If you’re pregnant and have felt your belly tighten up like a drum, you’re probably wondering if it’s the start of labor or just a false alarm. Welcome to the world of Braxton Hicks contractions — the ultimate “just kidding” moments of pregnancy. But how can you tell if it’s Braxton Hicks or the real deal? Don’t worry, we’ve got you covered with all the information you need to recognize the difference, understand why they happen, and know what to do in both situations.
What Are Braxton Hicks Contractions?
Braxton Hicks contractions, also known as “practice contractions,” are the body’s way of getting ready for the big day. Think of them as your uterus’s version of a dress rehearsal. They’re named after Dr. John Braxton Hicks, who first described them way back in 1872 (thanks, Doc!). These contractions typically start in the second trimester but become more noticeable in the third trimester.
They’re usually irregular, mild, and short-lived. While they can be uncomfortable, they’re not usually painful. Your body is literally “practicing” for labor, and while it can feel inconvenient, it’s a good sign that things are progressing as they should.
What Do Braxton Hicks Feel Like?
Braxton Hicks contractions feel like a tightening or hardening of the uterus. Your belly may feel firm to the touch, almost like someone’s inflated a basketball inside it. They’re usually felt in the front of the abdomen rather than the lower back. They’re more annoying than painful, and they’re often triggered by things like:
- Physical activity (like after a brisk walk or workout)
- Dehydration (a friendly reminder to drink that water!)
- A full bladder (cue the 100th trip to the bathroom that day)
- Sexual activity (orgasms can trigger them too!)
What Are Actual Labor Contractions?
When it’s time for baby to make their grand entrance, you’ll experience actual labor contractions. These contractions signal that your cervix is dilating and that labor is actively beginning. Unlike Braxton Hicks, labor contractions are the real MVPs of childbirth and tend to follow a very specific pattern.
Labor contractions are stronger, longer, and more consistent. They’re often accompanied by other signs of labor, like your water breaking or the “bloody show” (a mucus-like discharge tinged with blood). These contractions don’t let up when you change positions or rest — if anything, they’ll keep getting stronger.
How to Tell the Difference Between Braxton Hicks and Actual Contractions
Here’s a quick comparison of the key differences:
| Feature | Braxton Hicks Contractions | Actual Labor Contractions |
|---|---|---|
| Timing | Irregular, unpredictable | Regular intervals (e.g., every 5-10 minutes) |
| Duration | 30 seconds to 2 minutes | 30 seconds to 1 minute, but get longer over time |
| Pain Level | Mild discomfort, tightening | Starts mild but intensifies |
| Location | Felt mostly in the front | Starts in the back and moves to the front |
| Changes with Movement? | Yes, often stop if you change position | No, continue regardless of position changes |
If your contractions are coming at regular intervals (like every 10 minutes, then every 8 minutes, then every 5), it’s probably time to call your healthcare provider. If changing your position, drinking water, or lying down makes them stop, it’s likely Braxton Hicks.
What Should You Do If You’re Experiencing Braxton Hicks?
If you’re dealing with Braxton Hicks, there’s no need to panic. Here’s what you can do to feel more comfortable:
- Change positions: Sometimes just shifting positions from sitting to lying down or standing up can make them stop.
- Stay hydrated: Dehydration is a common trigger, so drink up!
- Take a warm bath or shower: The warmth can help relax your muscles (and you, too).
- Practice relaxation techniques: Deep breathing, meditation, or light yoga can help.
The key is to keep calm and remind yourself that Braxton Hicks are normal, and they’re not a sign of labor.
What Should You Do If You’re Experiencing Actual Labor Contractions?
If it’s the real deal, here’s your game plan:
- Time them: Track how far apart they are and how long they last. If they’re coming every 5 minutes and lasting about 60 seconds each for an hour, it’s time to call your healthcare provider.
- Call your provider: They’ll give you instructions on when to head to the hospital or birthing center.
- Grab your go-bag: If you’ve prepped a hospital bag (smart move!), now’s the time to grab it.
- Stay calm: Easier said than done, but stress can make things feel more intense. Focus on breathing and using any pain management techniques you’ve practiced.
If you’re ever unsure if it’s Braxton Hicks or actual labor, don’t hesitate to call your healthcare provider. It’s always better to get reassurance.
When Should You Call Your Doctor or Midwife?
Here’s when you should definitely call your doctor, midwife, or labor and delivery unit:
- Contractions are 5-1-1 (every 5 minutes, lasting 1 minute, for 1 hour)
- You feel intense pain (more than the normal level of discomfort from Braxton Hicks)
- You experience heavy bleeding (not just light spotting)
- Your water breaks (time to meet your baby!)
- You notice decreased fetal movement
Trust your instincts. If something doesn’t feel right, call for support. Healthcare providers are used to answering questions from pregnant people — you’re not “bothering” them!
Final Thoughts
Braxton Hicks contractions are your body’s way of getting ready for the big day, while actual labor contractions mean that big day has arrived. Knowing how to tell the difference between the two can save you a lot of stress (and unnecessary trips to the hospital). If in doubt, call your provider — it’s always better to be safe than sorry.
Remember, every pregnancy is unique. Some people feel Braxton Hicks as early as 20 weeks, while others don’t feel them at all. Labor contractions, on the other hand, will not be ignored. When the real ones hit, you’ll know.
Stay calm, stay hydrated, and don’t be afraid to reach out for help. You’ve got this!
Alex.