How you can Know When to visit a healthcare facility for Labor

 

How will I know I am in labour? | NHS

Video taken from the channel: NHS


 

Part 2 ACTIVE LABOR and When to GO to the HOSPITAL | Birth Doula

Video taken from the channel: Bridget Teyler


 

WHEN TO GO TO HOSPITAL for LABOR?!

Video taken from the channel: Dancee Pinkston


 

When to Go to the Hospital and What to Bring

Video taken from the channel: LHSCCanada


 

WARNING Signs to GO to the Hospital Time to Get Checked Out!

Video taken from the channel: Sarah Lavonne


 

LABOR SIGNS and the #1 Way to Know For Sure it’s Labor

Video taken from the channel: Bridget Teyler


 

Signs of Labor from a Midwife | How to Know When It’s Time

Video taken from the channel: Cajun Stork Midwife Kira at Natural Birthhouse


A simple rule for when to go to the hospital for labor is the 5-1-1 rule. You may be in active labor if your contractions happen at least every 5. That timing is different for almost every mom-to-be — it depends on how far away you live, how dilated your cervix was at your last exam, how your baby is positioned (if you have a breech baby, you’ll likely go to the hospital as soon as you’re in active labor), if you’ve had prior uterine surgery or if you have complications like gestational diabetes or preeclampsia, which need monitoring. ANSWER Active labor (the time you should come into the hospital) is usually characterized by strong contractions that last 45 to 60 seconds and occur three to four minutes apart. From: Signs of.

As a general rule, you know you are ready to go to the hospital when your contractions are 4 minutes apart, lasting 1 minute, for at least 1 hour. After your water breaks, the time it will take for your labor to progress to delivery can vary. But the risk of infection increases if you do not give birth within 24 hours. If you’re sure you’re in labor, you should get going when those contractions are between 3 and 5 minutes apart over the course of a full hour. Timing is essential it should be from the beginning of the contraction to the beginning of the next contraction.

Your contractions should last from 45 to 60 seconds. For those who are having their first baby, it is a good idea to head to the hospital when the contractions are around five minutes apart or when the discomfort of labor becomes too much to bear at home. For those having their second baby, it is a good idea to head to the hospital when the contractions are around seven minutes apart. 2.

As it nears time to head to the hospital, you may have more difficulty breathing through the pain. Watch for any vaginal discharge that indicates true labor is underway. Look for a slightly bloody discharge or a thick mucus discharge. Clear liquid either in a small stream or a larger gush indicates ruptured membranes.

Which means that going into active labor isn’t exactly tightly scripted. In general, you probably should head for the hospital when your contractions get longer, more intense and more frequent. The contractions themselves typically feel like a menstrual cramp, or a lower backache that wraps around to the front of your body or vice versa. If the tightness lasts for 30 seconds or longer, they’re labor contractions.

Count the time between contractions from the start of one to the start of the next. If this is your first baby, come to the hospital when your contractions: Come every 3 to 5 minutes over an hour-long period. Last at least 45 to 60 seconds. The average length of pregnancy is 280 days, or 40 weeks.

But there is no way to know exactly when you will go into labor. Most women give birth between 38 and 41 weeks of pregnancy. The more you know about what to expect during labor, the better prepared you will be once it begins.

List of related literature:

After you’ve called to report the information in your Early Labor Record (see page 175) and are told to go to the hospital or birth center, make sure you have your bag, your birth plan (see Chapter 8), and any last-minute items (for example, a towel if your bag of waters is leaking) and head to the birthplace.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Most providers recommend that you go to the hospital or birthing center when your contractions are four minutes apart, last more than one minute, and have been under way for at least one hour.

“Mama Glow” by Latham Thomas
from Mama Glow
by Latham Thomas
Hay House, 2012

There is almost always plenty of time, once she is clearly in labor, to get to the hospital or settle in for a home birth.

“The Birth Partner: Everything You Need to Know to Help a Woman Through Childbirth” by Penny Simkin
from The Birth Partner: Everything You Need to Know to Help a Woman Through Childbirth
by Penny Simkin
Harvard Common Press, 2001

The woman should be informed of the signs that warrant immediate transfer to the hospital, including strong contractions less than 5 minutes apart, PROM, severe perineal pressure, and an urge to push.

“Maternal Child Nursing Care in Canada E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, Lisa Keenan-Lindsay, David Wilson, Cheryl A. Sams
from Maternal Child Nursing Care in Canada E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2016

Some want a call as soon as labor begins; others just want a 30to 60-minute headsup before you head to the hospital.

“Dad's Guide To Pregnancy For Dummies” by Mathew Miller, Sharon Perkins
from Dad’s Guide To Pregnancy For Dummies
by Mathew Miller, Sharon Perkins
Wiley, 2014

There really is no way to know exactly when the baby is ready to emerge, so even ifyou think you may not have time to get to the hospital, you probably do.

“The Worst-Case Scenario Survival Handbook: How to Escape from Quicksand, Wrestle an Alligator, Break Down a Door, Land a Plane...” by David Borgenicht, Joshua Piven
from The Worst-Case Scenario Survival Handbook: How to Escape from Quicksand, Wrestle an Alligator, Break Down a Door, Land a Plane…
by David Borgenicht, Joshua Piven
Chronicle Books LLC, 2011

While you’re likely to have enough time to make it to the hospital, you may have to err on the side of caution and make the trip before you’re 100 per cent sure that you’re really in labour.

“The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between” by Ann Douglas
from The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between
by Ann Douglas
Wiley, 2011

Rather, as soon as she feels labor beginning, even if she is not sure, the woman should travel to the hospital.”

“Encyclopedia of Jewish Medical Ethics: A Compilation of Jewish Medical Law on All Topics of Medical Interest...” by Avraham Steinberg, Fred Rosner
from Encyclopedia of Jewish Medical Ethics: A Compilation of Jewish Medical Law on All Topics of Medical Interest…
by Avraham Steinberg, Fred Rosner
Feldheim Publishers, 2003

Then, when you go into labor and call your doctor, whichever member of the group is on call at that time will meet you at the hospital.

“The Girlfriends' Guide to Pregnancy” by Vicki Iovine
from The Girlfriends’ Guide to Pregnancy
by Vicki Iovine
Pocket Books, 2007

If you’re past 37 weeks, you usually won’t need to contact your care provider until the contractions last about 60 seconds each and are 5 minutes apart.

“Praying Through Your Pregnancy: An Inspirational Week-by-Week Guide for Bonding with Your Baby” by Jennifer Polimino, Carolyn Warren
from Praying Through Your Pregnancy: An Inspirational Week-by-Week Guide for Bonding with Your Baby
by Jennifer Polimino, Carolyn Warren
Gospel Light, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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50 comments

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  • With both my babies, I got lots of practice contractions, but I knew it was real is when I had bleeding and went #2 while having contractions

  • I had very little movement towards the end and one day he didn’t move at all I went in and had to be induced as he didn’t grow for two weeks! Always trust your instincts! X

  • I’m 37 weeks pregnant and my doctor said I am in early labor at 100% effaced and 1cm dilated as of 3 days ago. I get really painful cramps and feel like baby is pushing down, but I can’t tell if the cramp pains are the actual contractions they do stop me in my tracks and I have to breathe through them

  • I’m 39 weeks, I have been 1cm dilated for 3 weeks, i lost the mucus plug like 10 days ago, I have contractions everyday, so much back pain, I am exercising everyday, drinking raspberry leafs tea, eating dattes….. And still no progress my baby still doesn’t want to show up this is so frustrating ��

  • Oh I so connected to this! I had my second at home and my first sign was my bloody show and as I got up I started shaking uncontrollably. My contractions started right after that and they were already 45 seconds long and 2 minutes apart. My son was born 4 hours later! So pretty much my whole labor I was not my normal bubbly self, I was in the zone! ��

  • I’ve had a medicated hospital birth ( due to my son having congenital heart defects) and 2 homebirths, one accidental and one planned. I planned to have an unmedicated hospital birth, but about 10 minutes before my accidental homebirth I had my mom call the hospital to tell them “they better have the anesthesiologist waiting on me because I want the epidural NOW. I don’t think I’ll be able to have one, but in case I can I want them ready.” In that moment I remembered reading that when you get to the point that you feel like you can’t do it anymore the baby will be here very soon. I had the next contraction and that is when I let my husband and mom know we weren’t going to make the 30 minute drive to the hospital, we were having this baby at home. My mom caught our baby girl about 10 minutes later.�� My labor was only 2.5 hours. I never dreamed I would have such a short labor, but it was wonderful and is the reason I planned to have my third birth at home. Water seems to speed up my labor very quickly and 2.5 hours was a little too fast for me so for my planned homebirth I wanted to have more like a 4 hour labor. I stayed out of the water until I was ready to have the baby and about 20 minutes after I got into the tub, almost exactly 4 hours of labor later, my second baby boy was born. I delivered him myself and it was everything I ever wanted and more!

  • Subscribed! Your vdos are so motivating and informative. I’m due in 2 wks and I want my baby to come just on time, not earlier. Then should I stop walking too much? My husband told me to stop walking as he understood that it’ll accelerate the baby’s birth. Is that true? I thought walking a lot is another way to help dilate faster during the labor, but it doesn’t expedite the labor.. Your answer will be really helpful for us. Thank you

  • 37 weeks, lost mucus plug, loose stools, but sooooo many non-progressive contractions. It’s been about 4 days now �� I had 2 previous pregnancies that ended so quickly, so I’m a bit anxious even bored with the wait.

  • Such a great information �� having my baby October 15 with a midwife almost 31 weeks getting anxious and excited I started losing fluid pass two weeks �� it’s weird kinda like your mind is telling you it’s getting real Grace ��

  • Another question, should labouring women be advised to stop eating hours before delivery? If so, what is the rationale? I thought labouring women need to eat for energy to push baby later.

  • It’s very annoying that you call people “Momma”. I think u should rethink that. I rarely comment on anything, but felt the need to tell you that you sound real strange saying that. Do you even have any kids????

  • I’ve had all the symptoms except water breaking since last Wednesday… no baby yet. Cramps contractions lost MP nauseous, upset stomach. None of these symptoms mean anything for me because I still am not in active labor

  • 32 weeks pregnant with my first and I’m glad I came across your videos! This one is so informative! I’ve had 2+3 mildly for the last week or so but I didn’t really think much of it. Trying not to be overwhelmed but labor so I’m trying to learn as much as I can about it. I appreciate how informative your videos are to help de stress from all the anticipation of labor. Thank you!

  • This is great info.. I woke up from a nap and I started to feel nauseous and cramping at the same time. I’m 37 weeks and 2 days. ��

  • I’m on my 3rd baby and this will be my first vbac! Our dr is an hour and a half away! My first came pretty fast naturally 2nd was breech and a C section. I’m so worried about not catching early signs and having him in the car on the way to the hospital ��

  • My BP seems to be normal,but more towards in lower range. For example 94/62. I had low BP issue before my pregnancy. Will this affect in normal delivery?

  • I just made it to 34 weeks! Huge accomplishment. I am so glad I found your channel. Even with this being my 3rd, I still have had no similarities with any of my pregnancies. Lol. Do you have advice for someone with an irritable uterus? It doesnt matter how much water I drink, food I eat, rests I take or medicine I always have contractions.

  • hey bridget!! God bless u for guiding sooo well.
    i just had my first baby, a boy on 22nd feb. the only thing which kept me calm composed and have control over my nerves in entire labour was ur breathing excercise tips.
    i had pains for 2 days whch were 30 mins apart….but as per your formula….411, on the third day i started experiencing thoes from evening and went to hospital….there the doc induced active labor state through meds and my active labor lasted for 1 hour only and i delivered very easily.
    the destresser breaths very extremly helpful in coping up the waves of pain.
    hypnobreathing is the best technique every mom should master!!!!

    though i started perineal massage & excercises also but could not perform properly as both hands could not reach down there simultaneously…..due to which i got epistomy & have stiches too…..whch i am taking good care in th form of sitz bath & keeping them thoroughly cleaned & applying local oitment antibiotics.
    once again……i am very thankful to you for excellent breathing advices. they were they best.

  • I’m 36 and 1 day pregnant. I have 27 days left. So rn just haven’t experienced nothing yet. My midwife told me I should be experiencing something along the line. I’m going into normal birthing. This is my first time carrying a baby. I’ve never carried a baby. Been noticing I get hangry without food and worried about the baby catching the coronavirus because we’re living in a place where the baby will not be protected from the coronavirus if I don’t distance myself from people. So far been keeping myself quarantine because I’m pregnant and due August 8th but she could be a week or two weeks early depending on how long my body can keep her. I’m pretty small for a first time mom and knowing that its my first pregnancy she could take one or two weeks or be here on time. Don’t know but can’t wait to meet her. I can’t really tell if she is a boy or girl because of the fact she kept hiding her area. I feel like she’s 99% girl and she could be 98% boy just don’t know yet lol

  • 34 nearly 35 weeks pregnant here. I’m concerned about my severe lower back pain, period like cramps, and diarrhea over the past 4 days. Luckily I have an appointment with my doctor in less than 48 hours.

  • My due date is in 2 days and so far nothing. I really want an all natural unmedicated birth but I feel like I’ll be pregnant forever and never go into labor!

  • Oh well jesus I’m going to be going to the hospital a lot more if migraine+epigastric pain is a “Go get checked” situation cuz that’s pretty standard for me (and the last time I had it my bp was 105/70)

  • I’ve been having cramps since 35weeks and now I’m 38+2 and still having intense cramps and tightning. Lost my mucus plug three days ago and been expecting my baby girl to finally make her grand entrance. �� Been feeling more depressed as days go by with just constant disappointment with these false labors.

  • Bridget you might not be my personal doula, but every single video you do is such a blessing and it makes me and many others feel so at ease. Thankyou!!!!

  • 21 weeks pregnant and just trying to absorb as much info as possible because let’s face it, Hollywood typically depicts it as having a great day with no symptoms until the water breaks in a gush and contractions start immediately after. At that point, length of labor is decided on for comedic or dramatic effect or is otherwise unimportant/rather immediate.

  • What does it mean when my doctor say I’m measuring three weeks ahead as my fundal height? Does that mean baby will come a little sooner than due date?

  • Baby is due tomorrow, but no signs of labor so far. I’m really hoping that I won’t need to be induced, but my doctor scheduled an induction for 6 days from today.
    Please hurry up, baby! ������

  • I lost at least part of my mucus plug at 29 weeks. I panicked at the time, but there was no blood and now it’s almost 10 weeks later and baby is still in there lol

  • I had what I believe was one real contraction yesterday. I had a menstrual like cramp all around my back and uterus/belly area and my belly tightened like in Braxton Hicks. I also had the nausea and loose stools and had no idea that it could mean labor is nearing. Good to know!

  • Hi im 36week and 4 days and ive lost my mucus plug already but im bleeding a little but my contractions aren’t as consistent, what should i do my midwife says its its normal but my other 4 pregnancy never been like this

  • When I walked in to labour room telling the nurse that I have been having contractions since past 19 hrs, they refused to believe me initially.
    They were expecting me to be wrong because I am first time mom and was too comfortable to be having contractions.One senior nurse even said I am primid so highly likely wrong.
    I had nausea and one episode of diarrhea in the beginning.
    CTG revealed that my contractions were every 5 mins and os was 3 cm.The nurses were wrong ��.I delivered within 2 hrs of admission.

  • I’m 40 weeks 2 days and I absolutely feel nothing except for some lightening pain here and there.. ��
    Might be genetic, mom never felt anything until actual labor contractions

  • Hello, I am 37 weeks pregnant and in ultrasound I come to know that I have less amniotic fluid so, its possible to have normal delivery.

  • I’m 33 weeks and 5 days and I’ve just been feeling really off. Crampy, nauseous, definitely have diarrhea, horrible back pain. And then I woke up to this in my recommended �� thanks for the video!

  • Our birth instructor told us that if I can still smile for the camera before walking out the door, we’re not quite ready yet 😉 it was a good indicator for my first birth. Due with number two in a month and a half!

  • Hi midwife Kira! When pregnant women lose their mucus plug, does it usually accompanied by the release of clear/colourless/odourless vaginal fluids or the leaking of amniotic water? Secondly, I am confused whether a little leaking of amniotic water is a sign of early labour? Should women be induced for labour after, let’s say, 12 or 24 hours of amniotic fluid leaking?

  • I’m 29 weeks and I’ve been losing my mucus plug, been extremely nauseous and have had diarrhea. I also been feeling a pinch by my bladder but my doctors say everything is still good yet.

  • I’m 38 weeks my Braxton Hicks started last week… I had contractions for an hour yesterday and it was pretty intense s I have a high pain tolerance so Braxton Hicks can hurt… today my back hurts and legs more so annoying and uncomfortable then anything….sometimes I get a tightness and abdominal cramps too… I’m so ready for her to be born already! Lol

  • Is anyone due anytime during May 2020 ����
    I would love to keep up with our baby’s on IG! I have a private acct just for my future baby pics that I was gonna leave for myself, but I’d love to follow you guys to see your baby’s and maybe connect should we be up late nights soon ������ let me know! ������IG Babynagel

  • 38 weeks pregnant. First time pregnant. I dont feel anypain now and I still feel normal. But I’m excited to see my baby soon. I hope my baby will come out soon.

  • I have lost my mucus plug today nd due on 15th of June for c-section… Having time to time contractions nd mences like pain since past 3 days.. also 4 cm dilated.. can i have natural birth.. i have 2 years gap

  • All this talk of blood has got me like ��

    BUT I wouldn’t be doing my part of being an educated father if I don’t watch your videos! ����

  • I’m 34 weeks pregnant and I’m starting to feel so crappy and nauseous and I have period pains in my back. I also had one time diarrhea and that was random and bizarre but now I’m seeing that these are early labor symptoms and that makes me feel better that my body is just doing what it is supposed to. Glad I watched this video. Ready for baby boy to come end of June!

  • I am 31 weeks pregnant with my first and every day I get more and more excited for meeting my little guy but also more and more anxious thinking about how I am going to possibly make it through this ��. I guess God’s got the answer and I just gotta trust that it will happen and all will be ok.

  • I’m 33 weeks, and this is my first baby. I love your videos they help me keep calm ��
    I’ve started a channel around my pregnancy, YouTube is amazing for information.

  • 36+5 and I have 3/5 of these symptoms. I honestly don’t know if I’ve lost my mucus plug yet or not, but I’m not leaking amniotic fluid yet.

  • In the uk I haven’t been checked if I’m dilated at appointments, I’ve noticed some ladies saying there 37 weeks and 1 cm, how do you know do they examine you? Can I ask for that or is it just in different countries that do it? X

  • Hi..your videos are really inspiring and easy to understand..I’m going to be 32 weeks tommorow and already watching contraction and Labour videos..Lol ����

  • I totally agree with the statement that you should go in if something doesn’t feel right! I conceived 2 years ago and I had just found out. On a Sunday, I started getting some stomach pain and I thought I ate too much. Then I started getting some light bleeding. Then I got the worst cramps. I told my husband I needed to go to the hospital because I feel like something is wrong. At first he was hesitant. He didn’t want to run to the hospital for every little thing. I called my mom, who has had a MC before, and she said better to be safe than sorry. It’s your child’s life you are talking about. Finally he took me in. And I was miscarrying. It sucked. But I’m glad we went in. I’m still TTC after that miscarriage. But I keep watching in preparation for when that day comes!

  • I had been having strong contractions for two days, but I thought they were braxton hicks and constipation. ��‍♀️ I worked my entire shift from 2pm-11:30pm on the second day. I knew the contractions were coming quicker than usual, but I was shorthanded and couldn’t time them. When I clocked out, I timed them. They were every four minutes lasting a minute! When I got home, I went to the bathroom and had bloody show. I called the hospital. I had just hit 35 weeks at 12am after I clocked out. When the nurse checked me, I was 4cm dilated, 100% effaced and my water bag was bulging. I’d been in labor all night! My baby girl was born perfectly healthy at exactly 35 weeks! She was 6lbs 7oz and 19 3/4 inches long.

    I had been so scared I was going to have to have a c-section because I’m a plus size woman and I had gestational diabetes. Watching your videos helped me to be flexible in my labor and I made the decision to get an epidural when I stalled at 5 cm when I had planned an unmedicated birth. I went from 5cm-10cm in 1.5 hours, pushed four times and brought my girl into the world with only a first degree tear. Thank you for your videos!

  • I’m 10 days overdue (first baby) and it seems like I’ve had some pre labor off and on since my first membrane sweep on the 3rd. I had a second sweep on the 7th and I’m still in limbo. I’m almost positive baby’s dropped, I’ve been losing the plug, cramps/Braxton Hicks aren’t getting closer together or stronger. Nothing seems to be really kicking off. I’m afraid I’ll have to be induced if I’m not in labor by the evening of the 14th. I feel like I’m going crazy. How many times do you see this, Kira? How often does this result in an induction at the hospital at 42 weeks?