When To Call The Hospital: Understanding Contraction Patterns

how far apart contractions before calling hospital

Knowing when to go to the hospital during pregnancy can be confusing, especially as timing is different for every pregnancy. Generally, you should head to the hospital when you're having contractions five minutes apart, lasting for one minute each, and they've been coming for an hour. This is known as the 5-1-1 guideline. However, it's important to note that this is not always the case, and early labor can last for days. False labor is also common, with over 40% of pregnant women experiencing it. It's always best to contact your healthcare provider if you're unsure, and they will be able to provide guidance and specific instructions based on your individual situation.

Characteristics Values
How far apart 5 minutes
Length of each contraction 1 minute
Time taken 1 hour or longer
Water breaks Contact your provider
Water breaks and amniotic fluid is greenish or streaked with green, brown, or yellow Head to the hospital
First-time mothers Stay at home until it's difficult to breathe through the contractions
High-risk pregnancy Contact your provider
Planning a C-section Contact your provider
Group B strep positive Head to the hospital
Live far from the hospital Head to the hospital sooner
Contractions are 5 minutes apart and getting stronger Head to the hospital

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False labour vs. true labour

False labour, also known as prodromal labour, is common at the end of pregnancy. It can feel a lot like true labour, with contractions that feel like muscle tightening and mild pain. However, false labour contractions do not increase in frequency, intensity, or duration, and they do not result in any changes to the cervix. They may last anywhere from a few hours to a few weeks before true labour begins.

True labour, on the other hand, is characterised by contractions that increase in intensity, strength, and frequency over time. They typically last more than 30 seconds at the onset and progressively increase in duration, up to 60 seconds. They may start in the back and radiate throughout the entire abdomen or vice versa. True labour contractions continue regardless of the mother's activity and may even grow stronger with increased activity. They also occur at regular intervals and progressively get closer together, indicating that labour is progressing.

It can be challenging to differentiate between false and true labour, as false labour contractions can be quite convincing. To help determine whether you are in true labour, you can time your contractions and assess their intensity and frequency. If your contractions are five minutes apart, lasting for one minute, for one hour or longer, it is generally recommended to head to the hospital. Additionally, if you are experiencing any concerning symptoms, such as vaginal bleeding, leakage of amniotic fluid, or decreased fetal movement, you should contact your healthcare provider right away.

It is important to note that individual guidelines may vary depending on your specific situation, such as pregnancy history, risk factors, and distance from the hospital. Always consult with your doctor or midwife for personalised advice and guidance.

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When to call your doctor

The timing of contractions is different for every pregnancy, and your doctor or midwife will likely give you clear guidelines about when to call them. Generally, you should call your doctor when your contractions are five minutes apart, lasting for one minute each, and have been coming for an hour. This is sometimes referred to as the 5-1-1 guideline.

Other guidelines you may be recommended include 4-1-1 (contractions every four minutes), 3-1-1 (contractions every three minutes), or 3-1-2 (contractions every three minutes lasting about a minute each for two hours). It's important to start counting as soon as you've had a few contractions and to write down the time to keep track.

If you're a first-time mother, new research suggests staying at home until it's difficult to breathe through the contractions. However, if you live far from the hospital, are concerned about not getting there on time, or have other special concerns, you should plan to leave sooner.

If you're unsure whether it's time, it's always best to call your doctor or midwife for guidance. They will be able to assess your condition based on the sound of your voice and ask you relevant questions.

Additionally, there are some specific situations where you should contact your prenatal care provider right away, regardless of the frequency or duration of your contractions. These include if you are pregnant with twins or multiples, have a high-risk pregnancy, are less than 37 weeks pregnant, or experience any concerning symptoms such as bloody discharge or your water breaking with meconium in the amniotic fluid.

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Water breaking

If your water breaks, you should call your doctor or midwife right away. Your water breaking could be followed by contractions within a few hours, or you may need to be induced. Your doctor or midwife will advise you on what to do next.

If your water breaks before 37 weeks of pregnancy, this is known as preterm premature rupture of the membranes (PPROM) and you should contact your provider immediately.

If you tested positive for group B streptococcus, your doctor will likely advise you to go to the hospital as soon as your water breaks so you can start receiving antibiotics. The risk of infection increases 6 to 12 hours after your water breaks, so it is important to seek medical attention promptly.

If your water breaks and you notice meconium in your amniotic fluid (it may look greenish or be streaked with green, brown, or yellow), you should go to the hospital right away.

If you are unsure whether it is time to go to the hospital, it is always best to call your doctor or midwife for guidance. They will be able to assess your condition and provide advice based on your individual situation.

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How to time contractions

Timing your contractions is a good way to monitor how your labour is progressing and can help you figure out whether you are actually in labour or simply experiencing Braxton Hicks "practice" contractions. Here is a step-by-step guide on how to time your contractions:

Firstly, start counting as soon as you've had a few contractions. Write down the time so you can keep track of when the contractions started. You can use the stopwatch on your phone to help with this.

Secondly, when a contraction starts, count the number of seconds it lasts. You may also want to note the intensity of the contraction, as well as any other symptoms you’ve noticed. For example, you should always call your provider if you notice vaginal bleeding.

Thirdly, mark the length of time from the start of one contraction to the start of the next one. Keep noting these times for at least an hour to see if they are getting longer, stronger, and closer together. True labour contractions will get stronger and more intense over time, occurring more frequently and lasting longer. They may also cause pain across your entire abdomen, sometimes radiating to your lower back and legs.

Finally, when you call your healthcare provider, be ready to give them information about the timing and intensity of your contractions, as well as any other symptoms you've noticed. They will then be able to advise you on whether it's time to head to the hospital or birthing centre, or whether you should stay at home for a little longer.

It's important to note that your instructions will depend on your individual situation, such as whether you have a high-risk pregnancy or other complications, if this is your first baby, and how far you live from the hospital. If you're unsure whether it's time to go to the hospital, call your healthcare provider for guidance.

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When to go to the hospital

Your doctor or midwife will likely give you clear guidelines about when to let them know that you're having contractions and when to go to the hospital. Generally, you should head to the hospital when you're having contractions five minutes apart, lasting for one minute each, and they've been coming for an hour. This is sometimes referred to as the 5-1-1 guideline. Other guidelines include 4-1-1, 3-1-1, or 3-1-2 contractions, which means contractions every four, three, or three minutes, lasting for one minute, for one or two hours.

It's important to note that false labour is fairly common, and you may experience contractions for several hours that happen at regular intervals without your cervix dilating. This is known as Braxton-Hicks contractions or prodromal labour. Timing your contractions can help you determine whether you're in true labour or false labour. Start timing your contractions once you feel a few in a row, and count the time between contractions from the start of one to the start of the next. If the tightness lasts for 30 seconds or longer, they're likely labour contractions.

In addition to contractions, there are other signs that indicate it's time to go to the hospital. These include your water breaking, having blood in your vaginal discharge, and feeling the urge to bear down and push. If you're concerned about your health or the health of your baby, contact your prenatal care provider right away.

Frequently asked questions

It depends on your individual situation. Your doctor or midwife will give you clear guidelines on when to call, but generally, you should call when your contractions are five minutes apart, lasting for one minute, for one hour or longer.

Other signs include your water breaking, having blood in your vaginal discharge, and feeling the urge to bear down and push. If you are concerned about your health or the health of your baby, contact your prenatal care provider right away.

Braxton Hicks contractions are "practice contractions" that usually occur before true labour and are typically painless. Contact your midwife or hospital when they become painful or frequent, such as when they are five minutes apart and getting stronger.

Timing your contractions can help determine if you are in true labour. Start timing once you feel a few contractions in a row, noting the length of each and the time between them. If the tightness lasts for 30 seconds or longer and they are getting longer, stronger, and closer together, you may be in true labour. If you are still unsure, call your care team for guidance.

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