D. Possible or Actual Signs and
Symptoms of Impending Labor
1) Sudden burst of energy very soon
before actual labor begins (nesting instinct)
2) Lightening: the feeling that the
baby has dropped lower in abdomen
3) Discharge of pinkish mucus plug
or unusual vaginal discharge
4) Rupture of amniotic membrane (water
breaks as a trickle or gush): Note color and any odor of amniotic fluid
if not in hospital. If you even suspect your water has broken, go to the
hospital.
5) Abdominal cramping, vaginal, thigh,
or back pain or pressure
6) Regular contractions with or without
pain over longer than 1 hour.
(a) Contractions: Monitor for length,
regularity, and duration. Monitor by feeling abdomen with fingertips, feeling
for tightening and loosening.
(b) Timing contraction interval: Time
from beginning of one contraction to the beginning of another contraction
(c) Timing contraction duration: Time
from beginning of contraction to end of contraction
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