Is fatigue a sign of labor?

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As pregnancy advances, the plasma volume increases and subsequently the iron supplements reduces. This reduction in hemoglobin cause weakness, and in advanced pregnancy stage due to big stomach, there will be backpain and weakness. But it is necessary to differentiate labor pain and backpain. Backpain in association with urinary tract infection, vaginal or pelvic infection, cervical incompetence, and previous history of preterm birth can trigger labor pain. Getting treatment for the health issues will avoid triggering effects. Fatigue is not necessarily a sign if labour. Pain in the abdomen from back to down in an episodic manner along with leakage or water discharge, unable to stand or walk due to pain, all these can be signs of labour. Pale face, cyanosed blue nails, headache, vertigo without any sickness is not normal. Balanced diet, iron and calcium supplements, and daily walk can avoid fatigue. Warm water baths, olive oil massage, and recreational activities can avoid symptoms.