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Do's and Don'ts

Be Aware of Warning Signs and Contractions

If you notice tightening or other symptoms the following will help you to know whether or not you are having a contraction: Lie on your back with a pillow behind you for support. Put your hand on your abdomen and check to see if your uterus is hard and tight like a "clenched fist" and then becomes soft again. This is a contraction. Contractions are normal during pregnancy, but more than 5 an hour is too many when you are not in labor, and indicates the need to talk with your doctor. Keep track of vaginal discharge and if you pass the mucus plug the discharge may be pink or brown. This may happen as long as three weeks before you deliver – or sometimes not at all.

The sac of amniotic fluid the baby is floating in may rupture about 24 to 48 hours before labor starts. If this happens, warm, clear fluid will gush or trickle out of your vagina. If you’re not certain whether this is a little urine leak or a break in the water sac, empty your bladder, put a fresh sanitary pad on and lay down for 30 to 45 minutes. If your water broke, the fluid will pool in your vagina and be released when you stand up. Amniotic fluid is usually clear or straw-colored, rarely is it a dark green or brown color. Call your doctor immediately if your water breaks.

When actual labor begins, you may feel nagging low back discomfort or menstrual-like cramps. Some women have a loose stool or diarrhea as well. Usually any contractions you have will become regular at interval you can time, and gradually they will increase in strength and duration. Some women, especially those with previous births, may progress through early labor quickly.

Be sure to follow your physician’s instructions as to when its time to go to the hospital – and account for bad weather, high traffic and distance. Whenever in doubt its best to play it safe – and check in with your health care provider.