Lots of Braxton Hicks contractions

Braxton Hicks contractions are tightenings of the womb that may feel firm or uncomfortable and then ease. They are often irregular, do not steadily become stronger, and may settle after rest, changing position, drinking fluids or emptying your bladder. The sensation can still be worrying, especially when it is new.

The pattern matters more than the label. Labour contractions tend to become more regular, longer, stronger and closer together. Frequent tightenings can also occur with dehydration, activity or an irritated womb, so a maternity team may need to assess you.

Stop strenuous activity, rest on your side, drink fluids and notice the timing, strength and duration of each tightening. Avoid using a home pattern alone to decide that labour has started. Keep your maternity unit number available and follow the advice given for your pregnancy.

If you are unsure, call your maternity team and describe how long the contractions have been happening, whether they are changing, and whether fluid, bleeding or pelvic pressure is present.

Contact your maternity team promptly for regular or painful contractions, leaking fluid, vaginal bleeding, reduced fetal movement, pelvic pressure, backache or a feeling that something is wrong. Before full term, these may need urgent assessment for Preterm Labour. Seek emergency help for heavy bleeding, severe constant pain, collapse or severe breathing difficulty.

How should I time contractions, and what pattern should prompt a call? Could my symptoms suggest labour or another problem? What should I do if movements, fluid or bleeding changes?