If your baby hasn't arrived yet, welcome to the most mentally challenging part of pregnancy for many people. The discomfort is at its peak, the anticipation is overwhelming, and everyone you know has an opinion about when and how you should give birth.
Your cervix may be dilating and effacing, or it may not be showing much change yet — both are normal. Some people walk around at 3-4 cm dilated for weeks; others go from closed to complete dilation in a matter of hours. Cervical checks are not predictive, so try not to attach too much meaning to the numbers.
Signs of labor to watch for haven't changed: regular, progressive contractions; water breaking; heavy bloody show; persistent lower back pain in waves. If any of these happen, review our guide on when to head to the hospital. If nothing is happening, that's okay too.
The stages of labor are worth one final review. Early labor (cervix dilating to 6 cm) can be long and manageable at home. Active labor (6-10 cm) is when things intensify and you'll want to be at your birthing facility. Transition (8-10 cm) is the most intense but shortest phase. Then comes pushing and delivery.
If your provider begins discussing induction, understand that this is a routine conversation at 40 weeks. Induction doesn't mean something is wrong — it's a proactive approach to ensure the best outcome for you and your baby. Ask questions, understand the process, and make the decision that feels right for you.
Physically, you may feel like you can't possibly get any bigger or more uncomfortable. Your pelvis may ache, your back may hurt, and sleep may feel impossible. If you need a confidence boost, revisiting our guide on how to prepare for labor can remind you that you've done the work. These final days are genuinely hard. Give yourself grace and know that this will end — and what comes next is worth every uncomfortable moment.