Before we get started, prodromal labor is definitely a great time to pack those bags. Grab my hospital packing list here:

We’re only talking about TERM labor (after 36-37 weeks). Anything prior to that is PRETERM labor, and even if it’s “prodromal” we don’t want it to progress so please contact your provider or head into the hospital if you’re experiencing labor signs. There are things we can give you to stop it to allow baby to develop more in the womb!

What is Prodromal Labor?

I see a lot of people saying that it’s “false labor” — and while I wouldn’t really categorize it as “true” labor it isn’t to say that our contractions aren’t doing anything.

Sometimes they are — and we’re going to talk about that next — but usually prodromal labor is when your contractions get going for a bit and then either space out or peter out and go away.

It. is. wildly. annoying.

I get it, it feels like our body is attacking us, and I think prodromal labor is a reason a lot of people ultimately ask to get induced because it just feels like false start, after false start.

But, what if I was here to tell you that’s just the last few weeks of pregnancy?

You’re likely going to have a LOT of false starts. Maybe prodromal labor is just part of the fun. Maybe we ride the waves, and don’t really think anything til’ the contractions progress.

Remember, heading into true labor you’ll see:

• Stronger (more painful)
• Closer together
• Most often lasting longer.

Often those prodromal labor contractions don’t last a full minute — and they’ll slowly get closer to 60 seconds.

I know that is easier said than done, but I see so many people trying to PUSH their body into labor online doing fruitless, and often painful, things to push themselves into labor.

Wishing those things worked — check out these posts (and the studies that debunk them):

• When Should I Start Drinking Raspberry Leaf Tea?
• What is Stripping Membranes? (Membrane Sweep)
• Sleeping Positions to Induce Labor: Best Positions to Dilate
• Why Does Eggplant Induce Labor?

What about those contractions that do nothing?

So, when you’re dehydrated your uterus is “irritable” meaning it’s just sort of cranky. Most people just feel cramping and kind of gross.

But, dehydration is definitely a part of what people call prodromal labor… which begs the question…

Can You Avoid prodromal labor?

The main thing is to make sure you’re drinking enough water. I tried to do that mostly before dinner so I wasn’t peeing all night.

However, a BIG time for prodromal labor is that bedtime hours. SO often people will have contractions, likely after a long day of hauling their body around and not being as kind to ourselves as we should (definitely guilty of that here).

That happened to me, so I’d drink a big glass of water just to make sure that wasn’t the culprit (because even if I was peeing, at least I wasn’t in fruitless pain, peeing).

I would often have patients feel like if they didn’t drink water it could push them into labor — but instead you’re just making that uterus (and likely you) more irritable — so make sure you stay hydrated.

Another tip — while not exactly avoiding it is to just sort of ignore it.

You can treat the “symptoms” aka —

• Take a warm bath (or shower) to help you relax
• Use a heating pad if it hurts somewhere in particular (just not over your belly)
• Do some light stretching to help those tight hips

But the more we play into “is this it?” the worse it ends up being for us.

My tip is to ignore it as long as you can…. and once you can’t really ignore it, maybe it is it!

What to do in early labor to help labor progress?

Besides ignoring it, and treating the symptoms is what I ALWAYS call-in the first line of defense…

A lot of people love the miles circuit. However, there is no evidence on it (or, frankly studies) and if you’re hating some of the positions I 100% tell you to stop. But, some of them might feel good, and I think movement is always a good thing, if it’s feeling good.

I’ve heard a lot of anecdotal evidence about curb walking as well — especially in early labor.

My tip — get on a phone call with a good friend, and do 30 minutes of it, making sure to switch sides every 5 minutes or so. BUT, if it’s really hurting, stop.

Remember, going into “true” labor there has to be an agreement between:

• The baby — it’s developed enough to come
• Your brain — you’re in a safe space to let this happen
• Your uterus — it’s time to get that baby OUT

Of course, this system doesn’t always work perfectly (looking at you preterm labor) but that’s the basic idea of thought.

Want to know more labor tips — check out these posts:

• Avoid Tearing at Delivery: 3 things you can do.
• Why Labor Pain Can Feel So Different For Each Person
• 5 Simple Tips for a “Natural” Labor & Delivery
• Mistakes You’re Making That Makes Labor Longer
• Is an Induction More Painful than “Regular Labor”

Anything else you can do?

Studies don’t show a single thing will kick you into labor ASAP…. but there are things you can be doing in your last month of pregnancy to prepare your cervix. I have a whole post about it, including more info on the studies behind all four things:

In case you’re just curious, but don’t want to really click through the 4 things are:

• Sex
• Pumping
• Primrose Oil
• Dates

Again, the idea is to start these things a few weeks before your due date — with the consent of your doctor. Some of those things are NOT good for everyone, especially anyone with mental health concerns or platelet issues needs to be careful with primrose oil. Be sure to talk with your provider before starting them (can I say that enough?).

Plus, I’m pretty sure I wouldn’t do all of them. Pick and choose which ones seems appealing or doable in your already busy and very tiring life during that last month of pregnancy.

Hey, if you’re in your 3rd trimester don’t miss my prep pack:

What to do in early labor?

It’s a great question, and one that I see a lot of people get wrong.

Let’s start off with what NOT to do:

• Obsessively time the cramps (especially if they’re not painful enough to take your breath away)
• Call everyone you know and say you’re in labor.
• Lay in bed in one spot just feeling miserable

Honestly, there is an art to early labor at home. I think it’s one of the most important thing to set your hospital birth up for success — because, as an L&D RN I firmly believe that the BEST place for you to be in early labor is at home — not the hospital. It allows you to stay comfortable, and likely progress with less issues due to that comfort.

I have a whole chapter on those early contractions, and what to do at home (and what partners can do to help) in here. I can’t recommend it enough, you need that lessons, along with the rest to really have an amazing birth.

Even if you think you’re in early labor it’s not too late for that class. Because it’s only 3 hours you really do have time to get started — great news, right!

However, since you’re here — let me give you 3 things to do:

Rest: So many people are busy doing that miles circuit and getting miserable they ignore the fact that rest is such a benefit as your body is heading into an important job. I can promise you that true rest isn’t going to stop your body going into labor (I’m talking about sleeping — not laying their “resting your eyes” — like my mom used to do).

Eat: I’m not talking a full steak, I’m saying every couple of hours fuel your body with a snack that includes both carbs and protein. I have a whole nutrition bonus video in here that helps with that too.

Move: When you’re not actually sleeping move your body. Now, that can be turning side to side if you’re feeling miserable, or it can be getting on all 4’s and cleaning your shower depending on your energy level.

One of the best things partners can do in early labor is to get those snacks already and help you move every 30 minutes or so (and help you clean that shower if you’re trying that). Partner tips are in there too!

My three other tips:

1. Don’t get frustrated with yourself, it will come — patience is hard, but a real need here.
2. If you’re just miserable and want labor to come, talk with your provider about an induction (if you’re past 39 weeks) — I’m glad we have that choice
3. Be kind to yourself. This is confusing and miserable and you deserve credit for moving through it.

The good news is that baby should be here soon!

I want you to have the best birth you can hope for — come join me in The Online Prenatal Class for Couples where we prep you for your upcoming hospital birth (plus laboring at home, and managing life postpartum) in just a few hours. It truly is the EASY way to do it!

What are you going to try in this article? Let me know in the comments!

The post Prodromal Labor: What is it and how to avoid it? appeared first on The Pregnancy Nurse®.

Before we get going, if you’re considering your mucus plus — have you also considered your birth plan? Let me help you make yours as helpful as it can be right here:

What is the Mucus Plug?

Before we get into what it looks like — I want to explain a bit about what it is (and it will also help you understand a bit more about what it looks like, I hope).

So, as far as I hear as your baby is developing your uterus sort of makes a negative pressure to where the things in your vaginal canal move towards the opening to the uterus (your cervix).

That means, what is in the vaginal canal:

• Vaginal Mucus
• Possibly blood
• Semen
• Sluffed-off skin cells

Create the mucus plug.

You can think of it as a low-grade vacuum sort of sucking those things into the cervix area.

Why is the mucus plug made?

While we definitely don’t have all the answers, it makes sense that it would want to make a “dam” to protect the baby as much as possible (especially during early pregnancy) from anything that enters the vaginal canal.

The idea is that helps prevent infection in the womb area.

What does the mucus plug look like?

Honestly, the name is a pretty good descriptor of it.

Sometimes I hear people say they have some mucus-y discharge and think it’s their plug.

A couple of thoughts on that:

Your mucus plug doesn’t look anything like regular mucus — anything you normally blow from your nose, or find coming from your vagina is normally somewhat sticky, but fairly loose. The mucus plug does not look like that.

The mucus plug has had months to dry-up and it shows — it is a THICK. Often “chunky” (sorry if this is too TMI but I figure if you wanted to come here for answers, I’m going to give them). I think it’s more a texture between rubber and a soft cheese. It normally comes out all at once or in chunks.

It’s NOT clear — Most often it’s a darker yellow color and usually has some dark brown to it (that’s old blood).

Where do you find your mucus plug after it comes-out?

Personally, I saw mine in the toilet after I peed. And yes, I dry-heaved. Mucus is not my thing. I know, you think that’s weird for a nurse but we all have our bodily fluids we still hate.

Most often I hear about finding it in the toilet, or in your underwear.

What to do when it comes out?

The mucus plug does show that your cervix is softening, possibly opening.

If you’re before 36’ish weeks — I’d call your provider the next day — providing that is your only symptom. If you have other labor symptoms I’d call them sooner. I think they may want to see you, or at least keep an eye on you. It could be a symptom of preterm labor.

I have heard that the mucus plug, if you lose it early, can also re-generate. However, they need to keep an eye on you if you’ve actually lost it.

If you’re past 36 weeks I’d mention it at your next appointment. I’d also keep an eye out for any other labor signs.

Most often the mucus plug is a sign that labor is coming in the next couple of weeks. That’s it. It’s not showing that you’re going to have the baby any minute and it, alone, is NOT a reason to head into the hospital. Look for other symptoms.

I wouldn’t save it, although if it makes you feel better you can always take a photo of it to show a provider.

Yes, I have had patients bring me theirs in a Tupperware — not necessary. You can flush it.

Want to know more about labor signs? — check out these posts:

• 4 Signs You’re Almost In Labor
• Signs You Are Dilating: Symptoms Of Cervical Dilation
• 5 Signs Your Birth Is Going To Be Hard
• When Should I Stop Working During Pregnancy?
• The MOST Traumatic Things In Labor & Delivery

What other signs of labor to watch for?

Great question — it’s important to realize that the mucus plug is just one of the things that can happen close to labor.

There are lots of other signs:

• Contractions
• Your water breaking
• Stomach/bowel upset
• Cramping

Don’t miss my super helpful post all about the signs of labor. Great info for pregnancy!

If you’re sitting there thinking — man, there’s a lot to know about all of this, I totally understand that.

Truth bomb: Your provider really just doesn’t have time at appointments to go over all this basic information. But, don’t worry I have an easy solution for you!

The Online Prenatal Class for Couples is going to break down all this complicated labor mumbo-jumbo into easy to understand bits that you can consume whenever you’re ready.

It’s best for couples who:

• Are busy and need a birth class to fit THEM (rather than the other way around)
• Want their partner to be a teammate rather than just a cheerleader
• Looking for an all-in-one birth class that will cover whatever type of birth they end-up having (because you just never know, unfortunately)
• Want evidence-based advice from an expert they can trust.

We go into the signs of labor, what to do while you’re laboring at home and when to go to the hospital in that class. Couples find it SO helpful (check out the reviews here).

It’s available 24/7 so even if it’s midnight I’m sitting there just waiting for you to come learn.

Will you have your baby soon?

The best predictor of when you’ll have your baby is your due date. However, I do have a when will I go into labor quiz that you might find helpful.

Wondering more about when baby will come — check out these posts:

• Can I Be Induced At 37 Weeks Due To Pain
• 40 Weeks + A Day And No Sign Of Labor?
• To The Mom Who Thinks She’ll Go Early.
• 39 Weeks Pregnant With Extreme Fatigue & Tiredness

Either way, I wish you the BEST of luck. Those last few weeks of pregnancy are no joke. Please be kind to yourself. Please get prepared and please know that you’re doing a great job at something that is VERY hard. You’re amazing, and you’re growing another human inside your own body!

Want to do a vibe check before diving into the whole thing with me? — check out my free labor pro tips. It’s your first step toward getting in the driver’s seat of your birth.

The post What Does the Mucus Plug Look Like? appeared first on The Pregnancy Nurse®.

Before we dive in, have you thought about your birth plan? Let me help you get it ready:

I want to say that ALL of my babies (3) went over their due date with no signs of labor in sight, so I GET it and I hear how miserable you are. I have some good tips, so keep reading!

I did also want to add that just because someone is dilated, doesn’t mean they’re going into labor any sooner than you. Closed-thick-high cervixes can change very fast, and cervixes open 3-4 cm can stay that way for weeks. It’s really not an indicator that labor is coming…. so, don’t let that bother you!

Want to know more about dilation — check out these posts:

• How To Dilate Faster
• I’m 2 Cm Dilated? How Much Longer?
• Signs You Are Dilating: Symptoms Of Cervical Dilation
• How Dilated Are You When You Lose Your Mucus Plug?
• How Long Can You Stay 1 Cm Dilated?

Ok, now onto the tips!

Forget-about-it (forgedaboudit)

Ok, this one is SO much easier said than done, but the first thing I want you to do is to distract yourself from the fact that you really thought you’d be done by now! When you get busy doing other things, often the thing you’re HOPING will happen makes room to happen.

I have no idea why, but it does.

Here’s a few of my favorite things to recommend to people in those annoying overdue days:

• Review your birth class (or take one — this one can still be done, it’s not too late!)
• Cook — great time to make some freezer meals!
• Go on a walk somewhere beautiful
• Clean (I get it, I’m the worst — but I know this is productive just be sure to use safe cleaning products)
• Watch a favorite movie with someone you love
• Do some prenatal yoga to stretch out those tired muscles.

The LAST thing you want to do is to just sit there and wallow (although I have done that plenty of times, I just sat and cried the entire day before my induction last time). I wish I hadn’t — it was a waste of a lot of time and energy I could’ve devoted some some frozen yogurt with my feet up.

Thinking you have some control is one of the biggest myths of labor & pregnancy.

Fun fact, sitting in your misery actually may counteract any labor hormones your body is producing. Oxytocin is a LOVE hormone, it feels good — and you sitting around feeling BAD doesn’t give it room to do it’s thing!

Another great thing to do? Pack that hospital bag:

Induction?

Ok, the Arrive trial showed that it was safe to be induced at 39 weeks. You didn’t have a higher chance of a c-section than you would if you waited (that’s really boiling it down — I have a whole deep dive into it in the bundle in here).. Now, it did also show that the induction would likely be longer than “natural” labor…. but it did show it was a viable option.

So, to you I ask, do you want to be induced? If so, ask your provider? If they are an in-hospital provider and they refuse ask them why. Some hospitals do have a policy that they don’t electively induce people prior to 41 weeks because of how busy they are (and inductions take extra nurses and room time). BUT it is a viable question to ask from 39 weeks on.

BUT, if you are considering an induction be SURE to get all these questions answered so you have a realistic idea of what to expect:

FAR too many people are caught off-guard by:

• How painful an induction is
• How you’re more “stuck in bed” because monitoring isn’t optional (stop monitoring, we have to stop the induction)
• How long it lasts — it often can be over a day of contractions before things really get going
• How you’re much more likely to want an epidural and the requirements that come with that

Honestly, there’s a lot about labor that catches people off-guard, which is why I recommend EVERYONE take a prenatal class. The Online Prenatal Class for Couples is truly meant to be done in just a few hours… you can still get it done and feel SO much more excited for your birth (and not just because you’ll be done being pregnant).

Keep Moving

It is REALLY tempting to curl up in a ball and feel your misery. I get it, you’re tired, you feel like it’s not fair that you’re still pregnant when you feel like EVERYONE else has gone earlier and already had their baby.

But, that is your WORST plan!

Letting your baby find their best spot in your pelvis often requires moving in new and different ways.

Things like:

• Curb walking
• Rotating on a yoga ball…. (awesome to do while you watch/review your birth class)
• Small lunges (don’t go crazy, they can make your pelvis mad)
• Dancing (probably one of my favorite ways — awesome to involve the whole family)

And, like I mentioned above, cooking (shifting your hips while you’re at the counter), cleaning (being on all 4’s is an awesome movement)…. those can help too!

What NOT to do:

The thing to NOT do is to pretend that you have control over this….

• It’s not your fault that you aren’t in labor yet – this isn’t a mindset game, you can’t MANIFEST this — it is your brain, your baby and your body deciding they’re ready. You don’t have control over those!
• There aren’t magical ways to go into labor that you don’t know about — studies show most of them don’t work at all.

I felt some sort of guilt/shame by the fact that I wasn’t in labor yet when I was overdue (not helped by my mom wondering WHEN I was going to have that baby????). THAT was just plain wrong, and unhelpful.

I was waiting on mother nature, so I wish I had just made the best of it and laid around more with a fan on me.

Wondering if I’m wrong and if some things WILL put you into labor — check out these posts with studies:

• When Should I Start Drinking Raspberry Leaf Tea?
• Can Curb Walking Induce Labor?
• What Is Stripping Membranes? (Membrane Sweep)
• When To Start Eating Dates During Pregnancy?
• Can A Hot Bath Induce Labor At 39 Weeks?

Check out more about putting yourself into labor here.

I think one of the things I’ve learned in all my years on the planet is that we often can’t hurry up something. We have to just live as well as we can until it happens.

Was I good at that? No? But, I wish I had taken that advice to heart more instead of sitting around crying and wallowing. That didn’t do me any favors.

And yes, ultimately I did get induced. I’d been 5 cm for over a week when I was induced, and if I’d let them break my water once I was contracting I bet I would’ve only had like a 3- hour induction, but what a surprise — I wanted to control things.

So, if you’re that kind of person — I see you, and I know how that feels.

I will ALSO say that after going those extra days, my kids tended to be better sleepers than my friend’s kids. They were older, and often ate better. Sometimes I took that as my consolation prize for staying pregnant so long. So, hopefully that happens for you too.

Finally, I just way to say hang in there friend.

The unknown is hard.

The pain of the last days of pregnancy is hard.

People asking when you’re going to have that baby is hard.

It sort of isn’t fair that some people “get out of pregnancy early”…. but I know you want a healthy baby and sometimes this is what that entails…. misery.

Personally, I think you’re doing a great job. Just keep up the good work. And by good work — I mean propping those feet up with a beverage watching a show you love. You deserve at least that.

Note for moms on baby 2+: My kids were really paranoid by the fact for WEEKS they wondered if they would wake-up and I’d be at the hospital. That part weighed on me so hard too. It may have been the hardest to say every night at bedtime that I didn’t know WHEN the baby would come (insert guilt and shame for not being able to get her out earlier). So, if that’s you — I also see you, and it’s hard.

And, of course — I have to say come join me in my class. Couples really do actually ENJOY it. Come read the reviews here. They make me so proud to have prepared thousands of couples for great births. I’d love to do that for you too!

Want to do a vibe check before diving into the whole thing with me, or just want more tips? — check out my free labor pro tips. It’s your first step toward getting in the driver’s seat of your birth.

The post 40 weeks + a day and No Sign of Labor? appeared first on The Pregnancy Nurse®.

But, before we get going — contractions aren’t the ONLY sign of labor, and it’s important you know the rest of them — so grab my labor signs checklist so you know what to keep an eye open for:

How Often Are They?

It’s pretty normal to have a contraction every now and then throughout your pregnancy.

Earlier in pregnancy they’ll say something like — if you’re having more than 5 in an hour call me — so, if you’re just having one now and then it may be a reminder to put your feet up, and drink a bit more, but otherwise live your life.

Reminder: Ask your provider at your appointment how many contractions in an hour are OK for you right now? This will vary by how many weeks you are — which we’re going to talk about next

BTW, wondering more about labor, don’t miss these posts:

• What Does Water Breaking Look Like?
• Free Birth Class with Insurance
• How To Dilate Faster
• What You Need To Know About Precipitous Birth (Fast Births)
• The BIGGEST Myth About Labor (Bar-None)

How far along are you?

This one is REALLY important. If you’re only 33 weeks, that is VERY different than someone who’s 38 weeks — even though they’re only about a month apart — that month is a VERY important one for the baby’s growth.

You’re going to want to check what # of week your doctor is no longer worried about you going into labor, but I am going to use 36 weeks as a safe middle zone where they probably won’t stop you. However, we’d MUCH rather see you go past 37 weeks as having your baby in 33-36 weeks is considered “early preterm” and baby can have complications.

Make SURE that you’re getting a prenatal class to understand all of this better. I recommend finding one around 20 weeks, but it’s NOT TOO LATE. This one only takes a few hours and can easily be stuffed into your busy day!

Before 36 weeks

(or whatever your provider says) And you’re having them frequently (more than just now and then….

You’ll want to call your provider, or labor and delivery (if they take phone calls) or go into the hospital.

You’re going to want to have these checked out, have baby checked out and see if you can stop them.

There are medications we can give you. Sometimes it’s via an IV, or a shot or a pill depending on how many weeks you are and how strong they are.

We can also do a test called fetal fibronectin that can tell us if your cervix is actually opening, as you can have useless contractions that aren’t actually doing anything and we’re not as nervous about those.

After 36 weeks:

First thing: Don’t freak out. It’s really normal to have contractions every now and then.

Just make a note. Ok, we had one around 12:25… let’s see if we get anymore. If it’s been 10-15 minutes with nothing, relax. Go about your day. Again, you can always hydrate (dehydration is the #1 cause of false labor), but remind yourself you’re doing great and this is normal.

BUT if you get another one in that 10-15 minutes span — again, take a note. “Ok, those were about 9 minutes apart — interesting!”

Remember, it’s NORMAL to have contractions, and having one or two contractions doesn’t mean you’re going into labor or frankly, even that labor is soon. Just take a note (and drink some water).

Let’s say you’ve gotten about 10 contractions in an hour and they’re continuing.

Again, you’re not freaking out you’re just taking note.

What do you do now (as long as you’re PAST 36 weeks, or whatever timeframe your doctor feels is safe for you)?

Here are my top 3 things to do when you’re in early labor:

1. Clean — I know you hate me, but getting on hands and knees can help your baby find their best spot, and it allows you to maybe get a little work done. No harsh cleaners though (I have a podcast here on that if you want more info).
2. Cuddle up — Get with that partner of yours, and cuddle up. Just let that oxytocin, and love flow. You’ll feel safe and supported and they’ll feel like they’re doing something (don’t worry, I have more tips for partners coming up)
3. Cook — Now’s a great time to make some meals. Even if you don’t go into labor you’ll appreciate having them, or you’ll have them after baby is born. Freezer meals are a great option!

At this point in time you’re just marking when contractions come and seeing if:

• They get closer together
• They get stronger
• They get longer

Those are signs that this might be the real thing!

You’re also watching for any other of the signs of labor. Remember, you can grab that checklist right here:

Labor, most often, doesn’t come alone. You’ll likely have a few other signs if this is the “real deal” — and I actually have a whole chapter in The Online Prenatal Class for Couples about doing early labor at home with more tips and ideas, don’t miss it!

Hopefully, you’ve figured out what contractions should look like before you head into the hospital (I have a whole post about how to time going to the hospital). If you have any questions call your provider. We’re VERY used to talking people through these things, and we can often tell where you’re at by how you sound on the phone.

Remember, you can ALWAYS go into labor and delivery to see how you’re doing. If you’re in active labor they’ll keep you, and if you’re not they’ll send you home — but you’ll know that you’re safe.

If you think you’re good to stay home make SURE that you’re doing these three things:

1. Sleep — if you can actually sleep, get some rest. That is ALWAYS a win.
2. Move – if you’re not ACTUALLY sleeping, move every 30 minutes. Even if it’s just changing position that can be a win. If you’re willing to do some curb walking, lunges or time on a labor ball that can be a win too!
3. Hydrate – Don’t forget to keep drinking. It will keep “false labor” away, and it will help your veins be ready if you’re actually going into labor

“False Labor” feels defeatest — it’s just contractions (that can be very painful) that aren’t opening your cervix. That’s all they are.

While we’re here, don’t forget that labor bag. I have a whole post on when to pack it — and you can grab my packing list right here:

What can partners be doing?

Ok, you’re cleaning, cuddling and cooking — what’s your partner doing?

I hope they’re right in there with you! They can be your sous chef and sous cleaner. They’re just your buddy in all of this.

They’re helping you stay hydrated and fed. They’re seeing what they can do to help.

The main thing is for you to tell them exactly what you need from them. Maybe you want them away from you, be kind but tell them that. Maybe you want them to rub your feet — tell them that. They really are NOT going to mind-read you at this point. Your thoughts and feelings are all over the place, so just be clear with communication.

Partners: Now is NOT the time to get your feelings hurt. You really are just there to support her. Do what she wants and help take care of her, that’s it.

I actually have a whole partner tips video in here where we go over things partners can do to help you feel supported. That is in addition to my natural pain management video where I show them some easy ways to help you feel comfortable.

You really want a TEAMMATE at this point, not just a cheerleader that’s giving you a “yay” from the sidelines. You want someone who’s really going to be in the game with you. But, to do that, they’re going to need a little training — I aim to do JUST that in here.

I really think it’s so valuable, I really want to see you get started today. Use coupon code PARTNER to save 10% on your class TODAY!

Want to do a “vibe check” with me to see if we’re a good fit first grab my free labor tips. It’s your first step toward getting in the driver’s seat of your birth.

The post What to Do When You’re Having Contractions appeared first on The Pregnancy Nurse®.

I bet you’re in your third trimester if you’re reading this post — grab my third trimester pack here:

You might also find this video on the same topic helpful:

Most people search “how to dilate faster” because they want labor to be easier and less overwhelming. The truth is, there’s no guaranteed way to speed things up — but knowing what helps (and what doesn’t) can make a big difference in how calm, confident, and prepared you feel going into labor.

How does dilation work?

Before we get going — what the heck is dilation? How’s it work and why is it important in this process.

Think of your uterus as a balloon with a ball at the bottom of it. The balloon is made of muscle and is shoving that ball down into that neck of the balloon. That’s VERY similar to how the uterus is (the cervix being the “neck of the balloon”).

However in the human body the neck of the balloon extends into muscles, bones and ligaments — it’s not just a free-floating balloon. Which, makes it more complicated.

Sometimes your uterus contracts, and doesn’t really push the ball into the cervix at all. That’s normally called false labor, or Braxton Hicks. That can easily progress into “real” labor though — and often those contractions are very painful. So it gets confusing!

So, as the baby pushes into the cervix (imagine the neck of the balloon scenario) it opens up, and that’s called dilation.

Want to know more about how we measure it — check out my vaginal exam post on my sister site.

What Makes you Dilate Faster?

There’s a few things you need to think about when you dilate faster:

Soften Your Cervix

It’s not quite as simple as the balloon analogy. The cervix is mean to be pretty hard/firm in order to keep baby in for those 37+ weeks before birth.

In fact, as someone who’s checked a LOT of cervixes, it can feel like a rock very early on (which I’m grateful for). However, due to:

• Hormones
• Baby’s head pushing down on it softens it (sort of like kneading bread)

It softens later in pregnancy so baby can push through it. I talk more about that in my post on cervical ripening.

I just wrote a post with 4 things you can do in your third trimester that may make your cervix more ready for labor:

Open Your Pelvis

Like I said, your cervix is seated within bone, muscle and ligaments that can affect how that baby moves down into the pelvis.

As you can imagine if those muscles can’t relax and your pelvis stays in one position baby has less of a chance to get into that cervix, and may take more contractions to do so.

So, doing exercises that help to open your pelvis can help as well. I did a lot of prenatal yoga and I think that really helped, so I’d encourage you to ask your provider if any exercises in general are helpful for you, or they have a program they recommend.+

If you’re hoping to make labor faster, you’re not alone. While you can’t fully control how quickly you dilate, understanding what supports your body — and what to expect — can help you feel more prepared and less anxious when the time comes.

Contractions to Push Baby Downward

So, contractions are the main thing our body uses to push your baby through the cervix.

Even those early contractions may not show noticeable cervical change hour to hour but can cause it to soften and open up with time.

Here are a few posts on contractions you might find helpful:

• Where Do You Feel Contractions?
• Contractions On The Monitor But You’re Not Feeling Them: What Does That Mean?
• What You Need To Know About Precipitous Birth (Fast Births)
• True Labor Contractions: The signs of real labor
• Signs You’re Going into Labor: Besides contractions, what to watch for?

Honestly, I think most people just think labor starts, and boom — your cervix opens, but honestly labor is a lot more complicated than that.

I know on my first baby I didn’t really understand it. When my doctor said I was 2 cm I thought we were ready to have a baby — but I ended up not having him for WEEKS and was sort of confused at what I could do to help thing move along (or if I should just watch more TV and stress-out less).

I’m so glad there’s things like this now that can really make it SO much easier to prepare. Plus, it prepares you for all sorts of things, like inductions, cesareans, and managing life after baby (because that hit me like a truck).

How Do you Dilate Faster?

Here comes the news you may not want to hear. The main, proven method to cause dilation is what hospitals use to induce labor.

That includes:

• Manual options like a foley bulb or breaking your water
• Prostaglandin options like Misoprostol, Prostin Gel or Cervidil
• IV medications like Pitocin

BTW, if you’re consider an induction — I would 100% grab my induction question checklist:

If you want more information on induction here are some posts that can help:

• How Long Does An Induction Of Labor Take?
• Navigating Induction: Empowering Choice and Educating Yourself with Dr Elizabeth
• Induction: Reasons Pregnant Women are Induced
• Debunking Induction Myths With My Own Induction Story
• 11 Easy Ways To Prepare For Your Labor Induction

BUT I would also guess that a lot of you don’t want to be induced, but you’d like to try to dilate at home.

The main method that seems to have some proof behind it is eating dates. I have a whole post on when you need to start eating dates — because it does take some time. There are actual studies on that one that show it can help.

Most of the things I mention are things you need to do over time vs “let’s dilate now”…. something to keep in mind.

There are some studies that show that sexual intercourse, when done frequently, in the last few weeks of pregnancy can have some effects (although some studies show that it doesn’t help at all). Again, done frequently, not one and done.

Keep in mind, they think this may work because the pleasure involved in closeness with your partner, a possible orgasms and his deposit of hormones (and sperm) in your vaginal canal might move things along. SO if you’re hating it, it likely isn’t going to help produce the oxytocin you’re going to need.

Finally, there are a few studies that show that stripping membranes can help (there are also some that show it doesn’t help). So, if that’s not something you mind — it can be a good option.

I should caution that if you’re in SO much pain with a regular cervical exam, stripping membranes is longer, and more painful — so may not find it to be “worth it” for you.

If you want to read more on the studies >> read my post on guaranteed ways to induce labor.

With ALL things in pregnancy (and frankly, in life) you’re weighing the risks vs the benefits. So if you just hate dates — that may not do what you want. But, if you enjoy them…. it’s worth a shot since studies show it can help a bit, right?

I have a few other posts about things that might put you into labor:

• When Should I Start Drinking Raspberry Leaf Tea?
• Can Curb Walking Induce Labor?
• Sleeping Positions To Induce Labor: Best Positions To Dilate
• Can A Hot Bath Induce Labor At 39 Weeks?
• Why Does Eggplant Induce Labor?
• Can Prenatal Massage Induce Labor?
• Can Getting A Pedicure Induce Labor?
• Can Jumping Jacks Induce Labor?
• Is Midwive’s Brew Safe?

That last one is one a lot of people rely on — Midwive’s brew, which includes Castor Oil. However, if that is something you are considering I would strongly caution you to include your provider in that discussion. You really need to understand the risks and the benfits of it, so be sure to discuss it with them.

There can be some heavy risks shown in studies (including baby pooping inside the womb). So, be aware of them.

Ultimately, if you want to dilate, talk with your provider about scheduling an induction. I know people don’t like the medical-ness of a labor induction in the hospital but understanding what it will be like can be helpful. I have a few posts on asking for an induction you might find helpful:

• How To Ask Your Doctor To Induce You
• Can You Push Yourself Into Labor?
• Being Induced At 37 Weeks: What Should You Expect?
• Can You Request To Induce Labor At 37 Weeks?
• Reasons They Induce Labor At 37 Weeks Of Pregnancy
• Can I Be Induced At 37 Weeks Due To Pain

How to dilate faster in actual labor?

Ok, so if you’re IN labor how do you dilate faster?

My favorite options are:

Relax, take it one contraction at a time: It’s easy to get caught up in what’s coming. Take it one contraction at a time and try to relax as much as possible (especially your pelvis).

This is where labor breathing comes in handy as it helps you to relax those muscles. We talk about that all in the natural pain management bonus video in here about that.

The other one is to use movement to your advantage. That means:

• Changing positions frequently (partners can take a big role in this, reminding you and helping you to move)
• Using positions that vary your pelvis from it’s “normal state”

I actually have some labor movement cards in the bundle in here that can help give you ideas, and prompt your partner to be a helpful part of that!

It is very typical, when you’re in pain, to just stay in one position. It can take some prodding to move out of the fetal position you naturally go into when things get painful — so it doesn’t always come naturally!

Finally, I gotta ask — are you really feeling prepared for birth, or are you nervous and perhaps even holding yourself back from having this baby?

I know — birth classes seem complicated (and sometimes far too expensive) — but The Online Prenatal Class for Couples really is the easy way to get prepared.

• Your partner knows what’s happening — and how to help.
• Know what to expect in the hospital — and how to advocate for yourself.
• Understand your options. Make confident decisions. Feel ready for birth.
• Prepared Parents Feel Less Fear & Birth Better!

It’s normal to want labor to go faster and smoother. While you can’t control everything, knowing what may help — and having your partner prepared too — can make the experience feel more manageable and less stressful.

What are YOU trying to get your cervix to open faster? Tell me in the comments!

The post How to Dilate Faster appeared first on The Pregnancy Nurse®.

Can Labor Start While You’re Sleeping?

In a word, yes. Labor can start at ANY time. While you’re in the shower, having sex, at work, or at a doctor’s appointment. There is no time that your body will stop labor if it’s in the mood to do it. Contractions starting during the middle of the night isn’t unusual at all.

Quick note: If you’re wanting to go into labor, you’ve got to get your BRAIN ready for it. Come join me in The Online Prenatal Class for Couples where we talk all about how labor progresses and what to expect as your body transitions into active labor.

How Does Labor Start?

Labor starts with just some mild cramping and not feeling well. The good news is that your body is also VERY tired, so sleeping is often something that will come naturally, even if you don’t feel well.

I have a whole post on how to know if you’re in labor — because it CAN be confusing. Labor sort of creeps up on a person, so getting some ideas on how it will start and what to watch for can be super helpful. I also have a whole podcast on how to know if you’re in labor:

Braxton Hicks contractions and labor are both very similar, except that labor keeps going and Braxton Hicks contractions stop or become irregular contractions. Many people call those mild contractions false labor or “practice contractions”. All of them are contractions of the uterine muscle, it’s mostly what they are producing (if it makes you dilate) that make them different.

Labor also has a few more symptoms that I talk about in my article called Am I In Labor? Labor signs include:

• bloody show (read that article to learn more — bright red blood can be problematic, so call your provider if you see much of that)
• lower back pain
• stomach cramps/upset stomach
• vaginal discharge
• loss of the mucus plug
• overall malaise

I have a whole labor signs checklist for you here:

The beginning of labor often feels like getting your period and then the pains progress from there. Read my post on where you feel contractions if you’re wondering that as well. If you wonder what contractions feel like it’s very normalI– it’s hard work, but tricky too!

If you’re before 37 weeks along, labor that early isn’t often — and is called preterm labor. Call your healthcare provider ASAP!

However, once you get into the active phase of labor (some call this the second stage of labor) — with “real contractions” call your provider or hospital staff to see when you should head into the hospital (or take their advice if you’ve already talked about it).

And yes, I have a whole bonus video on the phases of labor in here.

Can Your Water Break While You are Asleep

I actually hear this a lot. Women were asleep with some early labor (many people call this the latent phase of labor as it can take a while) and then wake up when they feel a pop. When they stand up warm fluid (amniotic fluid) gushes onto their carpet.

Remember, most women’s water does not break on its own — so it’s not OFTEN but it’s definitely possible — especially as you get closer to your due date.

I have a whole post on the signs your water might break soon.

Most often, once water breaks labor begins to be more painful and you head into more active labor, FYI.

Water breaking is a sure sign of labor (many of us count it as the start of labor) — once your amniotic sac is broken most providers want to see you have your baby in the next day or so. If your water is broken, your big day is here! Get your hospital bag!

Of course, it’s not always as cut and dry as this makes it sound — I have a whole post on my sister site on how to tell if your water is broken. I also have one on how to tell if it’s discharge changes or your water is broken.

Pro tip: Make sure you have a waterproof mattress pad on your mattress in your third trimester — just in case. I actually recommend these (affiliate link) to protect all the textiles around your home later in pregnancy (I’d keep one in my car for sure).

Want more info on water breaking:

• What Does Water Breaking Look Like?
• What Does It Feel Like When Your Water Breaks?
• What Makes your Water Break During Pregnancy?
• Signs Your Water Is Going To Break

Should You Sleep During Labor?

During labor, I recommend you do one of two things:

1. Sleep — sleeping during labor gives the pregnant woman energy and it also can allow your cervix to soften/open while you are obtaining that energy. Sleeping is GREAT and don’t discredit it. I honestly think it’s the best thing when possible.
2. Move — if you’re NOT sleeping, I recommend moving a lot! I don’t mean constant movement (but I am a big fan of “the sway” or sexy hip circles on a yoga ball) — but finding a new position to rest in every 30 minutes or so. Find a comfortable position, but change every so often. Having a family member remind you can help too!

Wondering WHAT moves will make a difference. I have some labor movement cards in here that can help you out!

A lot of women find their first instinct is just to sort of curl up in a ball and be miserable and THAT is not a good plan. I have a whole post on the best position to start labor while sleeping.

True sleep or moving, that should be your plan.

Reminding you to move is a great job for your partner! I have some awesome easy things partners can do that make a difference in The Online Prenatal Class for Couples.

A lot of people ask if they can take something for pain relief in early labor. I’d ask your provider if there is something they recommend.

How Can I Sleep During Labor?

YES, this is a great question. I have a few ways you can work on sleep during labor (these tips can help in general towards the end of your pregnancy) — these are aimed at trying to increase your oxytocin:

#1 Lower the lights. Studies prove that the bright lights we use in the hospital can actually prevent labor. As soon as my patient was settled into bed I tried to keep the lights low to help bodies enhance that labor process.

In fact, most women naturally go into labor during the night. It is likely because they are relaxed and frankly — when they’re not so busy doing other daily activities they can more acutely be aware they ARE in labor.

#2 Meditation. One of the best things you can do is get into meditation — earlier in your pregnancy. By having these coping skills it can help you relax your mind and body to sleep more during early labor. In fact, I am personally doing some hypnosis for anxiety lately and the techniques are SO helpful for my early morning wake-ups, I can’t recommend it enough. I have some anxiety remedies you can try.

If you’re not into meditation, many people like a warm bath or a warm shower (warm, not hot). It just helps you relax!

#3 Take something. Ask your health care provider if there is anything you can take to help with sleep as you get more uncomfortable later in your pregnancy. I can’t give you any guidance in this area, but it’s definitely worth a talk. Options could be a pain pill or a sleeping pill.

I also have a whole post on pregnancy sleep you might find helpful.

Not FREAKING OUT can really help too. A lot of people suddenly realize labor is happening now and feel VERY unprepared — so taking a class can really help that!

Can I Eat When Labor is Starting?

If you’re hungry, I say have small snacks and/or meals. I don’t recommend large meals as your stomach sometimes likes to get in on the cramping and you don’t want to see that meal a second time. Again, you’re likely heading into something you’ll need a lot of energy for. Remember to balance carbs and some protein for long-term energy.

Snacks are great to take to the hospital — have some tips on what to take right here:

Honestly, there’s no better option than early labor starting while you’re getting some sleep, so don’t stress about it. Remember, early labor can last quite a while, so even if it “started” while you were asleep, you likely have quite a bit of time in front of you. I have a whole post on the first stage of labor you might find helpful as well.

I will say that as baby’s head goes deeper into the birth canal, many women don’t want to eat. Not unusual at all.

Can Labor Start While Sleeping FAQ’s:

AND, as I talked about before — if you’re looking to know more about labor, how it starts and what to expect — NOW is the time to jump into The Online Prenatal Class for Couples. There I answer what to do in early labor and give you the perfect equation for when to head to the hospital.

And, if you’re not quite sure you’re ready for that whole thing, check out my free prenatal class. It’s your first step toward getting in the driver’s seat of your birth.

Don’t miss my super helpful post all about the signs of labor. Great info for pregnancy!

The post Can Labor Start While Sleeping? appeared first on The Pregnancy Nurse®.

While we’re here — you’re right in the middle of your 3rd trimester right now — be sure to grab my checklists:

I want to share three truths of cervical dilation with you (we’ll go into more detail on each of these):

1. Your cervical dilation right now means nothing about what it might be in a day or a week.
2. Cervical exams vary.
3. If you don’t care, there’s no reason to find out.

Related: Signs of Dilation

Your cervical dilation right now means nothing about what it might be in a day or a week.

What this one means is:

Just because your cervix is closed thick and high right now, doesn’t mean that with some quality contractions it couldn’t drastically change in an hour. 

Meaning dilation isn’t the key, quality labor is the key — and you often know if that’s happening (because it hurts)

Just because they say your cervix is 2 or even 3 or 4 centimeters open right now doesn’t mean that it can’t stay that way for a while.  I walked around at 4 cm for WEEKS.  I wasn’t in labor, and baby was staying put, so it was just how it was. Again, I didn’t have those quality contractions to get them further.

Also cervical exams aren’t just dilation (although they seem to get “top billing”).  It’s also about how thick/thin it is, cervical position in your birth canal and how high/low baby is in your pelvis so if you’re wondering what your doctor or midwife thinks about your exam, ask them!  They should be able to teach what they learned from it.

I have a whole post on what the numbers on the exam mean that goes into more detail for you!

Should everyone’s doctor explain all this? Yes.
But do they have time to do that PLUS answer all your questions and things they need to do on a visit — not always. Come join me in here to learn the basics so you can get your specific questions answered at your appointment!

Cervical exams vary.

People seem to get really mad when cervical exams vary a bit from provider to provider. 

A smart one will ask what your cervix was at your last exam and base this exam off of that, but if it varies by a centimeter or so (or a bit of a percentage of effacement) don’t freak out.  It’s an art, not always a science and thankfully we are NOT taking a ruler in there.  #ouch.

And while we’re here — grab my postpartum checklist for stuff you’ll need after baby:

If you don’t care, there’s no reason to find out.

So, with all of this — you’re maybe wondering, why do I care?

Well, first off – a lot of people are curious as to if the pains they are experiencing are early labor and wonder what they’re doing to their cervix.  And that’s OK.  Your provider should be happy to check your cervix and let you know.  At 36 weeks we’re not as concerned that it will put you into labor and a gentle exam has very few other risks.

I have a whole post on when we start cervical checks and if you need them.

FYI: Your provider should NOT strip your membranes this early.  Most often they should wait until 39 weeks for that.

But if you’re realizing that the information you’re going to get isn’t worth the effort of taking your pants off, or having the exam (which some people find quite painful) then say you’re not interested in it.

Many providers offer an exam at this point, but you can totally refuse it, just like you can any other thing.  But in this case you really aren’t going to get much information out of it.

Remember, anything you’re considering:

1. What are the risks? (usually pain, irritation, and a very small chance of infection)
2. What are the benefits? (or what will we learn from it in this case)
3. What are the alternatives? (usually to wait in this case)

The one negative is that a lot of time people get their hopes up thinking they’ll have the baby soon once they find out they’re dilated.  Often, providers make silly remarks like “I bet it won’t be long”.

Providers want to see you be done being pregnant almost as much as you do, so they make statements like this, but it isn’t always backed-up by reality.  They sometimes just like saying stuff that makes you feel better….

SO, whatever your exam is, remember that’s what it is TODAY and it doesn’t mean it couldn’t stay that same exam for a while, or with some good contractions (or if they induce labor) it can very easily change soon.

Remember, active labor is when your cervix is actively changing (aka, we notice difference between when we check once and then check an hour later) and you’re having contractions that push baby out of the uterus into the birth canal (your vagina) going closer towards delivery.  This opens and thins your cervix  Most often this happens 40 weeks after you ovulated your egg (which is how they decide on your due date).

If you’re looking for other signs of going into labor like losing your mucus plug check out my post on the signs of labor and grab my checklist below.

I think mostly what we learn from exams is that labor is a bit complicated and confusing without a little information behind it.  Often your provider doesn’t have the time to explain all of that (and answer all your questions) — so taking a good prenatal class will put you miles ahead.  The Online Prenatal Class for Couples is the easy way to get prepared!  Come join me so I can explain all of this, plus more about labor, birth and your postpartum life!

And, if you’re not quite sure you’re ready for that whole thing, check out my free lesson. It’s your first step toward getting in the driver’s seat of your birth.

The post What Cervix Dilation Should You Be at 36 Weeks of Pregnancy? appeared first on The Pregnancy Nurse®.

While prenatal appointments are so important and useful, if you understand the BASICS the appointments will be so much more productive. I recommend this to easily get prepared fast!

How much longer will you be pregnant if you’re 2 cm dilated?

Frankly, who knows? I mean, likely not much longer than a few weeks if you’ve had your cervix checked.

Our BEST guess as to when you’ll have your baby is your due date.

We often give too much credit to dilation in the whole equation of things. Here are a few facts for you:

• Just because you’re dilated now doesn’t mean you’ll continue dilating
• Even if you’re not dilated now, doesn’t mean you can’t have the baby in the next day
• Some people walk around for WEEKS dilated having no idea that’s the case (some women’s cervix may never fully closed last time).

Want to know more about dilation — check out these posts:

• What Cervix Dilation Should You Be at 36 Weeks of Pregnancy?
• Signs You Are Dilating: Symptoms of cervical dilation
• What Does the Mucus Plug Look Like?
• How to Dilate Faster
• How to Time Going to the Hospital in Labor

So, what does being 2 cm dilated tell me?

Well, your cervix open, that’s mostly what it tells you.

But, here are a few other important questions:

Is your cervix soft? Or, is it hard like a rubber tire? Softer cervixes are what we call ripened. Your cervix will start out hard like a rubber tire, but then soften to a consistency of soft cheese as it ripens. If your cervix is rock hard it isn’t as ripe (and it will take a little time for it to ripen). As practitioners we call this your cervical consistency

How low is the baby? If baby is still sky high in your abdominal cavity (meaning it hasn’t dropped) that’s not always a great sign. The lower baby is in the pelvis the more likely it is to be closer to birth. However, that doesn’t mean baby couldn’t drop ASAP and you head into labor at any time. We call this baby’s station.

Where is the cervix? Well, it’s clearly in your vagina — but is it far back (called posterior) or is right towards the front? We call this cervical positioning. Cervixes usually start out posterior (further back) and move forward as birth progresses and baby moves into the birth canal.

How thick is the cervix? Along with how soft it is, how thin is the cervix? Think of it like pulling a tight-necked sweater over your head. The knit will stretch out (and thin) as you pull it down onto your head. If your cervix is very thick, not as great. If it’s nice and thin it might be better. BUT cervixes can thin out very quickly with nice contractions. We call this effacement (and we usually measure it in a percent — so they’ll say your cervix is 50% effaced). Honestly, anything less than about 70% is still pretty thick.

Pro Tip: We don’t define active labor until 4-6 cm of labor — and you can’t really be considered in a “stage of labor” until you’re actively contracting and baby is moving into the birth canal.

Remember, LABOR is usually a few things — not just contractions — so grab my labor signs checklist right here:

So, does what my cervix is tell me anything?

Not always, but It does in a few circumstances.

• If you’re in preterm labor that’s not a great sign and we want that cervix to STOP dilating.
• If you’re having an induction it tells us what agents we should use to start your labor (and a bit about how long your induction will be — although we’re often wrong).

Let me give you the four truths of cervical exams

What your cervix is now doesn’t mean it can’t change with good labor contractions. It’s a volatile situation friends, so just be aware.

It’s not just a number. A cervical exam, in the hands of an experienced practitioner can tell us a lot about what’s going on currently. Just getting a number doesn’t tell the whole story.

Without contractions even a large dilation doesn’t mean much. I hung around at 5 cm for a long time. This can happen. I wasn’t having active contractions so I just hung out. Was I miserable? Yes, did I have a fast induction once we finally called it and got that baby out — also yes.

And finally….

Doctors like to give good news. They want you to be done being miserable almost as much as you do. They’re hopeful that 2 cm means that something is happening

So, at this point you may wonder if having your cervix checked is worth it?

If you desperately want to know it may just satisfy some curiosity for you. Or, if you’re having an induction they can be important to help you know what to expect (and when the provider should schedule it). OR if you’re in preterm labor, it can be really important to know.

The big question is if it will change your plan of care? In the cases of an induction or preterm labor — yes, important.

But, just a random check may not be worth it to you. Your provider may offer it, but it’s up to you if you take them up on it. Because as we all know, what your cervix is NOW doesn’t mean it can’t change quickly with some good contractions.

Which could start at any time {insert scary organ music}.

If you’re feeling anxious about your labor, birth, or postpartum life come join me in The Online Prenatal Class for Couples. It’s the easy way to get prepared!

I 100% get that you want to know what’s going to happen — to prepare. Labor is just one of those things in life that you just can’t know WHEN something is going to happen. That’s just the tricky (and annoying) truth of thing. You can, however, prepare for a lot of it!

And, if you’re not quite sure you’re ready for a whole class together, grab a lesson from the class for free. It’s your first step toward getting in the driver’s seat of your birth.

The post I’m 2 cm Dilated? How much longer? appeared first on The Pregnancy Nurse®.

I also have a full video on this topic:

What is a Ripened Cervix?

Just like good fruit (fruit analogies are everywhere in medicine) or avocado, your cervix is going to start out very hard.

The reason it’s like that is it protects the baby during your pregnancy. If the cervix started-OUT soft what would it do as baby grew? It needs to be firm to protect baby.

BUT, as you get closer to your due date your body will release hormones that help to RIPEN your cervix, and just like a good avocado it will soften. Then, baby’s head, contractions, and gravity will allow that cervix to open up, allowing baby to progress into the birth canal.

As a nurse, you’ll feel someone cervix as VERY hard (like rubber on a car tire) and then slowly start to soften until it’s more like a soft cheese.

Don’t miss my super helpful post all about the signs of labor. Great info for pregnancy!

And grab my labor signs checklist here:

How do I Ripen my Cervix?

So, if cervical ripening softens the cervix, how do I get my cervix to do it?

Sadly, you don’t have a whole lot to do with cervical ripening.

However, things like sex or dates may play a role in having those hormones around the end of the cervix where it is starting to allow it to soften. Remember, you need those things often and frequently to make your cervix soften. Meaning, you have to eat a few dates every day starting around 36 weeks, and sex would need to be frequent, not just one time. This study shows doing “it” frequently could MAYBE help, but this one shows doing it once doesn’t change anything.

There is some train of thought that things like midwives brew or raspberry tea may help in a similar way.

The only PROVEN method of ripening your cervix is synthetic prostaglandins like

• Misoprostil
• Cervidil
• Prostin Gel (not used as frequently)

The other method is to wait for your body to do it on its own.

Remember you have to get your Brain, your Baby and your Body all in agreement that it’s time for baby to come:

• Your brain means that you could be holding yourself back from going into labor — so get prepared and confident about it in here.
• Your baby may release hormones saying it’s “ready” (like, when the lungs are mature)
• Your uterus may release hormones once the uterus has stretched enough and it’s time to go.

We really aren’t entirely sure why some people go into labor at a certain time and some don’t. We’re not sure ALL the mechanics that happen to produce labor — some of it is still a mystery of nature.

The reality is that until your cervix has softened a lot of the other things (like jumping jacks or curb walking) won’t do a whole lot because your cervix is still hard and preventing baby from coming into the birth canal.

If people are going in for an induction they may hear that they have an unfavorable cervix — which means it will need some cervical ripening before we start pitocin for stronger, firmer contractions.

If your cervix is already ripe (or favorable) an induction can start right-off with just pitocin (skipping the prostaglandins that I mentioned above).

Want to know more about going into labor? — check out these posts:

• 4 Things You Can Do to Prepare Your Cervix for Labor
• Best Sex Position to Induce Labor?
• Pumping To Induce Labor? Will it work?
• When Should I Start Drinking Raspberry Leaf Tea?
• Can Curb Walking Induce Labor?

How long does it take for a cervix to ripen?

It really depends. Everyone takes their own pace.

Some people’s cervix is already ripening at 36 weeks at provider’s check, but many will find themselves DUE and the cervix is still not ripened.

The good news is that it can be ripened in just a few hours. Small contractions, really help to ripen that cervix. Braxton Hicks contractions may not actually be “false” labor after all. Those types of smaller contractions are often doing the job of ripening your cervix for you!

So that’s all about your cervix — but don’t forget that cervical ripening is just a VERY small part of labor and delivery. Come join me in The Online Prenatal Class for Couples — it’s the EASY way to get prepared for birth. I explain stuff in simple, easy to understand terms so you’re aware of what’s going to go on with you and your body.

Or, if you just want to get your baby out, check out my guide on how to go into labor that may have some tips for you !

Sources:

• Carbone L, De Vivo V, Saccone G, D’Antonio F, Mercorio A, Raffone A, Arduino B, D’Alessandro P, Sarno L, Conforti A, Maruotti GM, Alviggi C, Zullo F. Sexual Intercourse for Induction of Spontaneous Onset of Labor: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Sex Med. 2019 Nov;16(11):1787-1795. doi: 10.1016/j.jsxm.2019.08.002. Epub 2019 Sep 11. PMID: 31521572.
• Kavanagh J, Kelly AJ, Thomas J. Sexual intercourse for cervical ripening and induction of labour. Cochrane Database Syst Rev. 2001;2001(2):CD003093. doi: 10.1002/14651858.CD003093. PMID: 11406072; PMCID: PMC7017007.

The post What is Cervical Ripening? appeared first on The Pregnancy Nurse®.

BTW if you’re almost in labor I have to ask — did you get your prenatal class in yet? There is still time — I recommend this one because it can be done so fast and the teacher is the ultimate pro!

Ok, back to the article at hand, and you may hate this first one:

Your Due Date Is Soon

I know, I know — you hate me. This isn’t helpful at all! It’s obvious!

But, do you know that one of the ways the whole “eggplant parm starts labor” theory started was that a restaurant gave a bunch of women who were due, overdue or due in the next few days some eggplant parmesean — and HOLY GUACAMOLE many of them had their babies in the next few days.

The reality is that 40 weeks is just our best guest as to when you’ll have your baby. It’s the average time for most women.

So, if your due date is soon you’ll likely go into labor soon.

And, if your due date is soon — grab my best tips for birth plan success right here:

Your Water Breaks

This is actually your BEST sign that labor is going to be soon. Studies show that most people go into labor within 24-72 hours.

Studies also show that it is often fine to wait to go into labor on your own, so if your water has broken you may not need to go to the hospital right away but I’d call your provider for sure.

Now, it seems like it would be SO clear if your water has broken, but I have a “is my water broken?” quiz on my sister site that might help you out.

And, when in doubt call your provider. It isn’t awesome to have your water broken long-term and not know/do anything. It can be a source of infection if it is prolonged. It is definitely something to keep an eye on.

You Lose your Mucus Plug

Now, this is where “soon” comes into play. When you lose your mucus plug you most likely will go into labor in the next few days to weeks. So yeah, soon is relative.

However, some people have their mucus plug come out early (even like 2nd trimester). While that is something I would call my provider about, it doesn’t always mean you’re going into labor.

In general, the cervix does need to dilate or soften some in order for the mucus plug to fall out.

It’s just one of those signs that as a nurse I think — Ok, labor will probably be in the next week or so. But I’ve also been NOT surprised when it didn’t happen for longer than that. So, maybe not a sure-fire sign….

Here’s a few other posts on what’s going on “down there”:

• How To Dilate Faster
• The BIGGEST Myth About Labor (Bar-None)
• Can You Push Yourself Into Labor?
• What Cervix Dilation Should You Be At 36 Weeks Of Pregnancy?
• I’m 2 Cm Dilated? How Much Longer?

Bleeding

Along with this, you may see some bleeding. Bleeding can vary from dark brown (which means it’s older blood) to bright red (newer blood). If you’re concerned about bleeding, do talk with your provider. However, some spotting (less than the size of a quarter) isn’t usually problematic in these last few weeks. It is very different from bleeding earlier on in pregnancy.

Note: If you’re ever worried about any sign your best bet is to always contact your provider and see what they think!

I gotta say that with my first I lived in constant fear that there was a bad sign that I was somehow missing.

But, as The Pregnancy Nurse I want to reassure you that there are really only a few signs that meant you need to get help — I go over them in the second lesson in here. FAR too many birth classes don’t “start” til’ you’re in labor but I think it’s really important to review those last few weeks, what you should go in for and any possible testing your provider might order.

Pro tip: Getting prepared means getting prepared for ALL of it, not just some of it.

Things that are NOT sure-fire signs of labor:

There are a lot of things that people think are sure-fire signs that labor is coming that really aren’t. In fact, some can be problematic! So, keep reading to make sure you’re doing the right things:

Pelvic Pressure: Sometimes baby likes go “go low” during those last few weeks. And while it is SUPER annoying (your poor, poor bladder) it doesn’t really mean that you’re closer to labor than someone who’s carrying high. Also, you may feel like you’re having pelvic pressure on your bladder, but it COULD Be a UTI, so if you’re feeling that, be sure to talk with your provider.

Diarrhea/Nausea: Now, this CAN happen when you go into labor. It’s part of my “signs of labor” — but only when it’s coming with other signs. If you just have some diarrhea it may not mean much. It could also mean you ate some bad Chinese food.

Baby is Moving Less: Somehow this has been an old wive’s tale that baby moves more or less before labor. While some people do report that, big changes in fetal movement aren’t usually correlated with labor. If you are having big changes in fetal movement you need to contact your provider.

And yes, be SURE to be doing your kick counts:

The thing is, this all sounds like it will be REALLY clear. You’ll have sharp abdominal pains and you’ll know it’s time to go to the hospital. But as someone who’s had 3 babies, and also delivered thousands, I can share this:

• Most often you don’t want to go to the hospital right away — it may not be the best place for you (but call your provider to see what they recommend)
• It is rarely that “sharp pain” we see on TV. Instead it’s night after night of a few hours of contractions after dinner and one night it just keeps going
• You need to be really aware of the warning signs that should send you into the hospital ASAP (or a call to your provider).

But now you’re like — well, how the HECK do I know all of that?

This is how you know all of that.

The Online Prenatal Class for Couples is truly the easy way to get you prepared for pregnancy, labor, birth and life after baby. In just a few hours you can understand what to watch for, and feel confident in your choices or what to do next.

And, if you’re not quite sure you’re ready for that whole thing, check out my free insider tips. You can sign-up right here:

Don’t miss my super helpful post all about the signs of labor. Great info for pregnancy!

The post 4 Signs You’re Almost In Labor appeared first on The Pregnancy Nurse®.