If you’re like a lot of pregnant moms, you’re probably wondering how you’ll know for sure that you’re in labor. Look out for these 10 clear signs of labor that tell you the baby’s on the way:

  • Baby “drops”
  • Cervix dilates
  • Cramps and increased back pain
  • Loose-feeling joints
  • Diarrhea
  • Weight gain stops
  • Fatigue and “nesting instinct”
  • Vaginal discharge changes color and consistency
  • Stronger, more frequent contractions
  • Water breaks

Much expectant mom has wondered how labor will feel, how long it will take, and how to know whether it’s the real deal or just a false alarm. It’s hard to predict the answers to all those questions since every birth is different. But if you pay close attention and notice these 10 signs that labor is near, you should be able to tell that it’s almost time to meet your baby!

Pre-labor: One hour to a full month or more before labor

1. Your baby “drops”

If you’re a first-time mom your baby will typically start to drop, or descend into your pelvis, a few weeks before labor begins (usually around two to four weeks before, but it can vary). In subsequent births, this “lightning” doesn’t often happen until you’re truly in labor. Your baby is getting into position to make his exit, ideally with the head down and low. You might feel like you’re waddling even more than you have been up until this point — and you may still be taking frequent bathroom breaks as you’ve probably been doing in the third trimester because the baby’s head is now pushing down on your bladder. The good news is that you have a bit more breathing room since your little one is moving away from your lungs.

2. Your cervix dilates

Your cervix, too, is starting to prepare for birth: It starts to dilate (open) and efface (thin out) in the days or weeks before you deliver. At your weekly check-ups in the home stretch of your pregnancy, your provider may measure and track dilation and effacement via an internal exam. But everyone progresses differently, so don’t be discouraged if you’re dilating slowly or not at all yet.

Recommended Reading
Buy nursery essentials
Pack your hospital bag
Get a push present for your partner

3. You feel more cramps and increased back pain

Especially if this is not your first pregnancy, you may feel some crampiness and pain in your lower back and groin as labor nears. Your muscles and joints are stretching and shifting in preparation for birth.

4. Your joints feel looser

Throughout your pregnancy, the hormone relaxin has made your ligaments loosen up a little (it’s also responsible for your potential bouts of clumsiness this past trimester). Before you go into labor, you may notice that the joints all over your body feel a bit less tight and more relaxed. It’s just nature’s way of opening up your pelvis for your little passenger to make her way into the world.

5. You have diarrhea

Just as the muscles in your uterus are relaxing in preparation for birth, so too are other muscles in your body — including those in the rectum. And that can lead to diarrhea, that pesky little labor symptom you may well have experienced at other times during pregnancy. Though annoying, it’s completely normal; stay hydrated, and remember it’s a good sign!

6. You stop gaining weight (or lose pounds)

Weight gain often levels off at the very end of pregnancy. Some moms-to-be even lose a couple of pounds! This is normal and won’t affect your baby’s birth weight. He’s still gaining, but you’re losing due to lower levels of amniotic fluid, more potty breaks, and perhaps even increased activity.

7. You feel extra tired … or you have an urge to nest

Wait a minute, is this the third trimester or the first? Between the active bladder and the exhaustion, sometimes you can feel like you’ve traveled backward in time. That super-sized belly, along with the smooshed bladder, can make it tough to get a good night’s sleep during the last days and weeks of pregnancy. Pile on those pillows and take naps during the day if you possibly can! That is, unless you’re feeling the opposite of fatigued: Some moms get a burst of energy as birth-day nears, and can’t resist the compelling urge to clean and organize everything in sight. That’s okay, as long as you don’t overdo it!

More About Labor and Delivery
Childbirth Stage One: The Three Phases of Labor
The Lowdown on the Delivery Room

Early labor: The days and hours before labor starts

8. You lose your mucous plug and your vaginal discharge changes color and consistency

You may also notice the loss of your mucous plug — the cork sealing off your uterus from the outside world. It can come out in one large piece (it looks similar to the mucus in your nose) or lots of little ones, though you may not get a glimpse of it at all and some women don’t lose it before delivery. In the last days before labor, you’ll likely see increased and/or thickened vaginal discharge. This thickened, pinkish discharge is called the bloody show and is a good indication that labor is imminent, but without contractions or dilation of three to four centimeters, labor could still be a few days away.

9. You feel stronger, more frequent contractions

Contractions are an early sign of active labor — except when they aren’t. You can experience Braxton Hicks contractions for weeks and even months before delivery. You’ll feel their pinch as the muscles in your uterus tighten in preparation for their big moment: pushing that baby out. How can you tell the difference between real and false labor contractions? Look for these signs of real labor:

  • If you’re active, contractions get stronger instead of easing up
  • If you change position, contractions don’t go away
  • Contractions progress: They get more frequent and more painful, and sometimes fall into a regular pattern. Each one won’t necessarily be more painful or longer than the one before it, but their intensity tends to build over time as labor progresses. Frequency doesn’t always increase in a regular pattern, either, but it does gradually increase.
  • Early real labor contractions could feel like strong menstrual cramps, stomach upset, or lower abdominal pressure. Pain could be in the lower abdomen or both there and the lower back, and it could radiate down into the legs. The location of the pain isn’t as reliable an indicator of true vs. practice contractions, though, because Braxton Hicks contractions can also be felt in all those places.

10. Your water breaks

While movies would have you think you’ll learn you’re in labor only when your water breaks (of course in the middle of a romantic dinner date at a busy restaurant), that’s a very unlikely scenario. It’s actually one of the final signs of labor most women experience — and it happens in only around 15 percent of births or fewer. So don’t count on it as your only labor sign!

Still, feel like you won’t know when to announce “It’s the time!” and get ready to meet your baby? Try not to stress about it. You’ll be seeing your doctor or midwife frequently now, and she’ll help you spot all the important clues.

Am I Going Into Labor? Should I Call the Doctor?

If you think you’re going into labor, your practitioner should have advised you on what to do when your contractions become regular: “Call me when they’re coming about five minutes apart for at least an hour,” for example. Contractions won’t all be exactly spaced, but if they are becoming pretty consistent, more painful, and longer (usually around 30 to 70 seconds), it’s time to check in with your doc. If you think you might be in labor but aren’t sure, get on the phone; your provider can advise you on what’s going on. Don’t feel embarrassed or worried about calling outside of office hours (your doctor or midwife knew this would happen when she got into the baby-catching business!).

You should always call if:

  • You experience any bleeding or bright-red discharge (not brown or pinkish).
  • Your water breaks — especially if the fluid looks green or brown; this could be a sign that meconium is present (which is your newborn’s first stool; it can be dangerous if your baby ingests it during birth).
  • You experience blurred or double vision, a severe headache, or sudden swelling. These can be symptoms of preeclampsia, which is characterized by pregnancy-induced high blood pressure and requires medical attention.

Natural Ways to Help Labor Along

Not in labor just yet … but full-term and itching to get things moving along? There are a few natural tricks that may help induce labor that you can try at home yourself, including walking, sex, spicy food, and acupuncture. That said, there’s not a lot of research to back any of these methods up, and you should talk to your doctor first before trying anything intended to prompt the baby’s birthday.