Preparing for Labor and Childbirth

How can you prepare for labour and childbirth?

05/08/2026

Know the Signs of Labor

True labor contractions come at regular intervals and get closer together, stronger, and longer over time. Unlike Braxton Hicks (practice contractions), real labor contractions do not ease when you rest or change position. You may also notice a blood-tinged discharge called a "show," or your waters may break — a gush or slow leak of clear fluid from your vagina.

When any of these signs appear, go directly to your nearest health facility or hospital immediately. Do not wait to see if it passes on its own. Your Community Health Worker (Umujyanama w'ubuzima) can support routine care between visits, but labour and delivery emergencies require a doctor or nurse at a health facility.

When to Go to the Health Facility

Rwanda Ministry of Health recommends giving birth at a health facility with a trained provider present. Do not wait until contractions are very close together before traveling — plan your journey in advance, especially if your facility is far from home.

Go immediately — without waiting — if your waters break, if you have heavy bleeding, if your baby stops moving normally, or if you feel severe pain. Call for transport and go directly to hospital. Rwanda has 24-hour emergency obstetric services at district hospitals across the country.

What to Bring with You

Prepare your delivery bag at least a month before your due date. Bring your antenatal care card (which records all your pregnancy check-ups), clean clothing for you and your baby, any medications you have been prescribed, and enough food and water for a short stay.

Your CHW can help you make a checklist tailored to your nearest health facility. Having everything ready in advance removes stress on the day.

Plan Your Support

Talk to a trusted person — your partner, mother, sister, or neighbour — who can accompany you to the health facility and support you during and after birth. If you have older children at home, arrange their care in advance.

Let your CHW know your expected due date early so they can be available to provide support. Your Community Health Worker can help connect you with community resources for transport and care.

After Delivery: The First Hours

The first hour after birth is critical. Skin-to-skin contact immediately after delivery helps regulate your baby's temperature, reduces crying, and supports early breastfeeding. Try to put your baby to the breast within the first hour.

The health provider will check for any complications and ensure the placenta has been safely delivered. Follow all postnatal care instructions before leaving the facility, and confirm the date of your first postnatal check-up.