What are the signs of preterm labor?

Contractions, other: Contractions with cervical change before term define preterm labor. They can be mild or irregular, accompanied by discharge, back pain, etc. If preterm, especially with risk factors (eg, twins, diabetes), it is always appropriate to call OB or go to labor & delivery asap. An evaluation by physician is needed. Sometimes a transfer to a perinatal center is required, and it can take time to mobilize.

Cramping/Contraction: Cramping and contractions are common. Additional signs that can signify preterm labor include rhythmic back pain or pelvic pressure, change in vaginal discharge, bleeding or spotting, large gush of amniotic fluid. In any case where preterm labor is suspected the pregnant woman should seek immediate care from her OB provider or local OB facility.