Symptoms
Irregular contractions: The contractions do not follow a consistent pattern, and the time between contractions varies significantly.
Contractions that do not increase in intensity or frequency: The contractions may start strong but do not get progressively stronger, longer, or closer together.
Contractions that may stop on their own: Changing positions, walking, or resting may cause the contractions to subside.
Localized pain: Discomfort is typically felt in the abdomen or groin, rather than radiating throughout the back.
No cervical dilation: A key difference between false and true labor is that false labor does not cause the cervix to dilate or efface.
Causes
The exact cause of Braxton Hicks contractions is unknown, but they are thought to be related to:
Dehydration
Increased activity by the mother
Increased activity by the baby
Bladder fullness
Sometimes, no identifiable cause
Medicine Used
False labor does not require medical intervention. However, the following may help alleviate discomfort:
Hydration: Drinking plenty of water.
Rest: Lying down or changing position.
Over-the-counter pain relievers: Acetaminophen (Tylenol) can be used if the discomfort is significant, but should be discussed with the doctor first.
Is Communicable
False labor is not communicable. It is a physiological process related to pregnancy and cannot be transmitted from person to person.
Precautions
There are no specific precautions to prevent false labor, as it is a normal part of pregnancy. However, maintaining good hydration and avoiding overexertion may help. The most important "precaution" is to learn the difference between false and true labor. Contact your healthcare provider if you are unsure or if you experience any of the following:
Significant vaginal bleeding
Rupture of membranes (water breaking)
Decreased fetal movement
Severe abdominal pain
How long does an outbreak last?
There is no "outbreak" of false labor. Braxton Hicks contractions can occur sporadically throughout pregnancy, particularly in the second and third trimesters. Individual episodes of false labor contractions can last from a few minutes to several hours.
How is it diagnosed?
False labor is diagnosed based on:
Assessment of contraction patterns: Irregularity in timing, intensity, and duration.
Physical examination: A healthcare provider will check the cervix to see if it is dilating or effacing. If there is no cervical change, it is likely false labor.
Medical history: Reviewing the patient's pregnancy history and symptoms.
Timeline of Symptoms
Braxton Hicks contractions can start as early as the second trimester, but they are more common in the third trimester. The timeline is variable:
Second Trimester: Possible, but less frequent.
Third Trimester: Increasingly common; may become more noticeable as the due date approaches.
Near Term: Can be mistaken for true labor; differentiating factors become crucial.
Important Considerations
Distinguishing False Labor from True Labor: It is crucial to differentiate between false and true labor to avoid unnecessary trips to the hospital. Key differences are cervical changes and consistent, intensifying contractions in true labor.
Contacting Healthcare Provider: When in doubt, always contact your healthcare provider. They can assess your symptoms and provide guidance.
Dehydration: Dehydration can increase the likelihood of Braxton Hicks contractions, so stay well-hydrated.
Stress: Stress and anxiety may also trigger Braxton Hicks contractions. Try relaxation techniques.