Signs of Labor at 38 Weeks: When to Head to the Hospital?

At 38 weeks of pregnancy, it can be difficult to determine if you are experiencing signs of labor?

I have been experiencing frequent episodes of my abdomen hardening over the past couple of days, which subsides and then hardens again shortly after.
It feels like the baby is pressing down towards my pubic bone, but there is no pain.
This is my third pregnancy; in my previous two pregnancies, my water broke before I went to the hospital for induction, so I'm not sure what level of discomfort indicates that I need to go to the hospital for delivery.
Could you please provide some guidance on this?

Mao Mao, 30~39 year old female. Ask Date: 2012/08/04

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if this is your third pregnancy and you are already 38 weeks along, it is advisable to go to the labor and delivery unit for evaluation if you are experiencing regular contractions.
It is better to get checked early, as sometimes labor can progress quickly.
Thank you! Wishing you a safe delivery.
Dr.
Zhang

Reply Date: 2012/08/04

More Info

At 38 weeks of pregnancy, it's common for expectant mothers to experience various signs that may indicate the onset of labor. Understanding these signs is crucial for determining when to head to the hospital. Based on your description of frequent hardening of the abdomen and the sensation of the baby pressing down on your pelvic area, it sounds like you may be experiencing Braxton Hicks contractions, also known as practice contractions. These contractions can occur as your body prepares for labor, and they are typically irregular and not painful.

However, since you are already at 38 weeks and this is your third pregnancy, it is essential to be vigilant about any changes in your symptoms. Here are some key signs of labor to look out for:
1. Regular Contractions: True labor contractions will become more regular, typically occurring every 5 to 10 minutes and lasting for about 30 to 70 seconds. If you notice a pattern developing, it’s time to consider heading to the hospital.

2. Increased Intensity: Unlike Braxton Hicks contractions, which are usually mild and can be relieved by changing positions or walking, true labor contractions will become progressively more intense and painful.

3. Water Breaking: If your water breaks (you may feel a sudden gush or a steady trickle of fluid), this is a clear sign that labor may be imminent, and you should go to the hospital.

4. Pelvic Pressure: As you mentioned feeling pressure in your pelvic area, this can be a sign that the baby is descending into the birth canal. If this pressure is accompanied by contractions, it may indicate that labor is starting.

5. Bloody Show: The presence of blood or a pinkish discharge can indicate that your cervix is beginning to dilate, which is another sign that labor may be approaching.

Given that this is your third pregnancy, you might find that labor progresses more quickly than in your previous experiences. Therefore, it is advisable to err on the side of caution. If you are experiencing consistent contractions or any of the other signs mentioned above, it is best to head to the hospital for evaluation.
Additionally, since you have had two previous pregnancies where your water broke before labor began, you may want to be more proactive this time. It’s always better to be safe and have a healthcare professional assess your situation, especially since labor can sometimes progress rapidly.

In summary, while the sensations you are experiencing may be normal as your body prepares for labor, it’s essential to monitor the frequency and intensity of your contractions. If you have any doubts or if your symptoms change, don’t hesitate to contact your healthcare provider or go to the hospital. They can provide you with the best guidance based on your specific situation and ensure that both you and your baby are safe. Remember, being informed and prepared is key during this exciting time!

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