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How do I know when I am in labour?

Labour is different for every woman, and pinpointing when it begins is not really possible. It's more of a process than a single event, when a number of physiological changes in your body work together to help deliver a baby. If you're truly in labour, one or more of the following five things will happen:

• Your cervix will become progressively thinner and softer (also called effacement) and dilated - up to 10 centimetres.
• Contractions occur at regular and increasingly shorter intervals and become longer and stronger in intensity.
• You may have persistent lower back pain, often accompanied by a crampy premenstrual feeling.
• You may notice the appearance of a bloody show (a brownish or blood-tinged mucus discharge). If you pass the mucus plug that blocks the cervix, labour could be imminent - or it could be several days away. Still, it's a sign that things are moving along.
• Your waters break, but only if it's accompanied by contractions.
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