Second trimester contractions
Braxton Hicks contractions | Pregnancy Birth and Baby
Braxton Hicks contractions | Pregnancy Birth and Baby beginning of content4-minute read
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If you feel tightening or cramping in your abdomen during your pregnancy, you may be having Braxton Hicks contractions. This is normal and not a sign that you’re ready to give birth.
Braxton Hicks contractions are sometimes called ‘false’ or ‘practice’ contractions.
What are Braxton Hicks contractions?
Braxton Hicks contractions are a tightening in your abdomen that comes and goes. They are contractions of your uterus in preparation for giving birth. They tone the muscles in your uterus and may also help prepare the cervix for birth.
Braxton Hicks contractions don’t cause labour and aren’t a sign that labour is beginning.
If you’re not sure whether what you’re experiencing is Braxton Hicks contractions or actual labour, contact your doctor or midwife. They will be able to tell by doing a vaginal examination — if there are no signs that your cervix is changing, it is not labour.
What do they feel like?
Braxton Hicks contractions feel like muscles tightening across your belly, and if you put your hands on your belly when the contractions happen, you can probably feel your uterus becoming hard.
The contractions come irregularly and usually last for about 30 seconds. While they can be uncomfortable, they usually aren’t painful.
If the pain or discomfort of your contractions eases off, they’re probably Braxton Hicks contractions.
When do you get them?
Braxton Hicks contractions occur from early in your pregnancy but you may not feel them until the second trimester. If this is your first pregnancy, you might start to feel them from about 16 weeks. In later pregnancies, you may feel Braxton Hicks contractions more often, or earlier. Some women won’t feel them at all.
In late pregnancy, you may experience Braxton Hicks contractions more often — perhaps as much as every 10 to 20 minutes. This is a sign that you are preparing for labour — known as prelabour.
How are Braxton Hicks contractions different from labour pain?
There are some differences between Braxton Hicks contractions and true labour contractions that will help your doctor or midwife decide whether you are in labour:
Braxton Hicks contractions:
- don’t result in your cervix thinning and opening
- usually last for about 30 seconds
- can be uncomfortable, but usually aren’t painful
- come and go at irregular times
- usually occur no more than once or twice an hour (until late in the pregnancy), a few times a day
- usually stop if you change position or activity or go for a walk
- usually go if you have a warm bath or shower
Real labour contractions:
- result in your cervix thinning and opening
- last 30 to 70 seconds
- become very regular
- get closer together
- last longer as time goes by
- get stronger or come more often when you walk
- get stronger over time
Should I call my doctor or midwife?
If you are less than 37 weeks pregnant, contractions can be a sign of premature labour. Contact your doctor or midwife immediately if:
- you feel pain, pressure or discomfort in your pelvis, abdomen or lower back
- the contractions become stronger, closer together and more regular
- there is fluid leaking or gushing from your vagina
If you are full-term, you may choose to wait until a bit later in your labour, depending on what you have arranged with your doctor or midwife. If your waters break, or your contractions are strong and 5 minutes apart, it’s time to go to the hospital.
As any stage of pregnancy, you should contact your doctor or midwife immediately if you:
- you have persistent pain in your abdomen
- you have vaginal bleeding
- you notice your baby’s movements have slowed or stopped
- you feel very unwell
If you are in doubt, don’t hesitate to call your doctor or midwife for advice.
How can I ease the discomfort?
Braxton Hicks contractions are normal and don’t need treatment. But if you feel uncomfortable, you can try:
- lying down
- taking a walk
- relaxing in a warm bath
- having a massage
It may help to practise your breathing exercises during your Braxton Hicks contractions.
Sources:
Raising Children Network (23 weeks pregnant), RANZCOG (Labour and birth), Elsevier Patient Education (Braxton Hicks Contractions)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: October 2020
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Related pages
- Giving birth - stages of labour
- Health professionals involved in your pregnancy
- Signs of premature labour
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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.
What are training bouts? | VOKB №1
As you know, the birth of a baby is preceded by labor pains. Contractions are contractions of the walls of the uterus - a natural physiological process.
It is not uncommon for the uterus to contract during pregnancy, but many women do not notice this. And those who are preparing to become mothers for the first time, on the contrary, perceive these contractions as a danger to the course of pregnancy and the unborn child. Therefore, it is very important that every pregnant woman be informed about training bouts at the earliest possible date. Women who have undergone theoretical training are more attentive to their health and observe the changes taking place. They can recognize for themselves when they are having training contractions and know how to respond to them. nine0003
Training contractions (or false contractions) are contractions of the uterine walls that do not dilate the cervix. They are for the female body a preparatory stage for future childbirth. False contractions are very important for labor, as they help smooth and soften the cervix and prepare it for the upcoming birth. The duration of muscle tension can be about 2 minutes. And their frequency of manifestation is up to several times per hour. False contractions do not increase in frequency or intensity. The term of occurrence occurs in the second and third trimester. nine0003
Main symptoms of training contractions:
- Feeling of constriction and aching in the groin and lower abdomen.
- Irregularity and irregularity of contractions.
- Appear in only one area of the abdomen.
- Contractions can occur up to 6 times per hour.
- False contractions do not radiate to the back, as happens with real contractions.
- Does not cause severe pain. Inattentive women may not even notice such contractions. nine0016
- Gradually disappear. After a small amount of time, the uterus calms down and becomes soft.
Reasons for the appearance of training contractions:
- excessive activity, physical activity;
- moving actions of the developing fetus
- psycho-emotional stress, worries and worries due to future childbirth;
- Bladder fullness;
- Having sex during pregnancy. nine0016
In most cases, a woman can avoid training uterine contractions on her own. Pregnant women need to drink the required amount of water, not be nervous and remain calm until the very birth. It is not recommended to call training bouts on your own, because. the body is individual, and if false contractions do not appear, then there is no need for training for the body.
But if symptoms appear, they must be used for the purpose of practicing breathing exercises. Proper breathing will help alleviate the condition of the pregnant woman during labor. nine0003
Several methods of correct breathing:
- After the end of the contraction, take a deep breath, and exhale slowly during the contraction.
- Inhale slowly and deeply through the nose, then exhale briefly through the mouth.
- Take frequent, shallow breaths during the next contraction. However, this method, due to the low supply of oxygen, can lead to dizziness
What to do if you have training contractions? nine0012
- Turn on relaxing music, calm down and tune in to positive thoughts.
- Get into a comfortable position
- Go for a light, leisurely walk
- Drink enough water;
- Do breathing exercises
- Take a warm shower;
Alarms
Distinguish symptoms that require medical attention. To exclude and prevent the development of dangerous pathologies, with slight discomfort in the lower abdomen, you should consult a doctor. nine0003
When you need to see a doctor urgently:
- severe pain in the back and lower abdomen;
- bloody, mucous or watery discharge;
- reduced fetal activity;
- increased frequency of spasms
- bleeding
With a normal intensity of the manifestation of training contractions, you don’t need to worry, because the body itself is preparing for the upcoming happy event - the birth of your baby! nine0003
Alekhina S.V. - senior nurse of the Perinatal Center
Bulgakova O.V. - senior midwife of the department of pathology of pregnancy No. 3
Braxton-Hicks contractions. How to distinguish between false and real contractions?
Braxton-Hicks contractions, or false labor pains, are irregular contractions and relaxation of the uterine muscles as a way of preparing for true labor. They are thought to start around 6 weeks of gestation but are not usually felt until the 2nd or 3rd trimester. nine0003
False contractions are a normal part of pregnancy. They may be uncomfortable, but not painful. Women describe them as a feeling that feels like mild menstrual cramps or tightness in a specific area of the abdomen that quickly resolves.
They are also irregular in duration and intensity, occur infrequently, are unpredictable and not rhythmic, and are more uncomfortable than painful.
Braxton Hicks contractions tend to increase in frequency and intensity towards the end of pregnancy. Women often mistake Braxton Hicks contractions for real labor. However, unlike real contractions, they do not dilate the cervix and result in the birth of a baby. nine0003
Braxton Hicks contractions occur when the muscle fibers of the uterus contract and relax. The exact etiology of Braxton Hicks contractions is unknown. However, there are circumstances that can cause them:
- when the woman is very active,
- when the bladder is full,
- after sexual activity,
- when a woman is dehydrated.
Common among all these circumstances is the potential stress on the fetus and the need for increased blood flow to the placenta to provide oxygen to the fetus. nine0003
- Change position or activity level: if you have been very active, lie down; if you have been sitting for a long time, go for a walk.
- Relax: take a warm bath, massage, read a book, listen to music or take a nap.
If you have Braxton Hicks contractions or if they continue and become more frequent and intense, you should see your doctor.
When evaluating for Braxton Hicks contractions, there are a few key questions to ask yourself. We have prepared a table for you with questions, the answers to which will help you understand what kind of contractions you have:
Braxton Higgs contractions | Real labor pains | |
---|---|---|
How often do contractions occur? | Irregular and do not increase over time. |