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Pregnancy Journey

Pre-Term Birth

Pre-term or early labour means going into labour before 37 weeks. After this point, your pregnancy is classed as full term.

About 8 babies out of every 100 in the UK are born before the 37th week of pregnancy.

This page will explain the signs and symptoms of premature labour. If you think you may be going into early labour, call the hospital straight away for advice.

Dive Deeper

Signs and Symptoms of Pre-Term Labour

Pre-term labour may feel similar to normal labour or it may be faster or less painful, particularly if very pre-term.

If you have any of the following symptoms, contact the hospital straight away, because you could be in
labour:

  • Regular contractions or tightenings
  • Period-type pains or pressure in your vaginal area
  • A show - when the plug of mucus that has sealed the cervix during pregnancy comes away and out of the vagina
  • A gush or trickle of fluid from your vagina – this could be your waters breaking 
  • Backache that's not usual for you

Contact the hospital immediately if:

  • You are bleeding
  • Your baby is moving less than usual
  • Your waters have broken and they are smelly or coloured

Braxton Hicks

Many women and birthing people experience Braxton Hicks, sometimes known as practice contractions.

These can become quite strong during the third trimester (after 28 weeks), and it's easy to mistake them for the real thing. They are usually not painful, so it is important to get checked in hospital if you are having painful contractions.

Your Baby's Movements

You should continue to feel your baby move in the pattern that is normal for you right up to the time you go into labour and during labour. 

Call your hospital immediately if you think your baby’s movements have slowed down, stopped or changed.

What Happens if I am in Pre-Term Labour?


The midwife or doctor will talk to you about whether it’s best to birth your baby now (either
by vaginal delivery or caesarean section) or try to slow down labour using medication. They will
consider:

  • How many weeks pregnant you are
  • You and your baby’s health
  • What neonatal facilities are available and whether you need to be moved to another hospital
  • What you want to do

You may need to be moved to a hospital that has facilities for premature babies.

The Right Place of Birth

When a baby is born pre-term, they need special care in hospital because they are not quite ready for life outside the womb. In some circumstances a pre-term baby is better born in a tertiary unit that gives specialised care.

Our local tertiary units are the Norfolk and Norwich University hospital and The Rosie in Cambridge. However, it may be necessary to transfer you to a tertiary unit further away if the local unit is full and does not have enough cots to care for your baby or babies.

What Happens if I'm Not in Labour?

If labour hasn't started, your healthcare professional will investigate what may be causing your symptoms and if you and your baby would benefit from further treatment.

It might be recommended that you stay in hospital so they can monitor you and your baby.

In 7 out of 10 cases, the symptoms go away and women give birth at term (after 37 weeks). More than 9 out of 10 women do not give birth within 14 days of having these symptoms.

Contacting Your Hospital


If you have any of the signs and symptoms of pre-term labour, please contact the hospital you have booked your pregnancy with on the following numbers to get advice:

Norfolk and Norwich University Hospital

Call Maternity Triage on 01603 287328

Queen Elizabeth Hospital, Kings Lynn

Call Maternity Triage on 01553 214829

James Paget University Hospital

Call the Delivery Suite on 01493 452480 or 452190


Who can Help?

If you feel worried and would like more advice you can speak to your midwife throughout your pregnancy and up to 28 days after the birth of your baby.

If you live in Norfolk

  • You can contact the Healthy Child Service team for advice and guidance by calling Just One Number on 0300 300 0123 or texting Parentline on 07520 631590. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays).

If you live in Suffolk


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