7 Signs That Indicate You Are About to Give Birth

The final weeks of pregnancy are crucial, and recognizing the signs of labor can help expectant mothers prepare both mentally and physically for the arrival of their baby. Understanding these signs can ensure a smoother and more confident transition into childbirth. Below are seven key indicators that labor may be approaching.

1. Your Belly Drops Lower (Lightening)

One of the most noticeable signs that labor is near is when your baby drops lower into your pelvis. This phenomenon, known as “lightening,” happens as the baby positions itself for birth.

You may notice that your belly appears lower than before.
Breathing may become easier because there is less pressure on your diaphragm.
However, you may feel increased pressure on your bladder, leading to more frequent urination.

This sign usually occurs a few weeks before labor for first-time mothers, but for those who have given birth before, it can happen just days before delivery.

2. Frequent and Intense Contractions

Contractions are one of the strongest indications that labor is beginning. However, it’s essential to differentiate between false labor (Braxton Hicks contractions) and true labor contractions.

Braxton Hicks contractions are irregular, infrequent, and usually subside when you change positions or rest.
True labor contractions become increasingly regular, stronger, and closer together over time. They will not go away, even if you change your position or rest.

If you experience contractions that occur every 5-10 minutes and persist for over an hour, it’s a strong signal that labor is starting, and you should prepare for delivery.

3. Lower Back Pain and Pelvic Pressure

As labor approaches, many women experience an increase in lower back pain and pelvic discomfort. This pain is caused by the baby’s head putting pressure on the lower spine and pelvic bones.

The pain may feel like menstrual cramps but can become more intense and persistent.
Some women feel a deep aching sensation in the lower back, which does not go away with rest.

If your back pain is accompanied by contractions, it’s a sign that labor is near.

4. Increased Vaginal Discharge and Mucus Plug Loss

During pregnancy, the cervix produces a thick layer of mucus to protect the baby from infections. As the cervix begins to dilate in preparation for labor, this mucus plug may be released.

The mucus plug may appear as a thick discharge, sometimes tinged with blood, which is commonly called the “bloody show.”
It can happen in one large piece or appear as increased vaginal discharge over several days.

While losing the mucus plug signals that labor is approaching, it doesn’t necessarily mean immediate labor—some women still have days or even weeks before giving birth. However, if this is accompanied by contractions, labor is likely very close.

5. Your Water Breaks (Amniotic Fluid Leakage)

One of the most well-known signs of labor is the breaking of the amniotic sac, also known as “water breaking.” However, this does not always happen dramatically as seen in movies.

Some women experience a sudden gush of fluid, while others may have a slow trickle.
Amniotic fluid is usually clear or slightly yellowish and has a mild, sweet smell.

If your water breaks, note the color, amount, and odor of the fluid, and contact your healthcare provider immediately. Even if contractions haven’t started, once your water breaks, labor is typically imminent, and you should go to the hospital.

6. Cervical Dilation and Effacement

Throughout the final weeks of pregnancy, your doctor will check the cervix for signs of dilation (opening) and effacement (thinning). As labor approaches:

The cervix will gradually open from 0 cm to 10 cm to allow for childbirth.
Effacement, or thinning of the cervix, also occurs to make delivery easier.

Some women may begin dilating days or even weeks before active labor begins. Regular checkups can help you track your progress.

7. A Surge of Energy or Extreme Fatigue

Hormonal changes before labor can cause sudden bursts of energy, known as the “nesting instinct.” Many women feel the urge to clean, organize, or prepare for the baby’s arrival.

You may feel highly motivated to set up the nursery, wash baby clothes, or pack your hospital bag.
Alternatively, some women experience extreme fatigue due to the body’s preparation for labor.

If you experience a strong nesting instinct, it could be a sign that labor is approaching soon. However, try to balance rest with activity to conserve energy for childbirth.

When Should You Go to the Hospital?

It’s essential to recognize when labor has progressed enough to seek medical assistance. Head to the hospital immediately if:

You experience contractions that are strong, regular, and occurring every 5 minutes.
Your water has broken, especially if the fluid is greenish or foul-smelling (which could indicate a problem).
You have heavy bleeding (more than just the mucus plug or light spotting).
You no longer feel the baby moving as much as before.

If you are unsure whether labor has started, contact your healthcare provider for guidance.