False labour pains

A false labour pain may feel like the abdomen is tightening, becoming firm, and then relaxing. Some people notice pressure in the pelvis or an ache in the lower back. The episodes may be uncomfortable without following a clear timetable. They commonly remain similar in strength or ease after hydration, rest, or a change in position.

Pain alone cannot identify the cause. Established labour is associated with a continuing pattern and cervical change, while other problems can also cause abdominal or back pain. A maternity professional can decide whether examination and monitoring are needed.

Time the pains from the beginning of one tightening to the beginning of the next, and record how long each lasts. Rest somewhere comfortable, drink water, and notice whether movement or a position change alters the sensation. Keep a note of any discharge, fluid, bleeding, or change in your baby's movements.

If the pain remains concerning, contact your maternity unit and give the recorded pattern. Do not drive yourself if you feel faint or unwell; ask the service how to reach care safely.

Seek urgent maternity advice if pains become regular, intensify, or prevent normal activity; if you have severe or constant pain; or if there is bleeding, fluid leakage, fever, faintness, or reduced baby movements. Painful contractions before term need prompt assessment because they may signal preterm labour.

Ask how your unit defines a concerning contraction pattern, whether you should attend for monitoring, what pain relief is suitable at your stage of pregnancy, and which changes in discharge or movements should prompt another call.