Early labor vs active labor: how to tell the difference when you time contractions

Early labor vs active labor side by side: how far apart contractions are, how long they last, how strong they feel, and how timing shows when it changes.

What is the difference between early labor and active labor?

In early labor contractions are often 5 to 20 minutes apart, 30 to 45 seconds long and irregular, and you can usually talk through them. In active labor they come every 3 to 5 minutes, last 45 to 60 seconds or more and keep a steady pattern.

How long does early labor last?

It varies a lot. Early labor can last many hours, and with a first baby it can stretch over a day or more. It can also slow down or stop for a while.

How do I know when early labor turns into active labor?

Time a run of contractions and look at the last hour. When they come every 3 to 5 minutes, last close to a minute, you cannot talk through them and the pattern holds, labor is often becoming active.

When should I go to the hospital in early labor?

Follow your maternity unit. Many ask you to call at 5-1-1, and sooner if this is not your first baby, you live far away, your waters break or you are unsure.

How many centimeters is active labor?

ACOG counts active labor from about 6 centimeters, and the NHS speaks of established labor from about 4 centimeters. Only an exam can tell your centimeters.