An Overview of Labor Signs

Medically Reviewed by Traci C. Johnson, MD on August 26, 2019

Call 911 if:

  • The woman has heavy vaginal bleeding.
  • The woman has severe stomach or pelvic pain.
  • The woman has a seizure.
  • The woman loses consciousness.
  • The umbilical cord is bulging into the vagina 

1. Look for Signs of Labor

Signs that labor has begun include:

  • Contractions that come at regular intervals, increase in frequency, do not stop when the woman changes position or relaxes, and may cause pelvic pressure and discomfort or dull ache in the back or lower abdomen
  • A sudden gush or a steady trickle of fluid when the amniotic membrane ruptures ("water breaks")
  • Pink or slightly bloody mucus discharged into the vagina

2. When to Call a Healthcare Provider

Call the healthcare provider right away if:

  • In first pregnancy, contractions are very uncomfortable and coming every 5 minutes for 1 hour. This timing, however, may vary. Ask your health care provider what they recommend.
  • In subsequent pregnancies, contractions are coming every 7 to 10 minutes for an hour. This timing, however, may vary. Ask your healthcare provider what they recommend.
  • The woman's "water breaks," even without contractions. They should avoid baths, douching, tampons, or sexual intercourse.
  • The woman has vaginal bleeding (more than spotting).