A decision support tool is provided for predicting uterine contractions. The predicted contractions are determined from measurements of uterine activity (UA). The contraction forecast may be made using a plurality of trained predictive models. The forecasts are formed with linear regressive models based, at least in part, on UA data from a reference population. The predicted contractions may be predictions of contraction duration, contraction peak, and time between contractions. In this way, these predicted contractions may be used for decision support for care plans during labor, such as increased monitoring and/or modifying the care plan.