This guide supports an informed consultation and is not a personalised diagnosis or treatment plan.

Original educational diagram for Signs of Labour and When to Go to Hospital — Original educational diagram created for this topic. It explains the care pathway visually and is not a diagnostic image.

Possible early signs

A mucus show, pelvic pressure, backache and irregular contractions may occur before established labour.

Established labour

Contractions generally become stronger, longer and more regular. Your maternity unit should advise when to attend based on gestation, distance, previous births and risk factors.

Waters breaking

Fluid may be a gush or a trickle. Note the time, colour and smell, use a pad rather than a tampon, and contact the maternity service.

When to seek urgent careHeavy bleeding, green or brown fluid, reduced fetal movement, severe constant pain, fever, or labour symptoms before 37 weeks needs urgent assessment.

Medical note: Individual assessment is essential when symptoms are new, severe, persistent or changing.