Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and support babies.
When you’re in those final weeks of pregnancy, the excitement (and discomfort!) often starts to build. You’re ready to meet your baby. You’ve washed the onesies, packed your hospital bag, and you’re getting those texts every day—“Any baby yet?”
It’s tempting to start hoping for any sign that labor is beginning. But here’s something I remind all my clients and students:
Your body knows what to do. And labor? It’s a process that unfolds in its own time.
Why We Want Labor to Start on Its Own
The #1 Healthy Birth Practice (based on evidence-based care guidelines) is:
Let labor begin on its own, unless there’s a medical reason to do otherwise.
That’s because spontaneous labor is often a sign that:
- Your baby is ready
- Your cervix is favorable
- Your body is primed for the work ahead
When labor begins on its own, it usually means everything is lining up—hormones, positioning, timing—for a smoother experience.
The Truth About Labor: It Can Take a While
Many first-time mothers are surprised that labor doesn’t usually start with dramatic movie-style contractions and a quick trip to the hospital. More often, it begins with:
- Subtle signs like cramping or backache
- Mild, irregular contractions that come and go
- A slow progression over hours—or even days
This is all normal. Early labor is often a slow dance, not a sprint. And during this time, it’s okay to rest, eat, hydrate, take a walk, distract yourself, or sleep if you can.
Feeling “So Ready” Doesn’t Mean It’s Time
Emotionally, you may feel more than ready. Your body may feel done. And trust me, I get it. But unless there’s a clear reason (like high blood pressure, concerns for the baby, or medical complications), trying to force labor to begin before it’s ready—through induction or interventions—can sometimes lead to a longer, harder labor or a cascade of interventions.
Patience here is a practice. You are doing something powerful just by waiting.
When Induction Is the Right Choice
There are absolutely times when an induction is the safest option for you or your baby. That decision should be made in conversation with your provider, looking at your unique situation—not just the calendar or convenience.
You deserve to understand the why behind an induction, and you always have a voice in the timing and approach.
A Gentle Reminder
So if you’re close to your due date, feeling anxious, uncomfortable, or “done”… take a deep breath. Your baby is getting ready. Your body is doing the work behind the scenes—softening, aligning, shifting into gear.
Labor will begin. And when it does, you’ll be that much more ready—physically and emotionally—for the incredible journey ahead.

Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and support babies.