When to visit a healthcare facility for Labor


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Video taken from the channel: Mandy Irby

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 minutes, last for 1 minute each, and have been. Knowing when to go to the hospital can save you from getting there too soon (and being turned away) or not soon enough (and nobody wants that).

When should you call the doctor if you think you’re in labor? If your contractions are mild to moderate and coming more than five minutes apart (and up to 20 minutes apart), you’re likely in early labor. 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. 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.

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.

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. Active Labor.

Most women plan to arrive at the hospital during active labor. Active labor is when contractions become closer together, around 3-5 minutes apart. Contractions are stronger, longer (around 60 seconds long ), and closer together. In early labor, women were. Women think they are ready to go to the hospital and have reached a certain point in their labor, and their labor slows down or stalls once they are at the hospital.

You can stay home longer to avoid this from happening. This is why I usually recommend that women go to the hospital when their labor is 4-1-1 or 3-1-1. Even when the contractions start you won’t necessarily rush straight to the hospital. If you head to the hospital too soon, you run the risk of getting sent home until your labor progresses further. Wait too long and you risk giving birth before you arrive or having to deliver without pain.

Contractions that last a minute and are five minutes apart (or less) for more than an hour indicate you are in labor and should go to the hospital. If the contractions become less painful or slow down when you move, drink, shower or eat, then you can still wait. 2.

List of related literature:

Consequently, you don’t necessarily need to wait for 5-1-1: You may be advised to go to the hospital or birth center as soon as your contractions are five minutes apart.

“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

Coming to a hospital this early in labor, however, will make labor seem long.

“Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family” by Adele Pillitteri
from Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family
by Adele Pillitteri
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010

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

Call for immediate transport to the hospital labor and delivery unit.

“Family Practice Guidelines: Second Edition” by Jill C. Cash, MSN, APN, FNP-BC, Cheryl A. Glass, MSN, WHNP, RN-BC
from Family Practice Guidelines: Second Edition
by Jill C. Cash, MSN, APN, FNP-BC, Cheryl A. Glass, MSN, WHNP, RN-BC
Springer Publishing Company, 2010

You may instruct her to come in a little earlier in the labor so that she will have time to arrive at the hospital without undue anxiety.

“Foundations of Maternal-Newborn and Women's Health Nursing E-Book” by Sharon Smith Murray, Emily Slone McKinney
from Foundations of Maternal-Newborn and Women’s Health Nursing E-Book
by Sharon Smith Murray, Emily Slone McKinney
Elsevier Health Sciences, 2017

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

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

to go to the hospital when they cannot cope anymore at home regardless of the timing of the contractions.

“Leifer's Introduction to Maternity & Pediatric Nursing in Canada E-Book” by Gloria Leifer, Lisa Keenan-Lindsay
from Leifer’s Introduction to Maternity & Pediatric Nursing in Canada E-Book
by Gloria Leifer, Lisa Keenan-Lindsay
Elsevier Health Sciences, 2019

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

Due to the risk of infection, your caregiver may want to induce you if your membranes have ruptured and you haven’t gone into labour within 24 hours.

“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, 2009

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

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  • Hey Mandy I am Francine, new subscribers. So I am due today May 22nd 2020 I lost my mucus plug from Monday but contractions is not strong, what can I do now??

  • l am 35 weeks and l am expecting in November, l really feel that l need my husband support but he started to show that he don’t want to talk about it and he can’t handle it so i started to give up, do you think l can do it alone?

  • Where are you at in the fear around going to the hospital? Don’t want to go too early? Don’t want to go too late? Don’t want to be sent home? SHARE WITH US!����

  • I like how when Jessica was talking to the camera Chris’s expression was something along the lines of “I love you, but this is ridiculous.” ����

  • I am 37 weeks today.. I know I need to be grateful and patient, my baby girl and I are healthy.. but I honestly feel tired and ready to be done..Ive been feeling very sensitive and crying for the past 2 days on and off.. I don’t feel supported or cared for even though I’ve people around me who are present and I guess they are here for me if I ask.. I’ve been getting a lot of menstrual like back pain and pelvic pressure mostly at night.. Despite feeling defeated and tired I am certain I don’t want to go to the hospital too early I want to wait as long as I can.. Im sure this state of mind is not going to help me

  • I just found your channel and I had a baby a month ago! This is all completely true!!! I ignored early labor until I couldn’t handle the strong contractions anymore. I ended up getting admitted when I was 9cm and had my baby with 15 mins of pushing haha. I enjoy your videos and all the great advice ��

  • Love your videos! Should the baby still be moving while you’re ignoring labor? My only concern about waiting a long time go to the hospital is a concern that the baby may be in distress and not know it while I’m chilling at home. I’m due in 6 weeks and would love to stay home as long as possible, though!

  • I am due at the end of January. This is our first baby and me and my husband are both don’t even know what to expect. I want to try a water birth and I feel so much pressure from people who find out that I want to do it. They keep trying to change my mind and telling me how it will be painful and I’ll want to do an epidural. I’m trying not to listen to anybody because this is my body and I’ll experience it in my own way.

  • I am due in May and I don’t want to go to early and risk them trying to induce me or cut me again. I will be going at the last possible moment so I can push naturally.

  • Im high risk so i was told not to ignore early labor…. Im supposed to be induced this coming week. Like my paperwork was sent in to the hospital friday and doc swept my membranes friday too…..usually never works for me but im having contractions 7 mins apart right now…. I was told to go in. I just really hope im not sent home…that disappointment is… Not cool��

  • I love Instagram! So happy for you guys! A guy in my class yelled in the middle of math class( which is in the very morning (yesterday) “SOMEONE IS HAVING A BABY REALLY SOON.” I can’t believe he was right!!

  • could we have a conversation about how to SAY NO TO THOSE DOCTORS? Doctors tell patients what they are going to do. The minute the patient says no I (the doula) get kicked out of the room because they assume I am the problem. The doula has to be the problem here, because moms aren’t smart enough to know their options and their rights. Yesterday an OBGYN looks at me when a birther said she was refusing pit (after only being in labor for 45 minutes). Doctor told my client that if she refused and her babies dies it is not his problem. WTF? Then he said who is that woman behind me (speaking of me). “That is my doula, Ginger Byron.” He turned to me and told me i could not be in the room. Mom advocates for her desire for me to be in the room (single mother). Doc literally said, “I do not care what you want, she makes me uncomfortable and is not allowed in here. She needs to leave now.” He did not allow me back in until my client submitted to starting pit. Emergency c section of course. booooo

  • Hi Haley! I’m 33 weeks and I’m starting to get anxiety about labor. I have dreams I’m going into Labor and I wake up, obviously I’m fine, just making myself nervous! If you’ve ever experienced this or worked with someone who has how did you/they overcome this? I’m not too stressed just anxious cuz I’m a first time momma!

    Pt 2: when do you suggest packing a hospital bag?

  • I’m Due December 11th! This is my second pregnancy (I am planning on a VBAC this time around), and I am scared about having prodromal and back labor again, and/or going past 41weeks. My OB said he recommends having the cesarean if I don’t labor by then. Should I follow this advice? What could I do to ease my worries about these?

  • “We learned that the world is a great big place with a hospital and a Miranda Sings in it.” xD I love how Parker told Duncan about his hero Miranda, his sweet little song and how he kept Rachel a secret because her name is “special to me”. So cute! <3

    Also, omg, I am so excited! I can’t believe he’s finally here now! I’m so excited for the vlog when we all get to officially meet little “Duncy”. Congratulations, Ballinger family! <3

  • How safe is it to labor at home if your water has already broken? I’ve always run to the hospital as soon as my water broke and they always admit me even if I’m only 2 or 3 cm.

  • Hi Mandy, this is probably TMI, but I’ve read that loose stool and diarrhea is a sign of prelabor…Is this true? I’m 35 wks and my stomach is off.

  • Haley I did not know you were expecting! Congrats girl. ☺️ love the new video by the way ��. When are you due? I’m due September 14th. I have a question. At how many weeks can you find out the gender?

  • My 1st and 2ed I left at the perfect time got to the birth center at 7/8 cm. With my 3rd he was a precipitous labor and after 2 hours of labor 20 min. of pushing born in car!:) My 4th we got to hospital at 6 cm and born 3 hours later. Due with number 5 in 3 weeks and hoping to make it with just 2 hours to spare!:)

  • I am pregnant with my first baby after a miscarriage last year. 35 weeks tomorrow����✨ I definitely do not want to go to the hospital too early. I’m worried though about how to handle the increasing intensity of contractions while wanting to stay at home in a familiar environment for as long as I can. I have faith in my body, however, never saving given birth before, it is so hard to predict what my brain will be telling me! Anyhow, am glad I came across your channel and I look forward to your next video. Thanks������

  • I’m 37 weeks with my second baby. My first was born at exactly 37 weeks.
    I’ve always heard the second baby comes faster, which is great except I live an hour and a half away from our hospital. I’m terrified of giving birth in the car ��

  • I’m 39 weeks pregnant n I went to the Dr today I’m nervous bc he told me I can induce you tomorrow n I’m like ummm no thank u lol so I just picked Friday October 26. Idk but he said he open my membrane or something like that so I definitely am having little bit of fluids coming out is it normal? he said I’m 1 n 2 cm dialed with light contractions

  • Yes! I remember how they take all of your attention! Although, I did have a patient the other night who drove herself in to hospital and she was fully dilated ��

  • I’m due on the 25th of October, I was having pre-labour symptoms, stomach cramping, back pains all last week, I was told I could go into labour this week but to my disappointment, my pre-labour symptoms have slow down. This is my first baby and I can’t believe how long pre-labour can last, I thought I’d just go into labour and have a baby at the end of it.

  • As for my husband, he’s been sweet and gives me lots of back massages and leg rubs. Have been having awful leg cramping at night and he’s a light sleeper so I feel bad when I groan. He’ll wake up, though, and rub my legs in the middle of the night. I know he’ll be supportive in labor even though we’re both a bit freaked out about the whole thing.

  • you haven’t posted a vlog for the 12th or 13th. STOP HOLDING US BACK, WE NEED TO SEE THIS BABY!!! ITS MAY, DON’T MAKE US WAIT ANY LONGER!

  • Im not due till March 2019, but ive been researching and getting as much info i need. Im excited to have the baby, but its been a very rocky 4 months and i want to be prepared for the worst and the good. I’ve been watching labor videos to kinda get the understanding on how it can be and to kinda boost my enthusiasm about it. I’ve been pretty secretive about it, because im in that generation in our family that no one really cares and they are not afraid to let you know. But they are also not helpful at all with gathering the info i need to know. But ive been in the middle of having dehydration contractions are 17wks and based off that i know they are going to start to hurt worse, when my actual time to come will.
    So this video was really helpful. However with the 4 tips you gave, do we ignore early labor past the 5-1-1 rule or? and at what point in contractions is considered crowning? What if the water breaks and contractions are still very far apart? When is the best time to get an epidural, when is it too late? is there such thing as preventing tearing? how long can the pushing process last? How many pushes are normal?

  • I now this is an old video how I thought that my answer my help regardless.
    I have had labors ranging from 39 minutes (yes…minutes…) to 18 hours of active labor (yep…hours…).
    I go in pretty much right away because I have NO IDEA how quickly my labors will be, I’ve also had deliveries where I’ve literally told the nurse, there was no possible way I was 8cm dilated, I was NOT in enough pain. Sure enough, within ten minutes I was crowning.
    For me, ignoring early labor would NOT be a great idea, I would not have been going in at even 8cm with some of my babies.
    I have also gone in, baby 8, and the nurse literally told me “oh this is false labor”. It wasn’t until I was vomiting all over the room suddenly, that they finally decided I was in “real” labor, this was a couple hours after I got there, and sure enough, I was 5cm.
    With baby 7, I told my nurse that I was ready to push, I had to push and I couldn’t stop it. She told me, it is not the urge to push, so please do not. The baby was born seconds later. I was told I wasn’t making proper “transition noises”!
    Baby 6, I went in with horrible back pain that came and went, but it was strong enough where I thought okay, if this isn’t real, it’s okay to be sent home, I was only 40 weeks. I got there, they told me it was just back pain, and they were coming back with a prescription for tylenol, when my water broke and they checked me. Sure enough I was almost fully effaced and 5cm.

    A side note on dilation, I have walked around at 5.5cm for WEEKS, no labor. One of those times was my longest labor, when my water broke so I had to go in.

  • For me I want to go just before the end like stay at most half an hour �� l know it is a fantasy, but my question is how to be prepare if it happened before l reach the hospital

  • Shout out to the partners. Personal tip is wear quick dry clothing if your preggo plans on getting in a tub/shower.

    Also if your SO starts a youtube channel/labor prep school, be sure you wear an outfit/facial hair situation you are comfortable having up on the internet forever.

  • Im not sure when to go ro the hospital because we have no car, and the closest hospital is like 2 hours away from where I live. Chances are I will go by the bus or call a taxi and i’m a little imbarassed to be in active labor on public transport. Im 32 weeks pregnant now.

  • With my first baby, the water broke at about 5AM but no contractions yet at all… called the doctor and he looked at the clock and my file and said GO NOW. BECAUSE IF YOU WAIT YOU COULD BE STUCK IN RUSH HOUR TRAFFIC AND HAVE THE BABY IN THE CAR… kinda think his idea was needed in your thinking…… best as always..

  • I’m pregnant with my 3rd baby currently. With my first I got to the hospital and was 6cm and my baby was born less than 2 hours later. With my second I got to the hospital at 6cm and my baby was born less than 30 minutes later. I’m so scared I’m gonna have a baby in the car or at home this time because my second came so much faster than my first.

  • Im due in 2 weeks and freaking out about when to go. The closest hospital is an hour and a half away. I feel like I will know when it’s time. It’s my first baby and I am scared I’ll go too early a million times.. false labor… Im also scared I won’t make it in time because I’ll be convinced it’s fake labor then it will be too late ������

  • Hi! I’m 39 weeks today and I went to see my doctor yesterday. She said I was 1.5 cm dilated and 90% effaced. Last night I started to have vaginal bleeding about 2 pantyliners with red and brown discharges. Should I be worried? This morning I am still having some. Please advise. Thank you.

  • I’m 40 weeks. I did see pinkish muscus this morning. It’s now 6:41 pm. Some contractions. Still far apart. My birthday is tomorrow. ��

  • I’m due in May and the hospital is about and hour and 20 mins from us. We are planning to go stay at my mom’s when I get the first sign of labor, which for me is usually my water breaking. She lives only 15-20 mins from the hospital. I’ve had 6 kids and none of them have been fast, 9 to 13 hours, one baby was even almost 24 hrs before he came.

  • I know its all video and what not, so we only see the good times and what not. But the two of you make such a good team! as parents but also just as a couple. I hope to someday to have such a succesful marriage <3

  • What are your thoughts if your water breaks but don’t contract easily? First pregnancy didn’t feel any contractions. Went to hospital 12 hrs after I assume the water may have broke and was only 2cms. Had to go on Pitocin and didn’t feel it until at 5cm. Then 2nd baby definitely knew my water broke and had inconsistent contractions. Went to the hospital at 2cm and still had to go on Pitocin.

  • I’m afraid of going too early, due to the intervention aspect. Plus it makes me so uncomfortable and tense. I’d be cool if I had the baby in the car lol. I’m not due til May so I’ve got a while to panic about this.

  • I am 40 weeks and 3 days today, I am waiting that in any time my 1/2 cm dilation will progress. Last night when I pee there was a good amount of blood with sticky mucus in it. I called the Labor and Delivery and informed that it is normal after effect of the vaginal exam. Hopefully, this is a sign of early or start labor.​

  • Due around November 24th. This is my second child, ten years later yikes! Lol Seems not a lot has changed on those ten years. Had a horrible experience the first time around. Was a week late, no complications, was given a date to be induced. I was 22 and didn’t have a lot of information, nor did my doctor offer it. So I agreed. I was in early labor the day I was supposed to be induced, instead of sending me home they broke my water, gave me pitocin, I waited until the last possible minute to get an epidural. The entire process was a nightmare. They missed with the epidural and it was causing serious pain in the injection area, redid the epidural catheter, I couldn’t even feel my arms, couldn’t feel if I was pushing of not, couldn’t walk, couldn’t move. They just kept telling me you’ll be fine it’ll pass. The doctor tried to tell me he was going to send me for a C-section, I asked if he was in distress and the doctor said nope he’s fine so I refused! He was pissed! So he decided in seconds to give me an episiotomy. After that my son was born but I couldn’t hold him because I couldn’t feel or lift my arms. I am so scared!! I don’t want to be induced, they shouldn’t have because there was no medical reason for it and I should have been stronger and clarified there was no reason.

  • Hello mam, I want to ask that I’m 3months pregnant and my first baby is 18months and born by c section,
    Could it possible to have normal delivery?

  • First pregnancy and I’ve been at the second point for about two days lol they are worse at night when I’m trying to sleep with a bunch of pressure down below