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Signs of Preterm Labour and What to Do

How to recognise the warning signs of labour before 37 weeks, who is at higher risk, and when to go to hospital.

By Cushies Editorial Team 路 2 min read 路 Updated 6 October 2026

Labour that starts before 37 weeks of pregnancy is called preterm labour. India has one of the highest numbers of preterm births in the world, so knowing the signs matters.

Warning signs

  • Regular contractions or tightening, four or more an hour
  • Low, dull backache that comes and goes
  • Pelvic pressure, as if the baby is pushing down
  • Period-like cramps, with or without diarrhoea
  • A change in vaginal discharge: watery, mucus-like or bloody
  • Fluid leaking or gushing from the vagina

If you notice any of these before 37 weeks, contact your doctor or go to hospital straight away. Treatment can sometimes delay birth or prepare the baby鈥檚 lungs.

Who is at higher risk?

Risk is higher with a previous preterm birth, twins or more, high blood pressure, infections, a short cervix, very young or older maternal age, and smoking. But preterm labour can happen to anyone.

If your baby arrives early

Many preterm babies spend time in a NICU or special newborn care unit. They need diapers sized by weight, often under 2 kg, with a cut-out for the umbilical cord. Read our guide on caring for a premature baby at home.

This article is general information, not medical advice. If you are worried about your health or your baby's, please talk to your doctor.

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