Labour can be full of surprises, especially when it comes to early contractions. Prodromal labour, often called ‘false labour,’ involves contractions that can feel intense but don’t lead to dilation of the cervix. It can go on for days or sometimes even weeks. The latent phase, on the other hand, is part of the early stages of active labour where the cervix starts to dilate slowly, and contractions gradually get stronger. Knowing the difference can help reduce frustration when contractions seem to be happening but don’t lead to active labour right away.
What Is Prodromal Labour?
Prodromal labour can occur in the days or even weeks leading up to active labour. The contractions feel very similar to those in active labour but don’t result in significant cervical changes. These contractions are often irregular in timing and intensity but can sometimes feel strong enough to make you think labour is starting.
Key characteristics of prodromal labour include:
- Irregular contractions: They might feel strong but don’t form a consistent pattern. For example, contractions might occur every 10 minutes for a while, then every 15 or 20 minutes.
- No significant cervical dilation: Unlike active labour, prodromal labour doesn’t cause substantial changes to the cervix, although it may help with softening or slight dilation in preparation for active labour.
- Occurs at any time of day: Prodromal contractions might start and stop without warning and can occur more frequently at night.
- Can last for days or weeks: While it can be exhausting, prodromal labour is part of your body’s preparation for birth.
Why Does Prodromal Labour Happen?
The exact cause isn’t fully understood, but there are a few theories:
- Fetal position: If your baby isn’t in an ideal position (e.g., posterior or at an angle), prodromal contractions might help reposition them.
- Body preparation: Prodromal labour helps prepare your uterus, cervix, and body for active labour.
- Hormonal changes: Shifting hormones in late pregnancy may trigger these contractions.
What Is the Latent Phase of Labour?
The latent phase of labour is essentially early labour. It’s when the cervix begins to soften, thin out (efface), and move into an anterior position, all in preparation for dilation. Unlike prodromal labour, the latent phase involves more consistent, progressive changes to the cervix, although it can still be slow and drawn out.
Key characteristics of the latent phase include:
- Regular contractions: While they may start off mild, contractions gradually become more regular and closer together.
- Cervical changes: The cervix dilates from 0 to around 4-6 cm and begins to efface.
- A steady progression: While the pace varies for each individual, the latent phase is marked by a clear trend toward active labour.
- Typically shorter than prodromal labour: While the latent phase can last several hours, it’s usually shorter than prodromal labour, which can span days or even weeks.
How to Tell the Difference Between Prodromal Labour and the Latent Phase
| Feature | Prodromal Labour | Latent Phase of Labour |
|---|---|---|
| Contraction Pattern | Irregular, may stop and start | Regular, progressively closer together |
| Cervical Changes | Minimal or none | Gradual dilation and effacement |
| Duration | Can last for days or weeks | Usually lasts a few hours to a day |
| Pain Intensity | Can feel strong but may not intensify | Starts mild and becomes stronger over time |
| Purpose | Prepares body and baby for birth | Marks the beginning of true labour |
How to Cope with Prodromal Labour
Prodromal labour can be physically and emotionally draining, especially if you’re unsure when true labour will begin. Here are some tips for coping:
- Rest when you can: Since prodromal labour often disrupts sleep, try to rest during the day to conserve energy.
- Hydrate and nourish your body: Stay hydrated and eat small, nutrient-dense meals to maintain your strength.
- Use comfort measures: Try warm baths, breathing techniques, or gentle yoga to manage discomfort.
- Change positions: Using a peanut ball can help encourage the baby to move into an optimal position. Also, look at spinningbabies.com – the ‘forward-leaning inversion’ or ‘side-lying release’ are useful at this stage.
- Do not Chase the labour: If you try to get labour going, you will exhaust yourself unnecessarily. Prodromal labour is typically a sign that your baby is not yet ready to be born.
The Emotional Impact of Prodromal Labour
Prodromal labour can be frustrating, especially if you’re eagerly awaiting your baby’s arrival. It’s important to remember that every contraction is bringing you closer to meeting your baby, even if it doesn’t feel like it in the moment. Lean on your support system, practice self-care, and trust your body’s process.
When Labour Does Become Established
Prodromal labour may begin to switch into established labour when you experience any of the following:
- You have contractions regardless of your position, at any time of the day or night.
- Your contractions become regular and closer together.
- You feel intense pressure or an urge to push.
- Your water breaks, or you observe a significant change in vaginal discharge.
Final Thoughts
Whilst prodromal labour and the latent phase of labour can feel similar, understanding the differences can help you navigate the experience with more confidence and clarity. Remember, every birth story is unique, and what matters most is finding the support and resources you need to feel empowered during this transformative time.