Too many Braxton Hicks contractions: what to know

Braxton Hicks are practice tightenings of the womb. They may feel like the abdomen is becoming firm and then relaxing. They are often irregular, do not steadily build in strength and may ease after changing position, resting, drinking fluids or emptying the bladder. Some people notice them more after activity or later in pregnancy.

The pattern matters more than the label. Contractions that become regular, longer, stronger or closer together can be labour. Before the stage of pregnancy when birth is expected, this pattern can indicate preterm labour, particularly when accompanied by pelvic pressure, period-like cramps, backache, fluid leakage or bleeding.

Pause strenuous activity, rest on your side, drink water and notice whether the tightenings reduce. Time several contractions from the start of one to the start of the next, recording how long each lasts. Avoid relying on a home check to decide that regular painful contractions are harmless. Contact your maternity team if the pattern persists or you are unsure.

Call your maternity unit urgently for regular painful contractions, leaking or a gush of fluid, vaginal bleeding, reduced fetal movement, strong pelvic pressure or persistent lower back pain. If you are before term, these symptoms need prompt assessment for preterm labour. Seek emergency help if you feel faint, have severe pain or cannot reach your maternity service.

How should I time my contractions? At this stage of pregnancy, which pattern should prompt a call? How can I tell whether fluid is amniotic fluid? Should my cervix or baby be assessed? What is the plan if symptoms suggest preterm labour?