Early Labor, When to Stay Home and When to Head to the Hospital

Navigating early labor can be exciting and nerve-wracking, especially for first-time parents. As a birth doula in Philadelphia, I often get asked the crucial question: “When should I stay home, and when should I head to the hospital?” Making the right decision can significantly impact your labor experience, so understanding the signs of early labor and knowing when it’s time to make the move is key.

Understanding Early Labor

Early labor, also known as the latent phase, is the beginning stage of labor where your body is preparing for active labor. During this time, you may experience:

• Mild to Moderate Contractions: These contractions may feel like period cramps and can be irregular. They are usually not strong enough to make you stop what you’re doing.

• Bloody Show: You might notice pink discharge.

• Backache or Pressure: Some women feel a persistent dull ache in their lower back or a sense of pressure in their pelvic area.

• Nesting Urge: Many women feel a sudden burst of energy and the urge to prepare their home for the baby’s arrival (I had one client power wash the siding on her house in early labor!).

  
  

In early labor it's really important to make sure you get plenty of rest. Think of this time as a warm-up before a big game, like how athletes ease into things before a competition. Just like athletes save their energy and focus on getting mentally ready for the main event, expectant moms should take this time to recharge and prepare themselves for the childbirth journey ahead. By giving yourself a chance to relax both physically and mentally, you'll be all set to tackle whatever comes your way.

When to Stay Home During Early Labor

1. Contractions are Irregular: In early labor, contractions are typically irregular and not too intense. If your contractions are more than 5-7 minutes apart and not lasting longer than 30-45 seconds, it’s usually safe to stay home. Use this time to rest, hydrate, and conserve your energy.

2. You Can Talk and Move Around Easily: If you can talk through your contractions, laugh, or even continue with normal activities, it’s a good sign that you’re still in early labor. Staying relaxed and comfortable at home can help labor progress naturally.

3. You’re Comfortable and Relaxed: Your home environment is familiar and comforting. It’s a great place to labor in the early stages, where you can move freely, take warm baths, or even catch up on sleep. This calm atmosphere can aid in the progression of labor.

4. Your Water Hasn’t Broken: Unless your water has broken or you’re experiencing other signs that require immediate attention (such as heavy bleeding or decreased fetal movement), it’s usually safe to stay home. If your water does break, monitor the color and odor. Clear or slightly pink fluid is normal, but if you notice greenish or foul-smelling fluid, contact your healthcare provider.

When to Head to the Hospital

1. Contractions are Regular and Increasing in Intensity: A good rule of thumb is the HypnoBirthing 3-2-1 guideline: head to the hospital when your contractions are three minutes apart, lasting two minutes each, and have been consistent for one hour. These contractions will feel stronger and more intense, demanding your full attention.

2. Water Breaks: If your water breaks and you’re experiencing regular contractions, it’s a sign that active labor may be imminent. Note the time your water breaks and its color.

3. Decreased Fetal Movement: If you notice a significant decrease in your baby’s movements, call your healthcare provider and prepare to head to the hospital. It’s important to ensure your baby’s well-being.

4. You’re Experiencing Bleeding or Other Unusual Symptoms: Heavy bleeding, severe headaches, sudden swelling, or visual disturbances should not be ignored. These could be signs of complications, and immediate medical attention is necessary.

5. You Feel the Urge to Push: If you feel an overwhelming urge to push, it could mean that you are in transition or that your baby is close to being born. This is a clear sign to get to the hospital without delay.

Tips for Comforting Yourself During Early Labor

• Stay Hydrated: Keep sipping on water, coconut water, or your favorite electrolyte drink to keep your energy up and stay refreshed.

• Move Around: Gentle movement can be your best friend right now. Try walking around, rocking back and forth, or even doing a little swaying to help keep things moving along.

• Relax: This is a great time to practice some relaxation techniques. Deep breathing, imagining your happy place, or playing calming music can really help you stay chill and manage any discomfort.

• Take a Warm Bath or Shower: A warm bath or shower can work wonders. The heat can help relax your muscles and make you feel more comfortable.

• Rest Up: If you can, try to catch some sleep or just lie down and rest. You'll want to save your energy for when things really start to pick up.

Trust your gut and keep in touch with your healthcare team. As a birth doula in Philly, I’m here to support you every step of the way, making sure you feel confident, informed, and ready for what's ahead. If you ever have questions or just need a little extra support, don’t hesitate to reach out.

Remember, your body totally knows what it’s doing, and you’ve got this! Stay relaxed, trust yourself, and know that help is always around when you need it.

If you are interested in learning more about birth doula support, taking a HypnoBirthing class or hiring me as your doula, fill out this contact form or email julia@motherbirth.net.