Braxton Hicks Contractions and Labour Pain: Dr Madhu’s Advice

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Feeling a tightening sensation in your belly? If you’re in your third trimester of pregnancy, you might be experiencing Braxton Hicks contractions—we often call them as “practice contractions” or “false labour.” As your body prepares for the big day, these contractions can feel a bit like a dress rehearsal for labour. Dont worry, they’re usually painless and don’t signify that your baby is on its way just yet.

As a Senior Consultant Obstetrician and Gynaecologist, I often get questions from expectant mothers about Braxton Hick’s contractions. It’s completely normal to feel a little unsure about what triggers braxton hicks, especially when it’s your first pregnancy. Rest assured, I’m here to demystify these false labour and provide you with the information you need to navigate this stage of pregnancy confidently.

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As a doctor with a passion for normal delivery, I believe in empowering mothers with knowledge. So they can make informed decisions about their bodies and their babies. Let’s dive into the world of third trimester of pregnancy together. So you can understand what they areand differentiate with labour pain. Its better to be aware of pregnancy symptoms.

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What Are Braxton Hicks Contractions?

Braxton Hicks contractions are your body’s way of getting ready for the main event – labour! They are essentially irregular, usually painless contractions of your uterus. Think of them as your uterine muscles flexing and toning, much like you might do at the gym to prepare for a marathon. It typically last around 30 seconds, though they can extend up to 2 minutes. While these contractions can be uncomfortable, they are usually not painful. They are more common in third trimester of pregnancy.

Braxton Hicks Contractions

In my practice, I often reassure expectant mothers that these contractions are perfectly normal. While they can feel a bit surprising at first, they’re your body’s way of prepping for the incredible task ahead.

Why Do Braxton Hicks Happen?

There isn’t a single definitive answer as to why Braxton Hicks contractions occur, but there are a few theories. One idea is that they help to soften and thin the cervix, preparing it for dilation during labour. Another theory is that they increase blood flow to the placenta, ensuring your baby receives the nutrients it needs to thrive.

When Does Braxton Hicks Start?

Although Braxton Hicks can occur as early as the second trimester, they typically become more noticeable in the third trimester. As you approach your due date, they may become more frequent and intense. However, it’s important to note that they shouldn’t be painful or follow a regular pattern.

Now that we’ve covered the basics let’s dive deeper into what Braxton Hick’s contractions actually feel like.

What Do Braxton Hicks Contractions Feel Like?

Braxton Hicks contractions are the method for preparation by the body for delivery. Often characterized by a tightening or squeezing feeling in the abdomen. It’s a bit like someone is gently hugging your belly or like the feeling you might experience during menstrual cramps.

The intensity of Braxton Hicks can vary greatly. For some women, they’re barely noticeable, while for others, they can be quite uncomfortable. Neha one of my patient’s compares Braxton Hicks contractions with labour pain. She quickly bacame aware of the difference, once she experienced labour pain.

Initially, I found them to be a mild discomfort that comes and goes quickly. They’re not painful but can be irritating. However, once you go into labor, you’ll realize Braxton Hicks can’t be mistaken.

Neha, First Time Pregnant

As an experienced obstetrician and gynaecologist, I’ve heard similar, but descriptions from patients. Everyone describes it differently. Some say it feels like their belly is turning to stone, while others describe it as a subtle fluttering sensation. The most common description is that of a tightening across the front of the abdomen, without any pain in the back or lower uterus.

These contractions typically last less than a minute, although they can sometimes persist for up to two minutes. You’ll likely notice that they come and go sporadically, with no regular pattern.

Remember, every pregnancy is unique, and your experience with Braxton Hicks may be different from another woman’s. If you’re unsure whether you’re experiencing Braxton Hicks or true labour contractions, don’t hesitate to reach out to your healthcare provider. We’re always here to help you understand what’s happening with your body and ensure a safe and healthy pregnancy.

Braxton Hicks vs Real Labour: How do You Differentiate the Two?

Now that you know what Braxton Hicks contractions feel like, you might be wondering how to differentiate them from the real deal – true labour contractions. While both can cause your belly to tighten, there are some key differences to help you tell them apart.

Braxton Hicks Contractions:

  • Irregular: They come and go at random intervals without a consistent pattern.
  • Don’t get stronger: The intensity of Braxton Hicks contractions remains the same or even decreases over time.
  • Stop with rest or change of position: If you lie down, sit up, or change positions, Braxton Hicks contractions often subside.
Braxton hicks contractions

Real Labor Contractions:

  • Regular: They come at regular intervals and gradually become closer together.
  • Progressively stronger: The intensity of real labour contractions increases over time.
  • Don’t stop with rest: Real labour contractions continue regardless of what you do.
  • Additional signs of labour: You might experience other signs like lower back pain, bloody show (pinkish mucus), or your water breaking.

I always tell my patients, “Trust your instincts, but always consult your doctor if unsure.” If you’re experiencing contractions that seem different from the Braxton Hicks you’ve been having, or if you have any concerns about your pregnancy, don’t hesitate to reach out to your healthcare provider. We’re here to guide you through every step of your pregnancy journey and ensure the health and safety of both you and your baby.

When to Worry and Seek Medical Attention

While Braxton Hicks contractions are generally harmless, there are certain situations where they might warrant a call to your doctor or a trip to the hospital. Trusting your instincts is crucial. Most important to consider, if you have any concerns, don’t hesitate to seek medical attention.

Red Flags During Pregnancy:

  • Painful contractions before 37 weeks: While mild discomfort is normal, painful contractions before 37 weeks of pregnancy could be a sign of preterm labour.
  • Regular contractions: If you’re experiencing contractions that occur at regular intervals (more than 4 in an hour), especially if they’re getting stronger or closer together, it’s important to contact your doctor.
  • Vaginal bleeding or leaking fluid: Bleeding or leaking amniotic fluid can indicate potential complications and should be evaluated by a medical professional.
  • Decreased fetal movement: If you notice a significant decrease in your baby’s movements, it’s crucial to seek medical advice to ensure your baby’s well-being.

Dr. Goel’s Reassurance:

As an obstetrician and gynaecologist, I always reassure my patients that most of the time, Braxton Hicks contractions are nothing to worry about. They’re simply a sign that your body is preparing for labour and delivery. However, if you experience any of the red flags mentioned above, or if you have any concerns about your pregnancy, please don’t hesitate to reach out to your healthcare provider. We’re here to support you and ensure a safe and healthy pregnancy for both you and your baby.

Remember, your health and your baby’s health are our top priorities. If you’re ever unsure about something, it’s always better to err on the side of caution and seek medical advice.

Coping with Braxton Hicks: Simple Tips for Comfort

Braxton Hicks contractions may be a normal part of pregnancy, but that doesn’t mean they can’t be uncomfortable. Thankfully, there are some simple things you can do to ease the discomfort and find relief.

  • Relaxation Techniques: Practicing deep breathing exercises or taking a warm bath can help soothe your muscles and reduce tension.
  • Change Positions: Sometimes, simply changing positions from sitting to standing, or vice versa, can make a difference.
  • Hydration: Dehydration can sometimes trigger Braxton Hicks contractions. Stay hydrated by drinking adequate quantity of water in right intervals.

If the contractions are particularly bothersome or if you have any concerns about them, feel free to reach out to your healthcare provider. We are here to support you and ensure a comfortable and healthy pregnancy.

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Conclusion

Braxton Hicks contractions are a normal and often reassuring part of pregnancy. It’s the body’s way of signalling, “We’re getting ready for this!” While they might cause a bit of discomfort or uncertainty at times, remember that they’re generally harmless and usually subside with simple measures like rest and hydration.

As your trusted obstetrician and gynaecologist, I encourage you to embrace these practice contractions as a sign that your body is preparing for the incredible journey of childbirth. If you have any concerns, don’t hesitate to reach out – my team and I are here to provide you with expert care and guidance every step of the way.

At our clinic, we prioritize the health and well-being of both mother and baby, and we’re committed to empowering you with the knowledge you need to have a positive and confident pregnancy experience.

If you’re experiencing Braxton Hicks contractions or have any questions about your pregnancy, please don’t hesitate to schedule a consultation.

I look forward your being a part of healthy and safe journey to motherhood!

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Dr. Madhu Goel
Senior Consultant Obstetrician and Gynaecologist
Director, Fortis La Femme

I am passionate about women’s health. With expertise in managing high-risk pregnancies, infertility, and various gynaecological issues, I strive to provide compassionate care. I am committed to ensuring the well-being of my patients. Follow me for insights and updates on women’s health.

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