What should you know about continuous Braxton Hicks contractions?

Braxton Hicks contractions are tightenings of the womb that may feel uncomfortable but often remain irregular and do not steadily build. They can become more noticeable later in pregnancy and may settle with rest, hydration, or a change of activity. Contractions that develop a regular pattern, grow longer or stronger, or come with pelvic pressure, backache, bleeding, or fluid leakage may indicate labour rather than practice contractions. Preterm labour is especially concerning when these signs occur before the expected time of birth.

Pause and rest, drink water if you have not been advised to restrict fluids, and time the tightenings from the start of one to the start of the next. Note whether they ease when you change position. Contact your midwife, obstetrician, or maternity unit if they continue, become patterned, or feel different from your usual experience. Do not rely on timing alone if you have bleeding, fluid loss, pain, or reduced fetal movement.

Seek urgent maternity assessment for regular painful contractions, vaginal bleeding, suspected waters breaking, strong pelvic pressure, severe back or abdominal pain, fever, or reduced fetal movement. If you may be in preterm labour, prompt assessment can check your cervix, contractions, and baby and guide the next steps.

Ask how to time contractions, which pattern should prompt a call, whether hydration or rest is suitable for you, and how to respond to bleeding, fluid loss, pain, or reduced movement.