How long after seeing red do contractions start?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? How long after bleeding do contractions start?

Doctor's answer:

A first-time mother usually needs about 12 hours to give birth after experiencing bloody show, whereas for non-first-time mothers, the delivery typically takes only a few hours. However, if there is no abdominal pain or significant contractions after bloody show, and the process takes longer, it may take around 2-3 days, as the local hospital mentioned. This could be due to fetal movement. Normal distinct fetal movements should be at least 3-5 times within an hour, and 30-40 or more distinct movements within 12 hours. Due to the wide individual differences among fetuses, some may move around 100 times in 12 hours. As long as the fetal movements are regular, rhythmic, and show little variation, it indicates that the fetus is developing normally.

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