Prostaglandins are substances that play a key role in initiating labour. They soften and thin the cervix, allowing it to begin opening. Prostaglandins also increase the uterus’s sensitivity to oxytocin, helping contractions become more coordinated and effective. The body produces them naturally, and they are one of the primary signals that labour is shifting from early to active stages.

Alma’s tips 

• Cramping or downward pressure is common when prostaglandins are active — it’s a good sign.

• Gentle movement, such as walking or hip rocking, can support the process.

• Try to rest between waves; the cervix matures most efficiently when the body alternates between activity and recovery.