labor basics

When to Go to the Hospital

Guidelines for knowing when it's time to head to hospital or birth center during labor.

Overview

Timing your hospital arrival is important - going too early may lead to interventions, while waiting too long risks delivering en route. Use the 5-1-1 rule as general guidance for first babies.

The 5-1-1 rule: contractions 5 minutes apart, lasting 1 minute each, for 1 hour. However, call immediately if water breaks, you have bleeding, or something feels wrong.

Every pregnancy is different. Second babies often come faster. Trust your instincts and call your provider if unsure.

💡 Key Points

  • 5-1-1 rule: Contractions 5 min apart, 1 min long, for 1 hour
  • Go immediately if water breaks
  • Go if bleeding or something feels wrong
  • Active labor is usual time (6cm dilated)
  • Second babies often progress faster
  • Call provider first for guidance

📖 What to Know

  • May be sent home if in early labor
  • Laboring at home initially is often helpful
  • Use contraction timer app
  • Stay hydrated and nourished early on
  • Different providers have different guidelines
  • Consider drive time to hospital
  • Have backup transportation plan

How to Prepare

  • Know your provider's specific guidelines
  • Save hospital labor & delivery phone number
  • Practice route and parking
  • Know where to enter after hours
  • Have hospital bag packed by 36 weeks
  • Discuss timing with provider at appointments
  • Trust your instincts - call if concerned