When you’re pregnant, your body goes through numerous changes, and one of the more puzzling experiences many expectant mums face are Braxton Hicks contractions. Often referred to as “practice contractions,” these can leave you wondering if labour is starting early. But what exactly are Braxton Hicks contractions, and how can you distinguish them from the real thing?
What Are Braxton Hicks Contractions?
Braxton Hicks contractions are irregular, usually painless contractions of the uterus that occur during pregnancy. They are often described as a tightening or hardening sensation in the abdomen. Named after the English doctor John Braxton Hicks, who first described them in the 19th century, these contractions are your body’s way of preparing for labour, but they are not a sign that delivery is imminent.
These contractions typically begin in the second trimester and may become more noticeable in the third trimester. They can occur sporadically, ranging from a few times a day to more frequently, and usually last between 30 seconds to two minutes. For some women, Braxton Hicks can feel quite strong, while for others, they may be barely noticeable.
Why Do They Happen?
Braxton Hicks contractions are a normal part of pregnancy and occur as a result of the uterus tightening in preparation for labour. However, they are not indicative of your body “getting ready” for delivery in the way that true labour contractions are. They are more like a warm-up for the muscles and tissues involved in the birth process.
Several factors can trigger Braxton Hicks contractions, including:
- Dehydration: Not drinking enough water can lead to stronger or more frequent contractions.
- Physical activity: Over-exertion or a sudden movement can trigger Braxton Hicks.
- Full bladder: A full bladder can irritate the uterus, causing contractions.
- Baby’s movements: As the baby shifts or kicks, the uterus may tighten in response.
How to Tell the Difference Between Braxton Hicks and Real Labour Contractions
One of the main concerns women have when they experience Braxton Hicks contractions is whether they are the real thing. While both types of contractions involve the tightening of the uterus, there are key differences that can help you distinguish between them:
- Irregularity: Braxton Hicks contractions are typically irregular, both in terms of timing and intensity. Real labour contractions come at regular intervals and gradually become more frequent and intense over time.
- Pain: Braxton Hicks contractions are usually not painful, though they may cause discomfort or mild cramping. Labour contractions, on the other hand, are generally painful and increase in intensity.
- Change with Movement: Braxton Hicks contractions often subside with a change in position, such as sitting down or drinking water. Real labour contractions don’t ease up with movement or changing position.
- Duration: Braxton Hicks contractions usually last between 30 seconds and two minutes, whereas real labour contractions tend to get longer as labour progresses.
When Should You Be Concerned?
In most cases, Braxton Hicks contractions are harmless and part of a normal pregnancy. However, if you experience any of the following, it’s important to contact your healthcare provider:
- Regular contractions: If your contractions become regular, more frequent, and painful, this may be a sign of preterm labour.
- Heavy bleeding or spotting: This could indicate a complication such as placenta previa or placental abruption.
- Severe pain or cramping: If the contractions are associated with severe pain, it may be worth seeking medical advice.
- Fluid leakage: If you notice any fluid leaking from your vagina, it could be a sign that your water has broken.
If in doubt, it’s always best to contact your midwife or doctor for reassurance.
How to Manage Braxton Hicks Contractions
Although Braxton Hicks contractions are generally harmless, they can still be uncomfortable. Here are a few tips to help manage them:
- Stay hydrated: Dehydration can make Braxton Hicks contractions more frequent or intense, so make sure you’re drinking plenty of water.
- Rest: Lie down and take a break if you feel the contractions increasing in frequency or intensity.
- Change positions: Try moving around, sitting down, or lying on your side to see if that eases the contractions.
- Relaxation techniques: Deep breathing and relaxation exercises can help reduce the discomfort associated with these contractions.
Braxton Hicks contractions are a normal part of pregnancy and a sign that your body is preparing for the big day. While they can be uncomfortable, they are generally harmless and do not indicate that labour is imminent. If you ever feel uncertain or worried about your contractions, don’t hesitate to contact your healthcare provider for advice and peace of mind. With proper rest, hydration, and awareness, you can navigate this stage of pregnancy with more confidence.
