What is Prodromal Labor?
Prodromal labor is a pattern of labor that can start, look consistent, feel like “real” labor and then stop all of a sudden, or can last for several days, and sometimes even weeks. These contractions are not the same as Braxton-Hicks which are usually painless and bearable. A change in position or increasing your water intake can usually make Braxton-Hicks subside. Prodromal labor contractions are typically more intense, felt lower in the belly and maybe into the back.
This labor type is characterized by contractions that may really feel strong and intense, but don’t get longer, more frequent, or stronger over time and usually have no real physical effect on progression. But what you really need to know is if both mom and baby are not showing signs of compromise, nothing is broken, your body IS working, and it WILL kick over at the appropriate time.
Even if your cervix isn’t making real change, your body can still be working and preparing for the birthing process. Your body just may need more time to warm up. I would consider Prodromal labor ore like prelabor than false labor.
The good news is, there is usually a cause related to Prodromal Labor and things that we can do to assist your body.
What causes Prodromal Labor?
Baby's Position:
Your baby’s position in the womb can play a huge role. Prodromal labor may be the body’s way of trying to move the baby into an optimal position for labor and birth. During these contractions the uterus tries to move the baby. If unsuccessful, it may stop to take a break, only to start again. Meaning, just because your cervix isn’t showing change, doesn’t mean your body and baby aren’t preparing.
Pelvic or Uterine Abnormality
Some women are just more prone to prodromal labor and/or alignment may be a factor.
Emotions or Anxiety
Prodromal labor may be more likely in women who are anxious or fearful of their birth experience, or under a lot of stress. Labor is just as much a mental and emotional journey, as it is physical.
More than three Pregnancies
Prodromal labor seems to be more common in women who have had more than three labors. Our uterus is a muscle and stretches with each pregnancy.
What can be done?
We are well aware that all the suggestions below are easier said than done! Having a Doula on your team can play a vital role, especially if you experience prodromal labor. Doulas are there to support you during this tough and lengthy stage, as well as remind you of how strong you are and suggest ways you can help your body progress into labor.
Stay Positive
Again, easier said than done, but having knowledge around this type of labor and support in place can help you and your mind stay positive, and/or validate and help you work through any negativity or frustration this may cause.
Stay Nourished & Hydrated
For obvious reasons, it is important to continue to fuel your body during this time, especially in preparation for labor.
Address any Emotional Blockages
Like we stated above, labor is just as much an emotional and mental journey, as it is physical. If we are experiencing any emotional blocks, or stress, it is important to express and release that in order for our body to increase oxytocin.
Focus on Fetal Position
We usually see an increase in ineffective contractions when our baby is not engaged and/or not in an optimal position. Focus on Spinning Babies techniques, the Miles Circuit, and Dip the Hip exercises by One Strong Mama.
Body Work
Chiropractic Adjustments, Acupuncture, Balance, and Massage can sometimes help your body progress through this stage of labor.
Increase Oxytocin
Invite more “love hormone” aka oxytocin. You produce this hormone when you are calm, comfortable and confident. Snuggle, cuddle, and savor this stage as much as you can.
Rest
Get some rest and sleep! Try to find a good balance of being activity for positioning purposes by changing positions often, but also making sure you are getting adequate sleep so you are prepared for labor.
Distraction
It may be tempting to cancel your plans and schedule but a little distraction can be a great thing during this stage! I encourage clients not to track or time these contractions.
Personally and professionally we know just how tough experiencing prodromal labor can be. It can be a very emotional and trying time for families. We hope this blog not only sheds some insight on this type of labor, but also provides you with some knowledge and ideas to help you through if you experience Prodromal Labor.
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