Common Symptoms
- Increasing tiredness and breathlessness (baby pressing on diaphragm)
- Braxton Hicks contractions (practice tightenings) — irregular, not increasing in intensity
- Swelling in feet and ankles — normal in moderation
- Backache and pelvic discomfort
- Difficulty sleeping
- Frequent urination as baby's head engages
Signs of Labour
| Sign | Description |
|---|---|
| Regular, strengthening contractions | Getting closer together, longer, and more intense over time |
| Show | Mucus plug (may be blood-tinged) coming away |
| Waters breaking | Gush or trickle of clear/pink fluid |
| Backache | Persistent lower back pain, sometimes rhythmic |
Group B Streptococcus (GBS)
GBS is a common bacteria that can be passed to the baby during birth, occasionally causing serious infection. Testing (usually a vaginal/rectal swab at 35-37 weeks) isn't routine everywhere but is recommended for higher-risk pregnancies. If positive, IV antibiotics during labour dramatically reduce transmission risk.Go to Maternity Triage Immediately IfReduced fetal movements, vaginal bleeding, severe headache with visual disturbance, waters breaking before 37 weeks, regular painful contractions before 37 weeks, or if you have any concern at all — trust your instincts.
Braxton Hicks vs Real LabourBraxton Hicks contractions are irregular, don't increase in intensity, and often ease with movement or a warm bath. True labour contractions become progressively stronger, longer, and closer together, and don't ease with rest.
When should I go to hospital once labour starts?
Generally when contractions are regular, about 5 minutes apart, lasting 60 seconds, for at least an hour (the '5-1-1 rule') — though your midwife will give personalised guidance based on your pregnancy.
What happens if I go overdue?
Most units offer induction of labour discussions from 41 weeks, as the risk of complications rises gradually after 42 weeks. Membrane sweeps may be offered from 40-41 weeks to encourage natural labour.
Is swelling in pregnancy always normal?
Mild swelling in feet/ankles, especially by evening, is common and normal. However, sudden swelling of the face, hands, or a rapid increase can be a sign of pre-eclampsia and should be checked urgently.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.