Labour can start in different ways, most commonly through regular contractions or when the amniotic fluid releases. In the beginning, contractions may be irregular and short, and sometimes the first sign is a change in discharge or the loss of the mucus plug. This does not mean that labour has started, but that the body is preparing.

When contractions become regular and occur at similar intervals, they are often considered early labour contractions. They usually increase in strength and duration over time. If the water breaks, it may come as a small leak or a more noticeable flow. The fluid is usually clear or slightly pinkish. The water can break before contractions, during contractions or later in the labour process.

It is not possible to know exactly when labour will begin. The assessment is made based on how contractions develop, whether the water has broken, and whether other changes show that the body is entering active labour. The start of labour is therefore not defined by a single sign, but by how different events occur together.

Alma’s tips 🌿

• It can be helpful to note when contractions start and how they change over time, in case you contact the maternity unit.

• If the water breaks, you can write down the time and appearance of the fluid, without interpreting it yourself.

• You can ask the midwife what information is helpful to provide when calling the delivery unit.