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Signs of labor: Know what to expect

By Mayo Clinic staff

No one knows for sure what triggers labor — and every woman's experience is unique. But there are some typical signs of labor, and understanding them can help you know what to expect as your due date approaches.

Lightening: Adjusting the pressure

One of the first signs of labor may be lightening — a sensation that your baby is settling deeper into your pelvis. The baby's new position may make it easier for you to breathe, but may send you to the bathroom more often.

If this is your first pregnancy, lightening may occur weeks or days before labor begins. For subsequent pregnancies, it may not happen ahead of time. You may notice obvious changes or not notice anything.

Effacement: Ripening of the cervix

Your cervix prepares for birth by softening and thinning (effacing), a change you won't feel. Your health care provider will check for signs of cervical change during vaginal exams.

Effacement is often expressed in percentages. When you're 50 percent effaced, your cervix is half its original thickness. Your cervix must be 100 percent effaced, or completely thinned out, before a vaginal delivery.

Dilation: Opening of the cervix

Your cervix will also begin to open (dilate). Your health care provider will measure the dilation in centimeters from zero to 10.

These cervical changes may begin slowly. In fact, you could be dilated 2 to 3 centimeters for days or weeks before your labor begins. Once you're in active labor, expect to dilate more quickly.

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MS00036

Sept. 12, 2008

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