No one denies that natural childbirth is considered the best and most preferred method of delivery compared with other options. Doctors generally prefer the baby to be delivered through the birth canal rather than through abdominal surgery or other medical interventions. Natural birth has many important benefits for both the mother and the baby, including faster recovery after delivery. For this reason, pregnant women are usually encouraged from the beginning of pregnancy to consider natural birth as their first option whenever possible.
When a woman reaches the beginning of the ninth month, she often wonders whether she could give birth at any moment and what she can do to make natural labor easier. Obstetrics and gynecology consultant Dr. Hadeer Abdel Moneim explains how the expected due date is determined, the main signs that labor may be near, and important steps to prepare for delivery.
How Is the Expected Due Date Determined?
The size of the baby in the womb is influenced by genetic and hereditary factors. Measurements such as the baby’s length and head circumference depend partly on the parents’ physical characteristics. For example, a baby may appear taller simply because of genetic traits rather than gestational age.
Doctors can estimate the expected delivery date more accurately when an ultrasound scan is performed toward the end of the third month or at the beginning of the fourth month of pregnancy. After the fourth month, genetic traits begin to influence the baby’s size, including height and body proportions, which can make age estimation based solely on measurements less precise.
Other factors such as genetics, ethnicity, the mother’s nutrition during pregnancy, and overall health also influence the baby’s size, weight, and activity in the womb.
Signs That Labor May Happen Soon
1. The Belly Drops Lower
One of the most noticeable signs that labor is approaching is when the baby moves downward into the pelvis. This usually happens before the ninth month as the baby positions their head for natural delivery. As the baby’s head presses on the cervix, it gradually begins to open in preparation for labor. At the same time, pressure on the diaphragm decreases, which may make breathing easier for the mother.
2. Increased Vaginal Discharge
Another sign that labor may be close—sometimes within about 48 hours—is thicker vaginal discharge. It may contain streaks of blood and may include the mucus plug, which is a jelly-like substance mixed with small amounts of blood. This can indicate that the amniotic fluid may break soon afterward.
3. Uterine Contractions
Contractions that resemble menstrual cramps may begin lightly and gradually become stronger and more frequent. If the contractions are irregular and disappear when resting, they are likely false contractions known as Braxton Hicks contractions.
4. Lower Back Pain
As labor approaches, many women experience pain in the lower back along with strong pressure in the pelvic area. This discomfort usually increases gradually as the time of labor gets closer.
5. Sudden Changes in Energy Levels
A noticeable change in energy levels can also indicate that labor is approaching. A pregnant woman may suddenly feel very energetic and active at one moment and then feel extremely tired or exhausted shortly afterward. These rapid shifts in energy can be a sign that the body is preparing for labor.
When Should You Go to the Hospital Immediately?
You should go to the hospital right away if:
Contractions occur every five minutes for at least one hour.
The amniotic fluid breaks and appears yellowish or greenish.
There is significant vaginal bleeding rather than small spots of blood.
The baby’s movements suddenly decrease or stop, especially if accompanied by severe abdominal or back pain.
Six Steps to Prepare for Natural Delivery
1. Plan Your Birth with Your Doctor
Discuss your birth plan with your doctor. In some cases, the method of delivery—natural or cesarean—can be determined before labor begins, especially if there are medical conditions such as a narrow pelvis.
2. Prepare Your Hospital Bag
Prepare your maternity bag at the beginning of the ninth month so you are ready if labor begins suddenly. Make sure to include all your medical records so doctors can review your pregnancy history.
3. Practice Suitable Exercises
Follow your doctor’s advice regarding exercises appropriate for the ninth month of pregnancy. Breathing and relaxation exercises can help strengthen and relax pelvic muscles and may reduce the need for procedures such as episiotomy.
4. Prepare Mentally
Mental preparation is just as important as physical preparation. Talking with your doctor and receiving emotional support from your partner can reduce anxiety and increase the chances of a successful natural birth.
5. Eat Light, Energy-Boosting Meals
If signs of labor appear, choose light foods that provide energy rather than heavy meals. Small, balanced snacks—such as a boiled egg or a spoonful of honey—can help maintain energy levels.
6. Stay in Contact with Your Doctor
Maintain communication with your doctor and avoid rushing to the hospital too early unless contractions become regular and stronger. Your doctor may guide you by phone on what to do at home before heading to the hospital. Always report any unusual symptoms immediately.
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