How can you be 4 and a half cm dilated effaced in active labor but not feeling any severely intense contractions?

It is not possible to be 4 and a half cm dilated and effaced in active labor without feeling any severely intense contractions. Active labor is characterized by regular and intense uterine contractions that cause the cervix to dilate and efface. If you are experiencing mild or irregular contractions, you may be in early labor or prodromal labor, which is not true labor. If you are unsure whether you are in labor, it is important to consult with your healthcare provider.