1. Regular and increasingly intense contractions: True labor contractions will become more frequent, longer, and stronger over time. They will also follow a consistent pattern, typically starting in the lower back and moving towards the front of the abdomen.
2. Bloody show: A small amount of blood-tinged mucus may be passed as the cervix begins to dilate and efface, signaling the onset of true labor.
3. Water breaking: The rupture of the amniotic sac, resulting in a gush or trickle of fluid, is a clear sign that labor has begun.
4. Back pain: Many women experience lower back pain or pressure as the baby moves into the birth canal during true labor.
5. Cervical changes: A healthcare provider can confirm the onset of true labor by checking for cervical dilation and effacement during a pelvic exam.
6. Increased pelvic pressure: As the baby descends into the pelvis in preparation for birth, women may feel increased pressure in the pelvic area.