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How to know it's time to go to the hospital?
Pregnancy

How to know it's time to go to the hospital?

2 min readWeek 38
Key takeaways
2 min
  • Watch for regular contractions lasting 40+ seconds occurring every 5 minutes or less as a key hospital sign.
  • Go to the hospital immediately when your water breaks, whether it's a trickle or gush of fluid.
  • Monitor for the mucus plug release (bloody show) and cervical changes as early labor indicators.
  • Don't worry if you arrive early and get sent home - this happens to many expecting mothers.
  • Trust your instincts about lightening sensations when baby drops lower in the pelvis.

Go to the hospital when contractions last 40+ seconds occurring every 5 minutes, or immediately when your water breaks. Regular contractions and cervix opening 2-3cm are key labor signs, though every woman's experience differs.

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The moment when you realize, "It's all started" , usually comes unexpectedly. However, sometimes our bodies give us some clues that labor is coming…

Regular contractions and opening of the cervix by 2-3 cm: this is the most important sign of the beginning of labor. However, you will know it’s time to head to the hospital if your water breaks. When you see that trickles (or gush) of pale yellow watery liquid, grab your bag and go.

Water breaking looks different for every woman and every birth, ranging from a few drops to a rapid flow. Whatever the flow, it means labor is starting [1].

Is it possible to predict when your water will break?

Not always. For some women, everything happens very quickly and unexpectedly. But in most cases, before amniotic fluid starts leaking, mama will begin to have contractions. But not all women will recognize these contractions, especially if they’ve been having Braxton Hicks contractions frequently.

However, real contractions, unlike training ones, come at regular intervals and constantly increase in strength and frequency. If they last longer than 40 seconds and occur more often than once every five minutes, it’s time to head to the hospital, even if your water has yet to break [2].

Are there any other signs that labor is imminent?

The body prepares for delivery in advance. When the hour is close, the cervix begins to shorten, becoming softer and thinner. Then it starts to open up: slowly at first, and then faster and faster. As it opens, mucus plug (white or pink color in color) may be released — sometimes referred to as “the bloody show”. However, not everyone can notice these changes in the body. For some women, the mucus plug only releases during active contractions [2].

Some mamas can feel the approach of childbirth and the sensations in the stomach. She may feel freer and lighter. This is due to the fact that the baby's head moves lower in the pelvic area. But not all mamas will notice when the baby drops [2].

As you can see, there is no absolute way to know when labor will begin. If you arrive too early and the doctors send you back, don't be embarrassed and don't blame yourself. It happens to a lot of mamas. You are doing everything right and the real birth will begin soon [2].


Frequently asked questions

Go to the hospital when contractions last 40+ seconds and occur every 5 minutes, or immediately when your water breaks. These are the most reliable signs that active labor has begun.

Water breaking varies from woman to woman, ranging from a few drops to a rapid gush of pale yellow watery fluid. Any amount of fluid leaking means labor is starting and you should head to the hospital.

Real labor contractions come at regular intervals and increase in strength and frequency. Unlike Braxton Hicks, they don't stop when you change positions and become progressively more intense.

The mucus plug is white or pink discharge that may be released as the cervix opens during early labor. This 'bloody show' indicates your body is preparing for delivery, though not everyone notices it.

Don't be embarrassed if doctors send you home for arriving too early - this happens to many mothers. It's better to be safe and trust your instincts about when something feels different.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Reviewed by healthcare professionals · Updated March 25, 2025

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