What should you know about regular Braxton Hicks contractions?

Braxton Hicks contractions are tightenings of the womb that may make the abdomen feel firm. They are often irregular, vary in strength and may settle after rest, drinking water or changing position. They do not necessarily mean that the cervix is opening. Timing and sensation can differ from one person to another.

Labour contractions tend to become longer, stronger and closer together, although the pattern is not always obvious at first. Preterm Labour can begin before the expected time and may feel like repeated tightenings, menstrual-like cramps, backache or pelvic pressure. A clinician may need to examine you to tell these apart.

Pause and notice the timing, duration and strength of each tightening. Rest, change position, drink fluids and empty your bladder. Keep your maternity unit’s contact details nearby and follow the advice you were given about when to call. Do not rely only on a contraction timer if you feel unwell or notice another symptom.

Call urgently for regular or increasingly painful contractions, especially before your expected due period, or for vaginal bleeding, fluid leaking, reduced baby movements, severe backache or strong pelvic pressure. Seek emergency help for heavy bleeding, collapse or severe pain. If you are unsure whether the tightenings are labour, call rather than waiting for the pattern to become clearer.

Ask: How can I time these tightenings? At what pattern should I call? Which symptoms suggest my waters have broken? What should I do if contractions occur before my planned review? Can you explain my personal risk factors for early labour?