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Braxton Hicks Contractions | American Pregnancy Association

You might have heard this funny phrase before you were pregnant, but now you want to know what it means. The term originated in 1872 when an English doctor named John Braxton Hicks described the contractions that occur before real labor. Imagine constantly thinking, “This must be it,” only to find out that it wasn’t. Doctors and pregnant women have Dr. Hicks to thank for eliminating the confusion. The following information should be helpful in determining the difference between true labor and Braxton Hicks contractions.

Braxton Hicks contractions can begin as early as the second trimester.  However, they are most commonly experienced in the third trimester. When this happens, the muscles of the uterus tighten for approximately 30 to 60 seconds, and sometimes as long as two minutes.

Braxton Hicks are also called “practice contractions” because they are a preparation for the real event and allow the opportunity to practice the breathing exercises taught in childbirth classes.

What do Braxton Hicks contractions feel like?

Braxton Hicks contractions start as an uncomfortable but painless tightening that begins at the top of your uterine muscles and spreads downwards. They cause your abdomen to become very hard and strangely contorted (almost pointy). Once you get closer to your estimated due date, they will become more frequent and intense.

They are described as:

• Irregular in intensity and usually last about 15 to 30 seconds, but sometimes as long as two minutes
• Infrequent
• Unpredictable
• Non-rhythmic
• More uncomfortable than painful (although for some women Braxton Hicks can feel painful)
• They do not increase in intensity or frequency
• They taper off and then disappear altogether

If your contractions are easing up in any way, they are most likely Braxton Hicks.

What causes them?

There are possible causes of these contractions. Some physicians and midwives believe that they play a part in toning the uterine muscle and promoting the flow of blood to the placenta. They are not thought to have a role in dilating the cervix but might have some impact on the softening of the cervix.

However, as Braxton Hicks contractions intensify nearer the time of delivery, the contractions are often referred to as false labor. When this occurs, it can help the dilation and effacement process.

What triggers them?

The following are triggers of Braxton Hicks:

• When the mother or the baby is very active
• If someone touches the mother’s belly
• When the bladder is full
• After sex
• Dehydration

What can I do to alleviate Braxton Hicks contractions?

• Change positions. You can lie down if you have been standing or go for a walk if you have been sitting or laying
• Take a warm bath for 30 minutes or less
• Because contractions may be brought on by dehydration, drink a couple of glasses of water
• Drink a warm cup of herbal tea or milk

If none of these steps work, you should contact your health care provider.

Want to Know More?

• Signs of Labor
• Pregnancy Pains
• Stages of Labor: Stage 1

Compiled using information from the following sources:

1. William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 17.

2. Mayo Clinic Guide To A Healthy Pregnancy Harms, Roger W., M.D., et al, Ch. 11.

Braxton Hicks contractions for how long - 25 recommendations on Babyblog.ru

For fifteen years now we have been living not just in the new century, but in the new millennium. For twenty years we have been using computers and the Internet everywhere. It would seem that with the progress of technology, people have enormous opportunities for the exchange of progressive information, knowledge and best practices. But the real picture is almost the opposite: false, untruthful information, often presented under the “sauce” of intimidation and deceit, is spread and accepted by people faster and easier than truthful and useful information. nine0003

The worst thing that is now observed in medicine is the filing of many conditions, including quite normal ones, and some diagnoses as something terrible and dangerous, threatening a person’s life, requiring aggressive and extensive treatment immediately. Obstetrics is no exception. On the contrary, in recent years this branch of medicine has grown in a number of countries into a kind of machine of deliberate harm to a pregnant woman and her unborn child.

The concept of "commercial diagnosis", introduced by me ten years ago, is no longer denied by many people and is even used by them in everyday life, conversations and discussions of the situation in the healthcare system. Both doctors and people of other specialties began to talk and write about obstetric aggression. Nevertheless, the number of fictitious diagnoses that do not exist in most countries of the world is striking not only by their backwardness, but also by the lack of a logical analysis of the situation, signs, and examination results when they are made (more precisely, invented). nine0003

INCOMPATIBILITY OF THE SPOUSES

Usually such a diagnosis sounds when:
- unsuccessful planning of pregnancy and infertility;
- loss of pregnancy, even the first or one;
- spontaneous habitual miscarriages;
- in exceptionally "striking cases" in the presence of one child or several healthy children.

If we talk about some kind of “spousal incompatibility”, then we can only talk about psychological incompatibility or sexual temperaments, but there is no other “incompatibility”. nine0003

Allergic reaction to semen is extremely rare in humans, but the diagnosis would be allergy, not incompatibility.
If a married couple cannot conceive, it may be infertility, which requires proper diagnosis. There are different types of infertility or infertility factors, which means that there will be a different approach to the examination of a married couple and treatment.

Very fashionable commercial HLA (human leukocyte antigen) testing in the world of progressive medicine is used in organ and tissue transplantation, to diagnose a number of autoimmune diseases, confirm paternity and monitor the effectiveness of the treatment of a number of diseases, but has nothing to do with conceiving children, carrying a pregnancy , and even more so with the "incompatibility of the spouses. " "Genetic incompatibility of partners" is another invention for imposing an expensive examination and treatment. nine0003

If one of the partners has affected genes, that is, there are changes in the form of mutations, then such changes may be associated with problems in conceiving and bearing offspring, but this is not incompatibility. This may be a specific diagnosis (disease, syndrome) on the part of one or both partners. And the recommendations of some doctors to carry out IVF in such cases using the same sexual material, or to find a sexual partner outside of marital relations in order to conceive a child, do not always sound professional. nine0003

TOXICOSIS

The concept of "toxicosis" appeared in Soviet obstetrics in the early 1990s, when everyone in the world of progressive medicine had already completely abandoned this concept. Toxicosis means “a state of poisoning” (toxins are poison), and the logical conclusion is that this is pregnancy poisoning, that is, the embryo / fetus poisons the body, and therefore the life of the expectant mother. But doesn’t a mother poison her unborn child with poor-quality food, water, medication, smoking, and even drinking alcohol? nine0003

In the West, they quickly realized the absurdity of such a “diagnosis” and tried to switch to the concept of “preeclampsia”, that is, a condition associated with gestation (pregnancy). However, this definition was also abandoned very quickly, because the more science and medicine developed, the faster the exchange of advanced information and experience, the faster doctors began to understand that many “strange” phenomena during pregnancy are not diseases, but variants of the norm. and vice versa - all complications of pregnancy have specific specific names, which should appear as diagnoses. nine0003

In post-Soviet medicine, a completely normal phenomenon - nausea and vomiting at the beginning of pregnancy - is still called early toxicosis (in the rest of the world these are just unpleasant symptoms of this condition), and edema, which for the vast majority of women are normal, hypertension in pregnant women, preeclampsia, eclampsia and about ten other complications of pregnancy, which are independent diagnoses, and not a comprehensive mythical toxicosis. nine0011 Remember: there is no such diagnosis - toxicosis!

UTERINE TONE / HYPERTONE

For the first time, normal uterine contractions from the beginning of pregnancy to the end of childbirth were described by the English physician John Braxton Hicks in 1872. Mistakenly, such contractions are called "training bouts", which is not true. In the publication of this doctor, it was about normal uterine contractions throughout pregnancy, and not before childbirth.

The uterus is a muscular organ, therefore, just like any muscle, it has its own mode of contractions, which depends on many factors and can be observed both outside of pregnancy and during pregnancy. nine0011 The diagnosis "tonus" or "hypertonicity" was invented by post-Soviet ultrasound doctors and the rest of the world does not exist in obstetrics, therefore it does not require treatment, and even more so inpatient, with the use of a large number of drugs that have also not been used in modern obstetrics for a long time ("Papaverine" , "No-shpa", "Viburkol", vitamin E, magnesia, etc. )

THREAT OF LOSS OF PREGNANCY

I have already raised the topic of "threat of abortion" more than once, especially since it is consonant with the topic of "preservation of pregnancy". In reality, the threat to a pregnant woman comes more from the medical staff than really from someone else or something (nature), because it is people who intimidate, put pressure on the psyche with negative scenarios, escalate the situation, harm with unsafe treatment. nine0003

The only diagnosis in obstetrics that has a word root consonant with “threat” is “threatened abortion”. This diagnosis is made according to strict criteria, and not because of “tone / hypertonicity of the uterus”, it does not require treatment, because there is no cure.
All other types of threats are fictitious diagnoses. In obstetrics, it is customary to talk about risk factors and determine the group or degree of risk for the development of one or another pregnancy complication (low risk, high risk). Against the background of the presence of various risk factors, pregnancy can proceed quite normally and end safely. nine0003

RH AND GROUP CONFLICT

In modern obstetrics there is no such concept or diagnosis as "Rh conflict" or "group conflict". Worst of all, such a “diagnosis” intimidates a married couple to such an extent that she refuses to conceive children: since it is absolutely impossible to get pregnant, then we are not trying. The presence of different blood types, as well as different Rh factors, is a normal phenomenon in human life and is not considered any conflict.
In modern obstetrics, there are more than 50 blood markers (antigens) for which antibodies (immunoglobulins) can be produced, and this condition is called alloimmunization, or sensitization. nine0003

During pregnancy, antibodies can be produced in the mother's body against fetal antigens, cross the placenta and destroy the fetal red blood cells, leading to anemia and fetal hemolytic disease. If hemolytic disease of the fetus occurs, then it will end either with the death of the fetus, or the birth of a child with hemolytic disease of the newborn. Unfortunately, many doctors do not understand the types of jaundice, do not know the current norm of bilirubin levels, so the diagnosis of "hemolytic disease of the newborn" in most cases turns out to be false, which means that aggressive treatment of such children is absolutely inappropriate. nine0003

If we talk about really rare "blood conflicts", then they arise not between a man and a woman, but between a mother and a fetus. Therefore, the enthusiasm of some doctors for the search for antibodies in the blood of a man is so surprising. Also depressing is the fact of searching for antibodies in the mother's blood after childbirth in order to make a diagnosis of "hemolytic disease of the newborn." And the use of such a dangerous procedure as plasmapheresis, supposedly to “cleanse the blood” of antibodies, is shocking. This procedure has passed into the category of commercial ones, because it is expensive and brings considerable income to those who carry it out. nine0003

For the prevention of Rh sensitization in the mother, vaccination with immunoglobulins (D-antibodies) has long been used, which is carried out in the absence of a woman's own antibodies during pregnancy, after childbirth, abortion, and a number of procedures. This prophylaxis does not protect the current pregnancy, but it does prevent hemolytic disease of the fetus and newborn in subsequent pregnancies. However, it is ineffective in preventing sensitization for all other blood markers.

HEREDITARY (GENETIC) THROMBOPHILIA

In post-Soviet obstetrics, over the past decade, there have been an extremely large number of positions of geneticists who do not understand prenatal genetic screenings and genetics in general, and hematologists (they are fashionably called hemostesiologists, hemastesologists), who do not understand blood and know absolutely nothing about normal changes in the composition of the blood, especially the blood coagulation system in pregnant women.

During pregnancy, blood viscosity increases despite an increase in blood (plasma) volume and a decrease in the concentration of many substances. Therefore, from the very first weeks, pregnancy is accompanied by a hypercoagulable state. It can persist for several weeks, not only after childbirth, but also after abortions and missed pregnancies. This is not a pathological condition, but normal physiological changes. nine0003

D-dimer, according to the level of which heparin is prescribed to all pregnant women in a row, is a derivative of fibrinogen. Both of these indicators increase from the first weeks of pregnancy, which is absolutely normal.
Commercially profitable genetic testing leads to the diagnosis of thrombophilia being overused, although several dozen diseases are known to be associated with disorders of the blood clotting process. There are several types of hereditary thrombophilia that have a clear name, and not just "genetic thrombophilia". There are also acquired thrombophilias, which often turn out to be not a separate diagnosis, but a laboratory and clinical symptom of other diseases. nine0003

The presence of genes and their combinations does not mean that a person has thrombophilia (and many other diseases). This may indicate a hereditary predisposition, but without clinical and laboratory confirmation, and even more so outside the state of pregnancy, such diagnoses are not made and blood thinning drugs are not prescribed.

Bed rest in hospitals, where pregnant women are kept for weeks and even months, is recognized as the most dangerous factor in the formation of blood clots. It is also surprising that before pregnancy, many women had no idea about their "genetic disease", they took hormonal contraceptives that are incompatible with thrombophilia, and then after giving birth they continue to take them, forgetting about the terrible diagnosis. However, doctors quickly forget about him too. nine0003

OLD PLACENTA

The diagnosis of "old placenta", which often sounds in conjunction with the diagnosis of "uteroplacental insufficiency", was born by the same ultrasound specialists.
The placenta is a dynamic organ that undergoes regular changes as pregnancy progresses. Therefore, we can safely say that not only the placenta is aging, but also the fetus itself. The woman also gets older by 9 months!

One can speak of insufficiency of the placenta only when it does not fulfill its function. Just as there is heart or liver failure, placental failure can also exist. But its presence can only be determined by the state of the fetus. If the fetus develops normally and does not lag behind in growth (for this, growth charts must be kept and the exact gestational age must be known), then what kind of placental insufficiency can we talk about? nine0011 But what is depressing in all these stories with placentas is that a woman is offered different schemes for "rejuvenation" of the placenta, which necessarily include two fuflomycins - "Kurantil" and "Actovegin". Remember: the placenta cannot be rejuvenated!

In addition, the diagnosis "placentitis" suddenly became fashionable, which was indeed used in veterinary medicine for a very long time, but never in obstetrics! Turning pregnant women into female animals?

oligohydramnios/polyhydramnios tendencies

When I hear or read about the diagnosis of oligohydramnios/polyhydramnios tendency, I want to respond with a great sense of humor: “You know, we all have a lot of tendencies. For example, there is a real tendency with age to get senile dementia. You can buy a lottery ticket - there will be a tendency to enrich. We sit in a car, drive along a highway - we tend to get into a traffic accident and even die. That's right, life tends to end. This means that pregnancy tends to end in term birth and the birth of a healthy baby. nine0003

The extremely common diagnosis of "trends" is often the product of ultrasound specialists who somehow do not use the logical thinking of obstetrician-gynecologists to ask a simple question: what kind of nonsense is this?

The state of amniotic fluid is only in the form of a norm, polyhydramnios and oligohydramnios, but there are no trends. These conditions are determined by measuring one pocket (column) of amniotic fluid in centimeters, but most often by the sum of four (namely four, not two or three) pockets, that is, by determining the amniotic index of amniotic fluid (AIF). After 20 weeks, the normal AIH ranges from 8 to 24 cm, of course, adjusted for the condition of the fetus and other ultrasound findings. nine0003

Oligohydramnios and polyhydramnios are practically not treated, therefore, volumetric regimens of antibiotics and fuflomycins, the same "Kurantil", "Actovegin", "Khofitol", "Viferon", "Tivorin" and other similar drugs, and with the obligatory presence of a pregnant woman in a hospital , is a manifestation of medical illiteracy.

fetal asphyxia

Most often, the diagnosis of fetal asphyxia appears in the conclusions of pathologists after pregnancy loss, as well as in stillbirth. Surprisingly, it is specialists who do not see the difference between hypoxia and asphyxia, who are just obliged to find out the cause of abortion and fetal death. nine0003

The baby is not breathing inside the uterus. His lungs don't work. Everything he receives from his mother in the form of nutrients and oxygen comes through the umbilical cord. The concept of hypoxia implies a violation of blood flow in the vessels of the fetus (impaired hemodynamics) due to the presence of usually two parallel conditions - anemia (anemia) and acidosis (increased acidity) due to oxygen starvation of tissues.

Asphyxia is understood as suffocation, which is associated with a decrease and even cessation of oxygen supply through the respiratory system. At the same time, the oxygen content in the blood drops sharply, which leads to brain death and death. Since the fetus is not breathing, it cannot have asphyxia. nine0011 Asphyxia of a newborn is said when a foreign body (amniotic fluid, mucus, meconium, blood, etc.) enters the respiratory tract of a child after birth with the first or subsequent breaths. Therefore, the diagnosis of "fetal asphyxia" simply does not exist, and if it is present in the conclusions of the pathoanatomical examination (autopsy), this indicates the unprofessionalism of the doctor.

Harbingers - childbirth is coming soon!

Wrestler Maria Vladimirovna nine0003

Obstetrician-gynecologist

MD GROUP Clinical Hospital, Mother and Child Clinic Savelovskaya

False contractions

They may appear after the 38th week of pregnancy. False contractions are similar to Braxton-Hicks contractions, which a woman could already feel starting from the second trimester of pregnancy (the uterus seems to stiffen for a few seconds - a couple of minutes, then the tension in it subsides). False contractions train the uterus before childbirth, they are irregular and painless, the intervals between them are not reduced. Real labor pains, on the contrary, are regular, their strength gradually increases, they become longer and more painful, and the intervals between them are reduced. That's when you can already say that the birth began for real. In the meantime, false contractions are going on, it is not necessary to go to the maternity hospital - you can easily survive them at home. nine0003

Abdominal prolapse

Approximately two to three weeks before birth, the baby, in preparation for birth, presses the presenting part (usually the head) against the lower part of the uterus and pulls it down. As a result, the uterus moves lower into the pelvic region, its upper part ceases to put pressure on the internal organs of the chest and abdominal cavity. In the people it is called - the stomach dropped. As soon as the stomach drops, the expectant mother notices that it has become easier for her to breathe, but, on the contrary, it becomes more difficult to sit and walk. Heartburn and belching also disappear (after all, the uterus no longer presses on the diaphragm and stomach). But, having dropped down, the uterus begins to put pressure on the bladder - naturally, urination becomes more frequent. nine0003

For some, uterine prolapse causes a feeling of heaviness in the lower abdomen and even slight pain in the area of ​​the inguinal ligaments. These sensations arise due to the fact that the child's head, moving down, irritates the nerve endings of the pelvic organs.

During the second and subsequent births, the belly drops later - right before the birth. It happens that this harbinger of childbirth is not at all.

Removal of the mucous plug

This is one of the main and obvious harbingers of childbirth. During pregnancy, the glands in the cervix produce a secret (it looks like a thick jelly and forms the so-called cork), which prevents various microorganisms from entering the uterine cavity. Before childbirth, under the influence of estrogens, the cervix softens, the cervical canal opens slightly and the cork can come out - the woman will see that there are mucus clots on the linen that look like jelly. Cork can be of different colors - white, transparent, yellowish-brown or pink-red. Often it is stained with blood - this is completely normal and may indicate that childbirth will occur within the next day. The mucus plug can come out all at once (at once) or come out piecemeal throughout the day. nine0003

Weight loss

Approximately two weeks before delivery, weight loss may occur, usually by 0.5–2 kg. This happens because excess fluid is removed from the body and swelling decreases. If earlier during pregnancy, under the influence of the hormone progesterone, fluid in the body of a pregnant woman accumulated, now, before childbirth, the effect of progesterone decreases, but other female sex hormones - estrogens - begin to work hard, they remove excess fluid from the body of the expectant mother. nine0003

In addition, the expectant mother often notices that at the end of pregnancy it became easier for her to put on rings, gloves, shoes - this means that swelling on the hands and feet has decreased.

Change of stool

Just before childbirth, hormones often act on the intestines - they relax its muscles, as a result, stool disorder begins. Sometimes such frequent (up to 2-3 times a day) and even loose stools are mistaken for an intestinal infection. But if there is no nausea, vomiting, discoloration and smell of feces, or any other symptoms of intoxication, you should not worry: this is one of the harbingers of the upcoming birth. nine0003

And on the eve of childbirth, you often don't feel like eating at all. All this is also the preparation of the body for natural childbirth.

Mood changes

Many women experience mood changes a few days before giving birth. The expectant mother gets tired quickly, she wants to have more rest, sleep, even some kind of apathy appears.

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