What is “Precipitous Labor”?

Fast labors: what to know about precipitous labor and birth.

You may or may not have heard the terms “precipitous labor” or “precipitous birth,” but you’ve probably heard stories about people giving birth so quickly their babies are born in the car or unexpectedly at home. When labor and birth are precipitous, they happen in an unusually short amount of time. Precipitous labor is defined as birth occurring less than three hours after the onset of regular, progressing contractions. Have questions? Let’s give you some answers to the most common questions about this phenomenon.

How common is precipitous labor?

Studies estimate that between 1-3% of labors are precipitous in the United States.

What are risk factors for precipitous birth?

Populations experiencing the following have higher rates of precipitous labor and birth:

  • Anatomical predisposition (e.g., soft tissues, wide pelvis)

  • Hypertensive disorders

  • Teen birth Preterm birth

  • Babies born under 5.5 lbs

  • Placental abruption

  • Prior birth

  • Previous precipitous labor

And in our anecdotal experience, precipitous labor can run in families. So if you were born precipitously or have a sibling who’s given birth quickly, this could be an indication that you’re predisposed to precipitous labor, too. Use this knowledge to help you prepare, both logistically and emotionally.

How do I prepare for a precipitous labor?

Giving birth quickly might sound delightfully efficient, but precipitous labor can be extremely overwhelming for some. Additionally, unexpectedly fast labor can lead to giving birth in a place you didn’t plan on. Here are some ways to be prepared for anything:

  • Know your risk factors.

  • If you’ve had a previously fast labor, know that subsequent babies can come even more quickly.

  • If you feel like things are moving swiftly, contact your care team.

  • Pack a hospital bag ahead of time (whether birthing in a hospital or at home).

  • Plan your route and transportation to the hospital ahead of time.

  • Have a solid plan in place for childcare if you have older children.

What do I do if I realize my baby is coming quickly?

Sometimes precipitous labor isn’t apparent until the urge to push arises, and suddenly birth feels imminent. Should this happen, the best course of action is to:

  • Stay put! Do not get in a car.

  • Call 911. The emergency dispatcher will offer guidance while medical services are on their way.

Whether your labor is short or long, we wish you a smooth, sweet, and well-supported experience.

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