You're a first-time expectant mom and you're settling into bed after a long, exhausting day of well, being pregnant, when suddenly, you feel it: that tightening in your lower belly, that upside down swell that seems to grab you from the bottom and grow up, an internal squeeze that can only be one thing—a contraction.
But when the contractions hit, next comes the question: Am I in labor?
Near the end of pregnancy, some moms, especially first-time moms, might experience what is called prodromal labor, or pre-labor. If you have prodromal labor, you might think you're going into labor and head into the hospital, only to be sent back home when you find out it's not "real" labor just yet. Prodromal labor can be an incredibly frustrating experience, but if you encounter it, here's what you should know.
What is prodromal labor?
During prodromal labor, the uterus contracts, sometimes even in a pattern for several hours, but the contractions don't actually cause any change in the cervix. To be considered labor, a woman's cervix must actually change by opening or thinning out, but during prodromal labor, nothing happens at the cervical level. It's straight-up uterine action only.
Many women who have prodromal labor mistake it for real labor because it can feel different from Braxton Hicks contractions. Braxton Hicks contractions typically don't hurt and they are more sporadic and irregular, but prodromal labor contractions can be uncomfortable, have more of a pattern, and last for a few hours, so it can be hard to distinguish them from true labor contractions. Prodromal labor occurs in women who are at term in their pregnancies, at 37 weeks pregnant or more, and tends to be completely random. You might experience prodromal labor with one pregnancy, but not the next, or vice a versa. It tends to kick in after a long day, when a woman has been very active or on her feet a lot.
Dr. Ruiz explained that prodromal labor used to be called "false labor" among many doctors and pregnant mamas-to-be. But these days, we know now that prodromal labor isn't necessarily "false labor." Instead, it's more like a warm-up to the main attraction. And for the mom who's experiencing prodromal labor, there is nothing "false" about it.
After becoming very frustrated by her experiences with prodromal labor starting and stopping, Outten's midwife helped her think of the contractions as a way for her body to do less work when active labor actually really did begin. As is the case with any type of exercise, muscles work more effectively when they are warmed up and your uterus through labor is no exception. "I learned that sometimes the stop and start, while incredibly frustrating, just means less work later on when active labor begins," Outten said.
The benefit of prodromal labor
"All my deliveries were really quick once it was actually go-time," Isaac said. "So maybe it's a payoff more practice means efficient game time?"
Fantin's experience was similar: After being sent home from the hospital twice with prodromal labor, she said she felt like she was "losing her mind." But once her water broke, her son was born in only three hours. "I'm not sure if that was because my uterus had plenty of practice contracting the last couple of weeks," she said.
What does prodromal labor feel like?
According to Dr. Ruiz, prodromal labor is not as intense or painful as what real labor can be. Outten said that her prodromal labor contractions were different than her real labor contractions; she found that her active, real labor contractions tended to get closer together and grow in intensity, while the prodromal contractions pretty much stayed the same, even if they happened over a long period of time.
How do you know if it's prodromal labor?
Wondering how on earth you'll know if it's go-time when you start contracting? Here are a few signs to look for:
Prodromal labor can be a frustrating experience for moms-to-be who go through it, but if you do encounter it, just keep in mind that it's a natural process your body is going through to get ready for the main event. Your body is doing what it needs to do to prepare and just like with motherhood, we all do things a little differently, even when it comes to labor and contractions. Trust your body and when in doubt, head to the hospital to get checked if you think you might be in labor.