What symptoms indicate that labor is about to begin?

"Going into labor" refers to the imminent onset of childbirth. Typically, signs and symptoms that may indicate approaching labor include spotting (bloody show), stronger contractions, a sensation of the baby descending, vaginal discharge, and decreased fetal movement. It is recommended that patients seek medical attention promptly upon experiencing these symptoms and prepare for delivery. A detailed explanation is as follows:

1. Spotting (Bloody Show): Prior to labor, the fetal membranes separate from the uterine wall, causing capillaries to rupture, resulting in slight vaginal bleeding, clinically referred to as "bloody show." This is considered a relatively reliable sign indicating the beginning of labor.

2. Stronger Contractions: Before labor begins, the uterus starts to contract, transitioning from irregular to regular contractions. The frequency and intensity of contractions gradually increase, and the duration of pain becomes more regular and shorter.

3. Sensation of Fetal Descent: As the presenting part of the fetus descends and engages into the pelvis, the uterine fundus lowers. Pregnant women often feel more comfortable in the upper abdomen, experience an improved appetite, and may have increased urinary frequency due to pressure on the bladder from the descending fetal part.

4. Vaginal Discharge: Continuous dripping or sudden gush of fluid from the vagina typically indicates rupture of the fetal membranes, commonly known as "water breaking." Immediate medical attention is necessary.

5. Decreased Fetal Movement: Prior to labor, fetal movement may decrease due to reduced space within the uterus and limited mobility. It is important to closely monitor changes in fetal activity. If a significant decrease or cessation of fetal movement is perceived, prompt medical evaluation is advised.

Prior to labor, pregnant women should maintain a balanced diet, appropriately consume vitamins and protein, ensure adequate rest, and avoid excessive fatigue.