Home | Articles | Pregnancy | Differences Between False and True Contractions That Often Cause Confusion

Differences Between False and True Contractions That Often Cause Confusion

Pregnancy
16/07/2025
Writter: Makuku
Reviewer: Chief Editor
Differences Between False and True Contractions That Often Cause Confusion

Entering the third trimester of pregnancy, Moms may start to feel the sensation of the stomach tightening or hardening, known as contractions. These contractions are a natural part of labor preparation. However, did you know that there are two types of contractions, namely false contractions (Braxton Hicks) and true contractions?

Distinguishing between the two is indeed important, especially for moms who are pregnant for the first time. This article will thoroughly discuss the differences between false and real contractions, so moms don't need to worry and panic when experiencing them.

What is Contraction?

Contractions are periodic contractions of the uterine muscles that occur during labor. The uterine muscles are like a balloon containing the baby, placenta, and amniotic fluid. Labor contractions work by tightening and releasing the uterine muscles, pushing the baby down through the birth canal. Labor contractions usually feel like waves that become stronger and more frequent over time.

What is False Labor (Braxton Hicks)?

False contractions, also known as Braxton Hicks, are irregular uterine muscle contractions not associated with labor. These contractions often occur in the second and third trimesters of pregnancy. False contractions help train the uterine muscles for actual labor and are usually not painful.

Although they do not cause pain, false contractions can sometimes make Moms feel uncomfortable. These contractions can make the stomach feel tight, like a mild cramp. False contractions can also cause the lower back to feel pressured.

Differences Between False and True Contractions

Moms may be confused about distinguishing between false and real contractions. Here are some key differences to note:

Time Difference

False contractions: False contractions can occur at any time during pregnancy, but are more common in the second and third trimesters. These contractions can occur several times a day or even a week. Triggers for false contractions can vary, such as dehydration, a full bladder, physical activity, or after sexual intercourse.

True contractions: True contractions typically begin around 37–40 weeks of pregnancy. These contractions become more frequent and intense over time. Typically, true contractions occur regularly with increasingly shorter intervals, indicating that labor is approaching.

Duration Difference

False contractions: False contractions usually last less than 30 seconds to 2 minutes and are irregular. False contractions may occur several times in an hour, but the intervals between them are unpredictable.

True contractions: True contractions typically last 30–70 seconds and become longer over time. These contractions also become more regular and frequent. The intervals between true contractions will gradually shorten, for example, from initially 10 minutes to 5 minutes, then 3 minutes, and so on.

Difference in Sensation

False contractions: False contractions usually feel like a tightening or tightening sensation in the abdomen. These contractions may feel like mild cramps or pressure in the lower back. The pain felt due to false contractions is usually temporary and does not get worse.

True contractions: True contractions feel like waves that get stronger and more frequent. These contractions may feel like cramps, pressure, or pain in the abdomen, lower back, and thighs. The pain caused by real contractions usually becomes more severe and does not go away with a change in position. Real contractions may sometimes be accompanied by other symptoms such as nausea, vomiting, and diarrhea.

Knowing the difference between false and real contractions can help Moms feel more at ease and prepared as labor approaches. If Moms are unsure whether the contractions they are experiencing are false or real, it is advisable to contact a midwife or obstetrician. They can help Moms assess the pregnancy condition and ensure everything is going smoothly.

Share on social media:
Customer Care MAKUKU