Indications, symptoms, lakshan, of delivery onset can vary from woman to woman, but there are some common signs of childbirth that you should be aware of if you are pregnant. Recognizing these pregnancy delivery signs can help you prepare for the arrival of your baby and ensure that you seek medical attention if necessary.
One of the main signs of delivery is the onset of contractions. These contractions may start off mild and irregular, but as labor progresses, they become stronger, more frequent, and more painful. Another symptom to look out for is the rupture of the amniotic sac, which is commonly referred to as “water breaking.” This can occur as a sudden gush or a slow trickle of fluid.
Other indications of delivery include the passing of the mucus plug, also known as the “bloody show.” This is a thick, jelly-like discharge that may be tinged with blood. Additionally, some women may experience an urge to nest as delivery approaches. This can involve a sudden burst of energy to clean and organize the home in preparation for the baby’s arrival.
It is important to remember that every pregnancy is unique, and the signs and symptoms of delivery can vary. If you are unsure or concerned about any changes you are experiencing, it is always best to consult with your healthcare provider for advice and guidance.
Pregnancy Delivery Signs
As the onset of labor approaches, there are several signs and indications that a woman may experience, indicating that childbirth and delivery are imminent. These signs, also known as lakshan in pregnancy, vary from woman to woman, but are important to be aware of as they can help determine when it is time to seek medical attention or go to the hospital.
Some common signs of impending delivery include:
1. Braxton Hicks contractions: These are mild, irregular contractions that can occur throughout pregnancy, but may become more frequent and intense as the due date approaches.
2. Lightening: This is when the baby drops lower into the pelvis, relieving some pressure on the diaphragm and making it easier to breathe.
3. Cervical changes: The cervix may start to dilate and efface (thin out) in preparation for labor.
4. Bloody show: This is the passage of a small amount of blood-tinged mucus or discharge, indicating that the cervix is beginning to open.
5. Rupture of membranes: The amniotic sac may rupture, resulting in a gush or trickle of fluid from the vagina.
6. Back pain: Some women experience lower back pain as the baby’s head puts pressure on the nerves in the lower spine.
7. Increased pelvic pressure: As the baby descends into the pelvis, there may be increased pressure and a feeling of heaviness in the pelvic area.
8. Nesting instinct: Some women experience a sudden burst of energy and an overwhelming need to clean and prepare the home for the arrival of the baby.
If you are experiencing any of these signs or symptoms of impending delivery, it is important to reach out to your healthcare provider for guidance and further evaluation. They will be able to provide the necessary support and care during this crucial time.
Common Early Signs and Symptoms of Childbirth
Childbirth is the process of delivering a baby at the end of pregnancy. There are several signs and symptoms that indicate the onset of labor, also known as delivery. These indicators, commonly referred to as “early signs of childbirth,” can help expectant mothers and their healthcare providers prepare for the upcoming labor and delivery.
Here are some common early signs and symptoms of childbirth:
- Strong and regular contractions: One of the most prominent indications of labor is the onset of strong and regular contractions. These contractions cause the uterus to tighten and relax, helping to push the baby through the birth canal.
- Lower back pain: Many women experience lower back pain or discomfort as a sign of impending childbirth. This pain can range from mild to severe and may come and go in intervals.
- Water breaking: Another key indicator of labor is the breaking of the amniotic sac, which holds the baby and the amniotic fluid. When the water breaks, it may be a sudden gush or a slow leak, and it’s important to seek medical attention.
- Bloody show: The release of a small amount of blood-tinged mucus, known as a bloody show, is another typical sign of labor. This can happen shortly before or during the early stages of labor.
- Increased vaginal discharge: As labor approaches, pregnant women may notice an increase in vaginal discharge. This discharge is usually thicker and pinkish or brownish in color.
- Nesting instinct: Many women experience a sudden burst of energy and an intense urge to clean and organize their surroundings in the days leading up to labor. This nesting instinct is believed to be a subconscious preparation for the arrival of the baby.
It’s important to note that every woman’s experience of labor and childbirth is unique, and not all signs and symptoms may be present or occur in the same order. If you have any concerns or questions about the signs of labor, it’s best to consult with your healthcare provider for personalized guidance and support.
Please remember that this article is for informational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for specific concerns and questions regarding pregnancy and childbirth.
Physical Changes Indicating Labor Onset
As pregnancy progresses, there are several signs and symptoms that indicate the onset of labor. These physical changes, also known as lakshan or indications of delivery, may vary from woman to woman but are considered common among expectant mothers.
1. Lightening: This refers to the downward movement of the baby into the pelvis. As the baby drops, the pressure on the woman’s diaphragm decreases, making it easier to breathe. This is often one of the first signs of labor.
2. Braxton Hicks contractions: These are irregular contractions that can occur throughout pregnancy. However, as labor approaches, these contractions become more frequent and intense. They are often described as tightness or squeezing sensation in the abdomen.
3. Cervical changes: As labor nears, the cervix begins to soften and thin out, a process known as effacement. The cervix also starts dilating, allowing the baby to pass through the birth canal. These changes can be checked by a healthcare provider during a vaginal examination.
4. Increased vaginal discharge: In the days leading up to labor, the body may produce more mucus, leading to an increase in vaginal discharge. This discharge is usually thick and sticky, and may be tinged with blood (mucus plug).
5. Water breaking: This refers to the rupture of the amniotic sac, releasing the amniotic fluid. It can happen as a sudden gush or a slow trickle. If the water breaks, it is important to contact a healthcare provider as labor usually follows within hours.
6. Backache: Many women experience lower back pain or discomfort as labor approaches. This is due to the pressure exerted by the baby’s head on the lower back and pelvic area.
It is important to note that these physical changes are not definitive signs of immediate labor onset, but rather indications that labor is approaching. If you are experiencing any of these symptoms, it is best to consult with a healthcare provider to confirm the progression of labor and ensure a safe delivery.
Recognizing Prelabor Symptoms
During pregnancy, the body goes through various changes to prepare for the delivery of the baby. As the due date approaches, there are several signs and symptoms that can indicate the onset of labor and childbirth. These preliminary indications of labor are known as prelabor symptoms.
Common Prelabor Symptoms:
1. Braxton Hicks Contractions: These are irregular contractions that can occur throughout pregnancy, but they may become more frequent and intense as labor approaches. Unlike true labor contractions, they usually don’t cause much discomfort or progress in intensity or frequency.
2. Cervical Changes: As labor approaches, the cervix starts to soften, thin out (efface), and open (dilate). These changes may be accompanied by a vaginal discharge, which is known as the mucus plug.
Other Possible Prelabor Symptoms:
1. Lightening: The baby may “drop” lower into the pelvis, relieving some pressure on the diaphragm and causing a change in the mother’s appearance as the belly appears lower.
2. Increased Energy: Some women experience a burst of energy shortly before labor begins.
3. Nesting Instinct: A sudden urge to clean and organize the house can be a sign that labor is approaching.
4. Diarrhea: Hormonal changes and the body’s natural preparation for childbirth can cause loose stools.
5. Backache: Some women experience lower backache as a warning sign of impending labor.
6. Cramps: Mild abdominal cramps or a feeling of heaviness in the lower abdomen may occur as the body prepares for labor.
If you experience any of these prelabor symptoms, it’s important to notify your healthcare provider. They can help determine if labor has started or if further monitoring is necessary. Keep in mind that every pregnancy is different, and not all women experience the same symptoms or go into labor in the same way.
Early Signs of Pregnancy Delivery
As a woman approaches the end of her pregnancy, her body starts preparing for the onset of labor and childbirth. There are several early signs and symptoms that indicate the delivery of the baby is near.
One of the most common early signs of pregnancy delivery is the onset of labor contractions. These contractions are different from the Braxton Hicks contractions that occur throughout pregnancy. Labor contractions are regular, frequent, and become stronger over time. This is the body’s way of preparing for childbirth.
Another early sign of pregnancy delivery is the “lightening” or dropping of the baby’s position in the pelvis. This can relieve pressure on the diaphragm and make breathing easier for the mother. It can also result in increased pressure on the bladder, leading to more frequent urination.
Some women may experience a “bloody show” as an early sign of pregnancy delivery. This is when the mucus plug that seals the cervix during pregnancy is expelled. It can be a pink, brown, or red-tinged discharge and is a natural part of the labor process.
Other early signs of pregnancy delivery can include water breaking, which is the rupture of the amniotic sac, and an increase in back pain or pressure in the lower back and pelvic area. Some women may also experience diarrhea or nausea as their body prepares for childbirth.
If you are experiencing any of these early signs and symptoms of pregnancy delivery, it is important to contact your healthcare provider for guidance and to ensure a safe and smooth delivery for you and your baby.
Signs and Symptoms of Labor Progression
As an expectant mother approaches the end of her pregnancy, she may start to experience signs and symptoms that indicate the onset of labor and progression towards delivery. These indications can vary from woman to woman, but there are some common signs to look out for.
1. Contractions:
One of the most obvious signs of labor is regular and rhythmic contractions. These contractions may start off as mild and irregular, but they will become stronger, longer, and more frequent as labor progresses. Timing the contractions can help determine if it’s time to go to the hospital.
2. Water Breaking:
Another indication that labor is underway is the breaking of the amniotic sac, commonly known as “water breaking.” This can happen as a sudden gush or a slow trickle of fluid. If the water appears green or brown, it may indicate meconium staining, which requires immediate medical attention.
3. Bloody Show:
The presence of a small amount of blood or a pinkish discharge, often called a “bloody show,” can be a sign that the cervix is dilating and labor is progressing. It is caused by the disruption of small blood vessels in the cervix as it prepares for childbirth.
4. Back Pain and Pelvic Pressure:
During labor, many women experience intense back pain, often accompanied by pelvic pressure. These sensations occur as the baby moves down the birth canal and put pressure on the lower back and pelvis. Changing positions and using pain relief techniques can help alleviate discomfort.
5. Gastrointestinal Changes:
The hormonal changes associated with labor can cause various gastrointestinal symptoms like nausea, diarrhea, and vomiting. These symptoms are a result of the body’s natural response to the physical stress of childbirth.
It is important for expectant mothers to pay attention to these signs and symptoms and consult with their healthcare provider for guidance. Each labor experience is unique, and being aware of the indications can help ensure a safe and smooth delivery.
Physical Indicators of Impending Birth
As the pregnancy nears its end, there are various physical indicators that may signal the onset of labor and childbirth. These signs and symptoms can serve as a helpful guide for pregnant women and their healthcare providers to determine if labor is imminent.
1. Braxton Hicks Contractions:
One of the early signs of impending birth are Braxton Hicks contractions. These are mild, irregular contractions that can be felt as a tightening sensation in the abdomen. Unlike true labor contractions, Braxton Hicks contractions are often painless and do not get stronger or closer together over time.
2. Changes in the Cervix:
Another physical indicator of impending birth is changes in the cervix. As labor approaches, the cervix may start to soften, thin out (efface), and dilate. Healthcare providers often check the cervix during prenatal visits to monitor these changes. When the cervix is fully dilated, it is a sign that the woman is ready to begin pushing and deliver the baby.
3. Water Breaking:
When the amniotic sac ruptures and the fluid surrounding the baby breaks, it is known as the water breaking. This can happen as a sudden gush or a slow trickle of fluid. If the water has a greenish or brownish tint, it could indicate a potential problem, and medical attention should be sought immediately.
4. Bloody Show:
During late pregnancy, the cervical mucus may become tinged with blood, known as a bloody show. This is a common sign that the cervix is starting to change and is often a precursor to labor.
5. Nesting Instinct:
Some women may experience a sudden burst of energy and an intense desire to clean and organize their living space before labor begins. This is often referred to as the nesting instinct and can be considered a psychological indicator that birth is imminent.
6. Backache and Pelvic Pressure:
As the baby descends into the pelvis, pregnant women may experience increased backache and pelvic pressure. This can be a sign that the baby is getting into the optimal position for delivery.
| Signs and Symptoms | Description |
|---|---|
| Braxton Hicks contractions | Mild, irregular contractions that can be felt as a tightening sensation in the abdomen. |
| Changes in the cervix | Softening, thinning out (effacement), and dilation of the cervix. |
| Water breaking | Rupture of the amniotic sac, resulting in a gushing or trickling of fluid. |
| Bloody show | Tinged cervical mucus with small amounts of blood, indicating cervical changes. |
| Nesting instinct | A sudden burst of energy and desire to clean and organize the living space. |
| Backache and pelvic pressure | Increased discomfort in the back and pelvis as the baby descends into the pelvis. |
Early Signs of Active Labor
As pregnancy progresses, there are certain signs and indications that indicate the onset of labor. These signs are commonly known as symptoms of active labor or “lakshan”. Recognizing these signs can help expectant mothers prepare for childbirth and ensure a smooth transition to labor.
1. Regular and Strong Contractions
One of the primary signs of active labor is the presence of regular and strong contractions. These contractions often start in the lower back and radiate towards the abdomen. They occur at regular intervals and increase in intensity over time. Timing the contractions can help determine if labor has begun.
2. Progressive Dilation and Effacement
Dilation and effacement of the cervix are essential processes in labor. As the body prepares for childbirth, the cervix starts to dilate and thin out (efface). During active labor, there is significant dilation and effacement occurring, allowing the baby to descend through the birth canal.
3. Water Breaking
Another sign of active labor is the water breaking. This refers to the rupture of the amniotic sac, which contains the baby and the amniotic fluid. Once the water breaks, it is a clear indication that labor is progressing, and the expectant mother should prepare to go to the hospital or birthing center.
4. Increased Pressure and Pelvic Discomfort
During active labor, there may be an increase in pressure and pelvic discomfort. The baby’s head descends further into the pelvis, causing increased pressure in the lower abdomen and pelvic region. This can result in a sensation of heaviness or pressure, as well as discomfort or pain.
It is important for expectant mothers to be aware of these early signs of active labor. Recognizing these symptoms can help them determine when to seek medical attention and ensure a safe and smooth delivery of their child.
Signs That You’re Going into Labor
As the delivery of your baby draws closer, there are several symptoms and indications that may suggest the onset of labor. These signs are commonly referred to as labor signs or symptoms of labor.
One of the first signs of labor is the onset of contractions. Contractions are the tightening and relaxing of the uterus muscles. They can be mild at first and gradually become stronger and more frequent. Contractions are often described as a cramping or tightening sensation in your lower abdomen or back.
Another sign that labor is approaching is the loss of your mucus plug. The mucus plug is a thick, jelly-like substance that seals the cervix during pregnancy. As your body prepares for labor, the mucus plug may be expelled, indicating that your cervix is starting to dilate and soften.
You may also experience other physical changes as you approach delivery. Your water may break, which is the rupture of the amniotic sac, releasing the fluid that surrounds and protects your baby. This can happen as a sudden gush or a slow leak.
Additionally, you may notice increased pressure and pelvic discomfort as your baby moves lower into your pelvis. This is known as “lightening” and can be a sign that labor is near.
It’s important to remember that every pregnancy and labor is different, and not all women will experience the same signs. If you’re unsure or have any concerns, it’s always best to consult with your healthcare provider.
In summary, some common signs that you’re going into labor include:
- Contractions
- Loss of mucus plug
- Water breaking
- Increased pelvic pressure
If you’re experiencing these signs, it may be a good idea to start preparing for the delivery of your baby!
Physical Symptoms Leading to Childbirth
As a pregnancy progresses, the body undergoes various changes in preparation for delivery. These changes are often accompanied by physical symptoms that indicate the onset of labor. Recognizing these symptoms can help expectant mothers and their healthcare providers identify when delivery is approaching.
Some common physical symptoms that may indicate childbirth is near include:
- Regular contractions: Contractions become more intense, frequent, and regular, signaling the beginning of labor.
- Water breaking: The amniotic sac ruptures, resulting in the release of amniotic fluid.
- Bloody show: The discharge of mucus mixed with a small amount of blood, indicating the start of cervical changes.
- Lower back pain: A dull ache or intense pain in the lower back that can radiate to the abdomen.
- Pelvic pressure: A feeling of increased pressure in the pelvic area as the baby descends into the birth canal.
- Increase in vaginal discharge: A surge in vaginal discharge as the body prepares for delivery.
- Nesting instinct: An overwhelming urge to clean, organize, and prepare the home for the baby’s arrival.
These physical symptoms, also known as “lakshan” or indications in some cultures, should be monitored closely as they may signal that labor is imminent. It is important for expectant mothers to discuss any symptoms they experience with their healthcare provider to ensure a smooth and safe delivery.
Identifying Signs of Approaching Labor
The onset of labor is a significant milestone in pregnancy, signaling that childbirth is imminent. As the body prepares for delivery, there are several indications and symptoms that can help pregnant women identify the signs of approaching labor.
One of the most common signs is the rhythmic tightening and relaxing of the uterus, known as contractions. These contractions gradually become more intense and regular, often accompanied by lower back pain or cramping. Additionally, women may experience a bloody or brown-colored discharge, known as the “bloody show,” which indicates that the cervix is dilating and preparing for labor.
Another sign to look out for is the rupture of the amniotic sac, commonly referred to as the water breaking. This can occur as a sudden gush or a more gradual leakage of clear, pink, or greenish fluid. Once the water breaks, labor typically begins within the next 24 hours.
As labor approaches, pregnant women may also notice an increase in pelvic pressure, as the baby moves lower into the birth canal. This can cause a feeling of heaviness and the need to urinate more frequently.
Other signs of approaching labor include the thinning and dilation of the cervix, often detected during a pelvic examination by a healthcare provider. Additionally, some women may experience an increase in energy or a sudden burst of nesting instincts, where they have an intense urge to prepare their home for the arrival of the baby.
While these signs and symptoms can indicate that labor is approaching, it’s essential for pregnant women to consult their healthcare provider for a proper evaluation. The healthcare provider can confirm the onset of labor and provide guidance on next steps to ensure a safe and healthy delivery.
Premonitory Symptoms of Pregnancy Delivery
Labor is a natural and physiological process that signifies the onset of delivery. It is characterized by a series of indications and symptoms, often referred to as premonitory symptoms, which indicate that the pregnancy is coming to an end and the delivery is imminent.
Signs of Delivery Onset
There are several signs that indicate the onset of delivery. Some of the common signs include:
- Contractions: The most prominent and identifiable sign of labor is the presence of regular and rhythmic contractions. These contractions cause the cervix to dilate and efface, preparing the body for the delivery.
- Water Breaking: Another common sign is the breaking of the amniotic sac, often referred to as “water breaking”. This may result in a gush or a slow trickle of fluid from the vagina.
- Bloody Show: A small amount of blood, mucus, or discharge from the vagina is known as the “bloody show”. This is an indication that the cervix is dilating and the body is preparing for delivery.
- Backache and Pelvic Pressure: Many women may experience backache and pelvic pressure as the baby descends into the birth canal, readying for delivery.
- Increased Vaginal Discharge: An increase in vaginal discharge, often clear or slightly pinkish in color, is common as the body prepares for labor and delivery.
Indications of Labor
There are certain indications that suggest labor is imminent. These indications may include:
- Nesting Instinct: Many women experience a sudden surge of energy, often referred to as the “nesting instinct”, where they feel the need to clean, organize, and prepare for the arrival of the baby.
- Loss of Mucus Plug: The mucus plug, which seals the cervix during pregnancy to prevent infections, may be expelled before or during labor. This is often accompanied by increased vaginal discharge.
- Dilation and Effacement: During a pelvic exam, healthcare providers can determine the dilation and effacement of the cervix, which indicates the progress of labor.
It’s important to remember that not all women will experience the same premonitory symptoms, and these symptoms may vary in intensity and timing. It’s advisable to consult with a healthcare provider to confirm the onset of labor and ensure a safe delivery for both the mother and the baby.
Early Indications of Labor
As pregnancy progresses, the onset of childbirth becomes an imminent reality. It is important for expectant mothers to be aware of the early indications and signs that labor is approaching. Recognizing these symptoms can help them prepare for the delivery and seek medical assistance if necessary.
1. Lightening
One of the first indications of labor is lightening, which occurs a few weeks before delivery. Lightening refers to the movement of the baby’s head down into the pelvis. This change in position can result in the mother experiencing reduced pressure on the diaphragm and an increased need to urinate more frequently.
2. Braxton Hicks Contractions
Braxton Hicks contractions are another common sign of impending labor. These contractions are generally milder than true labor contractions and may be irregular. They can range from a tightening or hardening of the abdomen to mild discomfort. These contractions help prepare the uterus for the upcoming delivery.
It is important to note that every pregnancy and labor experience is unique, and not all women will experience the same indications or symptoms. If there are any concerns or uncertainties about the signs of labor, it is always best to consult with a healthcare provider for guidance and advice.
Physical Changes Before Giving Birth
As the delivery date approaches, a pregnant woman may experience various physical changes that indicate the onset of labor. These signs and symptoms can serve as indications that the pregnancy is progressing towards the delivery stage.
Lakshan 1: Changes in the Cervix
One of the primary physical changes that occur before giving birth is the thinning and dilatation of the cervix. This process is known as effacement and dilation, where the cervix prepares itself for the baby’s passage through the birth canal. A healthcare provider can check the progress of these changes through a pelvic examination.
Lakshan 2: Increased Braxton Hicks Contractions
Braxton Hicks contractions are mild tightenings of the uterus that can occur throughout pregnancy. However, as labor approaches, these contractions may become more frequent and intense. This increased intensity can be a sign that the body is preparing for childbirth.
Lakshan 3: Changes in Energy Levels
Pregnant women may experience a fluctuation in their energy levels as the delivery date approaches. Some women may feel a surge of energy, commonly referred to as the “nesting instinct,” where they have an urge to clean and prepare for the baby’s arrival. On the other hand, some women may feel more fatigued and have a decreased level of energy.
Lakshan 4: Backache and Pelvic Pressure
As the baby moves downward into the pelvis, a pregnant woman may experience increased pressure on the lower back and pelvis. This can lead to backaches and a feeling of heaviness or pressure in the pelvic region. These physical changes can indicate that the baby is descending into the birth canal.
It is important to note that the presence of these physical changes does not necessarily mean that labor will start immediately. Every pregnancy is different, and the timing of labor can vary. However, recognizing these signs and symptoms can help a pregnant woman and her healthcare team prepare for the upcoming delivery.
Recognizing the Signs of Labor Beginning
As the due date approaches, it is important for pregnant women to be aware of the signs that indicate the onset of labor. Identifying these indications can help women and their partners prepare for the childbirth process.
Physical Signs:
There are several physical signs that may suggest labor is beginning. These include:
– Strong and regular contractions: Contractions become more intense, frequent, and regular as labor progresses. Time the contractions and note their duration to determine if they are consistent.
– Increase in vaginal discharge: An increase in vaginal discharge, often referred to as the “bloody show,” can be a sign that labor is approaching.
– Rupture of the amniotic sac: A gush or continuous leakage of fluid from the vagina may indicate that the amniotic sac has ruptured, also known as the “water breaking.”
Emotional Signs:
Emotional signs can also indicate the onset of labor. These include:
– Restlessness and irritability: Many women experience restlessness and irritability as their bodies prepare for childbirth.
– Nesting instinct: Some women may feel the urge to clean, organize, and prepare their home or environment for the arrival of the baby.
– Increased anxiety or excitement: A heightened sense of anticipation or nervousness can be a sign that labor is approaching.
It is important to remember that every pregnancy and labor experience is unique, and not all women will experience the same symptoms or signs of labor beginning. If you have any concerns or questions, it is best to consult with a healthcare professional.
Physical and Behavioral Symptoms of Pregnancy Delivery
Labor signs and symptoms:
As you approach the end of your pregnancy, your body starts to prepare for delivery. There are several physical and behavioral signs that indicate the onset of labor:
1. Contractions: Regular and increasingly intense contractions are the most common sign of labor. These contractions are felt in the lower abdomen and may radiate to the back.
2. Water breaking: The rupture of the amniotic sac, commonly known as the water breaking, is another indication that labor is beginning.
3. Cervical dilation: The cervix gradually opens up as labor progresses. Your healthcare provider will monitor your cervical dilation to determine the progress of labor.
4. Bloody show: Passage of a small amount of blood or mucus from the vagina, often pink or brown in color, is known as a bloody show. This indicates that the cervix is dilating and labor is imminent.
Behavioral signs and symptoms:
In addition to physical symptoms, there are several behavioral signs that may indicate that you are in labor:
1. Nesting instinct: Many women experience a sudden burst of energy and an urge to clean or organize their surroundings before going into labor.
2. Restlessness: Feeling unable to sit still and having a strong urge to move around can be a sign that labor is approaching.
3. Intense focus: Some women may become unusually quiet and focused as they mentally prepare for the challenges of childbirth.
4. Emotional changes: Mood swings and increased emotional sensitivity are common as hormones fluctuate during labor.
It’s important to remember that not all women experience these symptoms in the same way. If you are unsure whether you are in labor, contact your healthcare provider for guidance.