Preterm labor?

Patient : I am 30 weeks pregnant and today at 2:30 pm I started to have severe lower back pain and irregular braxton hicks (this is my 5th child so I didnt think too much about it). It is now 11:10 and the pain has not stopped The back pain is worse, I feel the need to have a bowel movement but cannot, my legs are in a lot of pain and I have constant lower abdomen cramping with very irregular mild contractions. I am having a hard time staying still, have drank a lot of water, taken a warm bath, stayed off my feet for the most part since this started and have been laying down a lot. nothing helps.
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