In Case Of An Emergency

If you develop a medical emergency, call 911 or 330-493-0313. Immediate arrangements will be made for you to be seen. Always call our office before going to the hospital.

How Can You Recognize Labor?

  • Uterine contractions that occur every 10 minutes or more frequently (six or more in one hour). These contractions don’t have to hurt.
    • Menstrual-like cramps felt in the lower abdomen: may come and go or be constant
    • Dull, lower backache felt below the waistline: may come and go or be constant
    • Pelvic pressure that feels like the baby is pushing down. Pressure comes and goes.
  • Ruptured membrane. A small leak or gush of fluid from the vagina. Call your provider 330-493-0313 and be prepared to go directly to the hospital.
  • Mucus plug, or thick mucus discharge, usually pink-tinged.
  • Contractions are regular and become stronger, longer and closer together.
  • Contractions continue or get stronger with change of activity, such as walking.
  • Mucus plug (bloody show) often present with contractions
  • Ruptured membranes or a small leak or gush of fluid from the vagina
  • Contractions are irregular and vary in length and intensity.
  • Activity or changing positions can cause:
    • Decreased intensity of contractions
    • No change in contractions
    • Contractions to stop
  • Mucus plug (bloody show) without contractions does not mean labor has started.
  • Membranes not ruptured.

Call the doctor immediately if you have any of these signs of labor before your 37th week of pregnancy.


Whether or not you have experienced labor before, it can be hard to know where true labor has started. If you think you are in true labor, call your doctor or come to the hospital as directed. Vaginal exams can be done to measure changes in the cervix which show the progress of labor. If you are in labor, you will be admitted to the hospital. If you are not in labor, you may be sent home. Try not to be discouraged; “false alarms” are common.

From L to R


Judy Laney, CNP

Randall Starcher, MD

Jason Hoppe, DO


Megan Staub, MD

Diane Kreitzer, NP

Julianne Yang Kar, MD

Sunitha Jagadish, MD

Melissa Vassas, DO

Eldy Lazaroff, NP

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