Pregnancy and Braxton Hicks contractions: What are they and what can you do about them?

During pregnancy, many changes occur in your body. One of the most common complaints many women experience are so-called Braxton Hicks contractions. Although they are often no cause for concern, they can be uncomfortable and sometimes even painful. In this blog, we explain what Braxton Hicks contractions during pregnancy are, why they occur, and what you can do to relieve them.

What are Braxton Hicks contractions?

Braxton Hicks contractions, also known as false labor pains, are a form of practice contractions. During these contractions, the uterus tightens, making your abdomen temporarily feel hard and tense. This can last from a few seconds to minutes, after which the uterus relaxes again. Braxton Hicks contractions can occur from the second half of pregnancy, but some women experience them earlier.

The difference between Braxton Hicks contractions and real labor is that Braxton Hicks contractions are usually irregular and less intense. They do not get progressively stronger or closer together, unlike contractions that announce labor. However, Braxton Hicks contractions can be uncomfortable, especially if you experience them often.

What causes Braxton Hicks contractions during pregnancy?

Braxton Hicks contractions can be caused by various factors. Here are the most common causes:

1. Uterine growth: As your pregnancy progresses, your uterus grows significantly to make room for the baby. This growth can put pressure on the surrounding muscles and tissues, which can lead to Braxton Hicks contractions.
2. Exertion or fatigue: Physical exertion, such as lifting, bending, or exercising, can cause Braxton Hicks contractions. Prolonged standing or extensive walking can also play a role. When your body is tired, it often reacts by causing uterine contractions.
3. Stress or emotional tension: Experiencing stress or tension can affect your body, including the muscles in your uterus. Emotional stress can cause the uterus to tighten, resulting in a hard abdomen.
4. A full bladder: A full bladder can irritate the uterus and cause contractions, leading to a hard abdomen. Regularly emptying your bladder can help prevent this.
5. Baby's movements: As your baby grows and moves, this can lead to temporary uterine contractions. This is usually a sign that your body is preparing for eventual labor.
6. Hydration issues: Lack of sufficient fluids can also cause Braxton Hicks contractions. If your body is dehydrated, it sometimes reacts by causing muscle contractions, including those of the uterus.

When are Braxton Hicks contractions normal?

In most cases, Braxton Hicks contractions are normal and a sign that your body is adapting to pregnancy and preparing for labor. If they occur irregularly and are not accompanied by pain or bleeding, there is usually no cause for concern.

Braxton Hicks contractions mainly occur in the second and third trimesters of pregnancy and can become more frequent as labor approaches. They can also occur more often in the evening, especially if you have been physically active during the day.

When should you contact a doctor or midwife?

Although Braxton Hicks contractions are usually harmless, there are times when you should be alert. Contact your midwife or doctor if you have Braxton Hicks contractions that:

• Return regularly and do not subside with rest.
• Are combined with back pain, blood loss, or fluid loss.
• Feel like painful, regular contractions, especially before the 37th week of your pregnancy. This could indicate preterm labor.
• Persist even after rest, hydration, or other measures.

If you are unsure about the nature of your Braxton Hicks contractions or have other concerns, it is always wise to seek advice from your midwife.

What can you do about Braxton Hicks contractions?

Fortunately, there are several ways to relieve Braxton Hicks contractions. Here are some tips and products that can help you:

1. Rest and relaxation
   One of the most important things you can do to prevent or reduce Braxton Hicks contractions is to rest. Avoid excessive physical exertion and try to take regular breaks throughout the day, especially if you feel Braxton Hicks contractions coming on. Lie down on your side and take time to relax.
2. Heat
   Heat can help relax the muscles in your uterus and relieve the tension of Braxton Hicks contractions. A warm hot water bottle is ideal for this. Various options are available:
• Inexpensive hot water bottle: A simple, inexpensive rubber hot water bottle can work wonders. Fill it with warm (not too hot) water and place it on your lower abdomen to relieve tension.
• Stoov hot water bottle: The Stoov hot water bottle is a modern, rechargeable hot water bottle that provides long-lasting warmth without needing to be reheated constantly. This hot water bottle offers wireless heat and is ideal for reducing the discomfort of Braxton Hicks contractions. Stoov products are often a bit more expensive but offer a lot of comfort and flexibility.
3. Hydration
   As mentioned earlier, dehydration can cause Braxton Hicks contractions. Make sure you drink enough throughout the day, especially water. A handy tip is to always have a bottle of water with you so you can drink regularly.
4. Avoid stress
   Stress can worsen Braxton Hicks contractions. Therefore, it is important to use relaxation techniques to reduce your stress level. Think of meditation, breathing exercises, or yoga for pregnant women. A daily relaxation routine can help calm both body and mind.
5. Movement and posture
   While physical exertion can cause Braxton Hicks contractions, light movement can actually help relieve tension. Consider gentle walks or exercises specifically for pregnant women. Also, make sure you maintain good posture when sitting or standing, and avoid staying in the same position for too long. Use a pregnancy pillow for extra support if needed.
6. A warm bath or shower
   A warm bath or shower can help relax your entire body, including your uterus. Make sure the water is not too hot (around 37 degrees is ideal), as too high a temperature can be harmful to your baby.
7. Magnesium supplements
   Magnesium helps relax muscles and can be effective in reducing Braxton Hicks contractions. Always consult your midwife or doctor before using supplements, but many women find relief by taking magnesium during pregnancy.
8. Maternity band
   A maternity band or belt can provide support to your growing belly and help reduce pressure on your uterus. This can be especially useful if you stand or move a lot throughout the day. There are various brands and types of maternity bands available, from simple fabric bands to more advanced bands with extra support.

Recommended products for Braxton Hicks contractions

In addition to the previously mentioned products such as the inexpensive hot water bottle and the Stoov hot water bottle, there are a few other items that can help relieve Braxton Hicks contractions:

• Pregnancy pillow: This specially designed pillow provides extra support for your back, abdomen, and legs during sleep. Better sleeping posture can help reduce pressure on your uterus and prevent Braxton Hicks contractions.
• TENS device: Although this device is usually used during labor to relieve pain, some women report that a TENS device can also help relieve Braxton Hicks contractions. It works by delivering mild electrical impulses, which can help relax the muscles.

Preventing Braxton Hicks contractions

While Braxton Hicks contractions are often unavoidable during pregnancy, there are ways to reduce their frequency and intensity:

• Listen to your body: If you feel your body needs rest, take a break. Excessive exertion and fatigue can trigger Braxton Hicks contractions, so take regular breaks, especially if you notice you are experiencing them.
• Stay hydrated: As mentioned earlier, dehydration can worsen Braxton Hicks contractions. Drink plenty of water and avoid caffeinated beverages, as these can dehydrate you faster.
• Avoid lifting heavy objects: Lifting heavy objects can cause Braxton Hicks contractions. Try to avoid lifting as much as possible and ask for help when needed.