How do I know if it's time?
Signs You Should Call Your MD/CNM & Go to the Hospital

First Birth:

When contractions are at least five minutes apart, which last at least 45-60 seconds for at least one hour, and are consistent in feel.  **

Beyond First Birth:

When contractions are at least 10 minutes apart, which last at least 30-45 seconds, for at least 30-45 minutes.** 

** For accuracy, evaluate contractions while sitting or lying down rather than while walking.

Rupture of Membranes:

If you think your bag of waters has broken, note the time, amount and color of the fluid.

Vaginal Bleeding:

If you are experiencing bright red bleeding.

NOTE - You should always call your MD/CNM before coming to the hospital. This will allow him/her to give you any specific instructions he/she may have and to avoid an unnecessary stop in the Emergency Room.

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