How to Tell When Labor Begins: Braxton Hicks vs. True Contractions
As you near the end of your pregnancy, you may start wondering: "Is this it? Am I going into labor?" Many women experience contractions in the final weeks, but not all contractions mean it's time to head to the hospital. Understanding the difference between Braxton Hicks contractions and true labor contractions can help you feel more prepared when the big day arrives.
We want you to feel confident in recognizing the signs of labor.
What Are Braxton Hicks Contractions?
Braxton Hicks contractions, also known as "practice contractions," are your body's way of preparing for labor. These contractions can start as early as the second trimester but are more common in the third trimester.
How to Recognize Braxton Hicks Contractions:
Irregular Timing – They don't come at consistent intervals and don't get closer together over time.
Mild to Moderate Intensity – They may feel like a tightening sensation or mild cramping but are not usually painful.
No Progression – They don't get stronger, longer, or more frequent.
Go Away with Rest – Changing positions, resting, or drinking water can help them subside.
What Causes Braxton Hicks?
Dehydration
Being very active
A full bladder
Sex or touching your belly
Braxton Hicks's contractions are normal and not a sign of labor. However, if you're unsure whether your contractions are the real thing, it's always okay to reach out to your OB-GYN.
What Are True Labor Contractions?
Unlike Braxton Hicks, true labor contractions indicate that your body is preparing for delivery. These contractions help dilate your cervix and push your baby down into the birth canal.
Signs of True Labor Contractions:
Regular Timing – Contractions come at set intervals (e.g., every 10 minutes) and become closer together over time.
Increasing Intensity – They get stronger, more painful, and last longer (usually 30-70 seconds).
Continue Regardless of Movement – Walking, changing positions, or resting won't make them stop.
Lower Back and Abdominal Pain – True contractions often cause discomfort that radiates from the back to the front.
Other Labor Signs – You may also experience bloody show, your water breaking, or pressure in your pelvis.
A Good Rule of Thumb: 5-1-1 Rule – If contractions are 5 minutes apart, last 1 minute, and continue for at least 1 hour, it's time to call your doctor or head to the hospital!
When to Call Your OB-GYN
You should contact your provider or go to the hospital if:
Your water breaks (it may feel like a gush or a slow trickle).
You have regular, painful contractions that don't stop with rest.
You experience heavy vaginal bleeding.
You feel severe pelvic pressure or an urge to push.
You notice decreased fetal movement.
Braxton Hicks contractions are normal and a common part of late pregnancy. However, knowing how to recognize true labor contractions will help you feel more confident when the time comes.
If you're ever unsure whether you're in labor, don't hesitate to call us. We're here to guide you every step of the way and ensure you have a smooth labor and delivery experience.
