False and true labour pain

Braxton Hicks contractions are practice tightenings. They may be uncomfortable, vary in strength, and ease after rest, hydration, movement, or a change of position. Established labour contractions usually develop a pattern, last longer, and continue despite those changes. They help the cervix open and thin. Sensations vary, so timing and the overall pattern matter more than one contraction or a single pain score.

Time contractions from the start of one to the start of the next and record how long each lasts. Drink fluids, rest, and try a position change if your maternity team has not given different instructions. Keep your hospital contact details and transport plan ready. If you are unsure, call your maternity unit with the timing, pregnancy stage, and any fluid loss or bleeding.

Contact your maternity service for regular painful contractions, waters breaking, vaginal bleeding, reduced fetal movement, or pressure and backache before your expected due period. Preterm labour can begin with contractions, pelvic pressure, backache, or fluid change and needs prompt assessment. Seek emergency help for severe pain, heavy bleeding, fainting, or feeling seriously unwell.

Ask how your unit defines a contraction pattern, when to come in, how to monitor fetal movement, and what to do if fluid leaks slowly rather than in a gush.