Which of the following are the signs of true labour pain?

Correct option is A

Sol. True labor pain is defined by contractions that progressively increase in frequency, intensity, and duration and are not relieved by rest or medications. These contractions result in cervical effacement and dilation, indicating the start of active labor. The pain typically starts in the back and radiates to the front abdomen. Unlike false labor, true labor leads to the actual progression of childbirth and requires hospital care.
Explanation of each option:
· (a) – Correct. This option reflects the typical features of true labor—persistent, intensifying uterine contractions with cervical changes that indicate active labor has begun.
· (b) – Pain that remains unchanged in intensity and pattern is more likely a sign of false labor or early discomfort and does not indicate progression toward delivery.
· (c) – This is an incomplete description. True labor also involves increasing duration of contractions, which is missing in this option.
· (d) – These signs resemble false labor (e.g., Braxton Hicks contractions), where pain may be strong but resolves with rest and doesn't cause cervical dilation.