Talk to your doctor beforehand, as to when you should call them and when you should go to the hospital. This way you will not be stressed when the time comes.
If you think labour has begun, you should call your doctor. They can help you decide on the next steps. Many doctors talk to you to gauge whether you are in real and active labour and are ready for going to the hospital. Basically, many times, if they feel that you are having trouble talking, it might signal that its time to go to the hospital.
Even if you have started the labour process, many doctors recommend that you stay at home during the very early stages of labour and go to the hospital (in the latter half of the first stage of labour). Basically, the rule of thumb many doctors follow is if your contractions last 45-60 seconds and are 3-5 minutes apart, then its time to go to the hospital.
Call your doctor if you see the following signs which suggest you might be in labour:
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