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Prelabour and Onset of Labour

My baby hardly moves any more. What is happening

In your 5th month, the foetus was much smaller and so had enough space to start throwing its little tantrums. As it has grown bigger, it has begun to feel cramped by the lack of space and can barely turn and wiggle a bit. And once the head is engaged in the pelvis, the movement will further decrease. So as long as you are aware of a little activity, all is well. Too little or too much activity signifies foetal distress and you would need to report this to your doctor immediately.
 

What if my membranes rupture in public

This is highly unlikely as in 75% cases, membranes are known to rupture only after labour progresses. And once the water breaks, the flow is only heavy if you are in a sleeping position. So even if it does occur, you are hardly likely to be lying down in public.  When you are standing or walking, a little amniotic fluid might trickle out at the worst, because the foetal head blocks the opening of the uterus. And since contractions haven't yet started, there is no force trying to push the fluid out.  If you are still worried about rupturing your membranes in public, wear a panty-liner for the last couple of weeks.
 

How do I know when I'm going in for labour

At first, you may feel Braxton-Hicks contractions. When real labour begins, these contractions get considerably more intense. As their frequency increases, they become more painful and can not be relieved by a change in position. The pain first begins in the lower back and then spreads to the lower abdomen and legs. This may be accompanied by diarrhoea. Contractions are now taking place at regular intervals, and should be timed. You may also have a pinkish or blood streaked discharge from the vagina. In 15% of cases, it has been seen that the water bag breaks (also known as rupturing of membranes) before labour begins. When this happens, water (actually amniotic fluid) may either gush out or just trickle. If you begin experiencing these symptoms, call your doctor and rush to the hospital.
 

What are Braxton-Hicks contractions

This is a method by which the pregnant uterus does a practice run prior to actual labour. The uterus is warming up in preparation for the grand finale - the arrival of your baby. They begin around the 20th week of pregnancy. You will feel a tightening of your uterus that is usually painless, but can be uncomfortable. The contraction begins at the top and slowly spreads downwards. They can last from 30 seconds to over 2 minutes. As you come closer to the time of delivery, these contractions may become more frequent and intense, bordering on painful. You may even mistake them for actual labour contractions. Braxton-Hicks contractions can trigger early effacement (thining of the cervix) and dilatation.
 

What should I do when I get Braxton-Hicks contractions

Lying down and relaxing or walking around can help relieve the discomfort of these contractions. Changing your position may stop the contractions completely.

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