The quick answer is that she will clearly
let you know when the time is right. The contractions will be painful (or
at least very uncomfortable) and they will be regularly spaced over
time.
The following text explains the different
types of contractions during a pregnancy.
Braxton Hicks Contractions:
The muscle of the uterus need to flex to
strengthen themselves and (later on) to gradually soften the cervix in
preparation for the actual birth. This spontaneous and irregular contracting
of the muscle begins early in the pregnancy, but is only normally noticed
by women from about the 20th week.
A British doctor named John Braxton-Hicks
first described this process some time in the late nineteenth century, this
is why they carry his name. These contractions should normally be painless,
which differentiates them from false labor.
These contractions become more frequent
and more pronounced towards the end of the pregnancy. The shapes that are
formed by the belly are incredible as you can see arms and legs bulging out
as the muscles contract. You will think that the baby must be very uncomfortable
to be squashed in this way, but don't worry, he/she handles it just
fine.
Contractions can sometimes be brought on
by light exercise or dehydration, so it is important to keep drinking plenty
of fluids so that the uterus does not become over-irritated.
Before 37 weeks of pregnancy, if contractions
become regular or painful or are accompanied by any type of discharge you
should contact your doctor immediately.
During the last few weeks of pregnancy,
the Braxton Hicks contractions become more rhythmic and appear much more
frequently. This period is called pre-labor during which time the cervix
is gradually stretched and softened in preparation for the birth.
When these contractions begin to be painful
in the lower abdomen and arrive often, the term "false labor" is used to
describe the phase. You can only tell from the outside that this is not true
labor when the contractions are irregular over time and eventually stop.
The crucial difference is that the cervix itself does not actually
change.
When the contractions are regular, rhythmic
and painful or very uncomfortable, the chances are that the true labor stage
is being reached. Depending on your country, the doctor will advise that
you go to the maternity ward when the contractions last for about a minute
and are arriving every ten or fifteen minutes.
When you get to the maternity ward, the
first thing they will ask is how much time there is between contractions.
They will then check the cervix internally to discover whether or not a change
has occurred. If the cervix has started to open, is thinned out and has moved
into line with the birth canal, then true labor has been reached and you
can start to get prepared for the birth.