Symptoms braxton hicks
Braxton Hicks contractions | Pregnancy Birth and Baby
Braxton Hicks contractions | Pregnancy Birth and Baby beginning of content4-minute read
Listen
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
Back To Top
Related pages
- Giving birth - stages of labour
- Health professionals involved in your pregnancy
- Signs of premature labour
Need more information?
Pregnancy at week 22
By week 22, some parts of your baby’s body are fully formed, while some women experience Braxton Hicks contractions about now.
Read more on Pregnancy, Birth & Baby website
Pregnancy at week 35
You'll probably be having lots of Braxton Hicks contractions by now. It's your body's way of preparing for the birth. They should stop if you move position.
Read more on Pregnancy, Birth & Baby website
Giving birth - contractions
Contractions are when the muscles in your uterus tighten and then relax. They occur throughout the later stages of your pregnancy.
Read more on Pregnancy, Birth & Baby website
What happens to your body in childbirth
During childbirth, the body’s hormones and muscles, as well as the shape of the pelvis, all work together to bring the baby safely into the world.
Read more on Pregnancy, Birth & Baby website
Anatomy of pregnancy and birth - uterus
The uterus is your growing baby’s home during pregnancy. Learn how the uterus works, nurtures your baby and how it changes while you are pregnant.
Read more on Pregnancy, Birth & Baby website
Preterm labour - MyDr.com.au
Going into labour before your 37th week of pregnancy is called preterm labour, or premature labour. Find out what it means for you and your baby.
Read more on myDr website
38 weeks pregnant | Raising Children Network
38 weeks pregnant? In this pregnancy week by week guide, find out how your baby is growing, how your body is changing and how to look after yourself.
Read more on raisingchildren.net.au website
26 weeks pregnant | Raising Children Network
26 weeks pregnant? In this pregnancy week by week guide, find out how your baby is growing, how your body is changing and how to look after yourself.
Read more on raisingchildren.net.au website
Giving birth - early signs of labour
You can know the early signs of labour, even if you cannot predict when your labour will begin. Find out also what to do if something appears to be wrong.
Read more on Pregnancy, Birth & Baby website
Anatomy of pregnancy and birth
From conception to giving birth, a woman's body goes through many physical changes..jpg)
Learn what happens to your body during pregnancy and labour.
Read more on Pregnancy, Birth & Baby website
Disclaimer
Pregnancy, Birth and Baby is not responsible for the content and advertising on the external website you are now entering.
OKNeed further advice or guidance from our maternal child health nurses?
1800 882 436
Video call
- Contact us
- About us
- A-Z topics
- Symptom Checker
- Service Finder
- Linking to us
- Information partners
- Terms of use
- Privacy
Pregnancy, Birth and Baby is funded by the Australian Government and operated by Healthdirect Australia.
Pregnancy, Birth and Baby is provided on behalf of the Department of Health
Pregnancy, Birth and Baby’s information and advice are developed and managed within a rigorous clinical governance framework. This website is certified by the Health On The Net (HON) foundation, the standard for trustworthy health information.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.
The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.
Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.
Support this browser is being discontinued for Pregnancy, Birth and Baby
Support for this browser is being discontinued for this site
- Internet Explorer 11 and lower
We currently support Microsoft Edge, Chrome, Firefox and Safari. For more information, please visit the links below:
- Chrome by Google
- Firefox by Mozilla
- Microsoft Edge
- Safari by Apple
You are welcome to continue browsing this site with this browser. Some features, tools or interaction may not work correctly.
Definition, What They Feel Like, and Triggers
Written by WebMD Editorial Contributors
Medically Reviewed by Nivin Todd, MD on March 04, 2022
In this Article
- What Are Braxton Hicks Contractions?
- What Do Braxton Hicks Contractions Feel Like?
- Triggers of Braxton Hicks Contractions
- How Do Braxton Hicks Contractions Compare With True Labor Contractions?
- Other Abdominal Pain During Pregnancy
- When to Call Your Doctor
- Treatment of Braxton Hicks Contractions
What Are Braxton Hicks Contractions?
Braxton Hicks contractions are the "false" labor pains that a pregnant woman might have before “true” labor.
They’re your body's way of getting ready for the real thing. But they don’t mean labor has started or is about to begin.
What Do Braxton Hicks Contractions Feel Like?
Some women describe Braxton Hicks contractions as tightening in their belly that comes and goes. Many say they feel like mild menstrual cramps. Braxton Hicks contractions may be uncomfortable, but they don’t cause labor or open your cervix.
Unlike true labor, Braxton Hicks contractions:
- Usually aren’t painful
- Don’t have a regular pattern
- Don’t get closer together
- Don’t last longer as they go on
- Don’t get stronger over time
- May stop when you change activities or positions
- Are felt only in your belly
- Taper off and disappear
You may have Braxton Hicks contractions during your third trimester of pregnancy or as early as your second trimester. They’re normal and nothing to worry about.
Triggers of Braxton Hicks Contractions
Dehydration is the most common cause of Braxton Hicks contractions.
Other triggers include:
- Illness that causes nausea or vomiting
- The fetus’s movement
- The mother’s activity, especially lifting something or having sex
How Do Braxton Hicks Contractions Compare With True Labor Contractions?
To figure out whether your contractions are the real thing and you're going into labor, ask yourself these questions.
How often do the contractions happen?
- False labor: Contractions are often irregular and don’t get closer together.
- True labor: Contractions come at regular intervals and last about 30 to 70 seconds. As time goes on, they get stronger and closer together.
Do they change when you move?
- False labor: Contractions may stop when you walk or rest. They may go away if you change positions.
- True labor: Contractions continue even after you move, change positions, or try to rest.
How strong are they?
- False labor: Contractions are usually weak and don't get much stronger. Or they may be strong at first and then get weaker.
- True labor: Contractions get stronger at a steady pace.
Where do you feel the pain?
- False labor: You usually feel it only in the front of your belly or pelvis.
- True labor: Contractions may start in your lower back and move to the front of your abdomen. Or they may start in your abdomen and move to your back.
Other Abdominal Pain During Pregnancy
Sharp, shooting pains on the sides of your belly are called round ligament pain. This happens because the ligaments that support your uterus and attach to your pelvis get stretched as your uterus grows.
Round ligament pain tends to happen with movement, like standing up, rolling over, coughing, sneezing, or even urinating.
The pain may also move into your groin. It typically lasts only a few seconds or minutes.
To ease round ligament pain:
- Change your position or activity. It might help to lie on your opposite side.
- Support your belly when you stand or roll over. Move more slowly.
- Try to rest. A hot bath or heating pad may help.
When to Call Your Doctor
Early in your pregnancy, talk to your doctor about what may or may not be expected and when you might need to call them.
If you're not sure that what you're feeling may be labor, call your doctor or midwife. They should be available at any time to answer questions and discuss your concerns.
Call your doctor or midwife right away if you have:
- Any vaginal bleeding
- Constant fluid leaks, or if your water breaks (this can be gushing or trickling fluid)
- Strong contractions every 5 minutes for an hour
- Contractions that you can’t "walk through"
- A distinct change in your baby's movement, or if you feel fewer than 10 movements every 2 hours
- Any signs of true labor before 37 weeks of pregnancy
Treatment of Braxton Hicks Contractions
You don't have to do anything for these contractions.
If they’re making you uncomfortable, try one of these tips:
- Drink water.
- Take a walk. False labor contractions often stop when you change position or get up and move.
- If you've been active, take a nap or rest.
- Relax by taking a warm bath or listening to music.
- Get a massage.
Health & Pregnancy Guide
- Getting Pregnant
- First Trimester
- Second Trimester
- Third Trimester
- Labor and Delivery
- Pregnancy Complications
- All Guide Topics
Braxton-Hicks contractions or false labor contractions are irregular contractions and relaxation of the muscles of the uterus 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.
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.
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 the 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.
- Change position or activity level: if you were 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 assessing 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. | Occurs at regular intervals and gets stronger over time. |
| How long do contractions last? | Unpredictable. They can last less than 30 seconds or up to 2 minutes. | Lasts 30 to 90 seconds and gets longer over time. |
| How strong are the contractions? | Usually weak and either stay the same or get weaker and then disappear. | Increase over time. |
| Where do contractions feel? | Often only felt in the front of the abdomen or in one specific area. | Begin in the middle of the back and wrap around the belly towards the midline. |
| Do abbreviations change with movement? | May stop if activity level changes or if woman's position changes. | Continue and may even get worse with movement or change of position. |
Back to the list of articles
false or real / “Waiting for the baby”
How to distinguish them from real contractions, and why they are needed, we will try to find out.
The phenomenon of temporary contractions was first described by the English doctor John Braxton Hicks. That is why they are called - Braxton Hicks contractions or false, training contractions, precursor contractions. In his scientific work of 1872, he argued that these contractions are short-term (from half a minute to 2 minutes) contractions of the muscles of the uterus, which are felt by a pregnant woman as an increase in the tone of the uterus. They appear after the 20th week of pregnancy. And during the day they happen often, but the expectant mother in the daytime may not even notice them. However, as time goes on, they intensify, becoming more and more obvious.
WHAT DO YOU NEED FALSE BROUGHT
The uterus is a muscular organ. And like any muscle that has to perform the work allotted to it in the body, it needs training. After all, if she hangs for all forty weeks like a bag, she will not cope with the load in childbirth. Thus, the purpose of training or false contractions is to prepare the uterus and cervix for childbirth.
That is why one of the names of training bouts is contractions harbingers - harbingers of an approaching birth.
ARE FALSE PARTS PAINFUL?
As a rule, false contractions are painless, but with increasing duration they become more noticeable and bring more discomfort. However, in all women, they manifest themselves in different ways, someone does not feel them at all, and someone does not sleep at night, tossing and turning and trying to find a comfortable position for sleeping. It all depends on the pain threshold. The main thing in this situation is to stop being nervous about this and calm yourself with the thought that such training is necessary for the most important upcoming event - the birth of your crumbs. And to calm down a little and sleep better, ask your doctor to prescribe a sedative for you and get a special pillow for expectant and nursing mothers. With her, falling asleep and experiencing the discomfort of the last weeks of pregnancy will be much easier!
HOW TO LIVE WITH FREQUENT PARTS
Some expectant mothers complain that their Braxton Hicks contractions are frequent and cause significant discomfort, even when they are doing housework or other light physical activity.
In such a situation, obstetricians are advised to lie down or vice versa, take an easy walk, in any case, change the type of activity. If training contractions bother you a lot, it is recommended to drink a glass of water, juice or herbal tea, calm down and get some rest. Ask someone close to give you a massage. Lie in silence. And to also benefit from training fights, try doing breathing exercises: practice breathing techniques in childbirth in practice.
HOW TO DIFFERENTIATE TRAINING FROM LIVING
The most important thing to understand is that real contractions are much more painful than Braxton Hicks contractions. You will understand it right away. In addition, the contractions that bring you closer to childbirth are more regular. The contractions begin in the lower back, spread to the front of the abdomen, and occur every 10 minutes (or more than 5 contractions per hour). Then they occur with an interval of about 30-70 seconds and over time the intervals between them are reduced.
Some women describe the sensations of labor pains as severe menstrual cramps, or sensations during diarrhea, when the pain rolls in waves in the abdomen. These contractions, unlike false ones, continue even after a change in position and when walking, constantly intensifying. As soon as you feel all these symptoms, call your ob-gyn - hour X has arrived. If in doubt, also do not be afraid to disturb the doctor. The doctor will ask you a few questions that will help him determine the type of contractions and eliminate all your doubts and worries. After all, it is always better to consult a doctor and trust his professional experience.
You should seek help if:
• you have more than four contractions an hour and they happen regularly
• contractions are accompanied by pain in the lower spine
• contractions are accompanied by watery or bloody vaginal discharge
• the contractions are so strong that it is very difficult for you to endure them
• there is a marked change in the child's movement, or less than 10 movements every 2 hours
• you think your waters have started to break
Alla Misyutina, Consultant Physician, Independent Laboratory INVITRO
Dear women, during labor, the body needs a lot of oxygen, so proper breathing is very important.
A large influx of oxygen into the blood of mother and baby alleviates the condition of the crumbs, which during childbirth experiences oxygen starvation. Special breathing techniques help to properly open the birth canal and make contractions and attempts as effective as possible.
Different types of breathing should be used at different stages of labor.
• During "false" contractions, breathing should be deep and slow. During the period when the contractions become more intense, it is necessary to use "pain-relieving breathing". This breathing is slow, deep, the inhalation is done through the nose, it should be longer than the exhalation through the mouth. More details: inhale is done at the expense of 1-2-3-4, and exhale - at the expense of 1-2-3-4-5-6. With the help of such breathing: mom relaxes, distracts from pain, focuses on the score; the baby receives as much as possible, so he needs oxygen.
• In breaks from contractions, you need to rest and breathe evenly without any effort, so that you can then easily follow the doctor's recommendations.
• During attempts, you need to exhale all the air from the lungs, then take a deep breath and push for up to 6-9 seconds. Quickly exhale all the air, quickly take a deep breath and again hold your breath for 6-9 seconds, and so on - about three times per attempt.
• In breaks from attempts to rest and breathe deeply, evenly and relaxed.
• It is very important to only push on the perineum and never push on the head. In this case, all efforts are wasted and will appear in the form of burst vessels in the eyes and on the face.
• In the period after the birth of the head, it is necessary to stop pushing and breathing shallowly, some call this breathing “dog-like”, deep breathing can harm both mom and baby. Then everything goes on as usual, the main thing is to obey the doctor.
• After the baby was born, within half an hour the last stage of labor begins - the birth of the placenta. Special breathing is no longer required, at the doctor's command, push a little into the perineum and EVERYTHING! Dear women, pain during childbirth is good, it means that your baby will be born soon.
There is no need to resist the pain, this is a mistake that brings a woman and a child nothing but fatigue. On the contrary, it is necessary to concentrate and help in every possible way to give birth to a healthy baby.
BIRTH AGAIN
So, you have decided that this is no longer a “teaching”, but the beginning of childbirth. In addition to contractions, the onset of labor can be indicated by the outflow of amniotic fluid and the passage of a mucous plug that closes the lumen of the cervix. The mucous plug can also come off 2-3 days before delivery. However, her departure does not always mean that it is time to go to the hospital. During pregnancy, the cervix is tightly closed. With the onset of labor pains, its opening begins: the cervix of the uterus gradually expands to 10-12 cm in diameter (full disclosure). The birth canal is preparing to "release" the child from the womb. Intrauterine pressure increases during contractions as the uterus shrinks. And in the end, this leads to rupture of the fetal bladder and the outflow of part of the amniotic fluid.
The first, preparatory, period of labor for women giving birth for the first time takes an average of 12 hours, and 2-4 hours less for those who have second births. At the beginning of the second stage of labor, contractions join the contractions - contractions of the muscles of the abdominal wall and diaphragm. In addition to the fact that different muscle groups are involved in contractions and attempts, they have one more important difference: contractions are an involuntary and uncontrollable phenomenon, neither their strength nor frequency depend on the woman in labor, while attempts to a certain extent obey her will , it can delay or strengthen them. Therefore, at this stage of childbirth, a lot depends on the expectant mother and her ability to quickly and correctly follow the commands of the obstetrician taking delivery. And most importantly - to tune in correctly and not allow panic and thoughts about something bad. Obstetricians and gynecologists recommend that mothers perceive childbirth as a holiday, a baby's birthday.
