What are the signs of labor?

Patient's question:

I am 38 weeks pregnant now, and I always have intermittent pain in my lower abdomen, similar to menstrual cramps. Occasionally, my upper abdomen also twitches in pain. At the end, I always feel my abdomen is particularly hard, but there is no bleeding. I wonder if this could be a sign of labor.
What kind of help do I need: What are the signs of labor?

Doctor's answer:

It often appears when you feel as if something is happening yet nothing seems to be happening. First, there is an increased frequency of urination and a sense of discomfort when walking. Then, you may feel intermittent hardness in the lower abdomen or some lower back pain, similar to menstrual cramps. There are several signs that indicate a pregnant woman is about to give birth:

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