Identify Braxton Hicks Contractions

Braxton Hicks contractions are tightenings of the abdomen that can easily be mistaken for labor pains. They are caused by your uterus tightening and relaxing in preparation for eventual labor, but they are not a sign that labor has begun. Braxton Hicks begin as early as the second trimester, but are more common in the third trimester. Every pregnant person has Braxton Hicks, but not everybody feels them. Braxton Hicks contractions tend to increase in frequency and intensity near the end of the pregnancy, and are often mistaken for labor.

Steps

Differentiating Between Braxton Hicks and True Labor Contractions

1. Locate the pain. Does your contraction tighten in a band across your abdomen? If so, it's probably a Braxton Hicks contraction. True labor pain usually starts in the lower back and moves forward to the abdomen, or from the abdomen to the lower back.
   • True labor pains are often described as resembling menstrual cramps.
   • Pain in the lower back that comes and goes, and pressure in the pelvis, are often signs that your contractions are real.
2. Evaluate the pain. Are the contractions uncomfortable, or very painful? Do they grow more painful with each contraction? Braxton Hicks are not typically painful, and do not grow more painful with each contraction. They usually stay weak, or start strong and grow weaker.
   • True labor pains will steadily increase in strength.
3. Time the contractions. Braxton Hicks are often irregular. They do not grow closer together. True labor occurs at regular intervals that grow slowly closer together, starting 15 – 20 minutes apart and increasing to fewer than five minutes apart. True labor pains last 30 – 90 seconds.
4. Change positions. If you experience a contraction while sitting, try walking around. If you are walking or standing, sit down. A Braxton Hicks contraction will often stop when you change position. True labor contractions will not stop when you change movement, and often intensify when you walk.
5. Note where you are in your pregnancy. If you are not yet at 37 weeks, your contractions are more likely to be Braxton Hicks. If you are past 37 weeks and have other signs such as frequent urination, loose stool, vaginal spotting, or losing your mucus plug, your contractions might be real.
   • True contractions before 37 weeks could be a sign of early labor: contact your health care provider if you think you are having early true contractions.

Coping with Braxton Hicks

1. Take a walk. If your Braxton Hicks contractions are making you uncomfortable, moving will often make them go away. If you have been walking, taking some time to sit might also stop them.
2. Relax. Getting a massage, taking a bath, or just taking some much-needed rest time can help soothe your contractions. Reading, listening to music, or napping can all be helpful.
   • If you are able to sleep through your contractions, then they are probably not labor contractions.
3. Know your triggers. Braxton Hicks are a healthy exercise your uterus does to prepare for labor. They occur naturally, but some pregnant people find them to be triggered by particular activities. You might experience a Braxton Hicks after exercise or strenuous activity. Some are triggered by sex, or orgasm. Some people experience Braxton Hicks when they are overtired or dehydrated.
   • Learning your triggers can help you recognize a Braxton Hicks contraction when it comes.
   • Braxton Hicks do not need to be prevented, but they can be a good reminder to drink water and get rest.

Knowing When to Call a Doctor

1. Call your doctor if you have signs of true labor. If you have contractions coming every five minutes for over an hour, or if your water breaks, call your health care provider. If you're unsure that the signs are there, a doctor or nurse can help you identify them over the phone or in person.
   • You may not have to go to the hospital right away, but calling can help you figure out your next steps.
   • False alarms are common, especially in first pregnancies. Don't worry about embarrassing yourself by making an early trip to the hospital: it's part of the experience.
2. Call if you have premature signs of labor. If you have any signs of labor before 36 weeks, consult your health care provider. If you have signs of labor in combination with vaginal spotting before 36 weeks, call immediately.
   • If you experience vaginal bleeding, rather than spotting, at any point in your pregnancy, call your health care provider.
3. Call your doctor if your baby seems to be moving less than normal. Once your baby has become a regular kicker, a lack of movements could require medical attention. If you don't feel at least ten movements within a two-hour period, or if the movements have significantly slowed, call your doctor.

Tips

• Emptying your bladder or taking Tylenol can also help increase your comfort.
• Sharp, shooting pains on the sides of your abdomen is probably not true labor. These pains are called round ligament pain and they travel into your groin. They can be caused from stretching ligaments that support your uterus. To ease these pains, try changing your position or activity level.
• Anxiety can make discomfort seem more severe than it is. If this is your first pregnancy, or if you have experienced a traumatic pregnancy, you may find yourself more disturbed by false contractions. Avoid stressful situations and rest adequately throughout the pregnancy. Talking through your pregnancy concerns can provide necessary relief.

Warnings

• It's important to understand that there is nothing wrong with contacting your doctor at any time. If something feels wrong, call your doctor.
• It's essential to call your doctor if you have any vaginal bleeding, continual leaking of fluid, contractions lasting every five minutes for an hour, or if you feel less than 10 baby movements every two hours.

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Sources and Citations

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• Recognize the Signs of Labor
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