How to tell the difference between Braxton Hicks and labour contractions?

Knowing the difference between Braxton Hicks and Labour contractions is important

Understanding the differences can help in determining when labour has truly begun.

So, we’ve done the research for you (and for me) about what to expect and when to head to the hospital.

Braxton Hicks contractions

Often referred to as "practice contractions," Braxton Hicks contractions are the body's way of preparing for labour, according to the HSE. 

They are typically characterised by:

• Duration: Shorter, lasting about 30 to 60 seconds.
• Frequency: Occur sporadically without a regular pattern.
• Intensity: Generally mild, feeling like a tightening or squeezing in the abdomen, and are usually not painful.
• Pattern: Do not become progressively longer, stronger, or closer together.

These contractions can happen several times a day and may go away with movement or rest. They are more common in the later stages of pregnancy but can happen at any time.

Labour contractions

Labour contractions signal the onset of childbirth and have distinct characteristics:

• Duration: Longer than Braxton Hicks, often lasting more than 30 seconds, and increasing as labour progresses.
• Frequency: Start irregularly but become more regular, occurring closer together over time.
• Intensity: Begin mildly but grow in strength, leading to discomfort or pain.
• Pattern: Develop a consistent pattern, with contractions becoming longer, stronger, and more frequent.

These contractions are a sign that the body is working to move the baby down and open the cervix in preparation for birth. 

Key differences

The primary differences between Braxton Hicks and labour contractions include:

• Regularity: Braxton Hicks are irregular and infrequent, while labour contractions become regular and frequent.
• Intensity: Braxton Hicks are usually mild and do not increase in intensity; labour contractions intensify over time.
• Duration: Braxton Hicks remain consistent in length, whereas labour contractions lengthen as labour progresses.

When to get medical advice

It's important to contact your midwife, maternity unit, or hospital if:

• Contractions become stronger or more intense.
• Contractions occur closer together.
• You experience fluid gushing or leaking from the vagina.
• There's any vaginal bleeding.
• You notice a change or reduction in your baby's movements.

Also, it’s so important to trust your instincts - if something doesn't feel right, get checked. 

Understanding these differences can help you determine when labour has begun and when to ring the hospital for advice. 

Always consult with your healthcare provider if you're uncertain about any symptoms during pregnancy.

For more information on Braxton Hicks and labour contractions, here’s the link to the HSE’s information page.