The following are normal signs and symptoms that are associated with preterm labor (however, these signs can also be a part of a normal healthy pregnancy -- click here for descriptions of emergency situations):

• Uterine Contractions - the uterus (womb) is composed of muscle fibers.  A uterine contraction is the tightening of the muscles within the uterus.  Using your fingertips to feel your uterus, you should be able to slightly indent your uterus when it is relaxed.  During a contraction you can feel your uterus tighten and become hard.  Contractions occur normally throughout pregnancy.  They are usually painless and they can occur at any time.  Certain activities such as changing your position or having a full bladder may cause you to have a contraction.

• Menstrual-like Cramps - these are felt low in the abdomen, just above the pubic bone.  The cramping may be rhythmic, feeling like waves or fluttering.  You may also feel a constant cramp.

• Lower, Dull Backache - this backache is located mainly in the lower back and may radiate to the sides or front.  It may be rhythmic or constant.  And often is not relieved by changing position.

• Pelvic Pressure - you may feel pressure or fullness in the pelvic area, in your back or thighs.  It may feel as though the baby is going to "fall out."

• Intestinal Cramps - these may occur in the presence or absence of diarrhea.  You may have the feeling of "gas pains."

• Increase or Change in Vaginal Discharge - the amount may be more than that which is normal for you.  The consistency may change to mucous or watery.  The color may become pink or brown-tinged.

• A General Feeling That Something is Not Right - even without a specific cause.

If you experience any of the above, or if you feel that something is different:

• Call your doctor.

• Go to the bathroom and empty your bladder.

• Check to make sure you have not missed a dose of any medication you might be taking.

• Maintain adequate fluid intake.

• Rest, lying down on your left side.

• Monitor your uterine activity.

What will happen if you go to the Hospital

You may be told by your doctor to go to the hospital if they feel you may be experiencing preterm labor.  At the hospital, a nurse will take your temperature, pulse and blood pressure.  A fetal monitor may be placed on your abdomen to see if you are having contractions and to check your baby's heart rate.  If you are in labor, and your doctor feels your pregnancy should be prolonged, treatment may include bedrest, I.V. fluids, medications, and continued monitoring of your contractions and your baby's heart rate.  If it is felt that you are not in labor, or having any other problems, you may be allowed to go home.