Generally, patient should go to the hospital for labour if:
• Regular painful contractions increasing in intensity and frequency
• Spontaneous rupture of membranes (SROM)
---• If fluid looks green, go to hospital (meconium could indicate fetal stress)
---• If fluid is excessively bloody
---• If woman is GBS positive (antibiotics will be required)
---• If baby is not in vertex position
• If fluid is clear and there are no problems and no contractions, call in to labour and delivery
---• Expect onset of labour within 24 hrs in a majority of women
---• If labour does not ensue, usually the woman’s labour will be induced (in 12-24 hrs)
• Heavy bleeding (not bloody show) is indication to go to hospital
• At any point if uncertain, better to attend hospital (advise women at prenatal visits that it is common to be sent home from L&D)