  • Cramping
  • Back Pain
  • Stomach upset/nausea
  • Generalized Malaise
  • Loss of mucus plug
  • Changes in discharge/leaking amniotic fluid

Tell me about Losing Your Mucus Plug/Brownish Discharge

A lot of people feel like losing your mucus plug means you’re going into labor.  They’re wrong. 🙂

Cliff notes: Your mucus plug is just sitting your cervix protecting the baby the first couple of trimesters and then it will fall out. It isn’t much of a sign of anything on it’s own.

If you see vaginal bleeding (especially bright red), you may want to call your provider. Although bloody show can be normal during labor it’s good to stay in touch with them.

Pack Your Hospital Bags before going into labor

If you THINK you’re in labor — it’s a great time to pack your hospital bag.  I have seen a lot of 3 piece luggage sets come into the labor room.  I mostly feel bad that she’ll have to put all those useless items away once she gets home.

A small bag should do it. While we’re at it — I have a whole hospital checklist of ALL the things you should do before the baby comes!

Cliff notes version for the three most imporatant things:

  • This for moistness
  • This for simba hair
  • and this for charge!

How to Go into Labor

You might be reading this page wanting to know HOW to get that baby out!  This post will show you how to go into labor.  I should say that I think it is a good idea to wait until your full due date, and there are a lot of perks to being overdue with your baby (I am well aware that one of the perks is NOT being comfortable — but it is worth it!)  The less you do to prod that baby out, the better the outcome is likely to be!

I even have a podcast with my friend Mandy on it:

Now, if there is an issue with health problems (for you or the baby) your health care provider may choose to do an earlier induction (this is my post on 37 week inductions). These can be things like high blood pressure, or diabetes.

Are you afraid of delivery?

The one thing EVERY family brings into the labor room is a little (or a lot) of anxiety.  Such a big day.  So many pieces that need to fall into place.  So many unknowns.  I can tell you that your labor nurse is your life preserver.  She wants to explain things and help you on this special journey.  I have a whole post dedicated to JUST pregnancy fears.  There’s a lot to take into your heart and hopefully, this puts your mind at ease a bit.

Hope can do a lot.  But, I recommend taking a prenatal class.  Options include your local hospital or a doula.  BUT, most couples are finding online classes to be SO handy.  I recommend this one.  You can even save 10% with coupon code PC10.

What can you do to stay safe during pregnancy?

As you head into the final stretch be SURE you’re doing your kick counts — checking for decreased fetal movement! It’s the best way you can know your baby is thriving inside of you!

Of course, labor isn’t the only reason you’d want to call your doctor’s office.  There are many other reasons you’d want to call your doctor.

Alright, if you made it THIS far I think you’ll want to join me in the full class. There’s three price points, so it’s great on any budget. Check it out {psst, you can save 10% with code PC10}.

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hey there, i'm Hilary

Welcome! So glad you’re here! Pulling Curls aims to simplify family life, which is way harder to do than it is to type...
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