Dr. Peter Wang on Signs of Labor: Is It Go-Time or a False Alarm?

You’ve read the books, taken the classes, and packed the hospital bag—but when those contractions hit, how do you really know if it’s showtime or just a false alarm? Dr. Peter Wang, an expert in maternal health, breaks down the key signs of labor, what’s just a false alarm, and when it’s time to head to the hospital.

From knowing when to head to the hospital to understanding your body’s signals, here’s what every expectant parent needs to know before the big day.

Signs of Labor 101 with Dr. Peter Wang

Q: How to differentiate between true labor and false labor?
Dr. Wang: Braxton Hicks contractions (false labor) are irregular and go away with rest or a change in activity, while true labor contractions become regular, more intense, and persist. Use a timer or contraction tracking app—active labor contractions occur every 4-5 minutes, last 45-60 seconds, and continue consistently. If unsure, contact your healthcare provider.

Q: What should I do if my water breaks?
Dr. Wang: If you feel a gush or slow leak of fluid from your vagina, your water may have broken. Labor usually progresses within 18 hours to minimize infection risk. Head to the hospital for assessment.

Q: How can I control breathing during labor?
Dr. Wang: Breathing techniques help manage pain and keep you relaxed. Consider attending antenatal classes at your hospital to learn and practice effective breathing methods.

Q: What is cervical dilation?
Dr. Wang: Cervical dilation refers to the opening of the cervix in preparation for childbirth. It starts closed and gradually opens to 10 cm, allowing the baby to pass through.

Q: How can I support my partner during labor?
Dr. Wang: Be present, offer reassurance, and respond to her needs. Open communication is key to providing effective support.

Q: How do contractions change as labor progresses?
Dr. Wang: They become more frequent, intense, and longer. Active labor contractions typically occur every 4-5 minutes, lasting 45-60 seconds.

Source: Freepik

Q: Is water breaking a sign of labor?
Dr. Wang: Water breaking is not necessarily a sign labor has started, but active labor typically follows soon after. If it happens, seek medical attention.

Q: What does the mucus plug indicate?
Dr. Wang: A pink, brown, or blood-tinged mucus discharge (bloody show) suggests labor may be approaching.

Q: What are some dietary or lifestyle tips for a smoother labor?
Dr. Wang: Eat a balanced diet rich in fiber, iron, and hydration. Staying active and practicing relaxation techniques can help, but flexibility is key as labor unfolds.

Q: How does high blood pressure impact labor?
Dr. Wang: If you have hypertension, you need closer monitoring. Regular check-ups with your doctor ensure safe labor and delivery.

Q: What are the differences between full-term and preterm labor?
Dr. Wang: Preterm labor contractions may be irregular and not follow a consistent pattern. Seek immediate medical attention if you experience regular contractions, vaginal bleeding, or changes in discharge before 37 weeks.

Q: What signs indicate the need for medical intervention during labor?
Dr. Wang: Seek immediate care if you experience excessive bleeding, abnormal fetal movements, severe pain, or prolonged labor. Hospitals monitor both mother and baby closely to detect complications early.

Q: What is “lightning crotch”?
Dr. Wang: A sharp, shooting pain in the vaginal or pelvic area during pregnancy, often described as an electric shock sensation. Though uncomfortable, it’s generally harmless.

About Dr. Peter Wang

Dr. Peter is an experienced medical doctor who has worked across various surgical and medical disciplines in public healthcare since 2017. A dedicated people person, he has served as Chief Medical Officer and Advance Care Planning (ACP) facilitator, always striving to provide quality patient care.

Labor is one of the most anticipated yet unpredictable moments in pregnancy. While every birth story is unique, understanding the signs of labor, knowing when to seek medical attention, and preparing both mentally and physically can make all the difference. Whether it’s recognizing true contractions, supporting your partner, or knowing what to expect when your water breaks, a little knowledge goes a long way.

Stay informed, trust your instincts, and don’t hesitate to reach out to your healthcare provider when in doubt. Because when the big moment arrives, you’ll want to be ready.