Early labour often starts slowly
The early (latent) phase can last hours, sometimes days, especially with a first baby. Contractions may come and go and feel like period pain or backache.
This is normal. Most people stay at home for this part, resting, eating lightly and moving.
Signs labour may be starting
A show: the plug of mucus from your cervix comes away, often pink or streaked with blood.
Your waters break, either as a gush or a slow trickle. Backache, an upset stomach, or regular tightenings that get stronger are also common signs.
Practice or real contractions?
Practice contractions (Braxton Hicks) are irregular and ease when you rest or move.
Real contractions come in a pattern and get longer, stronger and closer together. You will find it harder to talk through them.
When to go in
Your maternity unit will tell you when to come in. Many advise calling when contractions come regularly every five minutes or so, last about a minute, and feel strong.
Call sooner if this is not your first baby, if you live far away, or if you just feel you need support.
If your waters break
Call your midwife or maternity unit. Use a pad, not a tampon, so you can check the colour.
Most people go into labour within 24 hours. If not, you will be offered induction, or you can choose to wait with checks.

Water birth
Doulas