Caring for yourself in labour
How to Know When You’re in Labour
It can be hard to know if you are in labour or having pre-labour contractions. If you’re still not sure if you are experiencing pre-labour or true labour, follow these tips:
- If it’s night time, try to sleep. You need to be well rested for childbirth. In true labour, you may not be able to sleep but will at least rest. If you fall asleep, it’s most likely pre-labour.
- Take a shower. The contractions in pre-labour will often become less frequent and shorter. In true labour, the contractions will continue no matter what you are doing and taking a shower can be comforting.
- Distract yourself. Watch a movie, walk in the garden, play cards. If you are in true labour, the contractions will demand your attention. If it’s pre-labour, you may be able to carry on with your usual routines.
Signs of early first stage labour include:
- Irregular contractions
- ‘Show’ (slightly pink,vaginal mucous), or
- Your water leaking or breaking
Try and rest as much as possible during early labour, eat a light meal, carry on with your regular activities. Here are some tips for coping with early labour.
If you membranes rupture, and you are in very early labour. You will likely return home to wait for labour to start.
When to Go to the Hospital
Return to the hospital if:
- Contractions become regular, stronger, increasing in intensity, duration and frequency
- You feel ill, feel hot, or have chills
- The amniotic fluid (water draining onto pad) becomes green or develops a bad smell
- You have bright red bleeding like a menstrual period
- You are uncomfortable staying at home.
Contact your health care provider if you have any concerns.
Active First Stage of Labour is when your contractions are stronger, and come every 3 to 5 minutes and last 45 to 60 seconds. You will want to contact your health care provider and let them know you are in labour. You may decide to go to the hospital now.
Pain Relief in Labour
Pain is a natural part of labour and birth, and every woman’s experience with labour is different. You may choose to cope with contractions through:
- Breathing techniques,
- Changing positions,
- Massage, warm baths or showers
- Ice packs or other non-pharmacological methods
- Additional pain relief options include
- Nitrous Oxide and Oxygen (Entenox or ‘laughing gas’)
- Narcotic pain medications like Demerol or Fentanyl.
An Epidural is commonly used to reduce pain in labour and birth, once you are in active labour. There are risks and benefits to having an epidural in labour that you should discuss with your health care provider.