Braxton Hicks Contractions vs. Real Labor: How to Tell the Difference

Braxton Hicks contractions are often referred to as “false labor” due to their similarity to real labor contractions. Braxton Hicks contractions are presented as mild abdominal discomfort in which the body prepares for labor. These contractions are sporadic and irregular, occurring as early as the second trimester but becoming more frequent and noticeable as the pregnancy progresses. Unlike real labor contractions, Braxton Hicks contractions are usually painless and do not lead to cervical dilation. They can be described as a tightening or hardening of the uterus that typically lasts for 20 to 30 seconds. While they can be uncomfortable and alarming, Braxton Hicks contractions are a normal part of pregnancy and serve the purpose of preparing the uterus for labor and delivery. It is important to differentiate between Braxton Hicks contractions and real labor contractions, as the latter signal the onset of labor and require immediate medical attention. Please keep reading for details on the following topics:

Description of Braxton Hicks contractions

Causes of Braxton Hicks contractions

The difference between actual contractions and Braxton Hicks contractions

How to deal with Braxton Hicks contractions

Illustration of a pregnant woman, showing a side view of her with a noticeable baby bump.

BRAXTON HICKS CONTRACTIONS

Occur at an irregular interval and lasts between 30 seconds and 2 minutes

The pain is unpredictable and does not increase in intensity

It can be alleviated by resting or drinking fluids

CAUSES OF BRAXTON HICKS CONTRACTIONS

While the exact cause of Braxton Hicks contractions is not fully understood, there are several factors that are believed to contribute to them:

1. Uterine Muscle Tightening

  • Braxton Hicks contractions are the result of the uterus tightening or contracting temporarily. This can happen as the muscles of the uterus practice for the more powerful contractions required during labor.
  • These contractions help tone the uterine muscles, preparing them for the intense activity of labor.

2. Hormonal Changes

  • Hormones, especially oxytocin and prostaglandins, play a role in initiating Braxton Hicks contractions. As pregnancy progresses, changes in hormone levels may stimulate the uterus to contract intermittently.
  • Progesterone, which helps maintain pregnancy, decreases later in pregnancy, potentially allowing the uterus to become more responsive to contractions.

3. Physical Activity or Movement

  • Physical activity or movement can trigger Braxton Hicks contractions. They may occur after physical exertion, such as exercise, walking, or even after standing for long periods.
  • The pressure from the baby moving or changes in maternal position can also bring on these contractions.

4. Dehydration

  • When the body is dehydrated, the uterus may become more sensitive to contractions. Not drinking enough water can cause the muscles of the uterus to tighten more frequently, leading to Braxton Hicks contractions.

5. Full Bladder

  • A full bladder can cause Braxton Hicks contractions as the pressure from the bladder against the uterus may trigger the tightening of the uterine muscles.

6. Sexual Activity

  • Sexual intercourse, especially orgasms, can trigger Braxton Hicks contractions. This is due to the release of the hormone oxytocin, which is also involved in uterine contractions.

7. Stretching of the Uterus

  • As the pregnancy progresses and the uterus stretches to accommodate the growing baby, Braxton Hicks contractions may occur more frequently. The stretching and growing of the uterus can irritate the muscles, causing them to contract sporadically.

8. Fetal Movement

  • The baby’s movement within the womb can put pressure on the uterine walls, causing Braxton Hicks contractions. This is especially noticeable when the baby shifts into a position that puts pressure on certain areas of the uterus.

9. Stress or Anxiety

  • Emotional stress or anxiety may also contribute to Braxton Hicks contractions, as it can lead to an increase in certain hormones like adrenaline that may cause uterine muscle contractions.

10. Stimulating the abdomen

DIFFERENCES BETWEEN ACTUAL CONTRACTIONS AND BRAXTON HICKS CONTRACTIONS

Braxton Hicks contractions occur during the first or second trimester

Actual contractions occur after 37 weeks and are frequent, regular and painful

Braxton Hicks contractions are irregular, far apart and not very painful

Actual contractions are rhythmic, close together, painful and grow consistently longer, stronger

Braxton Hicks contractions are alleviated by rest, drinking water

Actual contractions become stronger with movement

HOW TO DEAL WITH BRAXTON HICKS CONTRACTIONS

Here are ways to cope with them:

1. Change Your Position

  • Rest or relax: If you’re standing or walking when the contractions begin, try sitting or lying down in a comfortable position. Sometimes lying on your left side can help.
  • Walk around: If you’ve been lying down or sitting for a while, moving around can sometimes relieve Braxton Hicks contractions.

2. Stay Hydrated

  • Drink water: Dehydration is a common trigger for Braxton Hicks contractions. Make sure to drink plenty of water throughout the day. If you’re experiencing contractions, sipping water may help stop them.

3. Practice Deep Breathing

  • Relaxation techniques: Take deep breaths, breathing slowly and deeply. This can help your body relax and reduce tension in the uterus, easing the contractions. Inhale deeply through your nose, hold for a few seconds, and exhale slowly through your mouth.
  • Focus on relaxation: Practice relaxation or meditation techniques to reduce stress, which can sometimes trigger Braxton Hicks contractions.

4. Change Activities

  • Stop what you’re doing: If the contractions occur after physical activity, take a break and rest. If you’ve been moving around a lot or exercising, allow your body to relax.
  • Avoid strenuous activities: If you’re doing something physically demanding, it may help to slow down or avoid overexertion.

5. Empty Your Bladder

  • A full bladder can sometimes trigger Braxton Hicks contractions. If you feel the need to urinate, do so and see if it helps relieve the contractions.

6. Use a Warm Compress

  • Warm bath or compress: A warm (not hot) bath can help relax the muscles of the uterus and reduce discomfort. Alternatively, a warm compress on your abdomen can provide relief.

7. Distraction

  • Sometimes simply distracting yourself can help you manage Braxton Hicks contractions. Focus on something else, such as watching a movie, reading, or engaging in light activities.

8. Avoid Stress

  • Emotional stress can contribute to Braxton Hicks contractions, so finding ways to relax and de-stress, such as listening to calming music, talking to a loved one, or practicing mindfulness, can be helpful.

9. Ensure Proper Support

  • Wearing a supportive maternity belt or comfortable clothing may help support your growing belly and reduce discomfort from Braxton Hicks contractions, especially if you’re experiencing them frequently during physical activity.

10. Monitor Your Contractions

  • Keep track of how often the contractions occur and how long they last. Braxton Hicks contractions should be irregular, short-lived, and non-painful. If the contractions become regular, painful, or last for a long time, it could be a sign of preterm labor, and you should contact your healthcare provider.

11. Take a Long Warm Shower/Bath

  • Benefits: Warm water can relax your muscles, including the uterus, helping to reduce the intensity of Braxton Hicks contractions. A bath can also soothe tension and promote relaxation.
  • Tip: Ensure the water is warm, not hot, to avoid overheating.

12. Drink Plenty of Fluids

  • Benefits: Dehydration is a common trigger for Braxton Hicks contractions. Drinking water or electrolyte-rich fluids can help keep your body hydrated and reduce the frequency of contractions.
  • Tip: Aim to drink small sips throughout the day to maintain hydration.

13. Perform Some Deep Breathing Exercises

  • Benefits: Deep breathing helps to relax your body, reduce stress, and ease uterine muscle tension. It encourages relaxation and can ease the discomfort caused by Braxton Hicks contractions.
  • Tip: Inhale deeply through your nose for 4 seconds, hold for 4 seconds, and exhale slowly through your mouth for 4 seconds. Repeat several times.

14. Take a Walk

  • Benefits: Gentle movement, like walking, can help release tension and may help to alleviate contractions. Walking also encourages better circulation and can help your baby move into a more comfortable position.
  • Tip: Don’t overexert yourself. If walking makes the contractions worse, try resting instead.

15. Have a Warm Cup of Tea

  • Benefits: Herbal teas such as ginger or peppermint can help soothe the stomach and calm your body. Avoid teas that contain caffeine, as it can increase dehydration.
  • Tip: Always check with your healthcare provider to ensure the tea is safe during pregnancy.

16. Get a Massage

  • Benefits: A gentle massage can help to relieve tension in your back, shoulders, and abdomen, which can sometimes help reduce the intensity of Braxton Hicks contractions. A partner or professional can help you with this.
  • Tip: Be gentle with pressure and avoid massaging directly over the uterus.

17. Eat a Snack

  • Benefits: Eating a healthy snack can help stabilize your blood sugar, preventing low blood sugar from causing stress or discomfort, which may trigger contractions.
  • Tip: Choose balanced snacks that include protein and fiber, such as nuts, fruits, or whole grains.

18. Take a Rest

  • Benefits: Resting can allow your body to relax, which may ease the contractions. Lying on your left side can also improve blood circulation to the uterus, further relieving discomfort.
  • Tip: If you’re experiencing frequent contractions, lying down for a short period can be particularly beneficial.

When to Seek Medical Attention

While Braxton Hicks contractions are generally harmless, certain circumstances may require medical evaluation:

  • If contractions become painful, regular, or increase in intensity.
  • If you experience bleeding, fluid leakage, or severe cramping.
  • If you suspect preterm labor (especially if you are less than 37 weeks pregnant).

Always reach out to your healthcare provider if you have concerns or if your contractions seem different from typical Braxton Hicks contractions.

Disclaimer: This article is intended solely for informational purposes and does not constitute medical advice. Always consult with a qualified healthcare professional for personalized guidance regarding your specific health situation.

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