Braxton Hicks vs real contractions: how to tell the difference
Braxton Hicks tightenings are usually irregular, short and do not steadily become stronger. Labour contractions develop a pattern, last longer, come closer together and intensify. No checklist is perfect, so contact your maternity team whenever you are unsure—especially before 37 weeks.
Written by HelloMommy editorial teamUpdated Published 2 min readBraxton Hicks contractions
These practice tightenings can occur from mid-pregnancy and become more noticeable later. They are usually irregular, do not build in frequency or intensity and may ease after rest, hydration, changing position or emptying the bladder. They can still feel uncomfortable.
Real labour contractions
Labour contractions usually form a consistent pattern, become longer and stronger and occur closer together. The whole abdomen may harden, with pain in the abdomen, pelvis or back. They continue despite changing activity because they help the cervix thin and open.
How to time contractions
Record the start and end of each contraction. Duration is how long one lasts; frequency is measured from the start of one to the start of the next. Time several in a row and follow the specific instructions from your maternity unit.
Other signs of labour
A sticky pink mucus “show”, backache, pelvic pressure and waters breaking may accompany labour. A show can occur days beforehand, while waters can break before contractions begin. Continue to notice your baby’s usual movements.
When in doubt
Call your midwife or maternity unit rather than trying to diagnose labour alone. Your gestation, previous births, distance from hospital and individual pregnancy risks change when you may need assessment.
Frequently asked questions
Can Braxton Hicks be painful?
They are often painless but can be uncomfortable or occasionally strong. A pattern that intensifies, or any concern, should be discussed with your maternity team.
Do real contractions stop when you rest?
Labour contractions generally continue and progress despite rest or changing position. Braxton Hicks are more likely to ease, but this is not a definitive test.
When should I start timing contractions?
Start when tightenings feel regular or different from usual. Record several and call according to your maternity unit’s personal guidance.
Sources
This article is for general information only and is not medical advice. Always talk to your doctor or midwife about your own pregnancy.
Related articles
BirthSigns of labour: early symptoms, timing and when to go to hospital
A practical guide to contractions, a show, waters breaking and the symptoms that mean it is time to call your maternity unit or get urgent help.
3 min read
BirthHospital bag checklist: what to pack and when
A practical list for labour, for after the birth and for your baby — packed by week 36, so it is one less thing to think about.
2 min read
BabyBaby movements: when they start, what’s normal and when to call
Learn when you may first feel your baby move, how movements change, what is normal for your baby and when a change needs urgent assessment.
3 min read