Having worries about labour and giving birth is natural, especially as a first-time mum where everything relating to pregnancy is unknown. Taking steps to prepare in advance will help you stay calm before and during the process. Use this guide to get an idea of what you can do in the run-up to labour starting to feel in control on the day.
Know the signs
While there are often clear signals, going into labour can be subtle. Learn the signs that it’s time to head to the hospital so you can ensure you’re in place in plenty of time before the birth. Signs that labour has begun include contractions, breaking waters and ‘the show’ – the release of the mucus that once sealed your cervix. Less obvious indicators are back pain and needing the toilet.

Create a birth plan
Practical provisions such as choosing your birth location and attending birth classes are essential for all, but first-time mums in particular can benefit from mental preparation too. Consider speaking to your midwife to create a birth plan that covers your options during labour including their risks and benefits and emphasises your priorities and feelings around the birth.
Relaxation techniques such as breathwork can help to reduce any anxiety you have about giving birth in the run-up to your labour. You should also reach out to other mums and chat about their experiences: hearing positive stories of giving birth can be immensely reassuring.
Prepare to be flexible
While most births go as planned, the process is impossible to predict. You should be ready for curve balls such as early inducement or a caesarean section which are sometimes recommended for the safety of you and your baby.
Your healthcare professionals will be on the watch, but you’ll find peace of mind knowing the warning signs so you can raise concerns immediately. Common signs of foetal distress include decreased movement, abnormal heart rates and cramps, while a sense of constipation can indicate that birth is imminent.
Sadly there are medical negligence claims for compensation against the NHS and private providers each year, so you should be vigilant in ensuring you receive quality care. You have the right to request advice or demand checks for anything you’re concerned about in the run-up to and during the birthing process and can overrule healthcare professionals. Speaking to your birthing partner before your labour begins will help ensure they can support you effectively.
Pack a hospital bag
Ensure you’re ready to go at a moment’s notice and pack a hospital bag at least two weeks before your due date. Keep it by the front door so it can be easily picked up by your birthing partner and/or whoever is taking you to the hospital.
Your midwife will be able to advise you, but this is a starting point for what you’ll need during labour and after the birth:
- Maternity notes and birth plan
- Comfy clothes such as a nighty and dressing gown
- Nursing bras (if planning to breastfeed)
- Slippers
- Large sanitary pads and towels
- Relaxation tools like books or music
- Healthy snacks and drinks
- Your phone and charger
- A pillow

