Braxton-Hicks Contractions: Understanding False Labor
Braxton-Hicks contractions, also known as "practice contractions", are your body's way of preparing for labor. They are irregular, mild, and typically felt in the front of your abdomen. Unlike true labor contractions, they don’t follow a consistent pattern, don’t grow stronger over time, and often ease with movement or rest.
Key Points:
- Timing: Irregular and unpredictable intervals.
- Duration: 15 seconds to 2 minutes.
- Location: Felt in the front of the abdomen.
- Intensity: Mild and inconsistent.
- Response to Movement: Often subside with activity or position changes.
Quick Comparison:
| Feature | Braxton-Hicks | True Labor |
|---|---|---|
| Timing | Irregular | Regular intervals |
| Duration | 15–30 seconds, varies | 30–90 seconds, consistent |
| Pain Location | Front abdomen only | Moves from back to front |
| Pain Intensity | Mild, inconsistent | Gradually increases |
| Response to Movement | Eases with movement | Persists regardless |
| Cervical Changes | No effect | Causes dilation |
If you're unsure whether you're experiencing Braxton-Hicks or true labor, consult your healthcare provider. Stay hydrated, change positions, and practice breathing techniques to manage discomfort. These contractions are a normal part of pregnancy, helping your body prepare for delivery.
Signs of Braxton-Hicks
Common Feelings and Signs
Braxton-Hicks contractions often feel like a tightening in your abdomen, similar to mild menstrual cramps. While they can be uncomfortable, they are rarely painful. During these contractions, your abdomen may feel firm and take on a more angular appearance [1][2].
Braxton Hicks contractions are mild, irregular contractions during pregnancy. They feel like tightness in your abdomen. - Amy Brien, M.D. [2]
How Long They Last
These contractions usually last between 15 and 30 seconds, though they can sometimes stretch up to two minutes. They don’t grow stronger or occur more frequently over time [3][4]. This is a key distinction from real labor contractions, which become more regular and intense [4].
| Characteristic | Braxton Hicks | Real Labor |
|---|---|---|
| Timing | Irregular | Regular intervals |
| Duration | 15-30 seconds | 30-90 seconds |
| Movement Response | Stops with movement | Continues regardless |
| Intensity | Remains mild | Gradually increases |
Location of Contractions
The location of these contractions can also provide helpful clues. Braxton-Hicks contractions are typically felt in the front of your abdomen [1]. In contrast, true labor contractions often radiate through your cervix, belly, and lower back [1][5].
Braxton Hicks: What Do Braxton Hicks Feel Like? False Labor Vs True Labor Contractions
Braxton-Hicks vs. Real Labor
Understanding the differences between Braxton-Hicks contractions and true labor contractions can help expectant mothers prepare for delivery. Both types involve the tightening of the uterus, but they serve different purposes and feel distinct. Here's how to tell them apart.
It's essentially the uterus gearing up for labor, so that it is more effective in dilating the cervix when it's time to deliver. – Joseph Bouganim, M.D., OB/GYN [8]
Braxton-Hicks contractions occur in over 90% of pregnancies [8]. These "practice contractions" are generally less intense, with pressures ranging from 5–25 mm Hg. In contrast, true labor contractions are stronger, measuring between 40–60 mm Hg during the active phase of labor [6].
A helpful guideline is the 5-1-1 rule: if contractions come every 5 minutes, last for 1 minute each, and continue for at least 1 hour, it’s likely true labor [7].
Comparison Chart
Here’s a simple breakdown of how Braxton-Hicks and true labor contractions differ:
| Characteristic | Braxton-Hicks Contractions | True Labor Contractions |
|---|---|---|
| Timing Pattern | Irregular, unpredictable intervals | Regular intervals that get closer |
| Duration | 15 seconds to 2 minutes, varies | 30–90 seconds, consistent |
| Pain Location | Front abdomen only | Moves from lower back to front |
| Pain Intensity | Mild to moderate, inconsistent | Gradually increases over time |
| Response to Movement | Eases with walking or position change | Unaffected by movement |
| Other Symptoms | None | May include water breaking or bloody show |
| Cervical Changes | No effect on the cervix | Causes progressive dilation |
Pay attention to whether your contractions follow a regular pattern. True labor contractions typically start at the top of the uterus and move downward, while Braxton-Hicks are more localized and irregular [7]. True labor also continues regardless of activity or position changes, unlike Braxton-Hicks, which often subside with movement.
If you're unsure about the type of contractions you're experiencing, reach out to your healthcare provider for guidance.
Ways to Handle Braxton-Hicks
Managing Braxton-Hicks contractions can help ease discomfort and reduce stress during the later stages of pregnancy. Here are some practical tips to make these practice contractions more manageable.
Movement and Breathing
Changing your position can make a big difference. If sitting feels uncomfortable, try standing or walking. On the other hand, if you've been active, taking a moment to rest might help ease the contractions [9]. Use this time to practice deep, steady breathing and visualization techniques - skills that can come in handy during labor [3].
Stay Hydrated
Drinking enough water is key. Even mild dehydration can bring on Braxton-Hicks contractions or make them feel more intense [3]. Keeping yourself hydrated can help reduce their frequency and severity [3].
When to Contact Your Doctor
While self-care is important, there are times when you should seek professional advice. Here’s when to call your doctor:
- If contractions become regular, grow stronger, or are paired with vaginal spotting, especially before 37 weeks [2].
- If you notice any signs of labor before 37 weeks [2].
If you're unsure whether you're dealing with Braxton-Hicks or true labor contractions, it’s always better to consult your doctor [2].
Getting Ready for Labor
Once you’ve identified Braxton-Hicks contractions, it’s time to focus on preparing for real labor. These practice contractions are your body’s way of warming up, but understanding the signs of true labor and planning ahead will help you feel more prepared.
Labor Warning Signs
True labor comes with specific, consistent signs that set it apart from Braxton-Hicks:
- Contractions that grow stronger and occur at regular intervals
- Pain that moves from your lower back to the front
- Contractions that don’t stop, even if you change positions
- Blood-streaked discharge
- Your water breaking
The only way to truly differentiate between true labor and Braxton Hicks contractions is to check the cervix for dilation (which can be done by your provider). - Joseph Bouganim, M.D., OB/GYN [8]
When you notice these signs, it’s a good time to finalize your preferences by creating a birth plan.
Making a Birth Plan
A birth plan is a simple way to outline your preferences for delivery.
A birth plan is a tool to help you get educated and organized on your options and preferences before the big delivery day, explains Dr. Sherry Ross, OB-GYN and women's sexual health expert [10].
Here’s what to include in your birth plan:
- Basic details: Your name, your doctor’s contact information, and your support person
- Pain management: Whether you prefer medication or natural methods
- Delivery room preferences: Lighting, music, and who you’d like present
- Newborn care: Choices about medications, feeding, and skin-to-skin contact
- Emergency options: Your preferences in case a C-section is needed
Once your plan is ready, the next step is packing your hospital bag.
Hospital Bag Checklist
Aim to have your hospital bag packed by 36 weeks to avoid last-minute stress.
For Mom:
- Comfortable clothing (like sports bras, nursing tops, and loose pants)
- Personal care items
- A long phone charger
- Your birth plan and medical documents
- Postpartum care essentials
For Baby:
- A car seat
- Coming-home outfits (both newborn and 0-3 months sizes)
- Your pediatrician’s contact information
- Any feeding supplies you may need
I recommend packing less - I wore the hospital gown the whole time I was there. Why not? It's comfortable, easy to breastfeed in, and any outfits you bring you have to take home and clean. - Elli T., mom of two [11]
Getting these preparations in place will help you feel more confident and ready for the big day.
Summary
Braxton-Hicks contractions, often called "practice contractions", help your body gear up for labor. These contractions usually last 30 to 60 seconds, sometimes stretching to two minutes. While they can be uncomfortable, they typically aren't intensely painful. What sets them apart is their irregular timing, their focus on the front of your abdomen, and the fact that they often ease with a simple change in position.
Braxton Hicks contractions are a common and normal part of pregnancy. They don't harm the fetus in any way. - Cleveland Clinic [1]
If you're unsure whether you're experiencing Braxton-Hicks or true labor contractions, reach out to your healthcare provider for guidance.
Here are the key differences to keep in mind:
- Timing: Braxton-Hicks are irregular, while true labor contractions follow a consistent pattern.
- Location: Braxton-Hicks are felt in the front of the abdomen, whereas true labor often involves the lower back and cervix.
- Response to Movement: Braxton-Hicks may subside with movement or position changes, but true labor contractions persist no matter what.
Some women notice frequent Braxton-Hicks contractions, while others might barely feel them. Understanding these differences can help you feel more prepared as you approach labor. Keep the conversation open with your healthcare team to stay confident and informed.