Louise If you’re in the final weeks of pregnancy, recognising the signs of labour is likely on your mind. You’re probably wondering how you’ll know when labour has actually started. Will it be like an EastEnders-style drama, with your waters breaking spectacularly in the middle of Tesco? Or will it creep up slowly, leaving you second-guessing every twinge?
The truth is, every birth is different. Some women experience slow, gradual changes over a few days. Others go from mild cramps to full-blown labour in a matter of hours. But there are some classic signs that your baby might be on their way.
Here’s what to look out for—so you don’t end up wondering if this is it every time you feel a bit of backache.
1. The Baby Drops (AKA ‘Lightening’)
In the final weeks before labour, your baby moves lower into your pelvis, getting into position for birth.
💟 What it feels like: You might suddenly breathe easier because baby isn’t pressing on your lungs anymore. But on the downside, you’ll probably feel more pressure down below—and might be waddling even more than before.
💟 When it happens: Can be weeks or just days before labour starts—so don’t get too excited just yet.
2. The Mysterious ‘Bloody Show’
Sounds dramatic, doesn’t it? The bloody show is when you lose your mucus plug—the thick protective mucus that’s been sealing your cervix throughout pregnancy.
💟 What it looks like: A pink, brown, or slightly bloody discharge (hence the name).
💟 What it means: It’s a sign that your cervix is softening and getting ready for labour. However, it doesn’t mean labour is starting immediately. Some women lose their mucus plug days or even weeks before contractions kick in.
💟 When to call the midwife: If there’s a lot of blood (more than just streaks), always check in with your maternity team.
3. Cramping, Backache & That ‘Period Pain’ Feeling
Many women describe early labour as feeling like period cramps. You might get a dull ache in your back, tightening in your bump, or mild, irregular pains that come and go.
💟 Why it happens: Your uterus is warming up for the main event. These early contractions (also called Braxton Hicks) help soften and thin out your cervix.
💟 How to tell if it’s real labour: If the cramps come and go, ease off when you rest, or don’t feel like they’re building, it’s probably just practice contractions.
4. Your Waters Break
Ah, the EastEnders-style moment—except in reality, it’s often much less dramatic. Some women get a big gush, but for many, it’s just a slow trickle that feels like they’ve wet themselves.
💟 What it looks like: A clear, pale yellow, or slightly pinkish fluid (not thick or sticky like discharge).
💟 What to do next: Call your midwife, even if contractions haven’t started. Once your waters have broken, you’ll be monitored for signs of labour. If contractions don’t start within 24 hours, your midwife may discuss options to reduce infection risk.
💟 When to go straight in: If your waters are green or brown—this could mean your baby has passed meconium (first poo). They may need closer monitoring.
When Should You Call the Hospital?
I know some advice out there tells you to count contractions—but let’s be honest, labour doesn’t always follow a textbook pattern. Contractions aren’t the only reason you might need support. Instead, call the hospital if:
📱 You are feeling very stressed or overwhelmed – If you’re panicking, struggling to cope, or just need reassurance, ring your midwife. Labour is a huge event, and you don’t need to manage it alone.
📱 You’re worried about your baby’s movements – If you notice any reduction in movement at any point, call your maternity unit straight away. Don’t wait and don’t try to ‘monitor it for a few hours’—just ring them.
📱 You have any bleeding – Some spotting is normal. However, bright red bleeding, or anything that soaks a pad, needs checking immediately.
📱 You need pain relief – If you feel you need stronger pain relief than what you can manage at home, don’t wait until you’re struggling. Get support early.
📱 You just want to speak to a midwife – You don’t have to be in ‘established labour’ to call for advice. If something doesn’t feel right, if you have questions, or if you just need guidance, that’s what they’re there for.
Want to Feel More Confident About Labour?
If you’re still unsure about recognising signs of labour, how to cope at home, and when to go to hospital, our free Natural Labour and Birth class is perfect for you.
💜 Sign up for our FREE online class here: Natural Labour & Birth Class
This class is taught by experienced midwives. It will give you practical, reassuring advice on what to expect, how to manage early labour, and what you can do to have the best birth experience possible.
Final Thoughts
Recognising the early signs of labour can help you feel more prepared, but remember—every labour is different. Some women have signs for days, while others go from mild cramps to active labour very quickly.
💜 Trust your instincts, listen to your body, and keep your midwife in the loop.
And if you haven’t already, sign up for our free Natural Labour and Birth class—it’s the perfect way to prepare and feel more confident about what’s ahead.
You can also head over to NHS for more information.
