Overview

If you are pregnant with your first baby, there are a lot of unknowns about what labor feels like. Many expecting moms will experience Braxton Hicks contractions. These can not only be uncomfortable, but they may trick you into thinking you are going into labor. Learn what Braxton Hicks contractions are and why they happen. Find out the key differences to tell Braxton Hicks apart from true labor. Get tips on how to manage and alleviate Braxton Hicks. We also cover when to call your doctor or midwife and warning signs of preterm labor to watch for.

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Article and Resources

Hi Vanessa,

Thank you so much for the Pregnancy Podcast. I’ve been listening since my first trimester, and it is my go-to resource. The podcast has really helped me feel more prepared and informed.

I’m currently 34 weeks pregnant, and lately I’ve been noticing that my belly sometimes tightens up for a little while and then relaxes. It’s not painful, just uncomfortable and catches me off guard. I’ve read a little bit about Braxton Hicks contractions and I think that’s what I’m feeling, but I’m not totally sure. Can you help me figure out if these are Braxton Hicks contractions or something I should be concerned about? How can I tell the difference between Braxton Hicks and real labor contractions? I don’t want to overreact and rush to the hospital if it’s not the real thing, but I also don’t want to ignore something important.

Sometimes, I notice them more if I’ve been active or walking around a lot, and other times, they seem to happen when I’m relaxing. Is that normal? And is there anything I should be doing (or avoiding) when I feel them?

I’d really appreciate more information. Thank you again for all the episodes!

Warmly,
Natalie

What Are Braxton Hicks Contractions?

Braxton Hicks contractions are named after Dr. John Braxton Hicks, who first described them in 1872. These are also called “practice contractions” because they are thought to help your body prepare for labor, even though they do not lead to actual labor. These are sometimes associated with prodromal labor.

These contractions can begin as early as six weeks into pregnancy, but most people don’t feel them until the second or third trimester. They feel like tightening in the abdomen that comes and goes. You might notice the uterus, lower abdomen, or groin area tighten and then relax. They typically last 30 to 60 seconds, sometimes up to two minutes.

Braxton Hicks contractions are irregular, tend not to increase in intensity, and usually go away on their own. They may be uncomfortable, but they are usually not painful. Some expecting moms describe them as feeling like mild menstrual cramps. Based on your description, Natalie, it sounds like you are experiencing Braxton Hicks contractions.

Why Do Braxton Hicks Contractions Happen?

Braxton Hicks contractions don’t cause the cervix to dilate or bring on actual labor, but they are a normal part of pregnancy. Some healthcare professionals believe Braxton Hicks helps tone the uterus and increase blood flow to the placenta.

Common triggers for Braxton Hicks include physical activity, like walking or exercise. Sex can also be a trigger. Braxton Hicks can happen when your baby is particularly active or if you touch or press on your belly. Dehydration is one of the most common triggers. When you’re dehydrated, your muscles, including your uterus, are more prone to spasms, which can cause Braxton Hicks contractions. Staying hydrated during pregnancy is especially important. While increased fluid intake and hormonal changes can make you feel like you’re constantly running to the bathroom, it’s still essential not to ignore the urge to urinate. A full bladder can also contribute to Braxton Hicks contractions, so make sure to empty your bladder regularly.

How to Tell the Difference Between Braxton Hicks and Real Labor

It is very common to wonder whether contractions are the real deal. Here are some ways to tell them apart. The first is to examine the frequency and regularity. Braxton Hicks are irregular and do not get closer together. Real labor contractions occur at regular intervals and get closer together over time. Another sign is to determine whether the contractions change with movement. Braxton Hicks often stops or lessens when you change positions, walk, or rest. Real labor contractions will continue regardless of movement or position. Intensity is also another way to tell these apart. Braxton Hicks are usually mild or uncomfortable and don’t increase in strength. Real labor contractions grow stronger and more intense over time. Lastly, notice the location of discomfort. You usually feel Braxton Hicks in the front of the abdomen or pelvis. Contractions often start in the lower back and move to the front if you are in labor.

Although there is no specific test for Braxton Hicks, your doctor or midwife may run tests to rule out preterm labor. Your care provider may utilize fetal monitoring to measure contractions and your baby’s heartbeat. They may also recommend a vaginal exam to look for changes in your cervix.

When to Call Your Doctor or Midwife

I understand you don’t want to rush to the hospital if you are not actually in labor. You also do not want to ignore important warning signs. Let’s discuss when to call your doctor or midwife.

If you are not yet 37 weeks and you notice contractions that become regular, more frequent, or more painful, it could be a sign of preterm labor, and you should call your provider. Other signs of preterm labor include vaginal bleeding or spotting or a significant increase or change in vaginal discharge. Discharge does tend to increase as your pregnancy progresses, so you are looking for a sudden, significant difference in the consistency or color. Other signs of preterm labor are pelvic pressure or feeling like the baby is pushing down and low back pain that is dull or rhythmic.

After 37 weeks, your doctor or midwife should specify when they want you to call or come into the hospital or birth center during labor. They will generally advise that you do not go to the hospital or birth center until you are in active labor. This could be hours or days from when you start to see contractions and other signs of labor. A general guideline is to go in when contractions are about 1 minute long, 5 minutes apart, and continue for at least 1 hour. If you think you are in labor and debating whether to call your care provider, just call. You should trust your gut. A call will give your doctor or midwife a heads-up that you may be going into labor or could save you a trip to the hospital or birth center if it is a false alarm.

Tips to Manage Braxton Hicks Contractions

If you think you’re experiencing Braxton Hicks contractions, there are several things you can try to help them subside. If these strategies ease or stop the contractions, it’s a good sign that you’re not in labor. True labor contractions, on the other hand, will continue and progress no matter what you do. First, you can ensure you are hydrated and drink water. Changing positions may be helpful. If you have been sitting for a while, get up and go for a walk or move your body. On the other hand, if you have been active, try resting and sitting or lying down. You may want to empty your bladder since a full bladder can trigger contractions.

You could also use relaxation techniques like breathing exercises, take a warm bath, or listen to calming music. Sometimes, the best remedy is simply lying down and giving your body a break. Braxton Hicks contractions can be bothersome, but they are a normal part of pregnancy. They do not harm you or your baby and often remind you to slow down, stay hydrated, and tune into your body.

Final Thoughts

Natalie, it sounds like what you’re feeling is Braxton Hicks. As always, trust your instincts. Do not hesitate to contact your doctor or midwife if anything feels off or you have concerns. Without prior experience of going into labor, you cannot know exactly what to expect. When you do go into labor, you will feel the difference when contractions become more intense, longer, and closer together. Until then, Braxton Hicks is just your body’s way of getting ready.

Additional Resources

• Prodromal Labor
• Labor Signs and the Start of Labor

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