This article was medically reviewed by Lacy Windham, MD. Lacy Windham, MD, is a Board-Certified Obstetrician & Gynecologist in Cleveland, Tennessee. Dr. Windham attended medical school at the University of Tennessee Health Science Center in Memphis. Her residency was completed at Eastern Virginia Medical School in Norfolk, Virginia. She was the recipient of multiple awards during her residency training, including Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, Most Outstanding Resident Overall, and Special Award in Minimally Invasive Surgery.
There are 9 references cited in this article, which can be found at the bottom of the page.
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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.[1] X Research source Go to source 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
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1Locate 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.[2] X Research source Go to source
- True labor pains are often described as resembling menstrual cramps.[3] X Research source Go to source
- Pain in the lower back that comes and goes, and pressure in the pelvis, are often signs that your contractions are real.
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2Evaluate 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.[4] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- True labor pains will steadily increase in strength.
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3Time 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.[5] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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4Change 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.[6] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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5Note 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.[7] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source
- 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
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1Take 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.[8] X Research source Go to source
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2Relax. 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.[9] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- If you can sleep through your contractions, then they are probably not labor contractions.
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3Know 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.[10] X Research source Go to source
- 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
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1Call your doctor if you have signs of real labor. If you have contractions coming every five minutes for over an hour, or if your water breaks, call your healthcare 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.[11] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- 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.[12] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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2Call if you have premature signs of labor. If you have any signs of labor before 36 weeks, consult your healthcare provider. If you have signs of labor in combination with vaginal spotting before 36 weeks, call immediately.[13] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- If you experience vaginal bleeding, rather than spotting, at any point in your pregnancy, call your healthcare provider.
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3Call 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.[14] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
Video
Tips
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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.[15] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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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.[16] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Emptying your bladder or taking Tylenol can also help stop contractions and increase your comfort.
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 ten baby movements every two hours.[17] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
References
- ↑ https://www.pregnancybirthbaby.org.au/braxton-hicks-contractions
- ↑ http://americanpregnancy.org/labor-and-birth/signs-of-labor/
- ↑ http://americanpregnancy.org/labor-and-birth/signs-of-labor/
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ https://www.nhs.uk/start4life/pregnancy/week-by-week/3rd-trimester/week-37/
- ↑ http://americanpregnancy.org/labor-and-birth/braxton-hicks/
- ↑ http://www.mayoclinic.org/diseases-conditions/preterm-labor/basics/coping-support/con-20035359
- ↑ https://americanpregnancy.org/labor-and-birth/braxton-hicks/
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/fetal-development/art-20045997?pg=2
- ↑ http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-blog/round-ligament-pain/bgp-20111536
- ↑ http://www.mayoclinic.org/diseases-conditions/preterm-labor/basics/coping-support/con-20035359
- ↑ http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/signs-of-labor/art-20046184?pg=2
About this article
If you think you're having a Braxton Hicks contraction, try to identify where your pain is coming from, as Braxton Hicks contractions usually tighten in a band across your abdomen, as opposed to the lower back pain present in true labor pain. You can also try timing your contractions, since Braxton Hicks are often irregular and do not grow closer together like genuine contractions. Similarly, Braxton Hicks are not typically very painful, and don't grow in intensity like true labor pains. If you haven't reached 37 weeks yet, your contractions are most likely Braxton Hicks contractions. For more tips from our Medical co-author, including how to cope with Braxton Hicks contractions and when to call a doctor, read on!
Reader Success Stories
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"I've been having painful Braxton Hicks contractions for two days, which are very painful. I wanted to check if it was labor pains, but after reading this article I feel better. It's definitely Braxton Hicks, as all the signs match. Thank you."
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"The explanation of round ligament pain in this article greatly helped ease my anxiety at 36 weeks pregnant. Also, it did an excellent job of differentiating between true and false labor. All in all, I appreciated the article very much!"
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"This article helps me distinguish fact from random online comments I come across that contradict each other and make everything confusing. It's informative and straight to the point, which is exactly what I need at a time like this."
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"This post really helped me a lot with this being my first pregnancy and wanting what's best for my unborn baby girl, especially the part on false alarms and my baby's movements."
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"Knowing the difference between Braxton Hicks and true labor. I also wanted to know if pain inside the vagina means contraction, because I'm in my 39th week."
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"My twin sister is pregnant with her 1st pregnancy. I'm helping her and this information is very helpful. I'm learning and so is she."
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"Great article! thought was having true labor but now I can reassure myself it's only Braxton Hicks so thank you. "
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"I'm glad I've come across this site. It helps me a lot, especially since this is my first pregnancy. Continue on!"
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"Helped me understand the difference between Braxton Hicks and regular contractions. Thank you."
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"Very good, accurate article. It helped me help a friend."