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Are you having contractions?

Yes

Mild and irregular These might be the niggling beginnings of labour, or a run of Braxton Hicks* (practice) contractions. Make yourself as comfortable as possible and get some rest before the hard work of labour begins.

Getting closer together, longer and stronger in intensity Good, monitor their progress over the course of an hour or so, noting the length of each contraction, and the space of time between the beginning of one contraction and the next.

If you are coping, stay at home and practise using breathing, relaxation and good positions to relieve the discomfort of the contractions. If, however, you feel you need reassurance, phone the maternity unit or midwife, describe the contractions and anything else that has happened, and she will suggest what you should do. As the contractions get stronger, you may wish to phone the hospital and tell them you are coming in, or ask your midwife to come to you if you are having a home birth.

Urge to push?
You are probably in advanced labour. Phone the midwife or maternity unit immediately. Also call your partner or a nearby friend or neighbour. Find out what you should do in case you have an emergency birth at home.

Don't know
Mild and irregular contractions could simply be the practice ones known as Braxton Hicks contractions. These can sometimes be surprisingly strong, but if they are not gaining in intensity and frequency, they are probably not the ones that will produce your baby today. Try and keep busy and distracted, or settle down and get some sleep.

No
If you are not feeling contractions, it is unlikely that you are in labour. However, the pattern of labour can vary enormously from woman to woman. A very small number of women have extremely fast labours and feel few contractions before the pushing ones. 

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