When to stop labouring at home?

posted 3 years ago in Pregnancy
Post # 3
Member
253 posts
Helper bee
  • Wedding: December 2012

@ScottishMrs:  yay! 19 weeks already wow girl, time flys.

i’m using the 5-1-1 rule. when contractions are 5 minuets apart lasting 1 minuet long for one full hour. OR if my water breaks.

 

Post # 5
Member
664 posts
Busy bee
  • Wedding: June 2012

I was about to post the 5-1-1 rule too. You don’t have to go in as soon as your water breaks unless your OB/midwife has asked you to for some reason (like if you’re GBS+ they might want you on antibiotics). 

Post # 6
Member
231 posts
Helper bee
  • Wedding: August 2008

I had a posterior birth, so my contractions never became regular. I laboured overnight from around 8pm and went to the hospital about 5am the next day. 

I made the decision to go in when I couldn’t handle the pain anymorem

Post # 7
Member
5460 posts
Bee Keeper
  • Wedding: August 2012

It depends on your provider’s policy… the most common being 5-1-1.  I stayed home after having 5 min contractions for a few hours, but was told to come in because I’m GBS+ and have to have antibiotics before delivery.

 

They’ll also want you to come in if your water breaks, or if you have any potential complications (like breech or if you’re preterm).

 

I started having regular, semi-painful (but manageable) contractions around 3:30am and didn’t head for the hospital til shortly after 8am.  I think it all just comes down to what your provider is comfortable with, how far you live from the hospital/birthing center, if you have any potentially complicating conditions, etc.

 

Post # 8
Member
1613 posts
Bumble bee
  • Wedding: September 2012

@ScottishMrs:  Without midwifery care, I don’t advocate the “stay at home as long as possible” arguement, and let me explain why.

With a midwife, in many cases/areas she will come to your house to do a labour assessment and then stay with you if you’re in active labour (ie. contractions 4mins apart, cervix 4cm dilated-usually).  That way, you can labour for longer at home and still be monitored and supported.  From then on, when to go to the hospital is a flexible decision involving how the woman is progressing and coping, as well as any potential for risks/complications.  

If you don’t have a midwife, your doctor will likely advise you to come to the hospital as soon as you’re in active labour, ie. plan to be admitted at 3-4cm.  Reason being once you’re in active labour, you should be monitored and hospital staff can’t come to your house so you have to go to them.

Unless there are medical risks or you’re GBS+ with broken waters before active labour, there is  no good reason to be admitted to the hospital before active labour, ie. before 4cm.  The evidence is quite clear that early admission does contribute to more interventions.  Your care provider will give you more specific instructions once/if you do the GBS swab and get the results….GBS treatment does not require early admission before you’re in established active labour, but if your water breaks before labour, they will recommend and induction of labour pretty much right away.

The 5-1-1 rule is erring on the early side and many first-time mothers won’t be quite active at that point.  In my practice we tell women to page us when they are 4-1-1, and that means that contractions are strong (ie you need to breathe and work through them, difficulty talking through them) and regular.  Some practices I know of suggest 3-2-1 for first moms, contractions every 3 mins for 2 hours.

Post # 9
Member
627 posts
Busy bee
  • Wedding: June 2012

Like others said, the common directions are when you’re at 5-1-1 Or when you have trouble talking through the conteactions. However, not everyone has contractions at 5-1-1. My contractions started at 2-3 mins apart for 45secs-1+min. I wanted to labor at home as long as possible as well. For me that only meant having contractions for less than an hour. Then my body told me to get to the hospital ( babe was born 2.5 hours after getting to the hospital.) So, you might just ‘know’ when to go like I did. good luck! 

Post # 10
Member
1305 posts
Bumble bee
  • Wedding: August 2012

I would say the 5-1-1 rule is a great rule of thumb.

It didn’t apply to me though because my contractions were 3 minutes apart from the first one.

Post # 11
Member
1081 posts
Bumble bee
  • Wedding: June 2011

I have no clue.  Start to finish I labored for 7 hours.  People say you will know when you’re in labor and that’s crap.  I didn’t know I was in labor until active labor kicked in and I arrived at the hospital 7 cm dialated already.  DD was born 1 hour 45 minutes later. 

Post # 12
Member
1208 posts
Bumble bee
  • Wedding: January 2004

@ScottishMrs:  My water broke at 5pm on my due date but I didnt feel contractions until 11pm that evening and even thrn they werent strong.  They didnt get strong until 2-3am.  If your water breaks on its own (which only happens to ~20% of pregnancies) you should call your doctor to let them know.  They may say wait at home and labor there until your contractions are 5 minutes apart or they may have you come right in (which happened with me and I so regret listening to the, because I could have labored all that time in the comfort of my own home).

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