A stomach that hardens in the middle of the night, pain that comes back in waves… For many mothers-to-be, it is sometimes difficult to know if labor has really started or if it is a simple false alarm. In a video published on Instagram on June 12, 2026, Dr. Laure Einaudi, obstetrician-gynecologist, explains how to differentiate preparation contractions from real labor contractions. Here are the signs to know to know when it’s time to go to the maternity ward.
Fake work or real work: how to tell the difference?
During the last weeks of pregnancy, the uterus gradually prepares for childbirth. This explains the appearance of so-called Braxton Hicks contractions, often called “false contractions”.
According to Dr Laure Einaudi, these contractions correspond to a real training of the uterus. They are generally irregular, unpredictable and can disappear after a change of position, a moment of rest or a hot bath.
Conversely, true labor contractions do not stop. They continue regardless of your activity level and gradually become closer together and more intense.
The 3 signs that indicate that labor has started
To recognize real labor contractions, Dr Laure Einaudi invites you to observe three essential criteria.
The first is regularity. Contractions come at regular intervals, often every 5 to 10 minutes at first, then gradually get closer together.
The second is intensity. Unlike Braxton Hicks contractions, they get stronger and stronger and require all of your attention. As the specialist explains, your breathing naturally changes to accompany them. It then becomes difficult to continue a normal conversation or activity during the contraction.
Finally, their duration is an important indicator. Health professionals often use the “5-1-1” rule: one contraction every five minutes, lasting about one minute, and for at least an hour. When these three conditions are met, work is likely underway.
When should you go to the maternity ward?
Even knowing these benchmarks, it is normal to hesitate. Each birth is unique and sensations can vary from one woman to another.
Dr Laure Einaudi recommends also listening to your feelings. If contractions persist despite rest or a warm bath, or if you no longer feel reassured at home, it is best to contact your maternity ward or go there.
Beyond the birth itself, the maternity ward is also a place where the teams can assess the situation and reassure you. If in doubt, it is better to seek medical advice rather than remaining in limbo.
Remembering the signs of real labor allows you to avoid leaving too early, but also not to wait too long before consulting. Faced with regular contractions, increasingly intense and close together, do not hesitate to seek the advice of the professionals who support you.