Experiencing Braxton Hicks contractions during pregnancy can be surprising, especially when they occur frequently. These practice contractions are irregular tightenings of the uterus that help prepare your body for labour. Although usually painless and not a sign of true labour, frequent Braxton Hicks may cause discomfort or anxiety. Understanding why they occur so often and how to tell them apart from real labour empowers you to manage them effectively and know when to seek medical care.

What are Braxton Hicks contractions
Braxton Hicks contractions involve the uterine muscles tightening briefly and then relaxing. They typically begin in the second or third trimester and do not follow a steady rhythm. Their main purpose is to tone the uterine walls and improve blood flow to the placenta. Unlike true labour contractions, they do not grow longer, stronger or closer together over time.

Common triggers for increased frequency
Several factors may make practice contractions more frequent or pronounced. When you become dehydrated, your uterus may become irritable and contract more often. Overexerting yourself by standing for long periods, doing vigorous exercise or lifting heavy objects can stimulate uterine activity. A full bladder pressing against the uterus may also prompt tightenings. Sexual activity, including orgasm and the natural prostaglandins in semen, often leads to more practice contractions. Even a baby’s movement or light pressure on your abdomen can trigger a tightening.

Distinguishing Braxton Hicks from true labour
It is important to recognise the differences between practice contractions and the onset of real labour. Practice contractions remain irregular, mild and short in duration, and they tend to ease if you rest or change position. True labour contractions develop a regular pattern, growing longer and more intense, and do not subside with rest. Labour contractions often begin in the lower back and travel to the front of the abdomen, whereas Braxton Hicks are usually felt only in the front.

Why contractions increase late in pregnancy
In the final weeks before your due date, your body experiences hormonal shifts that make the uterus more active. Rising levels of oxytocin and increased sensitivity of uterine muscle fibres lead to more frequent practice contractions. Although these contractions may feel uncomfortable, they are a normal part of your body’s preparation for childbirth and do not necessarily mean that labour is imminent.

Managing discomfort at home
Easing frequent Braxton Hicks contractions involves simple self‑care measures. Drinking plenty of water throughout the day keeps you well hydrated and reduces uterine irritability. Resting on your side or sitting with your feet elevated allows fluid to move away from the uterus. A warm bath can relax your muscles and ease discomfort. Gentle breathing exercises, prenatal yoga or meditation calm your nervous system and help prevent unnecessary tightenings. Avoiding excessive activity and pausing when you feel a contraction ensures you do not overtax your body.

When to seek medical advice
Although practice contractions are harmless, you should contact your healthcare provider if you notice regular tightenings that do not ease with rest, if contractions become painful, if you experience vaginal bleeding or unusual discharge, if your water breaks or if your baby’s movements decrease. These signs could indicate true labour or other complications that require prompt evaluation to ensure your safety and that of your baby.

Summary
Frequent Braxton Hicks contractions are a normal feature of late pregnancy, helping condition the uterus for labour. Triggers include dehydration, overexertion, a full bladder, sexual activity and increased hormonal sensitivity. You can manage discomfort by staying hydrated, resting in comfortable positions, taking warm baths and practising relaxation techniques. Learning to tell practice contractions apart from true labour and seeking advice when warning signs appear will help you navigate the final weeks of pregnancy with confidence and ease.

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