It’s no secret that an essential part of labor is contractions. However, not all contractions are equal. Some occur intermittently, coming and going, never progressing to delivery. Others are frequent and intense, and there’s a clear pattern that indicates the baby is ready to be born soon.

Have you ever wondered about labor contractions vs. Braxton Hicks? You might have questions like, “What makes them different?” and “How will I be able to tell them apart?” In this blog, we’ll explore the different types of contractions, paying special attention to real contractions vs. false labor. Keep reading to get all the answers to your common questions about contractions.

What are Braxton Hicks Contractions?

Braxton Hicks contractions are real in the sense that your body is actually producing the sensations you feel. While doing so, your body is also physically “practicing” for the labor it will be doing in the future by preparing your uterus. While Braxton Hicks contractions usually become noticeable after the 27th week of pregnancy or in the third trimester, sometimes they can begin sooner.

Most birthing people describe Braxton Hicks contractions as a tight feeling around their abdomen. Although uncomfortable, they are typically painless and unpredictable. They may come and go with what seems to be no rhyme or reason. They also do not cause the cervix to dilate or lead to true labor.

Braxton Hicks contractions are often referred to as “false labor” or “prodromal labor.” Unlike real contractions, they can be managed for the most part with rest and fluid intake. Sometimes Braxton Hicks are induced by too much activity, and a period of relaxation can reduce or stop them altogether. Braxton Hicks are completely harmless to expectant parents and the unborn baby. In fact, they are part of the natural process and helpful for transitioning to labor contractions when that time comes.

What do Real Contractions Feel Like?

Labor is a unique and different experience for everyone, but there is one telltale sign that the contractions you are experiencing are part of active labor and therefore, real.  That is intensity. When the intensity of the contractions increases, that may mean you’ve transitioned to real labor.

Real contractions are also very rhythmic and timely, usually lasting anywhere from 60-90 seconds. They continue to get closer and closer together as they build up the uterine fundus. This puts pressure on the fundus and, in return, helps the baby move down into prime position for delivery.

When you are in real labor, the contractions do not stop; they progressively get closer, stronger, and longer. Sometimes real contractions feel like strong menstrual cramps, while many birthing parents experience them as more localized pain in the back. Other times, they can start in your back as pain and wrap around to your core. Some birthing people feel intense pelvic pressure or any combination of these symptoms. All of these scenarios are normal and expected. One thing’s for sure: The feeling of real contractions goes beyond the mild discomfort of Braxton Hicks and is frequently described as strong, achy, and crampy. When contractions become consistent in duration, length, and strength, this is a positive sign of real labor progression.

How Can I Tell the Difference Between Labor Contractions vs. Braxton Hicks?

There are several differences between labor contractions and Braxton Hicks, primarily the rhythm and intensity. Braxton Hicks tend to be more erratic and unpredictable, while actual labor contractions gain consistency and power.

Real labor contractions are not managed by rest and hydration like Braxton Hicks, and they will continue despite human efforts, unless of course, they are medically halted. True contractions will always get closer together and last longer.

In addition, bloody discharge or your water breaking are signs that real labor has begun. With Braxton Hicks, there is no predictability and no labor progress. They do not cause effacement or dilation. These differences are why it is so important to monitor the contractions you are experiencing for a period of time. Keeping track of contractions can help determine which type you are having.

What if I'm Not Sure If I'm in Labor or Experiencing Braxton Hicks?

This happens frequently, especially during first-time pregnancies. We’re not always certain what our bodies are doing, and that is perfectly okay. There are times when Braxton Hicks may feel like labor contractions, especially if the birthing person has never felt them before.

If your contractions are not consistent but more than uncomfortable, try to rest and hydrate. Remember, Braxton Hicks can be caused by doing too much or dehydration. If your contractions persist, get closer together, and don’t stop after a short period of time (typically about an hour), you may be in labor.

If at any time you are uncertain, contact the Magnolia midwife on-call. We are here to guide and support you every step of the way. At Magnolia, we want to help you achieve your out-of-hospital birth while keeping you and your baby safe. For more information about our personalized midwifery care and birth services, set up a free consultation by filling out our form.