Signs that labor is starting may include regular contractions that become more frequent and intense, a "bloody show" (mucus tinged with blood), and the rupture of the amniotic sac (also known as "water breaking"). Women should contact their healthcare provider, such as Dr. Arati Kotpal at Kotpal Hospital, when they suspect labor is starting. Depending on the stage of labor and the woman's individual circumstances, the healthcare provider may advise her to stay home, come to the hospital, or go to a birthing center.