Labor Instructions

When You Are In Labor

Call us if you experience:

  • 5-1-1 Contractions. Call when you are having contractions five minutes apart, lasting one minute each, for one hour.
  • Ruptured membranes with clear fluid and no labor pains, if your vaginal culture for Group B strep at 36 weeks was positive. If your membranes rupture during the day, call us. If your membranes rupture after 5:30 p.m. and your Group B strep culture was negative, you can wait for signs of labor. If you are not in active labor by 7:00 a.m., please call our office.
  • Ruptured membranes with green amniotic fluid. This may be meconium (fetal stool) which occasionally signifies fetal distress. You will be instructed to come to the hospital when fluid is this color.
  • Heavy bleeding and/or unremitting, severe pain.

How to reach us:

  • During office hours, please call us at (415) 666-1250, and choose option 2.
  • After or before office hours, please dial (415) 666-1250 and press 0. Our nurse triage service will make an assessment and give you instructions. An on call physician is available 24 hours a day and the nurses can reach us if necessary.
  • If instructed by a physician, call the CPMC hospital triage desk at (415) 600-2100.

Labor pains are typically uniform in their intensity and predictably rhythmic in their timing.

In general, when at term, there is NO need to call if:

  • You are cramping or having erratic contractions, even if some are strong.
  • You note a slight bloody discharge, pass your mucous plug or see blood-tinged mucous in the absence of regular labor pains.