Which of the following are pre-labor signs?

• A. Non-progressing contractions
• B. Bloody show
• C. Leaking of amniotic fluid
• D. All of the above

Answer: (D)

Pre-labor signs are indications that the body is gearing up for birth. Non-progressing contractions, often Braxton Hicks, show the uterus is practicing for labor even though they don’t steadily intensify or cause regular cervical changes. Bloody show results from the cervix loosening and the mucus plug being released, a hint that cervical changes are underway as labor approaches. Leaking of amniotic fluid means the membranes have ruptured; when this happens before active labor, it’s called prelabor rupture of membranes and signals that labor is likely to begin soon or may already be underway. Because each of these can herald the start of labor, all of the above are considered pre-labor signs. If fluid leakage occurs, it’s important to contact a caregiver to assess for infection risk and determine next steps.