Childbirth Education

Labor is when the uterus contracts at regular times, and the cervix dilates (opens) and becomes thin. The uterus becomes hard with a contraction, and soft in between. Contractions cause pain in the abdomen that can wrap around into the low back. They will become closer together and more painful over time. Activity and movement will increase pain and discomfort. Labor can occur at any time, but usually starts between 37 to 41 weeks of pregnancy.

Braxton Hicks contractions are known as “practice contractions.” The abdomen will tighten and relax irregularly. They can be painless and uncomfortable, but should not be painful or regular. Braxton Hicks can increase with activity and dehydration, but do not increase in intensity or frequency over time. Braxton Hicks can resolve with hydration, rest, and emptying the bladder. We recommend calling the office if you experience more than six Braxton hicks in one hour (1 every 10 minutes).

These signs can occur hours, days, or weeks prior to labor:

• Low back cramping
• Loss of the mucous plug (clear, stringy vaginal discharge)
• Vaginal bleeding or spotting
• Frequent loose stools or diarrhea
• Lightening – “baby dropping”

If you experience any of the above symptoms prior to 37 weeks of pregnancy, please call the office and speak with a nurse for further evaluation.

We recommend you call the office if you think your water has broken. Sometimes this can be a large gush of fluid, but it can also be a slow leak from the vagina. The fluid should be clear and odorless.

Please always call our office at (207) 885-8400. During normal business hours, you will reach a nurse who will advise you to come to the office, or go directly to Maine Medical Center. After normal business hours, you will reach the answering service and your call will be forwarded to the on-call physician. They will return your call promptly.