When Should I Call the Birth Center? A First-Time Mom’s Guide to Knowing When It’s Time

If you’re a first-time mom, it can be hard to know when it’s time to call the birth center. Every pregnancy is different, and there are other reasons to call. Some even before labor begins.

Reasons to Call the Birth Center (Even Before Labor Starts)

You don’t have to wait until contractions start to reach out. If you have questions or concerns during pregnancy, our birth center team is available to help. Reasons to call include:

• You’re feeling less baby movement than usual
• You have signs of preeclampsia, such as a headache, swelling, or vision changes
• You think labor might be starting but aren’t sure
• You need emotional support or someone to talk to
• Early connection can help you feel more confident and cared for.

Signs It’s Time to Call in Early Labor

Early labor can come with many sensations. You might notice:

• Cramping or backache
• Contractions that are irregular at first but become more steady
• A sense that your body is beginning to shift toward labor

Use the 5-1-1 rule to guide you. When contractions are coming every five minutes, lasting one minute, for at least one hour, it’s a good time to call.

You should also call if your water breaks. Note the color, smell, and amount of fluid. If you’ve tested positive for Group B Strep or have other medical instructions, let your care team know right away.

When to Call Immediately

Some signs mean you should call without waiting:

• Bleeding that is heavy, like a period
• Your baby is not moving as usual
• Sudden, severe pain or strong pressure
• A feeling that something is wrong, even if you can’t explain it
• Value your motherly instincts. If you feel something isn’t right, it’s always okay to call.

What to Expect When You Call

When you call, you’ll speak with a midwife or nurse. They’ll ask questions about your symptoms, including contraction timing, baby’s movements, and how you’re feeling overall.

You don’t need to have everything figured out before you call. The team is there to help you decide what’s next, whether that’s staying home a bit longer or coming in to be checked.

Common Fears

Many first-time moms worry about calling too soon or too often. But there is no wrong time to reach out. Some common concerns include:

• “What if I call too early?” 
  It’s okay. Checking in early is part of staying safe.
• “What if I go in and get sent home?”
  This is normal and doesn’t mean anything went wrong.
• “I don’t want to bother anyone.” You’re not. Your care team wants to hear from you.

Our birth center is here to support you through every step. If you’re ever unsure, just call.