Signs of Labor: How to Tell When It's Really Starting

Early labor can look like irregular contractions, cramping, backache, or a "bloody show." Contractions might be short and far apart for hours. Lots of people labor at home during this phase with their doula on the line or en route.

Active labor usually means contractions that are regular, stronger, and closer—often 3–5 minutes apart, about a minute long. Your provider will tell you when to head in (or when your water's broken, that might be the cue).

Call or go in right away if your water breaks (especially if it's green or brown), you have heavy bleeding, or you're worried about baby's movement. When in doubt, call. No shame in that.

Braxton Hicks are practice contractions—usually irregular and they ease with rest or hydration. Real labor contractions tend to get longer, stronger, and closer over time. You'll notice the difference.

Some people's water breaks before contractions; for others it breaks during labor or the provider breaks it. If yours breaks, note the color and amount and call your provider. Clear or pale = typical; green or brown might mean meconium.

The "5-1-1" rule: contractions 5 minutes apart, 1 minute long, for 1 hour. Your provider might give you different instructions based on your situation and how far you are from the hospital.

First labors often take longer; later ones can be faster. Don't compare yours to anyone else's. Your doula can help you figure out when to stay home and when to go. Trust your instincts—if something feels wrong or you're unsure, call. When the big day arrives, you'll have your team and your plan. You're ready. You've got this.