Braxton Hicks or early labour?

Practice contractions can make the uterus feel firm, yet their timing and strength often fluctuate. A developing labour pattern generally continues despite rest, with contractions becoming more organised and demanding. No single home observation confirms whether the cervix is changing, so uncertainty is a valid reason to call maternity care.

Time contractions from the start of one to the start of the next and note their duration and strength. If you feel well and have no warning signs, drink water, empty your bladder, and try changing position. Record whether the pattern fades or keeps developing.

Have your pregnancy details and maternity unit number ready. When you call, mention your stage of pregnancy, contraction pattern, pain, pelvic pressure, backache, discharge, bleeding, possible fluid leakage, and your baby's movements. Follow the team's advice about attending for examination.

Call your maternity unit urgently for contractions that become regular or stronger, suspected waters breaking, vaginal bleeding, reduced fetal movement, severe or constant pain, fever, faintness, or a strong urge to push. A regular contraction pattern before full term can be a presentation of preterm labour and warrants prompt assessment.

Heavy bleeding, collapse, extreme continuous pain, or signs of imminent birth require emergency services. If your clinician has given you a personalised plan because of cervical findings or pregnancy history, follow that plan even if symptoms seem mild.

Ask which entrance or assessment unit to use, whom to telephone overnight, and what to do if your waters break without contractions. Clarify whether any aspect of your pregnancy changes when the team wants you to call.