Pregnancy: How to know false or true labour contractions

Distinguishing between false labor contractions (Braxton Hicks contractions) and real labor contractions is essential for expectant mothers as they approach their due dates. Here are some key differences to help you differentiate between the two:

**1. ** Frequency and Regularity:

• Real contractions: They have a consistent pattern, becoming closer together and more regular as time passes.
• False contractions: They are irregular and don’t follow a consistent pattern. They may occur sporadically and not increase in frequency.

2. Intensity:

• Real contractions: Gradually intensify over time, becoming stronger, longer, and more uncomfortable as labor progresses.
• False contractions: Typically are mild and don’t significantly increase in intensity.

3. Location and Spread of Pain:

• Real contractions: Usually start in the lower back and radiate to the front of the abdomen. The pain may move from the back to the lower abdomen or vice versa.
• False contractions: Are often felt in the lower abdomen and may not radiate or move.

4. Duration:

• Real contractions: Last for about 30 seconds to a minute initially and gradually lengthen as labor progresses.
• False contractions: Tend to be short and don’t extend in duration.

5. Activity and Movement:

• Real contractions: Often intensify with movement and may not subside regardless of changing positions or activities.
• False contractions: Tend to ease or go away with movement, a change in position, or hydration.

6. Cervical Changes:

• Real contractions: Accompanied by cervical dilation and effacement as labor progresses.
• False contractions: Do not cause cervical changes.

7. Water Breaking:

• Real contractions: Can be accompanied by the breaking of the amniotic sac, which releases amniotic fluid.
• False contractions: Are not typically associated with the breaking of water.

8. Relief Measures:

• Real contractions: May not be relieved by measures such as rest, hydration, or a warm bath.
• False contractions: Often subside or lessen with rest, hydration, or a change in activity.

It’s essential to contact your healthcare provider if you are unsure whether you are experiencing true labor contractions. They can guide you based on your symptoms and help determine the appropriate steps to take based on your stage of pregnancy.