Understanding Braxton Hicks Contractions: What to Expect in the Third Trimester

Woman experiencing Braxton Hicks contracions

As you journey through the third trimester, your body begins preparing for the arrival of your baby in remarkable ways. One of the most common – and sometimes confusing – experiences is Braxton Hicks contractions. These "practice contractions" can catch you off guard, but understanding them can make this part of pregnancy less daunting.

What Are Braxton Hicks Contractions?

Braxton Hicks contractions are your uterus's way of rehearsing for labour. Unlike true labour contractions, which grow stronger and closer together, Braxton Hicks tend to be irregular and vary in intensity. They often feel like a tightening or squeezing sensation in your abdomen, lasting anywhere from 30 seconds to a couple of minutes.

Why Do They Happen?

These contractions typically begin in the late second trimester but are most noticeable in the third. They may be triggered by physical activity, dehydration, a full bladder, or even just a gentle touch to your belly. Think of them as your body’s way of building strength and stamina for the big day.

How to Differentiate Braxton Hicks from True Labour

It’s natural to wonder whether what you’re feeling is the real deal. Here’s a simple guide to help:

  • Braxton Hicks: Irregular, unpredictable, and often go away with rest, hydration, or a change in activity.

  • True Labour Contractions: Steady, intensifying over time, and do not ease up no matter what you do.

If you're ever unsure, don’t hesitate to contact your healthcare provider for reassurance.

How to Ease Discomfort

While Braxton Hicks contractions are generally painless, they can still be uncomfortable. Here are a few tips to help:

  • Stay Hydrated: Dehydration can make contractions more noticeable, so drink plenty of water throughout the day.

  • Change Positions: If you’re sitting, try standing or lying down. A gentle change in activity can often stop the contractions.

  • Relax: Deep breathing, warm baths, or gentle massage can help your body relax and ease the sensation.

When to Call Your Maternity Team

It’s always better to err on the side of caution. Contact your maternity team/triage if you notice any of the following:

  • Contractions that are painful, regular, or increasing in intensity.

  • Bleeding, spotting, or unusual discharge.

  • Severe cramping or back pain.

Embracing the Process

Braxton Hicks contractions, while sometimes inconvenient, are a sign that your body is working hard to prepare for labour. Try to see them as a reminder of the incredible changes your body is undergoing as you prepare to meet your baby.

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Physiological and Psychological Changes in the Third Trimester