Pregnant Labor Contraction

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Medically Reviewed by James Greenberg, M.D. on December 15, 2020
From the types of contractions you may experience during pregnancy to when to call your practitioner, here's the 411 on the all-important spasms that bring your baby into your arms.
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Even if you didn’t know much about pregnancy and birth when you conceived, you're no doubt familiar with contractions — your body's uncomfortable but essential means of pushing your baby down the birth canal and out into the world.
But you may not have known that there are several types of contractions, and experiencing them doesn’t always mean you’re about to give birth.
From what contractions feel like to how to know you’re actually in labor, here's what you need to know before delivery.
Early labor contractions can feel like gastrointestinal discomfort, heavy menstrual cramps or lower abdominal pressure.
There are two kinds of contractions you may experience during pregnancy, including:
You’ll know you’re experiencing real labor contractions vs. Braxton Hicks contractions because actual labor contractions:
You may feel pain in just the lower abdomen or in the lower back and abdomen, and the pain may radiate down the legs, particularly the upper thighs.
Keep in mind, however, that location is not the most reliable indication of labor, since you can feel false labor contractions in these places too. Better signs include the frequency, intensity and regularity of your contractions.
The average contraction can vary in length, intensity and frequency depending on your stage of labor:
Your practitioner has likely told you when to call if you think you're in labor (a good rule of thumb: when contractions are five to seven minutes apart).
If you're not sure if you're in real labor but the contractions are coming pretty regularly, pick up the phone anyway. Just don’t wait for perfectly even intervals, which may never come.
Concerned it’s the middle of the night? Don’t feel guilty about waking your doctor — people who deliver babies for a living get plenty of 3 a.m. phone calls and are used to them.
And don’t be embarrassed if it’s a false alarm — you won't be the first (or last) expecting mom to misjudge her labor signs. Besides, it’s always best to err on the side of caution.
Your practitioner will want you to answer a few questions, not only to provide information, but also to hear the tone of your voice. As you talk through the contraction, he or she will probably be able to tell whether it’s the real thing — so don’t try to cover up the pain in the name of good phone manners. 
Early contractions are real labor contractions that come before you're 37 weeks pregnant. If you experience them and they're getting stronger and more frequent, call your doctor right away and/or head to the hospital if you can't immediately reach your practitioner. It may be a sign that you've gone into labor prematurely.
Be sure to call your practitioner right away — and if you can’t get through, head for the hospital — in the following instances:
No one knows for sure what triggers real labor contractions — they may start with the fetus or the placenta — but wherever they originate, they kick off a chain reaction in the mother that paves the way for the work of prostaglandins and oxytocin, substances that trigger contractions and when all systems are “go.”
You might have noticed that your uterus contracts after you orgasm. Try not to worry — orgasm itself is a contraction of the uterus, after all. Many moms experience contractions after sex that can be powerful and last as long as a half hour.
Unless your practitioner has advised that you avoid orgasm during pregnancy (often because you’re at risk for preterm labor or miscarriage), sex is safe during pregnancy and there’s no reason to be concerned about these types of contractions.
If you've passed the 40-week mark and are officially overdue, you might be wondering how you can start contractions and get this show on the road, already. There are a few techniques that may induce labor naturally , including acupuncture and walking.
From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You're Expecting . What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy .
The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Use of this site is subject to our terms of use and privacy policy . © 2021 Everyday Health, Inc





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Once you reach week 37 of your pregnancy , it becomes a waiting game until delivery. When you feel those first contractions , you'll know it's "go" time ... or maybe not.
Your baby might trick you before the main event with a few practice contractions . You'll think it's time, only to have your doctor tell you that you're not ready to deliver yet.
If you learn what contractions feel like and how to tell the real ones from the fakes, you'll keep yourself from heading to the hospital before it's time.
During labor, you push your baby out of your womb (uterus) and into the world. Contractions help you do that.
During each contraction, the muscles in your uterus tighten and then release. This muscle-flexing softens and widens (dilates) the opening to your uterus, called the cervix. It also pushes your baby down and out of the uterus. As your cervix opens, your baby moves into the birth canal and into position for delivery.
Contractions feel like a tightening or pressure in your belly that lasts for 30 to 70 seconds. Labor is different for every woman. Contractions can range from crampy, like a bad period or severe diarrhea cramps, to intensely painful. Some women also feel an ache or pain in their back.
As labor progresses, contractions get more intense and painful. You may not be able to talk during them.
Many pregnant women feel contractions and think they're going into labor, but it turns out to be a false alarm. Braxton Hicks contractions got their name from the English doctor who first described them in the 1800s. They're like a practice run to soften and thin your cervix and prepare your body for labor.
Although you can have fake contractions at any time during your pregnancy, they're more common in your last trimester, which adds to the confusion. Braxton Hicks contractions can feel so much like the real thing that you think you're in labor.
Braxton Hicks contractions are similar to real ones in a lot of ways, but there are differences.
Real contractions come at regular intervals and get closer together and more intense as time passes. At first, you may have contractions once every 10 minutes, then once every 5 minutes, and so on. Braxton Hicks contractions don't have any set pattern. They come and go at random.
False contractions don't get more intense. Real ones gradually increase in strength.
Usually you'll feel Braxton Hicks contractions in one area of your belly. When you get up and walk, change position, or lay down and rest, they'll go away. True labor pains can spread throughout your belly, as well as to your lower back. And they won't stop, no matter what you do.
Other signs that you're in real labor include:
If you're not sure which type of contractions you're having, time them and note whether they get closer together. Change position, rest, and see if they stop. Or drink a glass of water . Dehydration can trigger Braxton Hicks contractions.
Talk to your doctor before you have contractions so you know what to expect. Ask about the signs of labor and the difference between real contractions and Braxton Hicks.
Call your doctor if you think you're in labor. Even if you're wrong, it's better to be on the safe side.
One way to tell whether you're in labor is to look for the 5-1-1 pattern. True labor contractions will come once every 5 minutes, last for at least 1 minute, and keep going for at least 1 hour.
Call your doctor right away or go into the office if you have any of these signs:
American College of Obstetricians and Gynecologists: "How to Tell When Labor Begins."
Cleveland Clinic: "True vs. False Labor."
March of Dimes: "Contractions and Signs of Labor."
Mayo Clinic: "Stages of labor and birth: Baby, it's time!"
Pregnancy, Birth & Baby: "Pregnancy - 37 to 40 weeks."
University of Texas Southwestern Medical Center: "False alarm: Braxton Hicks contractions vs. true labor."
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https://www.whattoexpect.com/pregnancy/symptoms-and-solutions/labor-contractions.aspx
https://www.webmd.com/baby/what-to-know-contractions
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