Are Braxton Hicks contractions normal?

They are often called practice contractions or false labour. The uterus tightens and then relaxes, without the continuing pattern of cervical change expected in established labour.

A Braxton Hicks contraction may make the abdomen feel firm or drawn tight. These tightenings tend to be irregular, may settle with movement or rest, and do not usually become steadily stronger and closer together. Dehydration, activity, a full bladder or sex can make them more noticeable.

Labour contractions develop a more organised pattern and generally become stronger, longer or more frequent. Sensation alone cannot always distinguish practice contractions from early labour, particularly before full term, so a changing pattern deserves assessment.

Pause and notice whether the tightenings are developing a pattern. Drink water, empty your bladder and change position: rest if you have been active, or take gentle movement if you have been sitting. Avoid pushing through discomfort.

Follow any personalised instructions from your maternity team. If the contractions continue despite these measures, become difficult to speak or move through, or simply feel different from your usual tightenings, call your maternity unit for advice.

Contact your maternity unit promptly if contractions become regular, stronger or closer together, especially before full term. Seek urgent assessment for vaginal bleeding, leaking or a gush of fluid, reduced baby movements, severe or persistent abdominal pain, fever, faintness, or feeling acutely unwell.

Do not wait for contractions to become painful when fluid may be leaking or your baby's movement pattern has changed. If you cannot reach your maternity team and symptoms seem urgent, attend emergency care.

Ask how your unit wants you to monitor contractions, which number to call outside clinic hours, and where to go for assessment. If you have pregnancy complications or a history of early birth, ask whether your threshold for calling should be different.