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5 questions about Braxton Hicks contractions

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Speaking of Health

Friday, February 5, 2021

Topics in this Post

• Obstetrics and Gynecology

Some of the bodily changes during pregnancy can be confusing. For some women, Braxton Hicks contractions can be particularly puzzling. They are uncomfortable, but painless, contractions during pregnancy and are sometimes referred to as "false labor" pains.

Here are answers to 5 common questions about Braxton Hicks contractions:

1. What do Braxton Hicks contractions feel like?

Braxton Hicks contractions are mild, irregular contractions during pregnancy. They feel like tightness in your abdomen. Some women feel a lot of Braxton Hicks contractions, while some women don't feel them at all. They typically last less than 30 seconds, and they are uncomfortable but rarely painful.

These contractions also tend to occur more often and become stronger as you approach your due date. Finally, they're more likely to occur in the afternoon or evening, after physical activity, or after sex.

2. What is the purpose of Braxton Hicks contractions?

Braxton Hicks contractions help tone your uterus' muscles and prepare your cervix for birth.

3. How can you tell the difference between Braxton Hicks contractions and labor contractions?

There are three primary differences between Braxton Hicks contractions and true contractions:

• Pattern
  Time your contractions from the beginning of one to the beginning of the next. Look for a regular pattern of contractions that get progressively stronger and closer together. Braxton Hicks contractions will remain irregular.
• Duration
  Time how long each contraction lasts. True contractions last about 30 to 70 seconds.
• Change
  True contractions continue regardless of your activity level or position. With false labor, the contractions might stop when you walk, rest or change position.

Contact your health care provider if contractions become regular and steadily increase in strength.

4. How can you ease the discomfort of Braxton Hicks contractions?

For some women, Braxton Hicks contractions can be uncomfortable, and they tend to become stronger as their due dates approach.

Here are a few things to try to relieve any unpleasant feelings:

• Change your position, such as lying down or going for a walk.
• Take a warm bath.
• Get a massage from your partner.
• Practice your breathing exercises.

5. What happens if you go to the hospital and you're not actually in labor?

During pregnancy, expect false alarms. No one knows for sure what triggers labor, and every woman's experience is different. Sometimes it's hard to tell when labor begins.

Don't hesitate to call your health care provider if you're confused about whether you're in labor or if you are experiencing Braxton Hicks contractions. Preterm labor can be especially sneaky. If you have any signs of labor before 37 weeks, especially if you also experience vaginal spotting, consult your health care provider.

If you arrive at the hospital in false labor, don't feel embarrassed or frustrated. Think of it as a practice run. The real thing is likely on its way.

Amy Brien, M.D., is an OB-GYN in Mankato, Minnesota.

For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a non-patient care area where social distancing and other safety protocols were followed.

Topics in this Post

• Obstetrics and Gynecology

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false or real / “Waiting for a baby”

February

Shortly before the birth, the expectant mother may be disturbed by training contractions, rhythmic contractions of the uterus, which quickly pass and appear occasionally. How to distinguish them from real contractions, and why they are needed, we will try to find out.

For the first time, the phenomenon of temporary contractions was 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. nine0007

WHAT FALSE BROUGHT IS FOR

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. nine0007

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! nine0007

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. nine0007

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. nine0007

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 nine0031 • 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. nine0007

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. nine0031 • 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. nine0031 • 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. nine0007

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. nine0007

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. Then it will be easier to concentrate on the fact that now your main task is to help the baby be born. If, during childbirth, the expectant mother panics, the concentration of adrenaline in her blood will increase significantly. Which will not have a very good effect on the process of childbirth. Adrenaline affects the synthesis of oxytocin, which significantly weakens contractions and slows down the process of childbirth. In addition, adrenaline completely blocks the production of endorphins, which will increase the feeling of pain during contractions and attempts. That is why it is so important to properly tune in, concentrate and help the baby to be born as soon as possible. nine0007

Lilia Egorova

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. nine0007

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). nine0007

INCOMPATIBILITY OF SPOUSES

Typically, 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 "incompatibility of spouses", then we can only talk about incompatibility of psychological or sexual temperaments, but no other "incompatibility" exists. nine0007

An 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.

A 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. nine0007

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. nine0007

TOXICOSIS

The concept of "toxicosis" appeared in Soviet obstetrics in the early 1990s, when in the world of progressive medicine everyone had 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? nine0007

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. nine0007

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. nine0031 Remember: there is no such diagnosis - toxicosis!

UTERINE TONUS/HYPERTONUS

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 contraction, which depends on many factors and can be observed both outside of pregnancy and during pregnancy. nine0031 The diagnosis of "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

The topic of "threat of abortion" has been raised by me 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. nine0007

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. nine0007

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. nine0007

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. nine0007

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. nine0007

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. nine0007

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 results in 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. nine0007

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. nine0007

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!

Placenta insufficiency can be spoken of 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? nine0031 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 - Curantil and Actovegin. Remember: the placenta cannot be rejuvenated!

In addition, the diagnosis "placentitis" has suddenly become 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. nine0007

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 normal, 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. nine0007

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. nine0007

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.

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