As your due date approaches, you may start to notice a tightening or discomfort in your abdomen, leading you to wonder: Is this the beginning of labour? Or just Braxton Hicks contractions?
Many expectant mothers experience Braxton Hicks contractions, often referred to as “practice” contractions, as their bodies prepare for childbirth. While these contractions can be unsettling, especially for first-time moms, it’s important to know that they are typically harmless and not a sign of imminent labour. However, learning to differentiate between Braxton Hicks and true labour contractions can help you feel more confident as labour approaches.
What Are Braxton Hicks Contractions?
Braxton Hicks contractions are irregular, sporadic contractions of the uterus that can start as early as the second trimester but are more commonly noticed in the third trimester. They are essentially your body’s way of preparing for the real thing, helping to tone the uterus and promote blood flow to the placenta.
Although they can feel similar to real labour contractions, Braxton Hicks are generally less intense and do not indicate that labour is starting. They are sometimes referred to as "false labour," but calling them “practice contractions” might be more accurate. Your body is essentially warming up for the big day.
What Do Braxton Hicks Contractions Feel Like?
Braxton Hicks contractions can vary in intensity and frequency, but they are often described as a tightening sensation in the abdomen. Some women experience mild discomfort while others may notice their belly hardening without the discomfort. Here’s how you might recognize them:
Inconsistent timing: Braxton Hicks contractions are irregular. They don’t follow a set pattern and can come and go at random intervals.
Mild discomfort: These contractions are typically not painful. You may feel a tightening or a squeezing sensation, but it usually isn’t strong enough to make you stop what you’re doing.
Unpredictable duration: Braxton Hicks contractions tend to be short, lasting anywhere from 30 seconds to 2 minutes. They may appear sporadically throughout the day or disappear for long periods.
No progression: Unlike true labour, Braxton Hicks contractions do not get closer together, longer, or stronger over time.
What Triggers Braxton Hicks Contractions?
Certain factors can increase the likelihood of experiencing Braxton Hicks, including:
Dehydration: Not drinking enough water can trigger these contractions. Staying hydrated is essential, especially in the third trimester.
Physical activity: Being overly active or changing positions too quickly can sometimes bring on Braxton Hicks.
Touching your belly: Some women notice Braxton Hicks contractions after pressing or rubbing their abdomen.
A full bladder: If your bladder is full, it can irritate the uterus, causing these contractions.
What Are True Labour Contractions?
Unlike Braxton Hicks, true labour contractions are the real deal. They indicate that labour is starting and that your body is getting ready for delivery. True labour contractions cause your cervix to dilate and efface (thin out) in preparation for the birth of your baby.
What Do True Labor Contractions Feel Like?
True labour contractions are typically more intense and more regular than Braxton Hicks. Here are some signs that you’re experiencing true labour contractions:
Regular intervals: True labour contractions occur at regular intervals and become progressively closer together. They usually start mild and spaced far apart, but over time they intensify and become more frequent.
Increased intensity: The contractions will grow stronger over time and won’t ease up, even if you change positions or rest. They may feel like strong menstrual cramps, back pain, or a tightening sensation that starts in your lower back and moves to your front.
Longer duration: True labour contractions tend to last longer than Braxton Hicks, often about 30 to 60 seconds. As labour progresses, the duration of each contraction will increase.
Cervical change: One of the key differences between Braxton Hicks and true labour contractions is that true labour will cause your cervix to dilate and efface, signaling that your body is preparing for delivery.
Doesn’t stop: Unlike Braxton Hicks, which may subside when you move around, drink water, or rest, true labour contractions will persist and become more regular.
How to Differentiate Between Braxton Hicks and True Labour Contractions
It can be tricky, especially as you near your due date, to tell whether you’re experiencing Braxton Hicks or true labour contractions. Here are some key ways to tell them apart:
What Should You Do if You’re Unsure?
If you’re unsure whether you’re experiencing Braxton Hicks or true labour contractions, here are a few things you can do:
Change positions: If you suspect Braxton Hicks, try changing your position. If you’re lying down, get up and move around, and if you’re walking, try sitting down. Braxton Hicks often subside with movement.
Stay hydrated: Drink plenty of water. Dehydration can sometimes trigger Braxton Hicks contractions, so staying hydrated might help them stop.
Time your contractions: Use a timer or app to track the frequency and duration of your contractions. If they are getting closer together, longer, and more intense, it’s likely true labour.
When to Call Your Midwife or Doctor
It’s always better to be cautious if you’re unsure about what you’re experiencing. Call your midwife or doctor if:
Your contractions become regular and strong, coming every 5 to 10 minutes.
You experience sharp pain or severe cramping.
Your water breaks or you notice any signs of labour, like a bloody show.
You feel a decrease in fetal movement.
Knowing the difference between Braxton Hicks and true labour contractions can help you feel more in control as your due date approaches. Remember, while Braxton Hicks can be uncomfortable, they are just a sign that your body is preparing for the big event. However, if your contractions become regular, increase in intensity, and don’t go away, it’s time to call your healthcare provider and get ready to meet your baby!
Approaching your due date, wishing you a positive birthing experience and a safe delivery.
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