1cm Effacement & Contractions: What to Expect in Labor?

Question
Hello,

This is my second baby. My first is 10 years old so it has been awhile since I've done this. I went to the Dr. yesterday and was told I'm 1 centimeter and 90% effaced, my contractions are about 4 to 5 an hour. They are strong enough that I can't move into a different position and feel comfortable or make the pain go away. Is there any kind of idea or prediction when I might go into active labor with these symptoms?

Thank you

Answer
Dear Jessica,

If the contractions do not dissipate when you change your activity (if resting, try walking around or if on feet, try resting), then it sounds like it is true labor and not Braxton-Hicks. Here are some signs of true labor:
-Contractions come regularly, usually 4-6 minutes apart and can become closer together. Usually last 30-70 seconds.
-Contractions become stronger with time. You may also feel vaginal pressure.
-Contractions continue no matter what position changes you make or how much you drink.

If you are less than 35 weeks pregnant (you didn't say how far along you are) and you have regular contractions lasting more than 30 seconds and occurring more than 4-6 times an hour, try resting and drinking lots of fluids. If this doesn't help, you should call your doctor.

Once you are past 36-37 weeks, don't time contractions until they are very strong and regular. Plan to go to the hospital when they are so strong that you cannot hold a conversation during one, closer than 5-6 minutes apart, and continue in that pattern for over an hour. Since you have given birth before, I'd recommend using your previous labor as a guideline. On average, 2nd babies come in half the time it took for the 1st.

I hope this has helped you and answered your questions. I wish you well and a joyous delivery!  :-)  At least you'll have a helper waiting at home!

Brenda