Pre-labour contractions vs Braxton Hicks

Braxton Hicks contractions can feel like tightening across the abdomen. They often vary in length and spacing, do not build steadily, and may settle after changing position, resting or drinking fluids. They can still feel uncomfortable.

Established labour tends to create a pattern: contractions keep coming, become harder to talk through, and continue despite rest or movement. The cervix changes during labour, but only an examination can assess that. Contractions before the expected stage of pregnancy may indicate preterm labour and need assessment.

Time contractions from the start of one to the start of the next and note how long each lasts. Rest, change position, drink fluids and use the comfort measures recommended by your maternity team. Keep your hospital contact details available. Do not rely on contraction timing alone if fluid leaks, bleeding or reduced fetal movement occurs.

Contact maternity care urgently for regular painful contractions before term, vaginal bleeding, leaking fluid, severe constant abdominal pain or reduced fetal movement. Call promptly if contractions are becoming stronger and closer together or you are unsure whether labour has begun.

Ask when your team wants you to call, how to time contractions, and which pain or fluid changes matter. If contractions occur early, ask how preterm labour will be assessed and what monitoring is available.