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Labor and Delivery

Signs of Labor Introduction

The first question most women have is, Am I pregnant? The question that usually follows is, What's labor and delivery like? This information will help answer the most common questions about labor, especially if this is your first pregnancy.

Signs of Labor

Some women experience very distinct signs of labor, while others do not. No one knows what causes labor to start or when it will start, but several hormonal and physical changes may indicate the beginning of labor.

  • Lightening
  • Passing of the mucus plug
  • Contractions
  • Water breaking
  • Effacement and dilation of the cervix

Lightening During Labor

The process of your baby settling or lowering into your pelvis just before labor is called lightening. Lightening can occur a few weeks or a few hours before labor. Because the uterus rests on the bladder more after lightening, you may feel the need to urinate more frequently.

Passing of the Mucus Plug

The mucus plug accumulates at the cervix during pregnancy. When the cervix begins to open wider, the mucus is discharged into the vagina and may be clear, pink, or slightly bloody. Labor may begin soon after the mucus plug is discharged or one to two weeks later.

Labor Contractions

During contractions, the abdomen becomes hard. Between contractions, the uterus relaxes and the abdomen becomes soft. The way a contraction feels is different for each woman and may feel different from one pregnancy to the next. But, labor contractions usually cause discomfort or a dull ache in your back and lower abdomen, along with pressure in the pelvis. Contractions move in a wave-like motion from the top of the uterus to the bottom. Some women describe contractions as strong menstrual cramps. Unlike false labor contractions or Braxton Hicks contractions -- true labor contractions do not stop when you change your position or relax. Although the contractions may be uncomfortable, you will be able to relax in between contractions.



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Labor and Delivery

General Health and Wellness

There is credible information available to women not only on such problems as eating disorders, stress, alcoholism, addictions, and depression, but also on basic topics such as good nutrition and exercise. For example, it is beneficial that a woman maintain her optimum weight. If a woman's waist size measures more than 35 inches (89 cm), she is more likely to develop heart disease, high blood pressure, and diabetes. Eating sensible meals, eliminating after- dinner snacks, and making physical activity a part of daily life are significant ways to help control weight and lower the risk of a long list of health problems.

Smoking is detrimental to a woman's health (or to anyone else's). Unfortunately, women continue to smoke despite the known health risks. Even though the number of women smoking is declining, still about 19% of women in the U.S. were smokers in 2003. Women are smoking in spite of the well-publicized...

Read the Women's Health article »











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