Which of the following are positive signs of labor?

• A. Progressing contractions
• B. Cervix dilation to more than 4 cm
• C. Gush of amniotic fluid
• D. All of the above

Answer: (C)

Labor is confirmed when there is a clear, objective event indicating the process is underway. A gush of amniotic fluid shows that the membranes have ruptured, which is a definite sign that labor is progressing. This rupture often marks a turning point where contractions become more regular and effective, and it provides a concrete signal that labor is underway. While progressing contractions and cervical dilation are important indicators, contractions can occur in false labor and cervical dilation alone doesn’t prove that active labor is moving forward without ROM and established contractions. So, among the options, a gush of amniotic fluid is the most definitive single sign in this context.