Lexington Women's Health

Instructions for labor at term

Congratulations! You have now reached full term in your pregnancy!

We would like to instruct you to proceed to labor and delivery if any of the following occur:

  1. If you have regular, painful uterine contractions that increase in intensity and frequency over time. Generally, contractions should be every 3-5 minutes for 1-2 hours. Adjustment to the time frame will need to be made for those travelling longer distances.
  2. If you think you are leaking amniotic fluid.
  3. If you have any concerns regarding your baby's movements.
  4. If you have bleeding in excess of bloody mucus.
  5. According to any other specific instructions given by your provider.

Once you arrive you will be evaluated by the labor nurse and we will be contacted. There is no need to contact us on the way to the hospital unless you have been specifically instructed to do so. We prefer to receive a full report of your condition after the nursing assessment is performed.

After 5:00 pm and on weekends we have an on call rotation that is summarized below:

  1. Labor and delivery is covered by our physicians and midwives in rotation. Each provider is given assigned nights and weekends and is available to perform deliveries for the entire group.
  2. Emergency coverage is now provided at both local hospitals by board certified OB/GYNs called Laborists. They will be on standby in order to provide necessary coverage for emergent or unscheduled cesarean sections and vaginal deliveries if our provider on call is attending to another delivery.

Labor and Delivery

Where do you go? If you know you are in labor and desire to be delivered at Central Baptist Hospital, go to the second floor of the main hospital building to Labor and Delivery. After 9 pm, you must enter the hospital building through the emergency room.

What is a mucous plug? A cervix is made up of many mucous producing glands and fibrous tissue. As the cervix starts to thin out and open, the mucous producing glands work overtime, producing gobs of thick liquid. Streaks of blood are common, especially after cervical exams in the office. The cervix will continue to produce "plugs" until delivery, so we recommend using panty liners. While slimy fluid is normal, watery fluid can be a sign of a broken bag of water. Please call your provider or obstetrician if you are uncertain.