Early signs of labour at 35 weeks of pregnancy

Early signs of labour

As you approach the final weeks of your pregnancy, it's natural to feel a mix of excitement and apprehension about what lies ahead. At 35 weeks, while full-term delivery is typically around 40 weeks, some women may start noticing early signs that their body is preparing for labour. These signs can vary from person to person, but they often include subtle changes in how your body feels and behaves. Recognizing these early indicators can help you stay informed and prepared for what might come next.

One of the most common early signs is Braxton Hicks contractions, which are irregular uterine tightenings that serve as practice contractions. While they don't necessarily mean labour is imminent, they do signal that your uterus is getting ready for the real event. Another noticeable change is the sensation of the baby "dropping" lower into the pelvis, known as lightening. This shift can relieve pressure on your lungs and stomach, making breathing easier but potentially increasing pressure on your bladder.

In addition to these physical changes, you might also observe an increase in vaginal discharge. This is a normal part of pregnancy, but if the discharge becomes thick and jelly-like, it could indicate the loss of the mucus plug, which has been protecting your cervix throughout pregnancy. Sometimes, this discharge may have a pink or brownish tinge, referred to as the bloody show, signaling that labour might be approaching soon. Understanding these signs can empower you to recognize when it's time to seek medical attention.

Fluctuating energy levels

Another intriguing aspect of the late stages of pregnancy is how your energy levels might fluctuate. Some women experience sudden energy bursts, often interpreted as the "nesting instinct," where they feel an overwhelming urge to clean, organize, or prepare for the baby's arrival. This sudden surge of energy can be both invigorating and exhausting, so it's essential to balance activity with rest to avoid overexertion.

On the flip side, many expectant mothers also report feeling more fatigued than usual during this time. Increased fatigue can result from the extra weight you're carrying, hormonal fluctuations, and the general demands of pregnancy on your body. It's crucial to listen to your body and prioritize rest whenever possible. Taking short naps, delegating tasks, and asking for help can make a significant difference in managing fatigue.

The interplay between energy bursts and fatigue can create a rollercoaster effect, leaving some women feeling uncertain about how much they should push themselves. Remember, every pregnancy journey is unique, and there's no need to compare yourself to others. Focus on what feels right for your body and take things one day at a time.

Diarrhea or intestinal discomfort

Hormonal changes during pregnancy can significantly impact your digestive system, leading to symptoms like diarrhea or intestinal discomfort. As progesterone levels rise, digestion slows down, which can cause constipation earlier in pregnancy. However, as labour approaches, your body releases different hormones, such as prostaglandins, which stimulate the bowels and may lead to looser stools or even diarrhea.

While occasional diarrhea is not necessarily a cause for concern, persistent or severe cases warrant attention. Staying hydrated is critical during this time, as dehydration can exacerbate discomfort and potentially affect your overall health. Drinking plenty of water, herbal teas, or electrolyte-rich fluids can help mitigate these effects.

If you find yourself experiencing frequent bouts of diarrhea or abdominal cramping, it's wise to consult your healthcare provider. They can assess whether these symptoms are simply a sign of impending labour or if they might indicate another underlying issue requiring treatment.

Braxton Hicks contractions

Braxton Hicks contractions are one of the most recognizable early signs of labour preparation. These practice contractions occur when the muscles of the uterus tighten and then relax, mimicking the sensations of true labour. However, unlike real contractions, Braxton Hicks tend to be irregular, less intense, and do not progress in frequency or intensity over time.

During the third trimester, especially after week 35, Braxton Hicks contractions may become more pronounced. You might notice them as a tightening sensation across your abdomen, lasting anywhere from 30 seconds to two minutes. Unlike true labour contractions, Braxton Hicks usually subside when you change positions, rest, or hydrate. Dehydration is a common trigger for these contractions, so drinking water or eating a light snack can often provide relief.

It's important to differentiate between Braxton Hicks and actual labour contractions. True labour contractions will gradually increase in intensity, duration, and frequency, eventually becoming regular enough to time. If you're unsure whether your contractions are Braxton Hicks or the real deal, monitoring their pattern and consulting your healthcare provider can offer clarity.

Baby "dropping" or lightening

Around 35 weeks, many women experience the sensation of the baby "dropping" lower into the pelvis, a process known as lightening. This shift occurs as the baby moves into position for birth, settling deeper into the pelvic cavity. For first-time mothers, lightening often happens several weeks before delivery, whereas in subsequent pregnancies, it might occur closer to the onset of labour.

This change can bring both relief and new challenges. On the positive side, lightening can reduce pressure on your diaphragm and lungs, making it easier to breathe. It might also alleviate heartburn and indigestion, which are common complaints during the later stages of pregnancy. However, the added pressure on your bladder can lead to increased urinary frequency, and some women may notice discomfort in their pelvic area.

Lightening is a strong indicator that your body is preparing for labour, though it doesn't necessarily mean delivery is imminent. Every woman's experience is different, and some may not notice this sensation at all. Pay attention to any changes in how your body feels and communicate these observations with your healthcare provider during routine checkups.

Increased vaginal discharge

Throughout pregnancy, vaginal discharge tends to increase due to higher estrogen levels. Around week 35, you might notice a further rise in discharge as your body prepares for labour. This discharge is typically clear or white and odorless, serving as a natural mechanism to keep the vaginal area clean and prevent infection.

However, if the discharge becomes unusually thick, jelly-like, or tinged with blood, it could indicate the loss of the mucus plug, which has been sealing your cervix since conception. The mucus plug acts as a protective barrier, preventing bacteria from entering the uterus. Its expulsion signals that your cervix is beginning to dilate and efface, although labour might still be days or even weeks away.

Some women pass the mucus plug all at once, while others notice small amounts over several days. In either case, the presence of the bloody show—a pink, red, or brown-tinged discharge—is a reliable sign that labour is approaching. Keep track of any changes in discharge and inform your healthcare provider if you notice anything unusual, such as heavy bleeding or foul-smelling discharge.

Loss of the mucus plug

The loss of the mucus plug is one of the more concrete signs that your body is transitioning toward labour. As mentioned earlier, the mucus plug serves as a protective barrier for the cervix, and its release indicates that cervical changes are underway. While losing the mucus plug doesn't always mean immediate labour, it does suggest that your body is actively preparing for delivery.

When the mucus plug is expelled, it can appear in various forms. Some women notice a large lump of thick, jelly-like mucus, while others see smaller amounts mixed with vaginal discharge. Occasionally, the mucus plug may contain streaks of blood, giving it the name "bloody show." Despite its somewhat alarming appearance, the bloody show is generally harmless and a normal part of the pre-labour process.

If you suspect you've lost your mucus plug, there's no need to panic. Simply monitor your symptoms and contact your healthcare provider if you experience additional signs of labour, such as regular contractions or vaginal bleeding. Remember, each pregnancy is unique, and the timing of these events can vary widely among women.

Regular contractions

True labour contractions differ significantly from Braxton Hicks in terms of intensity, duration, and regularity. Regular contractions are rhythmic and progressively intensify, signaling the onset of active labour. Initially, these contractions might feel similar to menstrual cramps, but they will grow stronger and longer as labour advances.

To identify whether you're experiencing regular contractions, try timing them using a stopwatch or a dedicated app. Note the duration of each contraction (how long it lasts) and the interval between them (the time from the start of one contraction to the start of the next). True labour contractions typically follow a predictable pattern, occurring every five minutes or less and lasting about 60 seconds each.

Once you've confirmed that your contractions are regular and consistent, it's time to notify your healthcare provider. Depending on your individual circumstances and your doctor's recommendations, you may be advised to head to the hospital or birthing center. Remember, timing contractions accurately is key to distinguishing between false alarms and genuine labour.

Back pain

Back pain is another common symptom associated with labour, particularly during the early stages. Many women report feeling discomfort or tightness in their lower back as the baby shifts position and the uterus contracts. This pain can range from mild discomfort to sharp, shooting sensations, depending on the intensity of the contractions and the baby's positioning.

There are several strategies you can use to manage back pain during labour. Applying heat or cold therapy, such as using a warm compress or ice pack, can provide temporary relief. Gentle stretching exercises, massage, or counter-pressure applied by a partner may also help alleviate tension. Additionally, maintaining good posture and avoiding prolonged periods of sitting or standing can minimize strain on your back.

If back pain becomes unbearable or persists beyond the expected timeframe, consult your healthcare provider. They can evaluate whether the pain is related to labour or if it might stem from another source, such as muscle strain or sciatica. Addressing back pain promptly can enhance your comfort and ensure a smoother labour experience.

Pelvic pressure

As labour approaches, many women begin to feel increased pelvic pressure due to the baby's descent into the pelvic cavity. This pressure can manifest as a heaviness or fullness in the lower abdomen, making it difficult to walk or stand for extended periods. Some women describe it as a constant pulling sensation or a dull ache in the pelvic region.

Pelvic pressure can be uncomfortable, but there are ways to ease the discomfort. Practicing pelvic floor exercises, such as Kegels, can strengthen the muscles supporting the pelvic area and improve circulation. Using supportive cushions or pillows while sitting can also reduce pressure on the pelvis. Experimenting with different positions, such as squatting or leaning forward, may help alleviate some of the strain.

If pelvic pressure becomes overwhelming or is accompanied by other concerning symptoms, reach out to your healthcare provider. They can assess whether the pressure is a normal part of labour preparation or if it might indicate complications requiring intervention.

Vaginal bleeding

While spotting or light bleeding is relatively common during pregnancy, especially in the late stages, vaginal bleeding should never be ignored. Heavy bleeding, characterized by bright red blood soaking through pads, could indicate a serious condition such as placental abruption or placenta previa. In such cases, seeking immediate medical attention is crucial.

Mild bleeding, often associated with the bloody show, is generally less concerning but still worth mentioning to your healthcare provider. If you notice any amount of blood in your vaginal discharge, document the color, quantity, and frequency, and share this information during your next appointment. Your provider can determine whether the bleeding is a normal part of labour preparation or requires further investigation.

Always err on the side of caution when it comes to vaginal bleeding. Trust your instincts and don't hesitate to contact your healthcare team if you're unsure about any symptoms you're experiencing.

Monitoring symptoms

Staying attuned to your body's signals is vital during the final weeks of pregnancy. By monitoring symptoms closely, you can better anticipate when labour might begin and act accordingly. Keeping a journal or using a pregnancy app to track changes in your physical and emotional state can provide valuable insights into your progress.

Pay particular attention to any new or worsening symptoms, such as increased pelvic pressure, back pain, or vaginal discharge. Document the frequency and intensity of Braxton Hicks contractions and note whether they evolve into regular labour contractions. If you notice signs of preterm labour, such as regular contractions before 37 weeks, contact your healthcare provider immediately.

Remember, communication with your healthcare team is key. Regular prenatal visits allow your provider to monitor your health and the baby's development, ensuring everything remains on track. Don't hesitate to ask questions or express concerns during these appointments. Building a strong partnership with your care providers can enhance your confidence and readiness for labour.

Consulting a healthcare provider

When in doubt, always consult your healthcare provider. They are trained to interpret the complex array of symptoms you may encounter during pregnancy and can guide you through the decision-making process. Whether you're dealing with mild discomfort or more severe symptoms, reaching out for professional advice ensures you receive the support and care you need.

Your healthcare provider can also help you develop a plan for managing symptoms and recognizing signs of labour. Together, you can establish thresholds for when to seek further assistance, such as heading to the hospital or calling emergency services. Having a clear understanding of these protocols can reduce anxiety and promote a sense of control during this transformative period.

Ultimately, trust in your healthcare provider's expertise and your own intuition. Working collaboratively can lead to a safe and successful delivery experience.

Timely medical intervention

Recognizing the importance of timely medical intervention is paramount when facing potential complications during pregnancy. Preterm labour, characterized by regular contractions, back pain, pelvic pressure, or vaginal bleeding before 37 weeks, requires immediate attention. Delaying treatment could jeopardize both maternal and fetal health, underscoring the necessity of prompt action.

If you suspect you're experiencing preterm labour or encounter any alarming symptoms, don't delay in contacting your healthcare provider. They can perform tests, such as ultrasounds or cervical checks, to assess the situation and recommend appropriate interventions. In some cases, medications like corticosteroids or tocolytics may be administered to delay delivery and improve outcomes for the baby.

Remaining vigilant and proactive about your health ensures the best possible outcome for you and your baby. Embrace the support systems available to you, whether through your healthcare team, family, or friends, and remember that seeking help is a sign of strength, not weakness.

Detailed Checklist for Recognizing Early Signs of Labour

1. Track Your Contractions: Use a stopwatch or app to time the duration and frequency of your contractions. True labour contractions will become regular, lasting about 60 seconds and occurring every five minutes or less.

   • Actionable Step: Write down the start and end times of each contraction in a notebook or digital tracker. Share this information with your healthcare provider if contractions persist.

2. Monitor Vaginal Discharge: Pay attention to changes in the consistency and color of your vaginal discharge. A thick, jelly-like substance tinged with blood could indicate the loss of the mucus plug.

   • Actionable Step: Check your underwear regularly for signs of discharge. Notify your provider if you notice the bloody show or any unusual bleeding.

3. Listen to Your Body: Be mindful of fluctuations in energy levels, including sudden bursts of energy or increased fatigue. Balance activity with rest to prevent exhaustion.

   • Actionable Step: Schedule short naps throughout the day and delegate tasks to loved ones to conserve energy.

4. Watch for Pelvic Pressure: Notice any feelings of heaviness or fullness in your lower abdomen. Adjust your posture and experiment with supportive cushions to alleviate discomfort.

   • Actionable Step: Practice pelvic floor exercises daily to strengthen the muscles supporting your pelvis.

5. Stay Hydrated: Drink plenty of water to combat dehydration, which can trigger Braxton Hicks contractions or exacerbate diarrhea. Herbal teas and electrolyte drinks are excellent alternatives.

   • Actionable Step: Carry a reusable water bottle with you at all times and aim to drink at least eight glasses of water per day.

6. Communicate with Your Provider: Regularly update your healthcare provider about any changes in symptoms. Attend all scheduled prenatal visits and don't hesitate to voice concerns.

   • Actionable Step: Prepare a list of questions or observations before each appointment to ensure nothing gets overlooked.

By following this checklist and staying informed about the early signs of labour, you can approach the final weeks of pregnancy with greater confidence and peace of mind.