Start of labor signs11/11/2023 The Is It Worth It? Initiative, from NICHD's National Child and Maternal Health Education Program, focuses on raising awareness of the importance of waiting until at least 39 weeks to deliver a baby, unless it is medically necessary to deliver earlier. During the last few weeks of pregnancy, the fetus's lungs, brain, and liver are still developing. Unless earlier delivery is medically necessary or occurs on its own, waiting until at least 39 weeks before delivering gives mother and baby the best chance for healthy outcomes. Sometimes, if the health of the mother or the fetus is at risk, a woman's health care provider will recommend inducing or causing labor using medically supervised methods, such as medication. A gush or trickle of fluid, which is a sign of water breaking.Cramps that feel like menstrual cramps, with or without diarrhea.Pain or pressure around the front of the pelvis or the rectum.Among women who experience preterm labor, only about 10% go on to give birth within a week. Rupture of the amniotic sac (bag of water). These may become more frequent and severe as labor progresses. Uterine muscle spasms that occur at intervals of less than 10 minutes may signify that labor has started. As needed, providers can also give women in preterm labor specialized care. A small amount of mucus, slightly mixed with blood, may be expelled from the vagina. Providers can check for changes in the cervix to see whether labor has begun. Women who notice regular, frequent contractions at any point in pregnancy should notify a provider or go to the hospital. Labor contractions before 37 weeks of pregnancy are a sign of preterm labor. This discharge occurs as the cervix begins to open (dilate) and can happen several days before labor or just as labor begins. Called "show" or "the bloody show," the discharge can be clear, pink, or slightly bloody. It allows some women to breathe more easily and more deeply and may provide relief from heartburn. Lightening gets its name from the feeling of lightness or relief that some women experience when the fetus moves from the rib cage to the pelvic area. This may happen several weeks or only a few hours before labor begins.
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