Prodromal labour, also known as "false labour," is a more accurate description of the period that precedes true labour. It consists of contractions that can start days or even weeks before active labour. Signs to look for are menstrual-like backaches, cramps, and contractions that may get stronger when active but do not grow stronger with increasing proximity over time.

The persistent and often painful contractions can lead to fatigue, sleep deprivation, and increased stress, potentially diminishing the mother's energy reserves needed for active labour and delivery. Emotionally, the uncertainty and discomfort associated with prodromal labour can cause anxiety and frustration, particularly when distinguishing it from true abortion. Managing prodromal labour typically involves rest, hydration, and comfort measures like warm baths and massage.

What is Prodromal Labour?

Prodromal labour refers to the irregular contractions that occur before true labour begins. These contractions can be sporadic and discomforting and may mimic the sensations of real labour, leading women to believe that labour has commenced when it hasn't.

Symptoms of Prodromal Labour

Let's explore some common symptoms of prodromal labour:

Contractions: Contractions during prodromal labour are irregular, often occurring at different intervals and without increasing in intensity or frequency.

Back Pain: Many women experience persistent lower back pain during prodromal labour.

Pelvic Pressure: A feeling of pressure in the pelvic area is common.

Discomfort: Some women report feeling uncomfortable due to the unrelenting nature of prodromal labour.

Lack of Progress: Unlike true labour, where contractions lead to cervical dilation, prodromal labour does not cause significant progress in labour.

Causes of Prodromal Labour

The exact cause of prodromal labour is not fully understood. However, some factors that may contribute to prodromal labour include:

Position of the Baby: The baby's position in the uterus can affect the onset of prodromal labour.

Hormonal Changes: Fluctuations in hormone levels towards the end of pregnancy may trigger prodromal labour.

Uterine Irritability: The uterus preparing for labour may lead to intermittent contractions.

Coping Strategies for Prodromal Labour

Here are some tips for managing prodromal labour:

Stay Hydrated: Dehydration can exacerbate prodromal labour symptoms, so drinking plenty of water is crucial.

Rest: Taking breaks and resting can help manage discomfort and conserve energy for the active phase of labour.

Warm Baths: Soaking in a warm bath can help relax the muscles and alleviate some discomfort associated with prodromal labour.

Breathing Techniques: Practicing deep breathing exercises can help manage pain and anxiety during prodromal labour.

Seek Support: Talking to a healthcare provider or a doula can provide reassurance and guidance on how to cope with prodromal labour.

Conclusion

Prodromal labour can be a challenging phase for expectant mothers, but knowing how to differentiate it from active labour and employing coping strategies can help manage these early labour symptoms effectively. Remember, each woman's experience with prodromal labour is unique, so it's essential to stay informed and prepared for the arrival of true labour.

References

https://my.clevelandclinic.org/health/symptoms/24163-prodromal-labor

https://www.healthline.com/health/pregnancy/prodromal-labor