Is It Really Labour? HOW DO I KNOW?

So, you’re pregnant (maybe for the first time!), and one burning question keeps popping into your mind: “How will I actually know when labour has started?”

You’ve probably binge-watched every birth scene on TV, heard dramatic stories from friends or family, and spent countless late-night hours scrolling through pregnancy forums. Spoiler alert: real-life labour is usually way less dramatic than Hollywood makes it out to be. As your friendly neighbourhood doula in Singapore—someone who’s been supporting mums since 2012—I’m here to break it down for you in a way that’s casual, fun, and oh-so-practical. Let’s dive in!

1. Contractions: Real Deal or Just Practice?

Ah, contractions—the ultimate mystery of labour. Are they the ones? Or just those sneaky Braxton Hicks “practice” contractions? Here’s how to tell:

Real Labour Contractions:

• Regularly spaced like clockwork (e.g., every 5 minutes).

• Gradually get stronger, longer, and closer together.

• Keep going no matter what—try to distract yourself with a snack, Netflix, or even yoga poses.

False Labour (Braxton Hicks):

• Irregular and unpredictable (they come and go randomly).

• Usually painless or just mildly uncomfortable.

• Go away if you change positions, drink water, or take a nap.

Doula Tip:
Don’t grab your phone and start timing those contractions! Ignore! Go about your daily activities, and distract yourself! DISTRACTION is key!

Pro Evidence:
Check out contraction guidelines from the NHS UK if you want to nerd out on the science behind it.

Evidence:
Contraction guidelines by NHS UK

2. Waters Breaking: It’s Usually No Big Splash

Forget what you’ve seen in movies—your waters probably won’t break dramatically mid-conversation at Kopitiam. In fact, only about 10–15% of labours start this way!

When it does happen, it could be:

• A sudden gush (cue excitement!)

• Or a slow, steady trickle (you might think you’ve peed yourself).

The fluid should be clear or pale pink. If it’s green or brown, baby may have passed meconium, so call your doctor ASAP.

Doula Fun Fact:
Most moms in Singapore actually arrive at the hospital before their waters break! So don’t stress if it hasn’t happened yet—you’re totally normal. Your waters do not have to break in order for you to start labour, nor does it make labour go faster. (Cochrane, 2013)

Read more about artificial rupture of membranes here.

Evidence-based Birth

Midwife Thinking

3. The Mucus Plug, or “Bloody Show”: Labour’s Little Tease

If you spot some clear, whitish, or pinkish jelly-like discharge with no smell, don’t freak out—it’s probably your mucus plug making its grand exit. This is your cervix’s way of saying, “Hey, we’re getting ready over here!”

Labour often starts hours or days after losing your mucus plug—but sometimes not right away. So chill, Mama. It’s just another sign that things are moving along.

Doula Tips:
No need to panic! Losing your mucus plug is perfectly normal and exciting—it means you’re heading in the right direction.

Pro Evidence:
Learn more about the mucus plug from the National Childbirth Trust (NCT) UK.

4. Persistent Lower Backache or Cramps

Feeling a dull ache in your lower back or cramps that feel like period pains? Your body might be giving you subtle hints that labour is brewing.

Unlike regular discomfort, these sensations tend to stick around and get stronger instead of fading.

Doula Tips:
Try changing positions, soaking in a warm bath/warm shower, or resting. If the cramps persist or intensify, labour might be knocking on your door soon!

5. Suddenly Feeling Energised (or Super Tired!)

Ever felt an overwhelming urge to scrub every corner of your house (hello, nesting instincts!) or suddenly crave naps more than ever? Both extremes are super common signs that labour might be around the corner.

• Nesting: Your body’s way of preparing your space for baby.

• Extreme tiredness: Your body is conserving energy for the big event ahead.

Doula Tips:
Trust your instincts. Rest if you’re tired, or gently enjoy nesting—but don’t exhaust yourself before the main show begins!

When Should You Head to the Hospital in Singapore?

Okay, now for the million-dollar question: when do you actually need to grab your hospital bag and head out?

Here’s the lowdown:

• Contractions are coming every 4–5 minutes, lasting for more than 60 seconds, consistently for an hour or more.

• You experience heavy bleeding or notice significantly reduced baby movements (head straight to the hospital if this happens!).

Doula Tips:
Always call ahead to your hospital (KKH, NUH, Thomson, Mount Elizabeth, etc.) to let them know you’re on your way—they’ll help ensure a smooth arrival.

Read more from the National Childbirth Trust (NCT), UK.

Final Thoughts From a Doula Who Gets It

Labour rarely starts with fireworks—it’s usually gradual and manageable and gives you plenty of time to adjust. Listen to your body, stay calm, and keep communication open with your birth team.

If you’re ever unsure, lean on your doula or trusted healthcare provider. And remember—you were born with everything you need to birth your baby beautifully!

Let’s Connect!

If you’d like more personalised guidance, reassurance, or practical tips for labour and birth, I’m here to help. Let’s chat and prepare for your amazing birth journey together. Because hey, bringing a new life into the world? That’s pretty much the coolest thing you’ll ever do. 💕