What Is The 5-1-1 Rule For Contractions?

Determining when you're in labor and when it's time to head to the hospital is a challenge for any mom, especially first-timers. Labor can come on slowly or suddenly, and differently each time. Even if this isn't your first rodeo, the pattern your body followed last time (or the time before that) isn't a guarantee of what's to come. Indicators like feeling the baby drop or even cervical dilation are signs that you're nearing the end, but they don't necessarily mean labor is about to begin. Doctors know it can be tricky figuring out where you are in the process, so they recommend a simple rule of thumb to help you determine when it's the main event: the 5-1-1 rule. 

The 5-1-1 rule says that it's time to head to the hospital or birthing place when contractions have hit these three markers: they happen every five minutes, each contraction is at least one minute, and the contractions have been at or near this rate for an hour. The 5-1-1 rule is a good indication that you are past the early labor phase — when contractions are just beginning and irregular — and into active labor, when contractions have become more intense and consistent. 

Active labor is followed by the transition stage, where the body prepares to push. This stage of labor will ideally happen at your planned birthing place. That's why noticing the 5-1-1 pattern is so helpful — it's a sign the baby is really coming while also being early enough in the process so you can get where you need to be.

Most women have heard of Braxton Hicks contractions, but they can still fool even the most informed mothers-to-be. Often experienced during the third trimester (though they can come sooner), these practice contractions are real sensations but are also part of the body's preparation for labor. Yet they aren't an indication that you are going into labor. Using the 5-1-1 rule can help distinguish Braxton Hicks contractions from the real thing.

The biggest signs of Braxton Hicks contractions are their irregularity and lack of progression. Braxton Hicks do not get stronger or grow closer together, which is exactly what real contractions will do. Braxton Hicks contractions tend to be sporadic in duration and timing, and they can even stop altogether when you change positions. Plus, Braxton Hicks is most often caused by dehydration, and drinking a tall glass of water can help the false contractions subside. 

In contrast, labor pains persist no matter what you do. It is highly unlikely that Braxton Hicks contractions will meet the 5-1-1 rule, so it's a good way to evaluate what you're feeling. Still, while the rule is a helpful guideline, never hesitate to call your healthcare provider if you aren't sure whether you're in labor, or if you're wondering if you should head to the hospital. They are there to help, and guiding you on your next steps is part of ensuring a safe delivery.