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You may experience some signs to let you know labor is approaching. They may be noticeable several days or even weeks before your due date:

You can recognize labor by uterine contractions occurring every 10 minutes or more frequently (six or more in 1 hour). These contractions may not hurt but can include:

Call your doctor immediately if you have any of these signs of labor before your 37th week of pregnancy.

When you recognize you may be going into labor, it is important to relax. Labor is hard work. By relaxing your muscles you will have an easier and more comfortable labor. Practicing relaxation techniques while you are pregnant will make using them easier when you need them. The only muscle that should be tense is the contracting uterus.

Relaxation techniques should begin with distraction:

Benefits of relaxation:

Suggestions for relaxation:

Relaxation and breathing techniques will help you work with your labor. Other techniques you may also want to use are:

Acupressure is an ancient method of using pressure over a particular point to relieve tension and discomfort. This can be used for pregnancy and labor.

Hydrotherapy is the use of warm water to relax muscles and to relieve stress and tension. During labor, hydrotherapy helps decrease tension in the working muscles and can help stimulate labor as well as increase the pace of cervical dilation. Laboring mothers using hydrotherapy tend to use less medication for pain relief. Talk with your doctor about the use of hydrotherapy for labor.

Aromatherapy is the use of oils to promote health and well-being for your body, mind and emotions. Aromatherapy works in a very natural way by using your sense of touch and smell. These oils can be used during massage, in a bath, as a lotion, with a compress or in a vaporizer. Aromatherapy helps you deal with stress, promotes relaxation and relieves minor discomforts.

Use of relaxation and breathing are all some women need to cope with labor; however, in some cases, it does not provide enough pain relief or relaxation. If you find you need medication or anesthesia, it is important you are aware of the choices available to you, including:

Learn more about the benefits and technique of labor breathing.

Learn more about the labor coach’s role in delivery.

The likelihood of premature delivery increases with each additional baby in a pregnancy. More than half of twins are born prematurely (before 37 weeks). Premature labor and delivery present a serious risk, so it is important to understand the warning signs for early labor. All of the following should immediately be reported to your doctor:

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