A research-based guide to help expecting parents recognize the body’s preparation for birth
As a Labor & Delivery nurse who has supported families for more than 18 years, one of the most common questions I hear from expectant moms is:
“How will I know when labor is getting close?”
The truth is that the body often gives several signals in the days or weeks before labor begins. These signs are your body’s way of gradually preparing for birth.
Some women notice several signs, while others experience only a few. Every pregnancy is unique.
This guide walks through 10 common signs labor may be approaching, along with practical insight from the bedside to help you feel more prepared.
1. Baby “Drops” Lower into the Pelvis
Many mothers notice their baby moving lower into the pelvis in the final weeks of pregnancy. This is often called “lightening.”
When baby settles deeper into the pelvis, moms may notice:
• easier breathing
• increased pelvic pressure
• more frequent urination
• a visible lower belly shape
Research cited by the American College of Obstetricians and Gynecologists explains that this downward movement helps baby position for birth.
While it doesn’t mean labor will start immediately, it is a sign that the body is preparing.
2. Stronger Braxton Hicks Contractions
Braxton Hicks contractions are often called practice contractions.
In the final weeks before labor, these contractions may:
• become stronger
• occur more frequently
• feel more uncomfortable than before
Unlike true labor contractions, Braxton Hicks contractions often:
• stop with rest
• ease with hydration
• vary in timing
However, they are still helping the uterus prepare for labor.
3. Loss of the Mucus Plug
The mucus plug is a protective barrier that seals the cervix during pregnancy.
As the cervix begins to soften and open, this plug may be released.
It may appear as:
• thick discharge
• clear, pink, or slightly blood-tinged mucus
Some women notice this days before labor begins, while others experience it closer to active labor.
4. “Bloody Show”
A small amount of pink or brown-tinged discharge can occur when the cervix begins to change.
This is often called bloody show and happens because small blood vessels break as the cervix softens and dilates.
According to guidance referenced by the World Health Organization, this can be a normal sign that labor may begin soon.
5. Nesting Energy
Many mothers experience a sudden burst of energy shortly before labor begins.
You may find yourself wanting to:
• organize baby clothes
• clean the house
• prepare meals
• finish last-minute tasks
This instinctive preparation is often referred to as nesting.
While science hasn’t fully explained the reason, many nurses observe this burst of energy in the days leading up to labor.
6. Increased Pelvic Pressure
As baby moves deeper into the pelvis, moms often notice increased pressure.
This may feel like:
• heaviness in the pelvis
• increased discomfort when walking
• pressure in the lower back
This pressure is usually a sign that baby is moving into position for birth.
7. Lower Back Pain
Some mothers experience persistent lower back pain as labor approaches.
This may occur when baby’s head presses against nerves in the lower spine.
Back discomfort may come and go or remain constant.
Warmth and gentle movement can often help relieve this discomfort.
*Heating pad for lower back comfort
Warm compresses help relax muscles and increase blood flow, which many moms find soothing in late pregnancy.
8. Changes in Bowel Movements
Many women notice digestive changes in the day or two before labor begins.
Hormones that prepare the body for birth can also stimulate the digestive system, which may lead to:
• looser stools
• mild stomach cramping
This is a normal way the body naturally prepares for labor.
9. Your Water Breaks
When the amniotic sac ruptures, fluid is released.
This can happen in different ways:
• a sudden gush of fluid
• a slow trickle
• intermittent leaking
Contrary to what movies show, only about 10–15% of women experience water breaking before labor contractions begin.
If your water breaks, it is important to contact your healthcare provider or go to the hospital.
10. Regular, Increasing Contractions
The clearest sign labor has begun is regular contractions that become stronger and closer together.
True labor contractions typically:
• last about 60 seconds
• occur every 3–5 minutes
• continue even with rest or position changes
Many providers recommend the 5-1-1 rule:
• contractions every 5 minutes
• lasting 1 minute each
• for 1 hour
This is often when it’s time to head to the hospital.
Helpful Comfort Tools for Early Labor
Early labor often happens at home, and having a few comfort tools available can help moms stay relaxed and comfortable.
Birth Ball
- Birthing ball
Birth balls allow gentle rocking and movement that may help:
• reduce lower back pressure
• encourage baby’s positioning
• support pelvic opening
Many hospitals use these during labor because movement can support labor progression.
Comfortable Maternity Robe
- Maternity robe
A soft robe can make early labor at home more comfortable and provides easy mobility for walking, stretching, or resting.
Hospital Bag Essentials
Packing a hospital bag early helps parents feel prepared once labor begins.
Common items include:
• comfortable socks
• long phone charger
• lip balm
• nursing bra
• baby going-home outfit
Being prepared can help reduce anxiety when the time comes to head to the hospital.
Supporting Families with Trusted Essentials
As someone who has worked alongside families during pregnancy and birth for many years, I’m always thoughtful about the products I recommend.
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Final Thoughts from an L&D Nurse
Preparing for labor can bring a mixture of excitement and anticipation.
Many parents find peace in remembering that their baby’s story is already known and loved.
“For you created my inmost being; you knit me together in my mother’s womb.” — Psalm 139:13
Your baby has been beautifully and intentionally formed.
As labor approaches, know that your body was designed with incredible wisdom, and you are not walking this journey alone.
One of the most important things I’ve learned after years in Labor & Delivery is this:
Every labor journey looks different.
Some moms experience many early signs, while others move into labor with little warning.
Both are completely normal.
Trust your instincts, stay connected with your care team, and take each step one moment at a time.
Soon, all of these signs will lead to the most beautiful moment of all — meeting your baby for the first time. 🤍
-Jessica Azcarraga
This post may contain affiliate links. As an associate with Amazon, I may earn from qualifying purchases at no additional cost to you. I only recommend products I believe are helpful for families.