Labor & Delivery

When to Go to the Hospital in Labor

Knowing when to head to the hospital reduces anxiety and avoids arriving too early (when you may be sent home) or too late. Here's a clear framework.

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Pack your hospital bag by 36 weeks. Keep it by the door.

The 5-1-1 Rule for First-Time Parents

For most first-time parents, head to the hospital when contractions are:

  • 5 minutes apart (from start of one to start of the next)
  • 1 minute long
  • 1 hour consistently like this
  • And getting stronger and more painful over time

Go Sooner If You Have These

Call your provider or go to the hospital immediately regardless of contraction pattern if you have:

  • Water breaking (ruptured membranes) — go within 1–2 hours
  • Heavy vaginal bleeding (not just bloody show)
  • Decreased fetal movement
  • Severe headache, visual changes, or severe swelling (signs of preeclampsia)
  • Fever over 100.4°F
  • Umbilical cord visible in the vagina (cord prolapse — call 911)
  • Feeling something is wrong — trust your instincts

If You've Had a Baby Before

Second and subsequent labors can move much faster. Many providers recommend the 4-1-1 rule or even going in at the first sign of regular contractions. Discuss your individual plan with your provider before your due date.

Frequently Asked Questions

What happens if I arrive at the hospital too early?

You'll be assessed and may be sent home to labor more comfortably in early labor. This is very common for first-time parents and not a failure — it can mean a shorter, more comfortable hospital stay.

What if I can't tell if my water broke?

If you're not sure — go in. The hospital can test the fluid. It's always better to check than to wait if water is suspected to have broken.