When the first contractions appear, it's easy to immediately think: “This is it! We need to go to hospital.” But the start of labour can be gradual and, when there is no indication for immediate hospital assessment, the first hours can be spent in the environment where she feels most comfortable and safe.
Most of the time, the place where a woman feels safest and most comfortable is at home.
Start by observing and asking her how she feels and what she needs at that moment. She might want to take a warm bath, walk, change positions, rest, or simply carry on with what she was doing. Help her drink some water and eat something if she feels like it and there are no indications to the contrary. Check that everything is ready to leave when the time comes, and then try not to turn the waiting into a constant countdown.
Do you remember the birth rehearsal?
This could be the moment to bring back some of the things you prepared together: dimming the lights, putting on some music, preparing a bath, giving a massage, breathing with her, or simply helping her find a place where she feels comfortable. You don't need to try everything. Observe what is working and follow her lead.
Remember to remind her of the positive feelings you practised for this moment: confidence, calm, curiosity, and happiness for the signs her body is giving you both that it is gradually preparing for birth.
You can also help track how labour is progressing: whether the contractions are becoming progressively more regular, closer together, and intense, how she is coping with them, and if any other signs appear. And, if you have doubts about when to seek an assessment, or if you don't feel safe at home, contact the designated team/service to receive the appropriate guidance for your situation.