Is it Braxton Hicks or True Labor Contractions?



Dr. Donna Kasello of Health Quest Medical Practice answers questions about Braxton Hicks contractions.

"Braxton Hicks contractions occur in about 70% of pregnant women.”

Many women on their Facebook “moms”groups ask about Braxton Hicks contractions. They worry whether they will know the difference between these early contractions and true labor pains. Donna Kasello, an obstetrician at Health Quest Medical Practice, offers answers to some of the questions women have posed.

What do Braxton Hicks contractions feel like?
First of all, not every pregnant woman experiences Braxton Hicks contractions. Some will have these contractions in one pregnancy,but not in subsequent ones. This type of contraction is extremely common, occurring in about 70%of pregnant women. A Braxton Hicks contraction is a tightening of the uterine muscle.The uterus is a smooth muscle which overstretches during pregnancy. When the uterus tries to go back to its resting state, you will feel mild contractions. In general, the sensation associated with Braxton Hicks contractions is not painful, unlike labor pains. It feels more like a pressure across the abdomen and may last a half an hour and then subside. There will be no change in intensity from contraction to contraction. They call this false labor.

What if my Braxton Hicks contractions are making me uncomfortable?
If you are concerned, call your doctor or midwife. Usually, a cervical exam will be done to make sure that there is no softening or changes to your cervix. Calling your doctor or midwife is always okay,even for you to just be reassured that everything is proceeding normally in your pregnancy.

What do true labor contractions feel like?
True labor feels different for every woman and may feel different with each pregnancy. Labor pains occur as the cervix begins to soften and expand,allowing the baby to come through the birth canal. The pain is felt in the lower pelvic area and will become more and more painful as time progresses. Different from labor pains, the Braxton Hicks contractions are felt higher up in the abdomen and you should not see any change in intensity.

What should I do if my water broke?
If your water broke, call your doctor or midwife. Err on theside of caution. If you have any doubt, make the phone call. This is especially important if you have a personal history of preterm delivery before 36 weeks.Your doctor or midwife will make an assessment depending onyour medical history and how far along you are in your pregnancy. A test for infection will be done on your amniotic fluid, and you will be monitored in order to reduce the chance of infection for you and your baby. If necessary, your doctor or midwife will prescribe antibiotics. Remember, late in your pregnancy you may frequently experience an increased discharge. However, this does not mean that your water broke.

Dr. Kasello sees patients in HQMP OB/GYN Fishkill, Poughkeepsie and New Paltz offices and delivers babies at Vassar Brothers Medical Center.


Other articles by Health Quest Medical Practice-Obstetrics and Gynecology


  • A girl’s first gynecological visit

    Dr. Obosa Osawe of Health Quest Medical Practice discusses taking your daughter to the gynecologist

    Dr. Obasa Osawe, a board certified Health Quest Medical Practice OB/GYN, shares insights on when to schedule your daughter’s first gynecological appointment and how to prepare her (and yourself) for the exam. read more »
  • Giving birth on your own terms

    Shaye Arnold of Health Quest Medical Practice discusses midwifery

    Childbirth is a truly amazing experience. Those that have witnessed the birth of their child know it is hard to describe the intense rush of emotions felt as your child enters the world. Shaye Arnold, a certified nurse midwife at Health Quest Medical Practice, knows exactly how empowering childbirth can be, which is why she knew she was destined to become a midwife. read more »
  • Are you at risk of developing gestational diabetes?

    Dr. Jed Turk of Health Quest Medical Practice discusses gestational diabetes

    Being diagnosed with gestational diabetes can be alarming, but Dr. Jed Turk, a board-certified obstetrician and gynecologist at Health Quest Medical Practice, knows your diagnosis doesn’t mean your pregnancy won’t progress normally, nor does it mean your baby will be unhealthy. read more »
  • Am I going through the change?

    Dr. Jose E. Baez of Health Quest Medical Practice discusses perimenopause

    You wake up doused in sweat, your clothes don’t fit, and you’re literally crying over spilled milk. Dr. Jose E. Baez, a board-certified obstetrician and gynecologist at Health Quest Medical Practice in Poughkeepsie, knows you’re not on the verge of a breakdown; but, you may be entering perimenopause. read more »
  • Ask the OB: Pregnant after 35

    Dr. Jed Turk of Health Quest Medical Practice answers questions about becoming pregnant as you get older.

    If you have put off becoming pregnant because of your career, relationship issues, or you just weren’t ready, you may have questions about becoming pregnant as you get older. Obstetrician Jed Turk, MD gives straight-forward answers to some of women’s top concerns. read more »
  • If you don't vaccinate your children - read no further.

    Dr. Molly Cowgill of Health Quest Medical Practice discusses the importance of immunizing for for Human Papilloma Virus (HPV).

    Dr. Molly Cowgill of Health Quest Medical Practice discusses the importance of immunizing for for Human Papilloma Virus (HPV). read more »
  • What is a midwife and what services do they provide?

    Is using a midwife the right choice for you?

    Nancey Rosensweig, a certified nurse midwife, joined Health Quest Medical Practice (HQMP) in 2011, and has more than 15 years experience in guiding women through their pregnancies. She answers questions about midwives and their services. read more »
  • Ask the OB: What is abnormal uterine bleeding?

    Dr. Obosa Osawe, OBGYN, joined Health Quest Medical Practice in 2010. She answers questions on the topic of abnormal uterine bleeding. read more »
  • Ask the OB: Exercise during pregnancy

    Dr. Stacey Madoff of Health Quest Medical Practice discusses the importance of exercise during pregnancy

    Dr. Stacey Madoff of Health Quest Medical Practice discusses the importance of exercise during pregnancy read more »
  • Ask the OB - Reduce birthing pain

    Dr. Meredith McDowell of Health Quest Medical Practice gives advice for a less painful birthing experience

    Pain and birthing, do they go together? Not always! Dr. Meredith McDowell of Health Quest Medical Practice gives advice for a less painful birthing experience read more »