What Are Braxton Hicks Contractions? (And How to Spot Them!)
Blog - Women's Health

What Are Braxton Hicks Contractions? (And How to Spot Them!)

Introduction

Pregnancy is a time full of new sensations and experiences, many of which can be confusing or even alarming for first-time moms. One such experience is Braxton Hicks contractions, often called “practice contractions.” They can cause worry because they sometimes feel similar to real labor contractions, but understanding what they are and how to distinguish them can help you feel more at ease during your pregnancy.

In this article, we’ll explain what Braxton Hicks contractions are, their purpose, how to tell them apart from real labor contractions, and when you should contact your doctor for advice.

Definition & Purpose

Braxton Hicks contractions are irregular, usually painless contractions of the uterus that occur during pregnancy. They were first described by Dr. John Braxton Hicks in the 19th century and are sometimes called “false labor” contractions.

What Are Braxton Hicks Contractions?

These contractions are your uterus’s way of “practicing” for labor. They tighten and then relax, helping to tone the uterine muscles and improve blood flow to the placenta. Unlike real labor contractions, Braxton Hicks contractions do not cause the cervix to dilate or lead to childbirth.

Why Do They Occur?

Braxton Hicks contractions can start as early as the second trimester but are more commonly felt in the third trimester. They may be triggered by dehydration, a full bladder, physical activity, or even sexual activity. While they can be uncomfortable, they are generally harmless.

Real vs False Labor

Knowing the difference between Braxton Hicks contractions and real labor contractions is important so you don’t panic unnecessarily or miss signs of actual labor.

Characteristics of Braxton Hicks Contractions

  • Irregular: They come and go unpredictably.
  • Usually Mild or Moderate: They may cause a tightening or mild discomfort but rarely intense pain.
  • No Increase in Intensity or Frequency: They don’t get closer together or stronger over time.
  • Relieved by Movement or Rest: Changing your position or drinking water often makes them go away.

Characteristics of Real Labor Contractions

  • Regular and Predictable: They occur at regular intervals that gradually get closer.
  • Increasing Intensity: They become stronger and more painful over time.
  • Not Relieved by Movement: Walking, resting, or changing position does not ease them.
  • Cause Cervical Changes: Real labor contractions lead to dilation and effacement (thinning) of the cervix.

If you’re unsure which contractions you’re experiencing, it’s always best to check with your healthcare provider.

When to Contact a Doctor

While Braxton Hicks contractions are usually harmless, there are times when you should contact your doctor or midwife:

  • If contractions become regular, painful, and increase in intensity or frequency.
  • If you experience any vaginal bleeding, fluid leakage, or a decrease in fetal movements.
  • If you feel strong pelvic pressure or lower back pain that doesn’t go away.
  • If you have any concerns or symptoms that worry you.

Remember, it’s always better to err on the side of caution and seek medical advice if you’re unsure.

Conclusion

Braxton Hicks contractions are a normal part of pregnancy and a way your body prepares for labor. They can be uncomfortable and sometimes confusing, but are generally harmless and different from real labor contractions. Understanding their signs and knowing when to contact your healthcare provider can help you navigate these sensations with confidence and peace of mind.

Pregnancy brings many changes, and learning to recognize your body’s signals is an important step toward a healthy, calm, and joyful experience.

FAQs:

What do they feel like?

 They feel like a tightening or hardening of the belly that comes and goes.

How are they different from real labor?

They are irregular, usually mild, and don’t get stronger or closer together like real labor contractions.

Are they painful?

Usually, they are not painful—more uncomfortable or mildly annoying.

When do they start?

They can start as early as the second trimester, but are more common in the third trimester.

Do all women feel them?

Not all women notice them; some feel them clearly, while others barely feel anything.

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