Contractions During Pregnancy
You might be sitting, enjoying your pregnancy book, when all of a sudden your entire abdomen tightens up. What was that? Was that a contraction?
Pregnancy contractions occur all throughout pregnancy. The big question is: How do you know if it's a real contraction or just Braxton Hicks?
There are definite differences between real labor contractions and Braxton Hicks practice contractions during pregnancy. Learn how each kind of contraction feels and when to know when you may be in real labor or preterm labor.
A pregnancy contraction is when the uterus, the muscular organ where your baby grows, hardens and makes your entire abdomen feel as if it is tight or taut. In between contractions, the uterus will relax and everything in the abdomen will feel soft again.
Starting at about 20 weeks (or sooner if you have been pregnant before), your uterus will begin experiencing painless contractions, often called Braxton Hicks contractions. These are simply practice contractions as your body begins a slow preparation for birth in another 17–20 weeks. They do not harm you, nor will they harm the baby. They are simply responses to slight hormonal pulses sent from your pregnant body to prepare you for birth.
These practice contractions can be scary, especially for first-time parents. Learn the differences between Braxton Hicks contractions and real labor contractions below.
Braxton Hicks Symptoms
Tightening of the abdomen
Irregular, come and go
Stop after a while, and start up again hours or days later
What Causes Contractions?
Common causes of contractions that are not labor contractions:
- Sudden change of position
- A full bladder
- Having sex
- Too much activity
- Standing or sitting for long hours
What Do Braxton Hicks Feel Like?
Braxton Hicks contractions, named after 19th-century British gynecologist John Braxton Hicks, are painless, irregular pregnancy contractions that act as practice contractions from the middle to the end of pregnancy. Most women describe them as just the tightening of the abdomen that occurs at any time while others compare them to mild menstrual cramps.
These kinds of contractions never become regular and never become more intense. Often called false labor contractions, they go away for a few hours or days, or they may decrease with proper hydration, or rest.
Many women who have not felt these contractions before panic and call their doctors or rush to the hospital, only to be told after a bit of evaluation or monitoring that they are not in real labor. It can be discouraging, especially if you are in the later part of your pregnancy, but rest assured you'll know soon enough what real labor contractions feel like.
If you feel as if you are having too many of these kinds of contractions, start to monitor yourself and track the contractions. Lie down on your side, preferably your left side, place your fingertips on your uterus, and feel for contractions. When you feel one, write down the time or keep track on your smartphone or iPhone with an app. When you have a second one, make note of how much time has passed in between contractions.
If they are Braxton Hicks contractions, they will be irregular, spaced apart, and may go away after a while.
When to Call Your Doctor
You should call your doctor if:
- You have regular contractions, six or more per hour
- You have rhythmic cramping in your lower abdomen
- You have a dull backache in your lower back that is constant
- You feel persistent pelvic pressure
- You notice fluid, blood, or mucous leaking from your vagina, different than normal discharge
- You have a change in color of vaginal discharge to light pink or brown
Real Labor Contractions
What Do Real Contractions Feel Like?
You will definitely notice a difference when you feel real labor contractions. Real labor contractions are the real deal, helping your cervix to thin out and open up to allow the baby to pass through your birth canal.
These contractions may start off as mildly painful in the early stages of labor, but as they progress, they can become excruciatingly painful, with pain radiating to your back, abdomen, and the tops of your thighs. They are regular, coming every five minutes or less and lasting for 30–90 seconds. It could feel like an intense menstrual period or painful intestinal cramping.
These kinds of contractions should occur after the 37th week of pregnancy, when the baby is considered to be full-term. Of course, the closer you are to 40 weeks, the better it is for the baby.
If these kinds of contractions occur before 37 weeks, you may be in preterm labor.
Preterm Labor Treatment
It's best to be pregnant as long as possible for the health of your baby, so doctors may try these methods to stop or prevent preterm labor:
- Progesterone treatments
- Cerclage (Stitch to keep your cervix closed)
- Tocolytics treatments
- Bed rest
Signs of Preterm Labor
If you are experiencing any of the following before 37 weeks, you may be experiencing preterm labor and should call your doctor immediately:
- Regular contractions, six or more per hour
- Rhythmic cramping in your lower abdomen
- Dull backache in your lower back that is constant
- Persistent pelvic pressure
- Fluid, blood, or mucous leaking from your vagina, different than normal discharge or urine
- Change in color of vaginal discharge to light pink or brown
Sometimes, you may just get a feeling that something is not right. If that's the case, call your doctor for an evaluation, just to make sure things are going well.
If you're feeling pregnancy contractions, practice monitoring them now so you know what a regular contraction or contraction activity feels like for you. Enjoy the mild, Braxton Hicks ones now; soon enough you'll feel the real deal labor contractions!
Enjoy your pregnancy!
This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.
Marissa (author) from United States on October 24, 2012:
billybuc, you're awesome! I really appreciate your support, even when you have no personal experience with labor contractions (although I'm sure your mom had some doozies with you!). Thanks so much for reading and commenting!
Bill Holland from Olympia, WA on October 24, 2012:
Can you tell that I'm just here to support you? lol Not exactly my topic, but what the heck, you wrote it and I need to support those I follow...so here I am! Great information!